Health Insurance Specialist (Technical Advisor)

Full Job Description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare, Division of Policy, Analysis and Planning.

As a Health Insurance Specialist, referred here as Health Insurance Specialist (Technical Advisor), GS-0107-14, you will serve as technical advisor assessing legislative and regulatory statues for Medicare Advantage health and prescription drug plan policy and 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-14 health Insurance Specialist (Technical Advisor) 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-13 grade level in the Federal government, obtained in either the private or public sector, to include: 1.

Offering subject matter expertise to stakeholders on policies and regulatory requirements related to Medicare Advantage and other CMS program plans, AND 2.

Drafting and refining Medicare regulations, operational policies, guidance documents, and instructional materials for stakeholders and CMS personnel, AND 3.

Evaluating policy matters affecting CMS health plans and providing strategic recommendations to leadership to address and minimize potential impacts.

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/12918725 Major Duties:

• Conduct regulatory and policy analysis for Medicare Advantage, Part C and other health care plans
• Attend hearings and briefings as a liaison to justify policies, manage stakeholder requests, and provide expert program assistance.
• Develop Medicare Advantage regulations and program policy to provide options and analysis for senior stakeholders.
• Communicate assignments, milestones, and deadlines to the team regarding Medicare Advantage and Plan C plans.