Supervisory Health Insurance Specialist

Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM). As a Supervisory Health Insurance Specialist, GS-0107-15, you will direct a division and its staff in developing, analyzing, interpreting, and implementing policies and standards for the Medicare Shared Savings Program.

Responsibilities

Develops policy, technical specifications, guidance and procedures for the Medicare Shared Savings Program.

Conducts policy analysis for senior CMS officials and manages implementation activities for the Medicare Shared Savings Program, including beneficiary assignment, benchmarking, data sharing and financial reconciliation.

Provides expert consultation to internal and external shareholders to provide responses to inquiries from providers, Congress, and the public.

Coordinates with other CMS components and oversight bodies like the Office of Inspector General (OIG) and Government Accountability Office (GAO).

Leads multidisciplinary staff by planning work, setting priorities, and preparing schedules for task completion.

Conducts formal performance appraisals, leave approval and training requests, interviews candidates, and handles disciplinary actions ranging from written warnings to recommending more serious measures.

Qualifications

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-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 data analysis and the development and implementation of Medicare value-based payment and Medicare Shared Savings Program payment policies and rulemaking; Advising senior officials and internal and external stakeholders on Medicare value-based payment policy and operations; and Leading Medicare payment policy and analytic teams engaged in such work, including operations of the 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/13095854