This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation (CMMI), Patient Care Models Group (PCMG), Division of Specialty Payment Models (DSPM). As a Supervisory Health Insurance Specialist, GS-0107-15, you will be responsible for directing a staff of highly skilled health insurance specialists and analysts in the implementation and operation of alternative payment models.

Duties

Directs the development and implementation of innovative payment models that incentivize care redesign around the continuum of care (i.e., from hospital inpatient or other institutional acute care settings through post-discharge). Exercises the full range of supervisory and personnel management authorities and responsibilities in directing subordinates. Assigns work based on priorities. Evaluates work performance. Gives advice, counsel, or instruction to employees. Works with industry executives, consultants, Congressional staff, and Government officials in developing and implementing alternative payment and delivery systems. Works with internal and external stakeholders on key aspects of payment models. Directs the development, implementation and operation of alternative payment models which are of national significance. Provides technical expertise to various CMS and non-Governmental entities on payment and delivery system alternatives.

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.
• One (1) year supervisory probationary period may be required.

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: Developing alternative payment methodologies for health care providers; AND Engaging with either governmental or non-governmental entities on health care payment and delivery systems; AND Utilizing data analysis to propose payment policies for models that focus on specialty care. 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/12448203

Education

This job does not have an education qualification requirement.

Contacts

• Address Center for Medicare and Medicaid Innovation 7500 Security Blvd Woodlawn, MD 21244 US
• Name: CMS HR Inquiries
• Email: [email protected]