Centers for Medicare and Medicaid Services
Health Insurance Specialist
Centers for Medicare and Medicaid Services, Washington, District of Columbia, us, 20022
Job Responsibilities
Provides executive leadership around key national program policies and procedures that either directly or indirectly impact healthcare service delivery to consumers.Provides expert advisory services to CEO-level audiences within and outside the Federal government concerning national policies to ensure integration of continuous improvement principles into all aspects of CMS's operations.Analyzes and evaluates specific No Surprise billing policies and procedural issues and initiates proposals to better achieve program objectives.Coordinates the completion of complex and high-priority special work assignments, making authoritative suggestions and recommendations about content and messaging strategy that are often accepted and incorporated into the final work product.Develops and maintains agency and external health care provider and hospital-focused plain language, content design, communication standards and strategies for CMS and its contractors.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 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:Advising leadership on legislative views and policy development for the provisions of Title 1 (the No Surprises Act) or Title II (Transparency) of Division BB of the Consolidated Appropriations Act, 2021 (CAA);Collaborating and negotiating with internal and external stakeholders to provide technical support for program administration, policy implementation and program oversight relating to the provisions of Title 1 (the No Surprises Act) or Title II (Transparency) of Division BB of the Consolidated Appropriations Act, 2021 (CAA); ANDLeading administrative studies, projects, or assignments designed to ensure continuous improvements in the organization's operations and policymaking around the provisions of Title 1 (the No Surprises Act) or Title II (Transparency) of Division BB of the Consolidated Appropriations Act, 2021 (CAA).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.This job does not have an education qualification requirement.Additional Information
Bargaining Unit Position: Yes - American Federation of Government Employees, Local 1923Tour of Duty:
FlexibleRecruitment/Relocation Incentive: Not AuthorizedFinancial Disclosure: Not RequiredWorkplace 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.Required Documents
The following documents are REQUIRED:Resume
showing relevant experience; cover letter optional. Your resume must indicate your citizenship and if you are registered for Selective Service if you are a male born after 12/31/59. Your resume must also list your work experience and education (if applicable) including the start and end dates (mm/yyyy) of each employment along with the number of hours worked per week. For work in the Federal service, you must include the series and grade level for the position(s). Your resume will be used to validate your responses to the assessment tool(s).CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.).
Required documents may be necessary to be considered for this vacancy announcement. Failure to provide the required documentation WILL result in an ineligible rating OR non-consideration.PLEASE NOTE:
A complete application package includes the online application, resume, and CMS required documents. Please carefully review the full job announcement to include the "Required Documents" and "How to Apply" sections. Failure to submit the online application, resume and CMS required documents, will result in you not being considered for employment.How to Apply
Your complete application package, as described in the "Required Documents" section, must be received by 11:59 PM ET on 11/04/2024 to receive consideration.IN DESCRIBING YOUR WORK EXPERIENCE AND/OR EDUCATION, PLEASE BE CLEAR AND SPECIFIC REGARDING YOUR EXPERIENCE OR EDUCATION.We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Please ensure
EACH
work history includes
ALL
of the following information:Official Position Title (include series and grade if Federal job)Duties (be specific in describing your duties)Employer's name and addressSupervisor name and phone numberStart and end dates including month and year (e.g. June 2007 to April 2008)Full-time or part-time status (include hours worked per week)SalaryDetermining length of general or specialized experience is dependent on the above information and failure to provide ALL of this information WILL result in a finding of ineligible.To begin, click
Apply
to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application.Follow the prompts to
select your resume and/or other supporting documents
to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and
click to continue with the application process .You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application.To verify the status of your application, log into your USAJOBS account, all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated.This agency provides reasonable accommodation to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please send an email to hrinquiries@cms.hhs.gov. The decision to grant reasonable accommodation will be made on a case-by-case basis.Additional selections
may be made for similar positions across the Department of Health and Human Services (HHS) within the local commuting area(s) of the location identified in this announcement.When the Department of Health and Human Services (HHS) completes its selections, the remaining list of qualified candidates may be shared with other federal agencies. You will have an opportunity to opt in if you would like your name, application material, and assessment results shared for consideration of employment with additional agencies. There is no guarantee of further consideration, and you can continue to explore other job opportunity announcements.
#J-18808-Ljbffr
Provides executive leadership around key national program policies and procedures that either directly or indirectly impact healthcare service delivery to consumers.Provides expert advisory services to CEO-level audiences within and outside the Federal government concerning national policies to ensure integration of continuous improvement principles into all aspects of CMS's operations.Analyzes and evaluates specific No Surprise billing policies and procedural issues and initiates proposals to better achieve program objectives.Coordinates the completion of complex and high-priority special work assignments, making authoritative suggestions and recommendations about content and messaging strategy that are often accepted and incorporated into the final work product.Develops and maintains agency and external health care provider and hospital-focused plain language, content design, communication standards and strategies for CMS and its contractors.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 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:Advising leadership on legislative views and policy development for the provisions of Title 1 (the No Surprises Act) or Title II (Transparency) of Division BB of the Consolidated Appropriations Act, 2021 (CAA);Collaborating and negotiating with internal and external stakeholders to provide technical support for program administration, policy implementation and program oversight relating to the provisions of Title 1 (the No Surprises Act) or Title II (Transparency) of Division BB of the Consolidated Appropriations Act, 2021 (CAA); ANDLeading administrative studies, projects, or assignments designed to ensure continuous improvements in the organization's operations and policymaking around the provisions of Title 1 (the No Surprises Act) or Title II (Transparency) of Division BB of the Consolidated Appropriations Act, 2021 (CAA).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.This job does not have an education qualification requirement.Additional Information
Bargaining Unit Position: Yes - American Federation of Government Employees, Local 1923Tour of Duty:
FlexibleRecruitment/Relocation Incentive: Not AuthorizedFinancial Disclosure: Not RequiredWorkplace 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.Required Documents
The following documents are REQUIRED:Resume
showing relevant experience; cover letter optional. Your resume must indicate your citizenship and if you are registered for Selective Service if you are a male born after 12/31/59. Your resume must also list your work experience and education (if applicable) including the start and end dates (mm/yyyy) of each employment along with the number of hours worked per week. For work in the Federal service, you must include the series and grade level for the position(s). Your resume will be used to validate your responses to the assessment tool(s).CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.).
Required documents may be necessary to be considered for this vacancy announcement. Failure to provide the required documentation WILL result in an ineligible rating OR non-consideration.PLEASE NOTE:
A complete application package includes the online application, resume, and CMS required documents. Please carefully review the full job announcement to include the "Required Documents" and "How to Apply" sections. Failure to submit the online application, resume and CMS required documents, will result in you not being considered for employment.How to Apply
Your complete application package, as described in the "Required Documents" section, must be received by 11:59 PM ET on 11/04/2024 to receive consideration.IN DESCRIBING YOUR WORK EXPERIENCE AND/OR EDUCATION, PLEASE BE CLEAR AND SPECIFIC REGARDING YOUR EXPERIENCE OR EDUCATION.We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Please ensure
EACH
work history includes
ALL
of the following information:Official Position Title (include series and grade if Federal job)Duties (be specific in describing your duties)Employer's name and addressSupervisor name and phone numberStart and end dates including month and year (e.g. June 2007 to April 2008)Full-time or part-time status (include hours worked per week)SalaryDetermining length of general or specialized experience is dependent on the above information and failure to provide ALL of this information WILL result in a finding of ineligible.To begin, click
Apply
to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application.Follow the prompts to
select your resume and/or other supporting documents
to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and
click to continue with the application process .You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application.To verify the status of your application, log into your USAJOBS account, all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated.This agency provides reasonable accommodation to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please send an email to hrinquiries@cms.hhs.gov. The decision to grant reasonable accommodation will be made on a case-by-case basis.Additional selections
may be made for similar positions across the Department of Health and Human Services (HHS) within the local commuting area(s) of the location identified in this announcement.When the Department of Health and Human Services (HHS) completes its selections, the remaining list of qualified candidates may be shared with other federal agencies. You will have an opportunity to opt in if you would like your name, application material, and assessment results shared for consideration of employment with additional agencies. There is no guarantee of further consideration, and you can continue to explore other job opportunity announcements.
#J-18808-Ljbffr