This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity, Division of Investigative Support (DIS). As a Supervisory Health Insurance Specialist, GS-0107-15, you will serve as a first-level supervisor, leading a staff who plans, implements and supports CMS program integrity initiatives.

Duties

Serves as a technical expert and advisor to the CMS leadership at the Group, Center, and Agency level on DIS operations. Uses viable information, data, and input from CMS to formulate DIS operations and represent the goals of CMS and the Department of Health and Human Services. Mobilizes a multidisciplinary staff of professionals who specialize in suspensions, FCA settlements, and program management, to coordinate all facets of DIS operations. Prepares briefings, speeches, presentations, correspondences, and issue papers for the Director and Deputy Director of FIG. Serves as an authoritative spokesperson to the Director and Deputy Director of FIG, on applying payment suspension and settlement laws.

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-15 grade level, 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-14 grade level in the Federal government, obtained in either the private or public sector, to include: Directing initiatives and decision-making regarding CMS policies, procedures or administrative actions for identification and recovery of debts, improper payments or False Claims. Overseeing operations with a substantial workload, demonstrating the ability to manage high volumes of work while effectively addressing the significant impacts associated with such operations. Briefing management and senior leadership/officials on a regular basis on complex policy issues that impact Program Integrity (Pl) programs. Keeping up-to-date on current health care policy activities in order to recognize the impact of program integrity considerations. 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 Federal employees 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/12287106

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]