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).. As a Health Insurance Specialist, GS-0107-13, you will serve as a technical expert in the development and implementation of Medicaid, CHIP, and the Basic Health Plans.

Duties

• Identify and propose modifications Medicaid, CHIP, and Basic Health Plan policies and regulations to reflect changes in the industry program objectives.
• Conduct analysis of policy issues and topics by researching background information and the intended impact to make effective Medicaid, CHIP, and Basic Health Plans policy recommendations.
• Evaluate the impact of new or revised changes to legislation before the Congress pertaining to federal health care program
• Research all program issues and develop the appropriate response that includes CMS regulations and policy issuances.
• Analyze internal policies, processes, and procedures to assure increased efficiency to resolve problems and improve internal operations.

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-13 , 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-12 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Implementing program policies for Medicaid, CHIP and the Basic Health Program to ensure compliance with federal regulations and program objectives; 2) Providing technical guidance on Medicaid, CHIP and Basic Health program policies; and 3) Developing regulations, manuals, program guidelines, program memoranda, policy letters, and instructions to communicate health insurance program policies. 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: https://apply.usastaffing.gov/ViewQuestionnaire/13072056

How You Will Be Evaluated

You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), the responses you provide on the application questionnaire, and the results of the online assessments required for this position. You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics): Attention to Detail Customer Service Decision Making Flexibility Integrity/Honesty Interpersonal Skills Learning Reading Comprehension Self-Management Stress Tolerance Teamwork In order to be considered for this position, you must complete all required steps in the process. In addition to the application and application questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job. Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on the online assessment may also result in your removal from consideration. Other Information

Total Salary By Location Kansas City, MO $108,173 - $140,627 Atlanta, GA $112,560 - $146,325 Dallas, TX $115,711 - $150,426 Philadelphia, PA $117,284 - $152,471 Denver, CO $118,675 - $154,280 Chicago, IL $118,984 - $154,682 Seattle, WA $119,630 - $155,521 New York, NY $125,431 - $163,062 Boston, MA $120,548 - $156,715 Woodlawn, MD $121,785 - $158,322 Bethesda, MD $121,785 - $158,322 Washington, DC $121,785 - $158,322 San Francisco, CA $133,060 - $172,980 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. 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.