This position is located in the Health Resources and Services Administration, Provider Relief Bureau, Division of Customer Support, Appeals and Disputes Branch. The duty location for this position is in Rockville, MD. **Applicants please note: Additional selections may be made across the Health Resources and Services Administration through this vacancy announcement.**

Duties

As a Health Insurance Specialist, you will serve as a subject matter expert in the analysis of the impacts of legislative, regulatory, or policy changes as it affects health care providers in safety net communities. Your major duties and responsibilities include: Serving as a subject matter advisor to Division Program Operations senior staff, and providing complex analysis of the impacts of legislative, regulatory, or policy changes on safety net providers and access to care for HRSA's underserved populations for assigned areas of responsibility. Analyzing regulatory, sub-regulatory, legislative and policy related issues under the Medicare and/or Medicaid Programs, federal/state health insurance marketplaces and/or other health insurance programs for impact on beneficiaries of changes. Preparing directives, issuances, memoranda, policy statements, and regulatory proposals to introduce new initiatives and to recommend effective operations consistent with overall program objectives. Monitoring congressional, state and regulatory activities related to health care access and payment issues as they impact HRSA populations and providers. Evaluating, synthesizing and providing authoritative advice based on news articles, external reports, and studies to identify potential health care payment policy, regulatory, and/or delivery system reform technical issues and concerns. NOTE: Do not cut and paste the duties, specialized experience, or occupational assessment questionnaire from this announcement into your resume as that will not be considered a demonstration of your qualifications for this position.

Requirements

• U. S. Citizenship is required.
• HRSA Federal applicants must submit an SF-50 to show status and time-in-grade. Must meet Time-in-Grade by the closing date of this announcement.
• Males ages 18 through 25 must be registered with the Selective Service.
• PHS Commissioned Corps applicants must submit current personnel orders.
• A one year probationary period may be required.
• Employment is subject to the successful completion of the pre-appointment process (i.e., background investigation, verification of qualifications and job requirements, completion of onboarding forms, submission of required documents, etc.)

Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE 11/29/2023. Do not cut and paste the duties, specialized experience, or occupational assessment questionnaire from this announcement into your resume as that will not be considered a demonstration of your qualifications for this position. MINIMUM QUALIFYING SPECIALIZED EXPERIENCE is experience that has equipped the applicant with the particular knowledge, skills, and abilities to perform successfully the duties of the position and is typically in or related to the work of the position to be filled. To be creditable, an applicant's one full year of specialized experience must demonstrate the knowledge, skills, and abilities necessary for successful job performance. To qualify for this position at the GS-13 level, your resume must clearly demonstrate that you have one full year of minimum qualifying specialized experience comparable in difficulty and responsibility to at least the GS-12 level. Examples of minimum qualifying specialized experience at the GS-12 level include performing the following types of tasks on a regular and recurring basis: Evaluating the effects of public and private health insurance programs payment and coverage policies on different types of safety net providers and public health programs. AND Analyzing legislation and policies related to issues under public and private health insurance programs for impact on beneficiaries of changes in eligibility, benefits, and access to care. 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; community; student; social). If such experience is on a part-time basis, you must provide the average number of hours worked per week as well as the beginning and ending dates of the experience so it can be fully credited. Applicants whose resumes clearly demonstrate the required minimum qualifying specialized experience will be evaluated based on the occupational assessment competencies listed below. A competency is defined as a measurable pattern of knowledge, skills, abilities, behaviors, and other characteristics that an individual needs to perform work roles or occupational functions. Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics): HEALTH INSURANCE SYSTEMS AND FINANCING PROGRAMS - Knowledge of Medicare, Medicaid, and private insurance financing systems and policies to analyze and advise on healthcare payment systems, financing issues and policies that impact safety net health care grantees, providers and practitioners. HEALTH PROGRAMS AND POLICY ANALYSIS - Analyzes, interprets and explains the health impacts of programs, policies, proposals, and legislation. RESEARCH AND EVALUATION - Knowledge of the principles, methods, and processes used to conduct a systematic and objective inquiry; including study design, collection, analysis, and interpretation of data; and the reporting of results. To preview the occupational assessment questionnaire, please click on the following link: https://apply.usastaffing.gov/ViewQuestionnaire/12202804 This announcement is only open to CURRENT HRSA Competitive permanent/career or Competitive career conditional employees. As verification of status and time-in-grade at HRSA, applicants must provide the following two SF-50s with their applications by the announcement closing date of 11/29/2023. Appointment/hire /conversion SF50 for your current position with HRSA that reflects the following: Box 24 showing the number "1" for PERMANENT status (aka career status) OR number "2" CONDITIONAL. Box 34 showing the number "1" for COMPETITVE AND 2. Most recent competitive career-ladder promotion OR most recent With-in Range Increase Not sure which SF-50 to submit? Check out our video... Go here to watch the video on the SF50s to submit in your application package.

Education

This job does not have an education qualification requirement.

Contacts

• Address Health Resources and Services Administration 5600 Fishers Lane Rockville, MD 20857 US
• Name: AskHR HRSA Helpdesk
• Phone: (301) 443-3780
• Email: [email protected]