Health Insurance Specialist (Data Analysis and Studies)

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, referred here as a Health Insurance Specialist (Data Analysis and Studies), GS-0107-13, you will perform data analysis and lead studies and projects related to Medicare programs.

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-13 grade level, 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-12 grade level in the Federal government, obtained in either the private or public sector, to include: (1) Designing data studies to evaluate the impact on health insurance programs; AND (2) Using qualitative and quantitative techniques to identify trends, root causes, or contributing factors, to provide policy recommendations related to health insurance programs or healthcare administration; AND (3) Interpreting statute and Federal regulations relating to national health insurance programs; AND (4) Developing summary reports, briefings, or policy statements to explain data from studies.

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/12925800 Major Duties:

• Design, plan, and conduct research studies concerning the trends and impact of Medicare programs.
• Conduct analysis of policy issues, topics, research background information, the origin of laws to make effective policy recommendations.
• Serve as an expert interpreting statute and developing Federal regulations, policy statements, and other guidance relating to national health insurance programs.
• Identify and propose modifications to policies to reflect changes or trends in the health care industry, program objectives, and the needs of beneficiaries.
• Develop, implement and maintain operational requirements to manage and analyze programmatic information.