This position is located in the Health Resources and Services Administration, HIV/AIDS Bureau, Division of Policy and Data, Policy Development Branch. The duty location for this position is in Rockville, MD and is not eligible for remote work. **Applicants please note: Additional selections may be made across the Department of Health and Human Services through this vacancy announcement.**

Duties

As a Health Insurance Specialist, you serve as an expert on analyses and responses to state-based delivery system and health care financing reforms, such as Medicaid waivers, state insurance marketplace reforms, and state innovation models. Your major duties and responsibilities include: Analyzing regulatory, sub-regulatory, legislative and policy related issues under the Medicare and/or Medicaid Programs, federal/state health insurance marketplaces; and/or other health insurance programs for impact on beneficiaries of changes in eligibility, benefits, and access to care; impact on provider classifications, conditions of participation, payment systems, and delivery system reform. Independently or as part of a team, preparing and presenting special studies and analyses of safety net health care systems and financing issues. Evaluating, synthesizing, and providing authoritative advice based on news articles, external reports, and studies to identify potential health care payment policy, regulatory, and/or delivery system reform technical issues and concerns. Independently preparing policy analysis and position papers on public health care systems and financial issues affecting safety net providers. NOTE: Do not cut and paste the duties, specialized experience, or occupational assessment questionnaire from this announcement into your resume as that will not be considered a demonstration of your qualifications for this position.

Requirements

• U. S. Citizenship is required.
• All qualifications and time-in-grade requirements must be met by the closing date of the announcement. Federal applicants must submit an SF-50 to show status and time-in-grade.
• Males ages 18 through 25 must be registered with the Selective Service.
• PHS Commissioned Corps applicants must submit current personnel orders.
• A one year probationary period may be required.
• Employment is subject to the successful completion of the pre-appointment process (i.e., background investigation, verification of qualifications and job requirements, completion of onboarding forms, submission of required documents, etc.)

Qualifications

THESE QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE: 10/25/2024 Do not cut and paste the duties, specialized experience, or occupational assessment questionnaire from this announcement into your resume as that will not be considered a demonstration of your qualifications for this position. QUALIFICATION REQUIREMENTS: MINIMUM QUALIFYING SPECIALIZED EXPERIENCE is experience that has equipped the applicant with the particular knowledge, skills, and abilities to successfully perform the duties of the position and is typically in or related to the work of the position to be filled. To be creditable, an applicant's one full year of specialized experience must demonstrate the knowledge, skills, and abilities necessary for successful job performance. GS-12: To qualify for this position at the GS-12 level, your resume must clearly demonstrate that you have one full year of minimum qualifying specialized experience comparable in difficulty and responsibility to at least the GS-11 level in the federal service. Examples of minimum qualifying specialized experience at the GS-11 level include performing the following types of tasks on a regular and recurring basis: Assisting senior specialists in evaluating the effects of public health insurance programs payment and coverage policies on different types of safety net providers and public health programs. OR Researching proposed or new public healthcare insurance coverage changes to summarize their impact on health systems and public health programs. GS-13: To qualify for this position at the GS-13 level, your resume must clearly demonstrate that you have one full year of minimum qualifying specialized experience comparable in difficulty and responsibility to at least the GS-12 level. Examples of minimum qualifying specialized experience at the GS-12 level include performing the following types of tasks on a regular and recurring basis: Evaluating the effects of public health insurance programs payment and coverage policies on different types of safety net providers and public health programs. AND Analyzing legislation and policies on public health insurance programs for impact related to public health eligibility, benefits, and access to 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; community; student; social). If such experience is on a part-time basis, you must provide the average number of hours worked per week as well as the beginning and ending dates of the experience so it can be fully credited. Applicants whose resumes clearly demonstrate the required minimum qualifying specialized experience will be evaluated based on the occupational assessment competencies listed below. A competency is defined as a measurable pattern of knowledge, skills, abilities, behaviors, and other characteristics that an individual needs to perform work roles or occupational functions. HEALTH INSURANCE SYSTEMS AND FINANCING PROGRAMS - Knowledge of Medicare, Medicaid, and private insurance financing systems and policies to analyze and advise on healthcare payment systems, financing issues and policies that impact safety net health care grantees, providers, and practitioners. HEALTH PROGRAMS AND POLICY ANALYSIS - Analyzes, interprets, and explains the health impacts of programs, policies, proposals, and legislation. RESEARCH AND EVALUATION - Knowledge of the principles, methods, and processes used to conduct a systematic and objective inquiry; including study design, collection, analysis, and interpretation of data; and the reporting of results. TO PREVIEW THE OCCUPATIONAL ASSESSMENT QUESTIONNAIRE, please click on the following link: https://apply.usastaffing.gov/ViewQuestionnaire/12564594 Current status candidates must meet Time-in-Grade (TIG) by the closing date of this announcement. To allow us to verify that you meet TIG requirements, provide any of the following SF-50s: Please Note: Current year pay adjustments are not acceptable for verifying TIG (ex. 2024 general increases cannot be used to verify TIG). Competitive or Career-ladder promotion to your highest grade (this does not include 120 day temporary promotions) Regular Within Range Increase (WRI) or With In Grade (WGI) increase at your highest grade (this does not include quality step increases (QSIs). Competitive career/career-conditional appointment to your highest grade. SF-50 at your highest grade held, that is at least one year older than the announcement closing date of 10/25/2024. Not sure which SF-50 to submit? Check out our video... Go here to watch the video on the SF50s to submit in your application package.

Contacts

• Address Health Resources and Services Administration 5600 Fishers Lane Rockville, MD 20857 US
• Name: AskHR HRSA Helpdesk
• Phone: (301) 443-3780
• Email: [email protected]