Health Insurance Specialist

Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Program Operations and Local Engagement (OPOLE), Medicare Plan Management Group (MPMG). As a Health Insurance Specialist, GS-0107-14, you will assess a wide range of qualitative and quantitative issues and studies that relate to the Medicare program's effectiveness, efficiency, and/or improvement. Responsibilities Develop and coordinate the work of program task forces and work groups on cross program issues and problems and present impact analysis and recommendations to senior MPMG/MCSG, DHPO and OPOLE managers. Conduct studies to ensure consistency and the elimination of unnecessary duplication of effort and cost between program activities. Perform or lead national studies, reviews, evaluations, and/or projects that directly impact upon Group’s Medicare program area(s) across the country. Analyze and implement methods for ensuring that uniform application of program policies and regulations is consistent throughout the Group. Participate in and make key authoritative contributions to top-level discussions and planning sessions on Medicare program policy development. Coordinate and follow up on assignments in the management and administration of work projects. Requirements Conditions of Employment 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) Performing program management functions that include policy, operations, and evaluation aspects of Medicare, Medicaid, or other health insurance programs; 2) Executing detailed analyses of health care program activities addressing areas of deficiency; AND 3) Planning and conducting comprehensive projects or studies outlining proposed recommendations based on findings. 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/12803707 Education Additional Information Bargaining Unit Position: Yes - American Federation of Government Employees, Local 1923 Tour of Duty: Flexible Recruitment Incentive: Not Authorized Relocation Incentive: Not Authorized Financial Disclosure: Not Required Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion. The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit the required documentation and be rated well-qualified for this vacancy. Click here for a detailed description of the required supporting documents. A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at www.opm.gov/rif/employee_guides/career_transition.asp.