This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Financial Management (OFM), Financial Services Group (FSG). As a Health Insurance Specialist, GS-0107-14, you will serve as technical advisor in planning, coordination, development, review, operational aspects and administration of activities pertaining to the aforementioned lines of business for which DMDR is responsible.

Duties

Develops settlement and debt compromise recommendations to brief the Director and Deputy Director of DMDR and FSG, as necessary, based on CMS’ authority under the Federal Claims Collection Act. Coordinates with OGC, CPI, OGC, DOJ, and the MACs, as needed, to facilitate resolution and effectuation of False Claims Acts settlements. Drafts, reviews, and/or effectuates settlement agreements and debt compromise agreements for sums in the hundreds of thousands and millions of dollars, after soliciting approvals from necessary officials in OGC and DOJ. Serves as the recognized technical expert for policy and operations for the Medicare debt resolution program. Provides project and technical direction to lower-graded analysts, defines individual team member task assignments, reviews team members' work for technical accuracy.

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. Developing operational policy and procedure to process Medicare overpayment compromises and settlement agreements; AND; 2. Making recommendations and/or advising leadership on policy or operational decisions related to compromise or settlement of Medicare overpayments and/or underpayments; AND; 3. Reviewing and revising settlement agreement language to ensure language can be effectuated in accordance with policy. 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/12391172

Education

This job does not have an education qualification requirement.

Contacts

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