SUPV HEALTH INSURANCE SPEC

Centers for Medicare & Medicaid Services

• $118K — $154K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of relevant experience in health insurance or program management
  • Experience developing support activities for healthcare programs
  • Proven leadership skills including team management and priority setting
  • Ability to provide operational guidance and make agency-wide recommendations
  • Demonstrated understanding of CMS regulations and compliance requirements

Responsibilities

  • Coordinate with federal and state agencies for PACE program oversight
  • Interpret and provide technical guidance on CMS policies
  • Monitor PACE plan performance and compliance standards
  • Direct daily operations and oversight of the PACE program
  • Supervise staff and facilitate their professional development

Benefits

  • Comprehensive benefits package for federal employees
  • Opportunity for flexible working arrangements
  • Access to alternative work schedules based on managerial discretion
  • Eligibility for transition assistance programs for displaced employees
  • Broad access to health insurance and retirement plans
Full Job Description
Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Program Operations and Local Engagement (OPOLE), Program for All-Inclusive Care for Elderly Operations Group (POG), Division of PACE Plan Management (DPPM).

As a SUPV HEALTH INSURANCE SPEC, GS-0107-14, you will serve as an Division Director for the Program for the All-Inclusive Care for the Elderly (PACE).

Duties

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  • Coordinates with federal, state agencies activities to plan technical assistance and oversight of PACE Organizations
  • Provides technical guidance and interprets CMS policies and regulations.
  • Monitors PACE plan performance, compliance, audits, and corrective actions.
  • Directs PACE program operations and plan oversight.
  • Supervises staff, sets priorities, evaluates performance, and develops employees.


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


Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY 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-14, 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-13 grade level in the Federal government, obtained in either the private or public sector, to include:

1. Developing activities and processes for CMS stakeholders who provide services in support of the PACE program.

2. Leading teams to establish work priorities, operational guidance, and assignments to achieve program goals.

3. Making decisions and recommendations to improve existing agency-wide PACE operations.

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.

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

Total Salary By Location

  • Kansas City, MO $108,173 - $140,627
  • Atlanta, GA $112,560 - $146,325
  • Dallas, TX $115,711 - $150,426
  • Philadelphia, PA $117,284 - $152,471
  • Denver, CO $118,675 - $154,280
  • Chicago, IL $118,984 - $154,682
  • Seattle, WA $119,630 - $155,521
  • New York, NY $125,431 - $163,062
  • Boston, MA $120,548 - $156,715
  • Woodlawn, MD $121,785 - $158,322
  • Washington, DC $121,785 - $158,322
  • San Francisco, CA $133,060 - $172,980


Bargaining Unit Position: No

Tour of Duty: Flexible

Recruitment Incentive: Not Authorized

Relocation Incentive: Not Authorized

Financial Disclosure: Required - OGE-450

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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