Health Insurance Specialist

Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation,(CMMI), State & Population Health Group (SPHG), Div of Health Care Delivery (DHCD). As a Health Insurance Specialist, GS-0107-13, you will manage education and outreach for private health insurance consumers. Your duties include external communications, website/product development, media relations, and research across media. Responsibilities Recommend the advancement of new and innovative approaches to conduct education, outreach, or external relations tasks that can be used by CMS divisions. Oversee the development and maintenance of website copy and outreach artifacts targeted to the needs of health insurance marketplace consumers, Medicare beneficiaries, Medicaid program officials, and health care providers. Provide advisory services to management in matters pertaining outreach and partner management system and customer relationship management tools. Develop training and assistance to regional offices for the review and evaluation of provider, physician, supplier, and beneficiary overpayment recovery and third-party systems. Analyze the impact of new or revised changes to legislation before Congress for any CMS program by sharing feedback from providers, stakeholders, consumers, and beneficiaries. 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-13 , 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-12 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Conducting education and outreach to healthcare providers, beneficiaries, or other stakeholders associated with healthcare programs; and 2) Developing or implementing improvement projects regarding beneficiary awareness and utilization of available program services; and 3) Adapting communications material based on the characteristics and needs of various audience segments {e.g., demographics, language, ethnicity, etc.) to deliver effective messaging to diverse groups 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/12805888 Education Additional Information Bargaining Unit Position: Yes-American Federation of Government Employee, 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.