Senior Advisor- Payment Design
oraucareers
🌍 RemoteTEMPORARY💰 USD 57–68
Senior Advisor - Medicare Advantage Plan Benefits/EGWPs - PART C
oraucareers· Environmental, Safety & Health
About this role
Overview
Position Title: Senior Advisor for Medicare Advantage Plan Benefits (EGWPs)
Work Location: Remote, U.S. basedAssignment Length: 1 year (through 03/31/2027)Hours: Up to 10 hours per week
Salary: $89 - $95 per hour
Project Overview
Under Section 1115A of the Social Security Act, the CMS Innovation Center (CMMI) designs, tests, and expands innovative payment and service delivery models that reduce or maintain costs while preserving or improving quality of care.
The Senior Advisor will provide analytic, technical, and regulatory drafting support related to Employer Group Waiver Plans (EGWPs) within a new MA-focused models. This role advises on research, model design, payment methodology development, and rulemaking activities essential to the project’s success.
Primary Purpose of the Role
The advisor will deliver expert policy, analytic, and regulatory support to design and operationalize new MA models related to EGWP payment and structure. This includes researching statutory authorities, developing policy options, and advising on regulatory materials supporting the models.
Responsibilities
Key Duties & Responsibilities
Statutory & Regulatory Framework Review• Review the statutory framework governing EGWPs, including SSA requirements, waiver authority, and Section 1115A authority to identify constraints, flexibilities, and impacts for model implementation.
Policy Analysis & Option Development• Provide expertise on EGWP payment structure and anticipated impacts of the new MA model test.• Advise on policy options that support model design and implementation.• Advise on rulemaking language related to the model.
Research & Model Design Support• Conduct policy research, environmental scanning, special studies, and analysis to inform model design decisions.
Qualifications
Education
- Master’s degree in Economics, Business, Public Policy, Health Administration, Health Services Research, or related field.• Actuarial experience is a plus.
Experience
- Candidates must bring 10+ years of deep domain expertise in Medicare Advantage, with particular emphasis on EGWPs.
- Extensive understanding of how EGWPs function within MA, including distinctions between regulations and sub‑regulatory guidance.
- Advising MA plans or employer groups on EGWP policy and operational considerations.
- Experience assessing flexibilities under Section 1115A authority.
- Ability to evaluate payment structures, compliance considerations, and implementation impacts.
Frequently Asked Questions
What is the salary for the Senior Advisor - Medicare Advantage Plan Benefits/EGWPs - PART C role at oraucareers?
The listed salary for this Senior Advisor - Medicare Advantage Plan Benefits/EGWPs - PART C position at oraucareers is USD 89–95. This is a remote TEMPORARY role.
Is the Senior Advisor - Medicare Advantage Plan Benefits/EGWPs - PART C job at oraucareers remote?
Yes, this Senior Advisor - Medicare Advantage Plan Benefits/EGWPs - PART C position at oraucareers is remote, with team members based in US. You can work from home or anywhere in the supported regions.
Is the Senior Advisor - Medicare Advantage Plan Benefits/EGWPs - PART C role at oraucareers full-time or part-time?
This is listed as a TEMPORARY position. It is posted as a Senior Advisor - Medicare Advantage Plan Benefits/EGWPs - PART C role in the Environmental, Safety & Health department at oraucareers.
Which team or department does the Senior Advisor - Medicare Advantage Plan Benefits/EGWPs - PART C at oraucareers belong to?
This Senior Advisor - Medicare Advantage Plan Benefits/EGWPs - PART C position is part of the Environmental, Safety & Health department at oraucareers. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Senior Advisor - Medicare Advantage Plan Benefits/EGWPs - PART C position at oraucareers?
Click the "Apply Now" button on this page. You will be redirected to oraucareers's official application portal hosted on icims where you can submit your application directly.
When was the Senior Advisor - Medicare Advantage Plan Benefits/EGWPs - PART C job at oraucareers posted?
This Senior Advisor - Medicare Advantage Plan Benefits/EGWPs - PART C position at oraucareers was posted on Apr 30, 2026. Apply as soon as possible — early applications are often reviewed first.
Senior Advisor - Medicare Advantage Plan Benefits/EGWPs - PART C
oraucareers · 💰 USD 89–95
You'll be redirected to oraucareers's official application page on icims.