Medicare MAC SME: FFS Policy & Ops Expert
peratonReston (VA)
About the role
Peraton in Reston, VA seeks a Senior SME specializing in Medicare Administrative Contractors (MACs) to support CMS operations within the Medicare FFS ecosystem. You will be the authoritative resource on MAC functions, regulations, and CMS interfaces.
Responsibilities include advising on MAC claims processing, enrollment, appeals, medical review, and coverage determinations; guiding teams on MAC relationships with RACs, UPICs, and QIOs; and ensuring compliance with CMS procurement guidance.
Before you apply
Applying takes about a minute. These four things decide how fast it moves after that.
Your profile is current
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Two examples you can talk through
Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.
A number in mind
What you're on now and what would make you move. We negotiate better when we know both.
Your notice period
Employers plan around it, and it's the question that stalls offers most often.
Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.
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