This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Clinical Standards and Quality(CCSQ), Survey & Operations Group (SOG). As a Supervisor Health Insurance Specialist, GS-0107-14, you will direct the activities of a Branch whose purpose is to implement, monitor, and evaluate programs for assessing State survey agency performance in interpreting and applying quality health care standards and procedures.

Duties

Ensure that the staff completes correct and timely actions on provider certifications, voluntary terminations, waiver recommendations, complaints, involuntary provider terminations, and other certification activities. Direct evaluation and certification of health care providers in the Medicare/Medicaid program. Promote the principles of quality management, teamwork, customer focus, and continuous improvement in carrying out responsibilities. Represent the agency’s actions and viewpoints surrounding survey and certification programs. Direct program evaluation efforts of Federal validation surveys of health facilities and State Survey Agency performance and certification programs.

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.
• Financial Disclosure Required: OGE-450

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) leading or monitoring a health care program in the area of surveying and certification that measures the performance of state agency, contractor, or provider based services that assures compliance with federal laws and regulations; (2) provide guidance on the interpreting and implementing of quality health care standards to suppliers or providers under the Medicare/Medicaid program; and (3) manage the work of subordinate employees or team members or leading workgroups on the Federal Survey Process. 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/12637181

Education

This job does not have an education qualification requirement.

Contacts

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