
Health Insurance Specialist (Program Policy)
Centers for Medicare & Medicaid Services
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At a glance
Job overview
The Health Insurance Specialist (Program Policy) at CMS will interpret statutes, develop regulations and policy statements, conduct policy analysis, research program background, and prepare briefing materials while establishing relationships with officials to resolve policy issues.
Skills & qualifications
Skills
Qualifications
Full job description
Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). As a Health Insurance Specialist (Program Policy), GS-0107-12, you will perform program policy work related to national health insurance programs, such as Medicare, Medicaid, the Children's Health Insurance Program (CHIP), Marketplace Exchange/private health insurance. Responsibilities Interpret statute and develop Federal regulations, policy statements, and other program guidance. Conduct analysis of policy issues and topics, research background information, the origin of laws, and the intended impact in order to make effective policy recommendations. Prepare and coordinate a variety of written products, including position papers and briefing materials for senior officials to use as background information on program policy related activities. Establish and maintain relationships with key officials and groups within and outside the organization to resolve problems pertaining to program policies. Requirements Conditions of Employment Qualifications 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. In order to qualify for the GS-12, 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-11 grade level in the Federal government, obtained in either the private or public sector, to include: (1) Analyzing national health insurance program policy issues in order to make policy recommendations; (2) Refining regulations, manuals, program guidelines, program memoranda, policy letters, or instructions to communicate health insurance program policies; and (3) Presenting findings or recommendations based on analysis of health insurance programs. Substitution of Education for Experience: There is no substitution of education to meet the specialized experience requirement at the GS-12 grade level. Combination of Experience and Education: There is no combination of experience and education to meet the specialized experience requirement at the GS-12 grade level. Experience refers to both 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: https://apply.usastaffing.gov/ViewQuestionnaire/13044162 Education Additional Information Bargaining Unit Position: Yes-American Federation of Government Employees, Local 1923 Tour of Duty: Flexible Recruitment Incentive: Not Authorized 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. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion. Salary Ranges By Location: Atlanta, GA - $94,654 - $123,052 Boston, MA - $101,375 - $131,790 Chicago, IL - $100,059 - $130,080 Dallas, TX - $97,307 - $126,502 Denver, CO - $99,800 - $129,742 Kansas City, MO - $90,968 - $118,261 New York, NY - $105,481 - $137,128 San Francisco, CA - $111,896 - $145,468 Seattle, WA - $100,602 - $$130,786 Woodlawn, MD - $102,415 - $133,142 For more information about pay based on locality, please visit the Office of Personnel Management (OPM) Salaries & Wages Page. 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 OPM's Career Transition Resources website at www.opm.gov/rif/employee_guides/career_transition.asp.
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