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 and Medicaid Innovation (CMMI) Patient Care Models Group (PCMG).

As a Supervisory Health Insurance Specialist GSyou will serve as Deputy Director of PCMG with responsibility for planning organizing and directing the design development analyses and implementation of complex Medicare Fee-for-Service payment models and programs.

Duties

• Serve as full Deputy to the PCMG Director and exercises supervisory authority over the PCMG staff in conjunction with the PCMG Director.
• Develop and manage complex Medicare FFS payment models and programs that test innovative payment and service delivery approaches to examineimplications for Medicare policy and regulations.
• Provide subject matter expertise and reviews proposed policies or changes in operations to assess the impact on current and future programdecisions.
• Lead the development of new specialized medical payment and delivery models and programs including developing quality improvement strategies preparing complex provider agreements and planning for operational readiness.
• Serve as the principal advisor to the PCMG Director on requirements and issues associated with prevention and population health utilizing subjectmatter expertise.

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.
• Time-in-Grade restrictions apply.
• You may be required to serve a two-year trial period.
• You may be required to file a Confidential Financial Disclosure (OGE-450) within 30 days of appointment and annually thereafter.
• All Federal employees are required to have Federal salary payments made by direct deposit to financial institution of their choice.
• If you are selected for this position the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form 1-9 will be verified through the DHS E-Verify System.
• You may be required to serve a one-year supervisory probationary period.

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:

1. Managing designing or developing projects or studies related to improving healthcare payment reform; AND
2. Planning organizing or assessing work activities for employees or teams to ensure that program operational goals are met; AND
3. Coordinating projects that aim to improve the quality and access of a healthcare program.

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 Federal employees 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: This job does not have an education qualification requirement.

Additional information

Bargaining Unit Position: No.
Tour of Duty: Flexible
Recruitment Incentive: Not Authorized.
Relocation Incentive: Not Authorized.
Financial Disclosure: Required.

Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the managers discretion.

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 OPMs Career Transition Resources website at Policy/Career Position: As a condition of employment for accepting this position you will be serving in a position in Schedule Policy/Career of the excepted service. You will obtain competitive status after two years of service in this position. Your employment in this position will be at-will. Merit Systems Protection Board (MSPB) appeals of adverse actions concerning performance discipline and other matters arising under chapters 23 43 and 75 of title 5 United States Code will not be available to an individual serving in this position. Prohibitions on prohibited personnel practices will be enforced by the Office of General Counsel and not the Office of Special Counsel.

Candidates should be committed to improving the efficiency of the Federal government passionate about the ideals of our American republic and committed to upholding the rule of law and the United States Constitution.

Required Experience:

Manager