This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Chronic Care Policy Group (CCPG), Division of Cost Reporting (DCR). As a Health Insurance Specialist, GS-0107-14, you will serve as a technical advisor and subject matter expert on Medicare cost report policies, operations, forms, instructions, and regulations.

Duties

Assists the Division Director and Deputy Director in providing leadership and direction for the Division. Performs major analyses to evaluate emerging or existing policies and potential impacts to cost reporting operations including addressing any changes to cost reporting forms/instructions. Serves as a subject matter expert on Medicare cost reporting forms, instructions, and operations. Serves as a resource person for analysts within CM, CMS, HHS and congressional staff within assigned areas of responsibility.

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 this GS-14 position, you must meet the following: You must clearly 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) Analyzing Medicare payment policy changes to determine impacts or changes required on the various Medicare cost reports (MCR); and (2) Evaluating and auditing the hospital complex cost report requiring in depth analysis of the Medicare cost reports (MCR) flow, data, forms, instructions and specifications; and (3) Implementing policies and objectives of the Medicare hospital complex cost report and similar provider reports. 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/12626010

Education

This job does not have an education qualification requirement.

Contacts

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