Division Director

Full Job Description

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, Marketplace Plan Management Group (MPMG).

As a Supervisory Health Insurance Specialist, referred here as Division Director, GS-0107-15, you will conduct policy analysis and program operations related to certification and operation of qualified health plans (QHPs) in the Federally-facilitated Marketplaces (FFMs).

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 position , 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 program operations related to Qualified Health Plans (QHPs) review in Federally Facilitated Exchanges (FFEs); and (2) Developing policy, operational, and/or business requirements to ensure compliance with ACA provisions for Qualified Health Plan (QHP) certification; and (3) Planning, organizing, or assessing the work activities of subordinate employees.

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/12925073 Major Duties:

• Lead benefit and cost-sharing reviews and quantitative analyses for QHPs and coordinates with CMS actuaries responsible for rate assessments, and/or oversees the delivery of technical assistance to Issuers.
• Direct the development of in-depth quantitative analyses and reports, including market specific trends or Issuer entry and exit from Federal Exchange markets.
• Plan, direct, organize, and control the overall work activities to be accomplished by subordinates.
• Ensure effective communication and teamwork among stakeholders for smooth Exchange operations and the implementation of QHP certification review.
• Manage the development of operational activities, including the development of compliance and evaluation criteria and processes for issuers applying to offer QHPs to support group programmatic functions.
• Guide the development of business processes and requirements for the design and development of systems interfaces associated with QHP bid review.