Health Insurance Specialist

Full Job Description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Legislation (OL) in Washington, DC.

As a Health Insurance Specialist, you will perform reviewing, analyzing, and evaluating proposed legislation, regulations and other administrative actions for CMS programs.

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY 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-12, 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-11 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Reviewing and analyzing legislation and policies regarding Medicare, Medicaid, Children's Health Insurance Program (CHIP) or private health insurance programs; AND 2) Producing written documents for management, including briefing documents, reports, issue papers, responses to the Government Accountability Office/Office of the Inspector General or decision memoranda regarding the Medicare, Medicaid, CHIP or private health insurance programs; AND 3) Briefing leadership for congressional meetings regarding Medicare, Medicaid, CHIP or private health insurance programs.

Experience refers to both 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/12861699 Major Duties:

• Review and analyze regulations, sub-regulatory guidance, issue papers, Office of the Inspector General (OIG) reports, Government Accountability Office (GAO) reports, reports to Congress, congressional correspondence and other reports.
• Identify and achieve consensus on viable solutions in collaboration with others including CMS program staff.
• Present problems and recommend solutions to management and senior leadership; and ensure follow through on the agreed-upon response.
• Develop thorough understanding of problems and evaluate them to the attention of management when appropriate.
• Provide assistance to other Groups within the Office of Legislation and the organization to ensure consistent, coordinated analyses and responses.