This position is located in the Centers for Medicare & Medicaid Services (CMS), Office of Program Operations and Local Engagement (OPOLE), Atlanta Division of Innovation and Operations (ADIO) and Kansas City Division of Innovation and Operations (KC DIO). As a Supervisory Health Insurance Specialist, GS-0107-14, you will serve as a supervisory specialist responsible for the activities of directing and integrating staff and work functions regarding CMS program policy management activities.

Duties

Directs the work of Health Insurance Specialists and Nurse Consultants. Plans work to be accomplished by subordinates, sets and adjusts short-term priorities, and prepares schedules for completion of work. Directs Medicare program safeguard and program management activities through working relationships with contractors, providers, physicians, beneficiaries, and Federal/State agencies, as well as local and national organizations and individuals. Serves as a focal point for Medicare program integrity operations and policy working with the Payment Safeguard Contractor and law enforcement agencies on fraud referrals. Directs the development of all policy and operational efforts and provides support for the oversight of Medicare Administrative Contractors, assists in the management of the Medicare program integrity contractors.

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: 1) Planning, directing, and evaluating health care program activities; 2) Developing program goals, including making short- and long-range program plans; And 3) Evaluating the performance of analysts assigned to provide oversight of Medicare contractors. 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/12342973

Education

This job does not have an education qualification requirement.

Contacts

• Address Office of Program Operations and Local Engagement 7500 Security Blvd Woodlawn, MD 21244 US
• Name: CMS HR Inquiries
• Email: [email protected]