This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight, Marketplace Eligibility and Enrollment Group. As a Health Insurance Specialist, GS-0107-14, you will be responsible for conducting policy analysis and program operations related to the Affordable Care Act (ACA) provisions covering Marketplace coverage eligibility and financial assistance eligibility.

Duties

Serves as a technical advisor to the Offline Verifications and Operations (OVO) leadership, drafting policies and regulations that promote the alignment and modernization of programs related to eligibility support operations and coverage transitions. Provides technical expertise and collaborates with various stakeholders to achieve mutual objectives through workgroups, special projects, and specific assignments that require coordination within, across, and beyond organizational lines. Reviews, evaluates, and contributes to the development and maintenance of legislatively required reporting, public-facing guidance to states, and training materials that support accurate data analysis. Plans, organizes, and conducts studies addressing program issues, developing alternatives and solutions to problems, and leads these efforts to ensure effective coordination across organizational units. Resolves complex and unprecedented issues specific to coverage transitions, offering guidance that influences leadership decisions on emerging challenges.

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-14 , 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-13 grade level in the Federal government, obtained in either the private or public sector, to include: (1) Conducting policy analysis and program operations related to the Affordable Care Act (ACA) provisions covering Marketplace coverage eligibility and financial assistance eligibility. AND (2) Overseeing data analysis related to coverage transitions, eligibility support program operations, and outreach operations for coverage transitions. AND (3) Leading special assignments that address significant management, operational, and policy issues, ensuring cohesive issue and information analysis across relevant work units.. 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/12556975

Education

This job does not have an education qualification requirement.

Contacts

• Address Center for Consumer Information and Insurance Oversight 7500 Security Blvd Woodlawn, MD 21244 US
• Name: CMS HR Inquiries
• Email: [email protected]