Health Insurance Specialist

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), Medicaid and CHIP Operations Group (MCOG).

As a Health Insurance Specialist, GS-0107-14, you will serve as a Health Insurance Specialist with technical authority and responsibility for providing subject matter expert/technical assistance to management officials within CMS, other Federal, State, and local government agencies.

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Overview

* Accepting applications

* Open & closing dates

06/28/2024 to 07/05/2024

* Salary

$104,604 - $135,987 per year

This is the BASE salary for the position. Locality pay rate will be contingent on the duty station selected.

* Pay scale & grade

GS 14

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Locations

1 vacancy in the following locations:

* San Francisco, CA

* Denver, CO

* Washington, DC

* Atlanta, GA

* Show more locations (9)

* Chicago, IL

* Boston, MA

* Bethesda, MD

* Woodlawn, MD

* Kansas City, MO

* New York, NY

* Philadelphia, PA

* Dallas, TX

* Seattle, WA

* Remote job

No

* Telework eligible

Yes-as determined by the agency policy.

* Travel Required

Occasional travel - You may be expected to travel for this position. This position has a travel requirement of up to 10%.

* Relocation expenses reimbursed

No

* Appointment type

Permanent

* Work schedule

Full-time

* Service

Competitive

* Promotion potential

14

* Job family (Series)

0107 Health Insurance Administration

* Supervisory status

No

* Security clearance

Not Required

* Drug test

No

* Position sensitivity and risk

Moderate Risk (MR)

* Trust determination process

Credentialing

Suitability/Fitness

* Announcement number

CMS-CMCS-24-12458378-IMP

* Control number

797458600

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This job is open to

* Internal to an agency

Current federal employees of this agency.

Clarification from the agency

Career Transition Assistance Plan Eligibles; OR Current Permanent Career and Career-Conditional Employees in CMS, Center for Medicaid and CHIP Services (CMCS).

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Duties

* Provide technical direction and leadership to a highly technical professional staff; making recommendations on key healthcare programs and policy issues affecting the operations of the Center and CMS programs.

* Provide technical assistance and support to States, and other partners related to the interpretation and implementation of Medicaid and CHIP program policies, healthcare delivery systems and operations.

* Conduct special assignments/projects pertaining to program implementation and operations at the direction of leadership involving extensive research, fact-finding and analysis on a variety of high-level subjects of critical importance to the Agency.

* Represent senior CMCS officials in discussions with senior CMS and Departmental officials, congressional staffs, interest groups, and other members of the public in order to explain and justify Medicaid program policies and program issues.

* Prepare presentations and present orally and draft written documents including reports of findings, actions taken, or recommends what actions/issues need management attention.

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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.

Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF 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-14 , 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-13 grade level in the Federal government, obtained in either the private or public sector, to include:

* Providing technical guidance on oversight responsibilities for ensuring that states implement federal requirements for Tribal Consultation and American Indian (AI)/Alaskan Native(AN) Protections and ensuring that federal statutes, regulations and CMS policies are applied effectively in U.S. territories; AND

* Researching, analyzing, and interpreting statue and regulations to support state, territory and tribal program implementation; AND

* Conducting complex and high-priority special assignments or projects pertaining to program implementation and operations; AND

* Preparing and presenting technical information to management, staff and key stakeholders.

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:

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. for a detailed description of the required supporting documents. A well-qualified appli.