Job opening: Health Insurance Specialist (Program Oversight)
Salary: $88 520 - 115 079 per year
Published at: Jul 08 2024
Employment Type: Full-time
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Program Operations and Local Engagement (OPOLE), Innovation Model Operation Group (IMOG).
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As a Health Insurance Specialist (Program Oversight), GS-0107-13, you will serve as a project leader providing services in support of CMS' lines of business.
Duties
Serves as an expert in the development, evaluation, and implementation of policies related to activities and processes
Serves as an ad hoc team/project leader or member involved in various activities to improve the efficiency and effectiveness of the division.
Develops and reviews health care policies and legislation in order to draft related policy documents, regulations, procedures and guidance to states.
Responds to inquiries regarding program oversight activities to a variety of internal and external stakeholders.
Completes administrative duties as needed to ensure the smooth operation of the organization.
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-13, 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-12 grade level in the Federal government, obtained in either the private or public sector, to include:
1) Developing guidance to improve Medicare debt collection;
2) Interpreting, and implementing Medicare policies and regulations; and
3) Leading a team in the development and oversight of standard operating procedures.
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 or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year 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/12470595
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]