"Alerted.org

Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Division of Cost Reporting. As a Supervisory Health Insurance Specialist, GS-0107-15, you will lead Medicare payment policy development for multiple types of providers and facilities. Responsibilities Formulate and evaluate national policies, methods, procedures, and formats for the reporting and verification of financial and other data for all Medicare program providers participating under the various payment systems. Plan work to be accomplished by subordinates, set and adjust short-term priorities, and prepare schedules for completion of work. Plan, develop and maintain a continuing program of surveillance and evaluation of CMS general payment and cost reimbursement policies to identify emerging problems and to develop and promulgate corrective policies and procedures. Oversee or conduct work that produces external reports and outreach and education efforts, including Reports to Congress, updates to Medicare Manuals, Technical Direction Letters. Develop policies regarding the validity of accounting policies and procedures. Formulates the basic principles and policies for developing and applying limitations to health care costs. 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-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: - Developing and evaluating Medicare cost-based reimbursement policies, such as strategic planning, budget forecasting, impact analysis, or stakeholder coordination; AND - Analyzing Medicare cost reports, reimbursement methodologies, or cost accounting principles used in Medicare payment systems: AND - Leading and assessing multidisciplinary teams or contractors, by managing priorities, schedules, technical workstreams, or performance improvements to support policy and program operations. 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 or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year 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/12855194 Education Additional Information Bargaining Unit Position: No Tour of Duty: Flexible Recruitment Incentive: Not Authorized Relocation Incentive: Not Authorized Financial Disclosure: Required OGE-450 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.