Director of Payment Model Implementation

Director of Payment Model Implementation
Remote
Must be eligible to obtain and maintain a Public Trust suitability determination

Blu Omega is seeking a Director of Payment Model Implementation to support a CMS program focused on Medicare payment model implementation. This role operates within a remote environment and is responsible for leading teams and providing hands-on analytic and coding support across Medicare claims analysis and payment model/policy support. The position requires experience supporting Medicare claims data and value-based care within a mission-driven environment.
Program Overview

The CMMI ACCESS Model is a Medicare initiative that shifts chronic disease care from fee-for-service to outcome-based payments by incentivizing providers to use technology and continuous care to improve patient health.
Key Details

Location: Remote (Remote for the first 6 months; after that, 4 days/week onsite for candidates who live within 30 miles of DC, NY, or MN offices-otherwise 100% remote)
Clearance: Must be eligible to obtain and maintain a Public Trust suitability determination
Responsibilities

• Lead teams supporting payment model implementation efforts
• Perform Medicare claims analysis
• Provide SQL/Python coding support
• Support healthcare policy and payment model implementation activities

Required Qualifications

• Experience with Medicare claims data
• SQL and Python experience
• Healthcare policy and payment model implementation experience
• Master's degree
• Value-based care experience

Preferred Qualifications

• Published work

Compensation

Salary Range: $140,000.00 - $170,000.00
Final compensation is based on technical skills, experience, education, certifications, and clearance.
Blu Omega Benefits & Perks

• Medical, Dental, and Vision coverage through national providers
• 401(k) with company match (eligible after 6 months; vesting applies)
• Company-paid Life and AD&D insurance with additional voluntary options
• Short-term disability (company-paid) and long-term disability options
• Employee Assistance Program (EAP) with 24/7 confidential support and mental health resources
• Telehealth and virtual care options available through medical plans
• Pet insurance, legal services, and identity theft protection options
• Paid Time Off (PTO) for eligible employees
• Paid federal holidays for salaried employees
• Access to wellness programs, discounts, and lifestyle benefits
• Benefits eligibility and offerings may vary based on role, employment status, and program requirements.

Company Overview

Blu Omega is a Woman-Owned Small Business (WOSB) delivering technology and cybersecurity solutions to federal agencies and enterprise clients nationwide. Headquartered in Ashburn, VA, we support mission-critical programs across civilian and defense sectors, including health, national security, and regulatory environments.

We partner with government agencies and large integrators to provide expertise in cybersecurity operations, cloud and infrastructure modernization, data and analytics, and enterprise IT support. Our teams are experienced operating within federal contracting environments, supporting task orders, recompetes, and programs requiring cleared personnel and compliant delivery.
Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability.

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