Summary

As a Program Analyst at the GS-0343-13, you will be part of Healthcare and Insurance, Office of Personnel Management. If selected, you will be responsible for reviewing benefits with carriers, administering and monitoring health benefit plan contracts, responding to customer requests, analyzing data, developing reports and resolving complaints.

Duties

Assist with preparations of regular monthly, quarterly, and annual disputed claims reports.Research and responds to problems or situations requiring the use of established methodologies to isolate and evaluate appropriate precedents.Identifies, processes, and organizes data from Federal Disputed Claim (FDC) System and other sources to inform and analyze Disputed Claims Team reporting and initiatives.Develops reports, evaluations, project timelines and results for the Disputed Claims supervisor.

Requiremennts

Must be a U.S. Citizen or National Males born after 12-31-59 must be registered or exempt from Selective Service (see https://www.sss.gov/Home/Registration) Suitable for Federal employment, determined by a background investigation May be required to successfully complete a probationary period Complete the initial online assessment and USAHire Assessment, if required This position is eligible for inclusion in the bargaining unit. if the duty station is finalized in the Washington, DC metropolitan area, employees in this position will be represented by the American Federation of Government Employees (AFGE) Local 32. if the duty station is finalized outside of the Washington, DC metropolitan area, this position will not be represented by a bargaining unit.

Qualifications

For the GS 13: You must have at least one year (52 weeks) of specialized experience which is equivalent in difficulty and complexity to the GS-12 grade level in the Federal service that demonstrates ALL of the following: Analyzing health or insurance information to present findings, conclusions or recommendations to management; Developing technical reports, internal guidance, or documentation to improve efficiency of operations; AND Examining health or insurance information to reconcile discrepancies and identify a solution based on research. You must meet all qualification and eligibility requirements by the closing date of this announcement. 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.

At OPM, we are champions of talent for the Federal Government. We lead Federal agencies in workforce policies, programs, and benefits in service to the American people. We will create a new vision of work, together, positioning the Federal Government as a model employer for past and present employees through innovation, inclusivity, and leadership. We will build a rewarding culture that empowers the workforce to solve some of our nation's toughest challenges. For information on OPM's goals and objectives, please refer to our Strategic Plan.