Health Insurance Specialist

Full Job Description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM).

As a Health Insurance Specialist, GS-0107-14, you will perform duties involving implementing and operationalizing intersecting provisions of the Inflation Reduction Act of 2022 (IRA) by six groups that report to the CM-CD Deputy Center Director.

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) Providing technical expertise for initiatives and activities related to legislation, regulation, and program policy (such as Medicare Parts C and D and recent legislation, such as the Inflation Reduction Act); AND (2) Identifying potential improvements or changes to program policy and making recommendations to senior leadership implementing such solutions; AND (3) Communicating technical or detailed information to internal and external stakeholders in a variety of formats such as regulations, briefing materials, presentations, meetings, etc..

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/12911041 Major Duties:

• Provide technical expertise, guidance, and support on a vast array of polices related to the Inflation Reduction Act.
• Manage issues and information analysis, ensuring coordination of projects cutting across work units, agency, and department.
• Conduct analysis regarding program policy that provides decision makers with analysis for program management.
• Advise high-level decision makers and management officials regarding Medicare, Part D redesign, Medicare prescription payment plan, drug price negotiation and inflation rebate program policies, legislation, regulations and special projects within CM.