Health Insurance Specialist - Washington, United States - US Centers for Medicare & Medicaid Services

Mark Lane

Posted by:

Mark Lane

beBee recruiter


Description

Duties:


  • Coordinates audits initiated by the General Accountability Office (GAO) and Office of Inspector General (OIG) related to programs run by CMS.
  • Researches statutes, regulations, issuances, articles, published reports, and congressional hearing transcripts to identify data/policy positions for inclusion in written testimony on Medicare, Medicaid, CHIP, and private health insurance topics.
  • Attends internal CMS strategy and planning meetings related to scheduled or anticipated GAO/OIG entrance and exit conferences.
  • Assists in writing responses related to GAO/OIG audits on the Medicare, Medicaid, CHIP, and private health insurance programs.

Requirements:


Conditions of Employment:


  • May be required to serve a 1year initial probationary period.

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-11, 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-09 grade level in the Federal government, obtained in either the private or public sector), to include:

  • Reviewing emerging issues relating to health insurance programs.
  • Producing written documents for management related to health insurance programs.
  • Serving as a contact regarding health insurance programs.

- OR -

Substitution of Education for Experience:
You may substitute education for specialized experience at the GS-11 level by possessing a Ph.
D.

or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree or equivalent doctoral degree or LL.M., if related to the position being filled.

-**:


  • OR **Combination of Experience and Education: Only graduate education in excess of the amount required for the GS09 grade level may be used to qualify applicants for positions at the grade GS11. Therefore, only education in excess of a master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree, may be used to combine education and experience.
  • 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.

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.


  • Benefits
A career with the U.S. government provides employees with a comprehensive benefits package.

As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.

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Review our benefits


Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent.

Contact the hiring agency for more information on the specific benefits offered.


How You Will Be Evaluated:

You will be evaluated for this job based on how well you meet the qualifications above.

  • Best Qualified for those who are superior in the evaluation criteria
  • Well Qualified for those who excel in the evaluation criteria
  • Qualified for those who only meet the minimum qualification requirements
Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics):

  • Analysis
  • Knowledge Management
  • Oral Communication
  • Written Communication
This is a competit

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