Health Insurance Specialist

Centers for Medicare and Medicaid Services
US - District of Columbia - Washington
January 1, 2025

Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Legislation (OL), Audit Management Group (AMG).
As a Health Insurance Specialist, GS-0107-12, you will edit written policy products prepared by others; participate in internal CMS strategy and planning meetings; and coordinate with GAO and OIG to ensure that CMS addresses specific interests highlighted by the audits.
Responsibilities Manages and coordinates audits initiated by the GAO and OIG related to programs run by CMS.
Writes and/or assists in writing responses related to GAO/ OIG audits on the Medicare, Medicaid, CHIP, and private health insurance programs.
Prepares and secures clearance of responses associated with GAO/OIG audits, diligently ensuring that deadlines are met by tracking the status of these materials through CMS and departmental clearance process.
Compiles briefing materials in responses to GAO/ OIG audits for the CMS Administrator, Deputy Administrator, and other senior policy officials Coordinates and manages activities such as entrance and exit conference meetings, responding to requests for information or documentation, preparing official agency responses to draft GAO and OIG reports, and other requests from the GAO and OIG.
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-12, 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-11 grade level in the Federal government, obtained in either the private or public sector, to include:
Reviewing and analyzing emerging issues relating to Government Accountability Office (GAO) or Office of Inspector General (OIG) reports; Producing written documents for senior officials including papers, fact sheets, talking points, briefing materials or responses related to GAO/OIG reports; AND Serving as a contact for Congressional staff or GAO/OIG auditors on interests and concerns regarding organizational programs.
Substitution of Education for Experience:
There is no substitution of education to meet the specialized experience requirement at the GS-12 grade level.
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 or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year 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:

/apply.usastaffing.gov/ViewQuestionnaire/12586498 Education Additional Information Bargaining Unit Position:
Yes-American Federation of Government Employees, Local 1923 Tour of Duty:
Flexible Recruitment/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; however, CMS offers flexible working arrangements and allows employees the opportunity to participate in telework combined with alternative work schedules at the manager's discretion.
This position may be authorized for telework.
Telework eligibility will be discussed during the interview process.
Supervisory positions must report a minimum 2 times per week and non-Supervisory positions must report a minimum of 2 times per pay period.
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.
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 opm.gov/rif/employee_guides/career_transition.asp.

Read the full job description and apply online on the recuiter's web-site

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