Job Description
**Job Family** **:**
Management Consulting
**Travel Required** **:**
Up to 10%
**Clearance Required** **:**
Ability to Obtain Public Trust
**What You Will Do:**
The Healthcare Review/Audit Policy Member is responsible for monitoring federal/state policy changes and court rulings relevant to the Exchanges (e.g., changes impacting the Advanced Premium Tax Credit (APTC)/Qualified Health Plan (QHP) eligibility, and Special Enrollment Periods (SEPs), and through reviewing annual Exchange regulations, sub-regulatory guidance, and system/operations documentation; Assesses the impact of those changes on Exchange Improper Payment Measurement (EIPM) methodology, including review unit logic, scripts, and review tools, and determines where updates are required; Develops policy update deliverables and coordinates with technical, review, and data teams to accurately reflect changes.
**What You Will Need:**
+ Bachelor...
Management Consulting
**Travel Required** **:**
Up to 10%
**Clearance Required** **:**
Ability to Obtain Public Trust
**What You Will Do:**
The Healthcare Review/Audit Policy Member is responsible for monitoring federal/state policy changes and court rulings relevant to the Exchanges (e.g., changes impacting the Advanced Premium Tax Credit (APTC)/Qualified Health Plan (QHP) eligibility, and Special Enrollment Periods (SEPs), and through reviewing annual Exchange regulations, sub-regulatory guidance, and system/operations documentation; Assesses the impact of those changes on Exchange Improper Payment Measurement (EIPM) methodology, including review unit logic, scripts, and review tools, and determines where updates are required; Develops policy update deliverables and coordinates with technical, review, and data teams to accurately reflect changes.
**What You Will Need:**
+ Bachelor...
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