Health Insurance Specialist

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare. As a Health Insurance Specialist, GS-0107-15, you will serve as an expert providing technical policy advice for Original Medicare Payment Policy programs, including leading the development of regulatory changes and legislative proposals. PRINCIPALES MISSIONS : Serving as an expert advisor and technical authority by reviewing and assessing programs, initiatives and projects such as transformation from fee-for-service to value, promoting accountability, and crushing fraud. Providing input for prioritized policies as they are developed based on leadership direction, including developing clearance and briefing strategies and ensuring consistency across multiple projects led by multiple groups. Independently identifying and resolving unprecedented statutory conflicts and undefined policy gaps in the rollout of the statutory directives and regulatory initiatives relevant to Original Medicare. Serving as an expert resource and technical authority and conducts numerous complex and high-priority special assignments involving extensive research, fact-finding and analysis on a variety of high-level subjects of critical importance. 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 Health Insurance Specialist GS-15 position , 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: 1. Analyzing Medicare payment systems or fee schedules to recommend program or regulatory changes; 2. Coordinating projects to integrate analytical recommendations across multiple Medicare program areas; 3. Coordinating with internal and external stakeholders to resolve differing views on Medicare payment policy issues; AND 4. Preparing briefing materials or technical reports to inform leadership decisions on Medicare payment programs. 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/13116044

Salaire : $169,279 – $197,200/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