This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Financial Management (OFM), Accounting Management Group (AMG). As a Health Insurance Specialist, GS-0107-13, The incumbent serving as a project leader is responsible for developing, analyzing, implementing, and modifying operating policy/procedures and systems business requirements relating to collection of Medicare health insurance premiums.

Duties

Responsible for developing, analyzing, implementing, and modifying operating policy/procedures and systems business requirements relating to collection of Medicare health insurance premiums. Reviews proposed legislation, health insurance developments, innovations in techniques, equipment and procedures, to assess possible impact on Medicare premium collection, and to adapt this knowledge to improving program operations. Directs, develops, analyzes operational needs and requirements, and recommends legislative and policy changes pertaining to Medicare premium billing and collections. Plans, conducts and evaluates studies relating to the modification and development of forms, notices, workflow charts and procedures. Acts as a liaison and negotiates with senior authorities from SSA, various CMS components, and other gov't organizations on Medicare premium billing issues to ensure that program needs are met.

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) Administering procedures and policies relating to the billing and collections of Medicare health insurance premiums, and 2) Developing operational policy, systems business requirements, systems access, procedures or instructional material to administer premium billing and collection programs and their related systems, i.e., the Third-Party System (TPS) and the Direct Bill System (DBS), as directed; and 3) Identifying operational or systems problems, recommends solutions and action negotiates modification of Third Party or Direct Billing Systems; and 4) Liaison for the department to brief Agency and outside Officials regarding Medicare premium billing. 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/12553486

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]