ESRD Help Desk

The Centers for Medicare and Medicaid Services is seeking a contractor to support the End-Stage Renal Disease Help Desk for the Automated Plan Payment System, a critical platform responsible for calculating, validating, and processing monthly prospective payments to Medicare Advantage Plans, Prescription Drug Sponsors, and other demonstration programs. These payments, totaling billions of dollars, must be accurate and delivered on schedule, making the system essential to the financial integrity of Medicare’s managed care and drug benefit structures. The contractor will be tasked with assisting in the identification and correction of ESRD data errors reported by plans, ensuring that payment discrepancies are resolved promptly to prevent overpayments, underpayments, or delays. The contractor will serve as a vital support function within the APPS ecosystem, working closely with CMS to maintain data accuracy and system reliability. The position requires deep technical understanding of payment methodologies, data validation protocols, and ESRD-specific billing rules. All support activities are performed to ensure compliance with federal requirements governing Medicare payments. The opportunity is forecasted for release with a primary point of contact at CMS being Aliza Kim, and inquiries can be directed to Evelyn Dixon, the Contracting Officer. The work is expected to be performed remotely with no specified location, and the NAICS code indicates the scope aligns with computer systems design and related services.