This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Federal Coordinated Health Care Office, Models, Demonstrations & Analysis Group, Federal Coordinated Health Care Office (FCHCO). As a Health Insurance Specialist, GS-0107-13, you will coordinate and manage the development, execution, and evaluation of initiatives to improve coordination, quality, and cost of care for people dually eligible for Medicaid and Medicare.

Duties

Leads and/or conducts analyses and special studies of policy issues and topics related to dual eligible individuals (individuals eligible for both Medicare and Medicaid). Serves as the project lead for assigned demonstration states and health reform models designed to improve care, quality, and cost for Medicare-Medicaid enrollees. Develops, recommends, prepares, and presents clear and concise written analyses of demonstrations identifying and prioritizing issues of importance to CMS and HHS. Participates in meetings with high level center/office and CMS staff and ensures that the views of the group directors and office leadership are presented. Manages relationships with state officials involved in developing or implementing programs to better serve dual eligible individuals.

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.

Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY 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: Analyzing and interpreting Medicare or Medicaid laws, regulations, and policies and using that analysis to inform policy and/or operational guidance; Developing and presenting recommendations for policy or operational improvements to the Medicare or Medicaid programs; AND Coordinating projects or studies of technical nature on Medicare or Medicaid programs or policies. 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. Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12264376

Education

This job does not have an education qualification requirement.

Contacts

• Address Federal Coordinated Health Care Office 7500 Security Blvd Woodlawn, MD 21244 US
• Name: CMS HR Inquiries
• Email: [email protected]