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HHS Careers

HEALTH INSURANCE SPECIALIST

MAOther

5mo

Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS), Office of the Center Director (OCD).

As a HEALTH INSURANCE SPECIALIST, GS-0107-15, you will serves as a Technical Advisor and senior analyst in developing policy and supporting program operations and implementation focusing on emerging or precedent-setting child and youth priorities and crosscuts multiple agencies.

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Duties

  • Implement Medicaid and CHIP policies for youth and children programs in order to improve service to beneficiaries;
  • Provide technical guidance and support to stakeholders (i.e., senior level officials, states, federal partners) on matters of Medicaid policy and procedure;
  • Evaluate and assessing the impact of new and/or proposed health care legislation on Medicaid programs and make recommendations for improvement to program operations and supporting processes;
  • Prepare technical documents on Medicaid topics to inform senior level officials and other decision makers and provide guidance and recommendations on program issues.
  • Prepare a variety of other written products, including briefing documents, contractor performance evaluations, reports, and issue papers.

Requirements

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.

Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.

Your resume 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 receiving further consideration.

In order to qualify for the GS-15, 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:

  • Leading Medicaid & Children's Health Insurance Program (CHIP) children and youth policy development, implementation, evaluation, and related technical advisory at the National level (i.e. policies designed to meet the healthcare needs of children with mental or behavioral health conditions, medical complexities, or disabilities; health coverage requirements for children and youth with Medicaid and CHIP; and policies that promote the intersection of Medicaid and education, child welfare, Title V, and other child-serving agencies and programs.); AND
  • Working with a State Medicaid Agency to advance policies promoting coverage and care for children; AND
  • Working within a healthcare system to serve children, especially those enrolled in Medicaid and CHIP.

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/12650335

Education

This job does not have an education qualification requirement.

Additional Information

Bargaining Unit Position: Yes-American Federation of Government Employees, Local 1923

Tour of Duty: Flexible

Recruitment/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; however, CMS offers flexible working arrangements and allows employees the opportunity to participate in telework combined with alternative work schedules at the manager's discretion. This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Supervisory positions must report a minimum 2 times per week and non-Supervisory positions must report a minimum of 2 times per pay period.

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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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 window Learn more about federal benefits .

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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.

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

If You Meet The Minimum Qualifications And Education Requirements For This Position, Your Application And Responses To The Online Occupational Questionnaire Will Be Evaluated Under Category Rating And Selection Procedures For Placement In One Of The Following Categories:

  • Best Qualified - for those who are superior in the evaluation criteria
  • Well Qualified - for those who excel in the evaluation criteria
  • Qualified - for those who only meet the minimum qualification requirements

The Category Rating Process does not add veterans' preference points or apply the "rule of three" but protects the rights of veterans by placing them ahead of non-preference eligibles within each category. Veterans' preference eligibles who meet the minimum qualification requirements and who have a compensable service-connected disability of at least 10 percent will be listed in the highest quality category (except in the case of professional or scientific positions at the GS-09 level or higher).

Once the announcement has closed, your online application, resume, and CMS required documents will be used to determine if you meet eligibility and qualification requirements listed on this announcement. If you are found to be among the top qualified candidates, you will be referred to the selecting official for employment consideration. Please follow all instructions carefully. Errors or omissions may affect your rating.

Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics):

  • Health Insurance
  • Oral Communication
  • Project Management
  • Reasoning
  • Written Communication

This is a competitive vacancy announcement advertised under Delegated Examining Authority. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would therefore be given new appointments to the civil service; however, benefits, time served and all other Federal entitlements would remain the same.