Lead 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, Provider Communications Group.

As a Lead Health Insurance Specialist, GS-0107-14, you will provide authoritative policy and operations guidance to Medicare Administrative Contractors (MACs) about the Medicare Provider Customer Service Program (PCSP).

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 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) Providing project direction and technical assistance to junior analysts, such as defining individual team members' task assignments and reviewing work for technical accuracy; 2) Providing authoritative policy and operations guidance to Medicare Administrative Contractors about the Medicare Provider Customer Service Program; and 3) Advising senior officials and stakeholders on Medicare provider contact centers, provider outreach and education and provider self-service technology.

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/12871341 Major Duties:

• Operate under the division director's direction and serves as a key liaison between supervisory staff and team members.
• Provide input on identifying, distributing and balancing workload among employees according to established workflow and recommended adjustments.
• Monitor performance and reports on work status and progress by reviewing completed work for technical accuracy.
• Deliver technical guidance, operational policy analysis, and project management with a focus on Medicare health care provider education and outreach, telephone and written inquiries and self-service technology contractor operations.
• Evaluate new techniques in customer service and outreach technologies, leads studies/demonstrations and pilot projects that analyze efficiency/effectiveness of Medicare Provider Customer Service Program (PCSP) operations and contractor services.