Director, State Demonstration Group

This position is located in the Center for Medicaid and CHIP Services (CMCS), State Demonstrations Group, Centers for Medicare & Medicaid Services (CMS).

As the Director of the State Demonstrations Group, you will provide executive leadership and national policy direction for Medicaid Section 1115 demonstrations, including their design, approval, financing, including budget neutrality, implementation, oversight, and evaluation. 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).

Your resume should demonstrate accomplishments that would satisfy the technical qualifications.

TQ 1:
Demonstrated executive-level experience leading national Section 1115 Medicaid demonstration policy, including budget neutrality methodologies, Medicaid and State financing, Federal financial participation, and implementation of major legislative mandates. Experience leading and managing a large and/or highly complex, multidisciplinary workforce, including through subordinate supervisors; setting strategic direction; aligning organizational structures, workforce capacity, and financial and operational resources with mission priorities; and maintaining direct accountability for organizational performance, workforce management, and fiscal outcomes.

Experience resolving complex, high-profile, politically sensitive, or precedent-setting issues with significant national policy and fiscal implications; advising senior officials; and negotiating with Federal and State leaders and stakeholders to resolve programmatic, regulatory, financial, and operational challenges. Demonstrated ability to lead through organizational change, competing priorities, and resource constraints while developing leadership capacity, managing risk, and ensuring successful execution of high-visibility program objectives.

TQ 2:
Demonstrated tenured, executive-level expertise interpreting and applying complex and evolving statutory, regulatory, and policy frameworks to make authoritative, precedent-setting determinations on Section 1115 demonstrations, including budget neutrality, Medicaid financing, Federal financial participation, and program design. Experience resolving novel or ambiguous legal, policy, fiscal, and operational issues; establishing defensible policy interpretations; translating program priorities and major legislative mandates into implementable initiatives; and advising senior leadership, State Medicaid officials, Federal partners, and Congress on matters of significant consequence and nationwide impact.

Demonstrated ability to integrate complex policy, fiscal, operational, and risk considerations into executive decision-making and coordinate across multidisciplinary teams and intergovernmental stakeholders to achieve…