This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), Division of Field Operations - North (DFON). As a Supervisory Health Insurance Specialist, GS-0107-14, you will oversee a subordinate staff responsible for providing technical guidance on all Medicare and Medicaid program integrity enforcement activities.

Duties

Plan, direct, coordinate, and oversee the operations and work activities of the organization to be accomplished by subordinate employees and/or teams. Set priorities and prepares time frames for completion of work. Direct staff to implement efficient and effective procedures and activities related to the coordination of Medicaid anti-fraud efforts with Medicare program integrity and other integrity partners. Develop policies and operational options and findings/recommendations or research into operating procedures, as appropriate. Serve as a resource person for staff within CPI, CMS, HHS, and congressional staffs concerning issues related to program integrity and fraud, waste, and abuse.

Requirements

• You must be a U.S. Citizen or National to apply for this position.
• You will be subject to a background and suitability investigation.
• Time-in-Grade restrictions apply.

Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT. Your resume must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from receiving further consideration. In order to qualify for the GS-14 , you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include: Leading, planning and directing Medicaid investigation or audit activities of staff or contractors to combat fraud, waste or abuse; AND Analyzing Medicaid regulations and policies to determine the impact on program operations; AND Advising management or senior officials on issues related to program integrity and fraud, waste, and abuse through verbal and written communication. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Time-in-Grade: To be eligible, current or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying. Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12088241

Education

This job does not have an education qualification requirement.

Contacts

• Address Center for Program Integrity 7500 Security Blvd Woodlawn, MD 21244 US
• Name: CMS HR Inquiries
• Email: [email protected]