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Sr. Subject Matter Expert: Rural Health Transformation (CMS) jobs in United States
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CVP (Customer Value Partners) · 9 hours ago

Sr. Subject Matter Expert: Rural Health Transformation (CMS)

CVP is seeking a Senior Rural Healthcare Subject Matter Expert (SME) with deep rural health expertise to provide strategic, high-level advisory leadership supporting the CMS Office of Rural Health Transformation. The role involves advising CMS on program design and implementation strategies while translating national rural health policy objectives into executable frameworks for state implementation.
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Work & Life Balance
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Responsibilities

Serve as the principal subject matter expert for the RHT Program, providing senior advisory support on program design, payment approaches, state participation, and implementation strategy
Advise CMS ORHT leadership on the transition from legacy fee-for-service models to alternative payment approaches, including global budgets under the AHEAD model, with particular attention to Critical Access Hospitals and rural system sustainability
Translate CMS policy objectives into clear, executable frameworks for state implementation, monitoring, and learning, ensuring alignment between federal intent and rural operational realities
Provide senior oversight and technical judgment across implementation, monitoring, and learning activities to ensure approaches are rigorous, policy-relevant, and decision-focused
Guide cross-functional teams spanning policy, operations, analytics, and technical assistance to ensure data, dashboards, and reporting accurately reflect program logic and CMS priorities
Lead strategy for state and federal data integration, including use of Medicaid and other state-reported data, to support national-level visibility into rural access, performance, and outcomes
Interface directly with CMS leadership and external stakeholders, including State Medicaid Directors and rural health partners, to interpret requirements, facilitate discussions, and advise on program refinements
Serve as a senior technical reviewer for key deliverables, including reports, dashboards, policy materials, and executive briefings, ensuring clarity, accuracy, and alignment with CMS standards
Mentor and provide subject matter guidance to analysts and delivery staff, strengthening CVP's ability to support CMS' rural health fluency and building durable internal expertise across the portfolio

Qualification

Rural health expertiseHealthcare payment reformCMS program experienceAlternative payment modelsData integration strategyPolicy translationTechnical oversightFacilitation skillsMentoring abilityCommunication skills

Required

Minimum of 10 years of experience supporting CMS programs, with demonstrated expertise in healthcare payment and service delivery reform, specifically in rural America
Strong familiarity with rural health policy and operations, including Critical Access Hospitals, cost-based reimbursement, and rural provider constraints
Demonstrated experience with CMS payment or delivery models, including alternative payment models, global budgets, or large-scale demonstrations affecting Medicare or Medicaid populations
Understanding of complex healthcare policy and regulatory frameworks, including Medicaid authorities (e.g., Section 1115 waivers) and CMS Conditions of Participation
Experience translating Medicare and/or Medicaid policy into program requirements and oversight artifacts, including familiarity with how CMS operationalize guidance through secure analytic, reporting, and governance environments
Proven ability to communicate complex policy, financial, and technical concepts clearly to diverse stakeholders, including federal leadership, program staff, state partners, providers, and other external collaborators
Demonstrated ability to provide senior technical oversight and judgment across multidisciplinary teams and competing priorities
Ability to obtain and maintain a Public Trust clearance

Preferred

Proven ability to set and direct strategy for complex, multi-state healthcare transformation initiatives
Experience guiding teams that support implementation, monitoring, and technical assistance for CMS programs
Strong facilitation skills for high-level meetings, technical discussions, and stakeholder forums involving federal and state leadership
Ability to oversee synthesize qualitative and quantitative inputs and transplant into clear, actionable guidance for CMS decision-makers

Company

CVP (Customer Value Partners)

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CVP is an award-winning healthcare and next-gen technology firm that helps organizations achieve lasting transformation and build a healthier, safer, brighter future.

Funding

Current Stage
Late Stage

Leadership Team

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Anirudh Kulkarni
CEO
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Company data provided by crunchbase