This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity, Fraud Investigations Group (FIG). As a Supervisory Health Insurance Specialist, GS-0107-15, you will serve as the Deputy Director, with overall responsibility for providing technical guidance on all Medicare program integrity enforcement activities.

Duties

Serves as the Deputy Director for the Fraud Investigations Group (FIG) planning, directing, and overseeing the operations and work activities of the organization to be accomplished by subordinate employees and/or teams. Develops Medicare program integrity policy and operational options and presents recommendations to the Group Director and senior CPI and CMS management. Serves as the senior level Medicare program integrity liaison between CPI, FIG, the Department of Justice (DOJ), and the Offices of the Inspector General (HHS-OIG). Responsible for providing technical guidance on a national investigative strategy for oversight of fraud, waste and abuse deterrence activities for the Medicare program. Recommends legislative and/or administrative remedies to improve existing Medicare policies.

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.
• May be required to serve a 1-year supervisory probationary period.

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-15 grade level, 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: Plan, coordinate, and implement activities and procedures to provide for the oversight of fraud, waste, and abuse detection and deterrence activities for a Medicare program. Identify Medicare emerging fraud trends and identify the need to develop and facilitate program integrity summits with all relevant internal and external stakeholders. Develop short- and long-range goals, budget, and Medicare program integrity plans for an organization. Within an organization of Medicare specialists, oversee the operations and work activities to be accomplished by subordinate employees and/or team. 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/12410350

Education

This job does not have an education qualification requirement.

Contacts

• Address Center for Program Integrity 7500 Security Blvd Woodlawn, MD 21244 US
• Name: CMS HR Inquiries
• Email: [email protected]