
Lead Health Insurance Specialist
Centers for Medicare & Medicaid Services
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At a glance
Job overview
The Lead Health Insurance Specialist at CMS leads development and implementation of health care price transparency policies, coordinates multidisciplinary teams, advises leadership, and oversees program operations and system functionality to improve consumer protection initiatives.
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), Center for Consumer Information and Insurance Oversight, Consumer Support Group (CSG). As a Lead Health Insurance Specialist, GS-0107-14, leads the development and implementation of policy related to health care price transparency and other consumer protection authorities within the Division's portfolio. Responsibilities Leads and coordinates the work of a multidisciplinary team by assigning work, monitoring progress, coaching employees, balancing workloads, and ensuring timely accomplishment of organizational goals. Serves as a technical advisor by analyzing complex health insurance policy and program issues, developing recommendations, and advising leadership on strategic and operational decisions. Leads cross-functional initiatives and collaborates with internal and external stakeholders to implement program objectives, resolve complex issues, and represent the organization in meetings and briefings. Oversees program operations and system functionality by coordinating with information technology staff and contractors, ensuring policy requirements are implemented effectively, and identifying opportunities for process improvement. Develops and evaluates policies, regulations, guidance, and program documentation to support the implementation of health insurance transparency and consumer protection initiatives and improve program effectiveness. Requirements Conditions of Employment 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-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: 1. Leading the development or analysis of policies related to the private health insurance market; and 2. Collaborating with internal and external stakeholders and representing an organization in meetings, briefings, or workgroups; and 3. Reviewing, evaluating, and drafting recommendations pertaining to the private health insurance market and advising management on these recommendations. 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/13041463 Education Additional Information Bargaining Unit Position: Yes 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.
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