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Job opening: Supervisory Health Insurance Specialist

Salary: $123 041 - 159 950 per year
Published at: May 02 2024
Employment Type: Full-time
Position is located in Department of Health & Human Services (HHS), Center for Clinical Standards and Quality,Survey and Operations Group (SOG), Survey and Enforcement Division. As Supervisory Health Insurance Specialist, GS-0107-15, you will serve as Division Director overseeing staff through subordinate supervisors responsible for developing, measuring, and improving survey, certification, and enforcement program, to monitor quality and safety standards of healthcare procedures and facilities.

Duties

Direct the planning, development, and implementation of a comprehensive program that reviews state operations pertaining to the survey, certification and enforcement of Medicare or Medicaid health providers in meeting federal standards of care. Work with state licensing and survey agencies, professional organizations, provider organizations, providers of services, and other government entities. Ensure that healthcare services provided under the Medicare and Medicaid programs are furnished in the most effective and efficient manner consistent with recognized professional standards of care. Collaborate in the development/revision and implementation of national policy, regulations and guidelines in survey, certification and enforcement. Ensure staff successfully carry out duties in conducting inspections, protecting health and safety for beneficiaries, and imposing and enforcing sanctions for those that do not meet federal requirements for providing quality care and services.

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.
  • First time supervisors will be required to serve a 1 year probationary period.

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 , 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: (1). Directing, managing, or monitoring programs for assessing state agency, contractor, or provider performance pertaining to survey certification and enforcement or healthcare quality improvement; (2). Interpreting and applying healthcare operational and performance data; and (3). Supervising or directing the work of staff, or leading workgroups. 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/12393908

Education

This position does not have an educational requirement.

Contacts

  • Address Center for Clinical Standards and Quality 7500 Security Blvd Woodlawn, MD 21244 US
  • Name: CMS HR Inquiries
  • Email: [email protected]

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