
Supervisory Health Insurance Specialist
Centers for Medicare & Medicaid Services
Atlanta, GAFull-time$126–164K/yrPosted 2 days ago
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Job overview
The Supervisory Health Insurance Specialist role at CMS leads a multi‑disciplinary team overseeing contractors, systems, and workflows for the Marketplace appeals program, coordinates IT linkages, advises leadership on improvements, and ensures appeals processes are fair, timely, effective, and reliable.
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), Offices of Hearings and Inquiries (OHI). As a Supervisor Health Insurance Specialist, GS-0107-15, you will lead a multi-disciplinary team overseeing contractors, systems, and workflows supporting the Marketplace appeals program; coordinate IT linkages; advise CMS leadership on program improvements; and ensure appeals processes are fair, timely, effective, and reliable.
Duties
- Serving as first-level supervisor and Division Director, leading a staff responsible for implementing the use of information technology and data systems in the Marketplace appeals process.
- Managing the work of subordinates by planning assignments, setting priorities, and establishing schedules.
- Serving as technical expert and advisor to CMS leadership at the group, office, and agency level.
- Analyzing program needs, projecting multi-year funding requirements, and preparing detailed justifications for all requested resources.
- Managing staff that oversee the operations and IT systems contracts necessary to support appeals functionality.
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-15, 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-14 grade level in the Federal government, obtained in either the private or public sector, to include: Managing or overseeing operational business services and/or IT services contracts; Leading and/or providing technical direction to staff engaged in such work, including administrative operations of the programs; and Advising or participating in a team engaged in procurement and contract management activities. 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/13070000
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): Accountability Customer Service Decisiveness Flexibility Interpersonal Skills Problem Solving Resilience 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
Bargaining Unit Position: No Tour of Duty: Flexible Recruitment Incentive: Not Authorized Relocation Incentive: Not Authorized Financial Disclosure: No 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.
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