Health Insurance Specialist

Cms

$90K — $120K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of experience in health policy or related fields
  • Demonstrated experience in mediating conflicts on health care policies
  • Expertise in overseeing compliance with federal regulations
  • Proven track record in developing policy documents for legislative purposes
  • Familiarity with Medicare and Medicaid programs

Responsibilities

  • Coordinate executive-level correspondence and policy documents for approval
  • Provide expert technical analysis on healthcare issues for leadership
  • Liaise with CMS centers to manage sensitive policy documents
  • Arrange and prepare internal briefings for executive leadership
  • Support decision-making processes with detailed reports and issue papers

Benefits

  • Access to a comprehensive benefits package for employees and their families
  • Flexible work arrangements and alternative work schedules may be available
  • Participation in ICTAP and CTAP for displaced federal employees
  • Federal employees are required to have salary payments made by direct deposit
  • Opportunities for career development and volunteer service recognition
Full Job Description
Summary

Department of Health & Human Services, Centers for Medicare & Medicaid Services, Office of Strategic Operations and Regulatory Affairs, Divisions of the Program Coordination and Correspondence Group (PCCG).

As a Health Insurance Specialist, GS-0107-13, provides leadership for CMS' executive correspondence system and decision-making process and serves as the primary liaison to the Executive Secretariat within the U.S. Department of Health and Human Services, Office of the Secretary.

Duties

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  • Coordinate and manage executive-level correspondence, briefing materials, Reports to Congress, issue papers, and other policy products requiring review or approval by CMS and HHS leadership.
  • Provide technical expertise and policy analysis on complex healthcare issues affecting Medicare, Medicaid, Marketplace programs, program integrity, payment innovation, and related CMS initiatives to support CMS and HHS leadership decision-making.
  • PCCG liaises with CMS' Centers/Offices and the Chief Operating Officer to coordinate and clear sensitive policy documents, including executive-level correspondence, sub-regulatory guidance documents.
  • Arranging briefings and coordinating internal policy briefing documents with leadership offices in CMS and OS, as well as HHS Assistant Secretaries, on behalf of CMS Centers/Offices.


Requirements

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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.
  • Time-in-Grade restrictions apply.
  • Selective Service: Males born after December 31, 1959, must be registered or exempt from Selective Service - http://www.sss.gov
  • One-year probationary period may be required.
  • If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS "E-Verify" System.
  • All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice.


Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT.

Your resume (limited to no more than 2 pages) 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 being considered further.


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. Mediating conflicts regarding health care program correspondence documents and policies;

2. Overseeing clearance processes and compliance of correspondence documents with federal regulations; AND

3. Developing healthcare policy documents and materials for congressional review.

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/[redacted]

Education

This job does not have an education qualification requirement.

Additional information

Bargaining Unit Position: Yes

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.

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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

Benefits

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens 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 intermittent. Contact the hiring agency for more information on the specific benefits offered.

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