Supervisory Health Insurance Specialist

Centers for Medicare and Medicaid Services
US - District of Columbia - Washington
November 4, 2024

Duties
Directs the work of DPM and plans work to be accomplished by subordinates, sets and adjusts short-term priorities, and prepares schedules for completion of work.
Assigns work to subordinates; reviews work performance; conducts formal performance appraisals.
Consults with CMS representatives, relevant federal agencies, states, clinical and analytic experts, health care providers, beneficiaries, and other payers to obtain and further develop ideas and concepts that may lead to new and/or modified tests.
Provides technical leadership and expertise to various CMS and non-Governmental entities on health care payment and delivery system reform alternatives.
Directs the development and implementation of models that test innovative payment approaches that incentivize care redesign around the continuum of care in acute and post-acute care settings.
Requirements
Conditions of Employment:

You must be a U.S. Citizen 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.
In order to qualify for the GS-15 , 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-14 grade level in the Federal government, obtained in either the private or public sector, to include:

Developing alternative payment methodologies for health care providers; AND
Engaging with either governmental or non-governmental entities on health care payment and delivery systems; AND
Utilizing data analysis to propose payment policies for models that focus on specialty care.
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.
Education
This job does not have an education qualification requirement.
Additional information
Bargaining Unit Position:
No
Tour of Duty:
Flexible
Recruitment/Relocation Incentive:
Not Authorized
Financial Disclosure:
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. A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position.
Required Documents
The following documents are REQUIRED:

Resume showing relevant experience; cover letter optional. Your resume must indicate your citizenship and if you are registered for Selective Service if you are a male born after 12/31/59. Your 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 week. For work in the Federal service, you must include the series and grade level for the position(s).
CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.). Required documents may be necessary to be considered for this vacancy announcement. Failure to provide the required documentation WILL result in an ineligible rating OR non-consideration.
How to Apply
Your complete application package, as described in the "Required Documents" section, must be received by 11:
59 PM ET on 11/08/2024 to receive consideration.
We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Please ensure EACH work history includes ALL of the following information:

Official Position Title (include series and grade if Federal job)
Duties (be specific in describing your duties)
Employer's name and address
Supervisor name and phone number
Start and end dates including month and year (e.g. June 2007 to April 2008)
Full-time or part-time status (include hours worked per week)
Salary
To verify the status of your application, log into your USAJOBS account. This agency provides reasonable accommodation to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please send an email to hrinquiries@cms.hhs.gov.
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Read the full job description and apply online on the recuiter's web-site

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