This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of the Actuary (OACT), Medicare & Medicaid Cost Estimates Group (MMCEG). As a Actuary, GS-1510-13, you will be responsible for the development of long-range and short-range financial programs for the national health care programs.

Duties

Develops actuarial estimation methodologies and models for historical and projected Medicaid, CHIP, Medicare-Medicaid dual eligibles, and BHP operation and for proposed program changes. Analyzes, evaluates, interprets, and communicates technical and actuarial data and information for publication in the Agency’s annual Actuarial Report on the Financial Outlook for Medicaid. Provides actuarial and technical guidance in review of Medicaid or other health care program waivers, alternate payment models, and managed care programs within OACT and other CMS components. Develops standards and processes for reviewing Medicaid managed actuarial certifications for capitation rates.

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-13, 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-12 grade level in the Federal government, obtained in either the private or public sector, to include: Providing actuarial guidance in review of cost estimates, payment models, or managed care programs; AND Developing project plans or coordinating project tasks and deliverables; AND Analyzing, interpreting, or communicating actuarial data and information. 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.

Education

Education Requirement: In addition to meeting the qualification requirements, all candidates must have the following educational requirements:

A bachelor's degree that included courses in actuarial science, mathematics, relevant statistics, business, finance, economics, insurance, or computer science totaling at least 24 semester hours. This course work must have included a minimum of 12 semester hours of mathematics that included differential and integral calculus and one or more courses in mathematics for which these calculus courses were prerequisites. (TRANSCRIPTS REQUIRED AT TIME OF APPLICATION).

OR

Applicants for all grade levels must complete a minimum of 24 semester hours of courses in actuarial science, mathematics, relevant statistics, business, finance, economics, insurance, or computer science at a four-year college or university. This course work must have included a minimum of 12 semester hours of mathematics that included differential and integral calculus and one or more courses in mathematics for which these calculus courses were prerequisites. (TRANSCRIPTS REQUIRED AT TIME OF APPLICATION).

AND

• One year of professional actuarial experience equivalent to at least the GS-12 level; AND
• Associateship in the Society of Actuaries or the Casualty Actuarial Society or being an Enrolled Actuary. (CERTIFICATIONS/LICENSURE/PROOF OF ENROLLMENT OR MEMBERSHIP REQUIRED AT TIME OF APPLICATION).

TRANSCRIPTS are required to verify satisfactory completion of the educational requirement listed above. Please see "Required Documents" section below for what documentation is required at the time of application.

Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12286725

Contacts

• Address Office of the Actuary 7500 Security Blvd Woodlawn, MD 21244 US
• Name: CMS HR Inquiries
• Email: [email protected]