Senior Advisor - Medicare Advantage

The CMMI MA Strategy requires primary and secondary research to inform development of MA model concepts. Primary research requires analysis of MA benefit, claims, and financial data and other MA data sets. Secondary research requires a deep knowledge of leading MA research and applying that research to MA research and model concepts.

Participate with staff in refining existing model and MA policies based on health services and MA research expertise.
• Provide substantive comments that help move forward the work on internal policy development documents for MA strategy, MA payment and beneficiary and plan choice design strategy, risk adjustment strategies, and future model concepts (variable frequency).
• Participate in strategy sessions with senior leadership on MA payment and beneficiary and plan choice design strategy.
• Participate and provide advice on MA risk adjustment strategy.
• Advise staff on latest research to inform MA visioning, existing and future models and CMMI strategy.
• Develop briefing papers on specific policy topics, such as MA payment and beneficiary and plan choice design, and other policy topics, TBD.
• Requires a mastery of Medicare Advantage models and policies.

• PhD in related field and more than 10 years experience.
• Significant experience in health services research and presentations on Medicare Advantage Organizations and Medicare policy issues relevant to the Medicare Advantage program and models, including analyses of Medicare Advantage plans' performance, impacts on market/competitive dynamics and health disparities, payment incentives, enrollment/disenrollment trends, risk adjustment, quality, supplemental benefits, special populations (e.g., those with end-stage renal disease or dual-eligible beneficiaries), and beneficiary choice.