Health Insurance Specialist

Position Location This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Division of Contractor Provider Communications (DCPC). Job Title: Health Insurance Specialist, GS-0107-13. As a Health Insurance Specialist, the incumbent develops, analyzes, implements and updates policy and systems for the Medicare Administrative Contractors (MACs) Provider Customer Service Program (PCSP). ALL QUALIFICATION REQUIREMENTS MUST BE MET BY 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. Qualification Requirements 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: Analyzing large datasets to identify trends, performance gaps, and forecast workloads. Building dynamic dashboards using Power BI, Tableau, or SQL to visualize customer experience trends for senior management. Managing customer satisfaction surveys and service quality outcomes using Qualtrics AI tools to identify customer pain points and implementing process improvements. Participating in cloud-based technology implementations (like Amazon Connect) to gather and define business requirements, support API integrations, coordinate testing, deployment and user acceptance activities. 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: #J-18808-Ljbffr