Department of Health and Human Services

Director, Performance-Based Payment Policy Group

Washington, District of Columbia, Woodlawn, Maryland Full time

Director, Performance-Based Payment Policy Group

Department: Department of Health and Human Services

Location(s): Washington, District of Columbia, Woodlawn, Maryland

Salary Range: $151661 - $228000 Per Year

Job Summary: This position is located in the Center of Medicare (CM), Performance-Based Payment Policy Group (PBPPG), Centers for Medicare and Medicaid Services (CMS). As the Director, Performance-Based Payment Policy Group, you will provide executive leadership, direction, and coordination for the design, development, implementation, and administration of population performance-based payment policies, value-based care programs, and delivery system reform strategies within Original Medicare payment systems.

Major Duties:

  • Serves as principal advisor to CMS and HHS leadership on population performance-based payment policy in Original Medicare, including the Medicare Shared Savings Program (MSSP), value-based care, delivery system reform, and price transparency.
  • Leads the development, implementation, and oversight of population-based payment frameworks, including MSSP, expansion Innovation Center ACO models, and price transparency requirements under Medicare Parts A and B.
  • Directs national policy and operations for MSSP, including application review, benchmarking, quality reporting, shared savings determinations, compliance oversight, and program administration.
  • Directs national policy and operations for price transparency, principally for hospitals, including overseeing data collection and coordinating across CMS components on compliance monitoring and enforcement activities.
  • Develops regulations, sub-regulatory guidance, Federal Register documents, policy memoranda, and technical specifications to implement statutory and regulatory requirements.
  • Leads data-driven policy analysis using Original Medicare data to evaluate and refine value-based payment and price transparency initiatives.
  • Directs enterprise coordination across CMS, HHS, OGC, ASFR, ASPE, and Federal partners to ensure legally sound, operationally feasible, and fiscally responsible implementation.
  • Represents CMS in high-profile stakeholder engagement and Congressional interactions; briefs senior leadership on program status and emerging issues.

Qualifications: Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Candidates will not be hired based on their race, sex, color, religion, or national origin. To meet the minimum qualification requirements for this position, you must show that you possess the Executive Core Qualifications (ECQ) and Technical Qualifications (TQ) related to this position within your resume - NOT TO EXCEED 2 PAGES. Resumes over the 2-page limit, will not be reviewed beyond page 2 or may be disqualified. Your resume should include examples of experience, education, and accomplishments applicable to the qualification(s). If your resume does not reflect demonstrated evidence of these qualifications, you may not receive consideration for the position. There is NO requirement to prepare a narrative statement specifically addressing the Executive Core Qualifications (ECQs) or the Technical Qualifications (TQs). TECHNICAL QUALIFICATIONS (TQs): Your resume should demonstrate accomplishments that would satisfy the technical qualifications. TQ 1: Demonstrated executive-level experience leading highly skilled, multidisciplinary professional staff in the development and implementation of population and performance-based payment policies, value-based care programs, and/or delivery system reform initiatives within a national or state health care program or large-scale public or private sector health care organization. TQ 2:Demonstrated experience leading implementation of complex health care programs and/or policies to achieve improvement and/or organizational results. EXECUTIVE CORE QUALIFICATIONS (ECQs): In addition to the Technical Qualification Requirements listed above, all new entrants into the Senior Executive Service (SES) under a career appointment will be assessed for executive competency against the following five mandatory ECQs. If your 2-page resume does not reflect demonstrated evidence of the ECQs and TQs, you may not receive further consideration for the position. There are five ECQs: ECQ 1: Commitment to the Rule of Law and the Principles of the American Founding - This core qualification requires a demonstrated knowledge of the American system of government, commitment to uphold the Constitution and the rule of law, and commitment to serve the American people. ECQ 2: Driving Efficiency - This core qualification involves the demonstrated ability to strategically and efficiently manage resources, budget effectively, cut wasteful spending, and pursue efficiency through process and technological upgrades. ECQ 3: Merit and Competence - This core qualification involves the demonstrated knowledge, ability and technical competence to effectively and reliably produce work that is of exceptional quality. ECQ 4: Leading People - This core qualification involves the demonstrated ability to lead and inspire a group toward meeting the organization's vision, mission, and goals, and to drive a high-performance, high-accountability culture. This includes, when necessary, the ability to lead people through change and to hold individuals accountable. ECQ 5: Achieving Results - This core qualification involves the demonstrated ability to achieve both individual and organizational results, and to align results to stated goals from superiors. Note: If you are a member of the SES or have been certified through successful participation in an OPM approved SES Candidate Development Program (SESCDP), or have SES reinstatement eligibility, you do not need to respond to the ECQs. Instead, you should attach proof (e.g., SF-50, Certification by OPM's SES Qualifications Review Board (QRB)) of your eligibility for noncompetitive appointment to the SES.

How to Apply: To apply for this position, you must complete this application and submit any required documents specified in the Required Documents section and submit by 11:59 PM (EST) on 04/16/2026 to receive consideration. To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application. Follow the prompts to select and upload your résumé and/or other required documents to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process. After acknowledging you have reviewed your application package, complete the "Include Personal Information" section as you deem appropriate and click to continue with the application process. You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application. It is applicant's responsibility to verify that information entered and uploaded, (i.e., resume and other required documents) is complete, accurate, and submitted by the closing date. Human Resources will not modify or change any part of your application. Application packages will NOT be accepted via mail. Due to security processes, mail delivery takes approximately 2-3 weeks to process at which time the vacancy announcement will be closed, and no further consideration will be given to additional application packages. Commissioned Corps Officers (including Commissioned Corps professionally boarded applicants) who are interested in applying for this position must send their cover letter and professional resume (not PHS Curriculum Vitae) to CMSCorpsJobs@cms.hhs.gov in lieu of applying through this announcement. The resume should specifically explain how you are qualified for this position and draw specific attention to your skills and experiences that demonstrate these qualifications. Also send any transcripts, licenses or certifications as requested in this announcement. Please send all documents in 1 PDF file. In the subject line of your e-mail include only the Job Announcement Number. In the body of your e-mail include your current rank name and serial number. Failure to provide this information may impact your consideration for this position.

Application Deadline: 2026-04-16