Health Insurance Specialist

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Enterprise Data and Analytics (OEDA), Data and Dissemination Group. As a Health Insurance Specialist, GS-0107-13, you will provide advice and assistance to Group/Division leadership on process methodologies pertaining to national health insurance programs. PRINCIPALES MISSIONS : Manage the process, review, and approval of research requests for CMS data as allowed by the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule. Perform activities involved in analyzing protocols required to obtain CMS data as well as the ability to share data with the general public. Serve as a technical expert in the maintenance, and evaluation of CMS websites hosting public use files to share CMS data with the public. Conduct analyses of policy and procedure issues and topics, research background information, the potential impact of policy and procedure change to make effective recommendations. QUALIFICATIONS REQUISES : 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. Reviewing data disclosure requests and applying privacy requirements (e.g., Privacy Act, HIPAA) to determine release of agency health insurance or benefits data, AND: 2. Maintaining public-use data files and supporting documentation to ensure accuracy and compliance with program standards, AND; 3. Analyzing program policies or procedures and recommending improvements to management. 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: https://apply.usastaffing.gov/ViewQuestionnaire/13112497

Salaire : $121,785 – $158,322/Per Year | Avantages : https://help.usajobs.gov/working-in-government/benefits

The Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS) works in partnership with the entire health care community to improve quality and efficiency in an evolving health care system and provides leadership in the broader health care marketplace. CMS' effectiveness depends on the capabilities of a dedicated, professional staff that is committed to supporting these objectives. A career with CMS offers the opportunity to get involved in important national health care issues and be part of a dynamic, fast-paced, and highly visible organization. For more information on CMS, please visit: http://www.cms.gov/. HHS has a critical preparedness and response mission: HHS protects the American people from health threats, researches emerging diseases, and mobilizes public health programs with domestic and international partners. In support of this mission, HHS offers its employees the opportunity to contribute their unique skills through voluntary temporary