• Supervisory Health Insurance Specialist

    Centers for Medicare & Medicaid Services (Woodlawn, MD)


    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), Children & Adults Health Programs Group (CAHPG), Division of State Coverage Programs. As a Supervisory Health Insurance Specialist, GS-0107-15, you will serve as the Division Director, who leads staff providing oversight, establishing policy & serve as a technical expert & advisor to CMS leadership. Responsibilities Lead the development, coordination and implementation of national Medicaid, CHIP and BHP program policy. Develop, interpret, and apply laws, regulations, and policies that directly govern the operation and management of the Medicaid, CHIP, and BHP programs and works extensively with states to ensure their effective implementation. Direct implementation of operational policies and procedures aimed at facilitating the states' ability to expand health insurance coverage and access to care to beneficiaries. Identify health care policy concerns affecting low-income beneficiaries and manages the development and implementation of quality improvement strategies, including developing quality measures for children and adults. Requirements Conditions of Employment 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-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: (1) Overseeing the development and implementation of policies and operational processes related to the administration of the Medicaid, CHIP or BHP program at the state or federal level; (2) Collaborating with state or national stakeholders to assess and to address technical needs to ensure successful Medicaid, CHIP or BHP program operations; (3) Managing work activities for subordinate employees and related resources to support advancements needed to accomplish the organization's mission in regard to Medicaid, CHIP or BHP; (4) Developing or editing technical Medicaid, CHIP or BHP program policy designs, reports, or policy statements at the state or national level. 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. Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12846565 Education Not Applicable. Additional Information Bargaining Unit Position: No Tour of Duty: Flexible Recruitment Incentive: Not Authorized Relocation Incentive: Not Authorized Financial Disclosure: 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.