Job details
Salary $103,690 - $134,798 a year job type full-time
Full job description
Duties
Summary
This position is located in the department of health & human services (hhs), centers for medicare & medicaid services (cms), center for medicare (cm).
As a health insurance specialist (program oversight), gs-0107-13, you will develop, evaluate, and implement compliance, audit and oversight requirements, policies, operating procedures related to activities and processes involved with monitoring and oversight of external cms stakeholders.
Responsibilities
Lead tasks designed to develop, evaluate, and implement medicare, medicaid, chip, marketplace exchange, or private health insurance programs.
Evaluate and analyze the impact of new or revised changes to legislation before the congress pertaining to any cms program.
Develop and review health care policies and legislation in order to draft related policy documents, regulations, procedures and guidance to states.
Establish and maintain contacts and working relationships with both internal and external stakeholders required to plan and execute tasks.
Attend meetings and conferences with cms staff and serve as a source of background data on the basis of research performed in preparation for the meetings and conferences.
Travel required
Occasional travel - you may be expected to travel up to 5% for this position.
Supervisory status
No
Promotion potential
13
Job family (series)
0107 health insurance administration
Requirements
Requirements
Conditions of employment
You must be a u.sCitizen or national to apply for this position.
You will be subject to a background and suitability investigation.
Qualifications
All qualification requirements must be met by the closing date of this announcement.
Your resume must include detailed information as it relates to the responsibilities and specialized experience for this positionEvidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible ratingThis 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) developing oversight strategies of health care or prescription drug service providers; (2) evaluating methods used to identify vulnerabilities in a national health insurance program; and (3) analyzing research or data to propose improvements to a health insurance program.
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 employmentYou will receive credit for all qualifying experience, including volunteer experience.
Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/viewquestionnaire/11195099
Education
This job does not have an education qualification requirement.
Additional information
Bargaining unit position: yes
Tour of duty: flexible
Recruitment/relocation incentive: not authorized
Financial disclosure: not required
Full-time telework program for cms employees: cms employees currently participating in 100% full-time telework program may be eligible to remain in the programIf an employee in this program is selected, the pay will be set in accordance with the locality pay for the applicable duty stationThe listed salary range reflects the locality pay assigned to the duty location(s) listed in the vacancy announcementFor more information about pay based on locality, please visit the office of personnel management (opm) salaries & wages page.
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 vacanciesTo be qualified you must submit the required documentation and be rated well-qualified for this vacancyClick here for a detailed description of the required supporting documentsA well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the positionAdditional information about ictap and ctap eligibility is on opm`s career transition resources website at www.opm.gov/rif/employee_guides/career_transition.asp.
Additional forms required prior to appointment:
Optional form 306, declaration of federal employment and the background/suitability investigation - a background and suitability investigation will be required for all selecteesAppointment will be subject to the successful completion of the investigation and favorable adjudicationFailure to successfully meet these requirements may be grounds for appropriate personnel actionIn addition, if hired, a reinvestigation or supplemental investigation may be required at a later timeIf selected, the optional form 306 will be required prior to final job offerClick here to obtain a copy of the optional form 306.
Form i-9, employment verification and the electronic eligibility verification program - cms participates in the electronic employment eligibility verification program (e-verify)E-verify helps employers determine employment eligibility of new hires and the validity of their social security numbersIf selected, the form i-9 will be required at the time of in-processingClick here for more information about e-verify and to obtain a copy of the form i-9.
Standard form 61, appointment affidavits - if selected, the standard form 61 will be required at the time of in-processingClick here to obtain a copy of the standard form 61.
If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an alternate application.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
If you meet the minimum qualifications and education requirements for this position, your application and responses to the online occupational questionnaire will be evaluated under category rating and selection procedures for placement in one of the following categories:
Best qualified - for those who are superior in the evaluation criteria
Well qualified - for those who excel in the evaluation criteria
Qualified - for those who only meet the minimum qualification requirements
The category rating process does not add veterans` preference points or apply the `rule of three` but protects the rights of veterans by placing them ahead of non-preference eligibles within each categoryVeterans` preference eligibles who meet the minimum qualification requirements and who have a compensable service-connected disability of at least 10 percent will be listed in the highest quality category (except in the case of professional or scientific positions at the gs-09 level or higher).
Once the announcement has closed, your online application, resume, and cms required documents will be used to determine if you meet eligibility and qualification requirements listed on this announcementIf you are found to be among the top qualified candidates, you will be referred to the selecting official for employment considerationPlease follow all instructions carefullyErrors or omissions may affect your rating.
Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics):
Oral communication
Oversight
Policy analysis
Written communication
This is a competitive vacancy announcement advertised under delegated examining authoritySelections made under this vacancy announcement will be processed as new appointments to the civil serviceCurrent civil service employees would therefore be given new appointments to the civil service; however, benefits, time served and all other federal entitlements would remain the same.
Additional selections may be made from this announcement for similar positions within cms in the same geographical locationFor central office vacancies, the `same geographical location` includes baltimore, maryland; bethesda, maryland; and washington, d.c.
Background checks and security clearance
Security clearance
Not required
Drug test required
No
Position sensitivity and risk
Non-sensitive (ns)/low risk
Trust determination process
Credentialing, suitability/fitness
Required documents
Required documents
The following documents are required:
1Resume showing relevant experience; cover letter optionalYour resume must indicate your citizenship and if you are registered for selective service if you are a male born after 12/31/59Your resume must also list your work experience and education (if applicable) including the start and end dates (mm/yyyy) of each employment along with the number of hours worked per weekFor work in the federal service, you must include the series and grade level for the position(s)Your resume will be used to validate your responses to the assessment tool(s)For resume and application tips visit: https://www.usajobs.gov/help/faq/application/documents/resume/what-to-include/
2Cms required documents (e.g., sf-50, dd-214, sf-15, etc.)Required documents may be necessary to be considered for this vacancy announcementClick here for a detailed description of the required documentsFailure to provide the required documentation will result in an ineligible rating or non-consideration.
Please note: a complete application package includes the online application, resume, and cms required documentsPlease carefully review the full job announcement to include the `required documents` and `Apply Now` sectionsFailure to submit the online application, resume and cms required documents, will result in you not being considered for employment.
Benefits
Benefits
A career with the u.sGovernment provides employees with a comprehensive benefits packageAs a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewardingOpens in a new windowlearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time, or intermittentContact the hiring agency for more information on the specific benefits offered.
Help
This job is open to
Career transition (ctap, ictap, rpl)
Federal employees who meet the definition of a `surplus` or `displaced` employee.
The public
U.sCitizens, nationals or those who owe allegiance to the u.s.
