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SoftDev Incorporated

Payment Analysis Lead

SoftDev Incorporated, Kansas City, Missouri, United States, 64101

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*** This position is contingent upon a federal contract award. ***

Location:

Remote (U.S.-based) Position Type:

Full-Time, Key Personnel Clearance:

Ability to obtain CMS data access approvals

Position Overview We are seeking a highly experienced

Payment Analysis Lead

to direct the development, execution, and quality review of complex payment analyses supporting the

End Stage Renal Disease Prospective Payment System (ESRD PPS)

and the

Acute Kidney Injury Payment System (AKI PS) .

The Payment Analysis Lead is a senior technical and policy leadership role responsible for ensuring that all payment analyses are

methodologically sound, policy-relevant, and defensible

for the Centers for Medicare & Medicaid Services' (CMS) rulemaking. This individual works closely with CMS payment policy leadership, analysts, clinicians, and data teams to translate advanced quantitative findings into clear policy options and regulatory documentation.

Key Responsibilities

Lead and oversee all

ESRD PPS and AKI payment analyses , ensuring accuracy, methodological rigor, and alignment with CMS policy objectives.

Direct the design, testing, and refinement of

payment methodologies , including simulations, regressions, and facility-level and beneficiary-level impact analyses.

Provide subject-matter leadership on

ESRD PPS rate-setting , including TDAPA, TPNIES, outlier policy, wage index, low-volume, rural, and other facility-level adjustments.

Review and approve analytic outputs, ensuring consistency, reproducibility, and compliance with CMS standards.

Translate complex technical results into

clear policy memoranda, briefing materials, tables, and Federal Register preamble language .

Support CMS during

rulemaking cycles , including rapid-turnaround analyses (often within 48 hours) and iterative responses to CMS feedback.

Collaborate closely with the Project Director, Data Analytics Lead, Medical Directors, and CMS stakeholders to ensure analytic findings are actionable and policy-ready.

Mentor and guide analysts and modelers to maintain high standards of analytical quality and documentation.

Minimum Qualifications

Ph.D. or Master’s degree

with

10+ years of experience

in payment policy analytics, including

5+ years in a Medicare-focused leadership role .

Expert-level knowledge

of:

ESRD PPS rate-setting methodologies

Transitional Drug Add-on Payment Adjustment (TDAPA)

Transitional Add-on Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES)

Facility-level and patient-level payment adjustments

Demonstrated ability to

design, evaluate, and defend payment methodologies , including policy simulations and impact analyses.

Strong track record of translating advanced technical analyses into

policy memoranda and Federal Register preamble language .

Extensive experience working with large Medicare claims and cost report data in secure CMS environments.

Preferred Qualifications

Direct experience providing

CMS rulemaking support , including proposed and final rule development.

Expertise in

payment alignment across multiple Medicare payment systems , such as OPPS, IPPS, and CMMI models.

Prior experience supporting ESRD PPS, AKI payment policy, or closely related Medicare payment programs.

Demonstrated ability to communicate complex findings effectively to senior federal leadership and non-technical audiences.

Why This Role Matters The Payment Analysis Lead plays a critical role in shaping

national dialysis payment policy , ensuring that ESRD and AKI payment methodologies are data-driven, equitable, and operationally feasible. This role directly influences CMS decisions that impact providers, beneficiaries, and the sustainability of dialysis care nationwide.

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