Medicaid Policy Technical Lead

Full Job Description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS), Children and Adults Health Programs Group (CAHPG).

As a Health Insurance Specialist, referred to here as Medicaid Policy Technical Lead, GS-0107-14, you will develop program policy, interpret program requirements, methods, and procedures; monitor, review, evaluate, and assess the integrity and quality of program operations; 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 receiving further consideration.

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: - Providing technical advice on Medicaid, CHIP, BHP, or other national health insurance programs; AND - Developing written guidance and instructions to put health policies into practice; AND - Serving as a team lead and directing project activities; AND - Working closely with internal and external partners to develop, implement, and negotiate policy, and to analyze related data.

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.

Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12874123 Major Duties:

• Develop and conduct program policy or data analyses to identify and understand the needs and preferences of CMCS programs and the beneficiaries we serve.
• Develop program policy, interpreting program requirements, methods, and procedures; monitoring reviewing, evaluating, and assessing the integrity and quality of program operations.
• Develop and review legislation, regulations instructions and management reports, keeping management informed of program and legislative development.
• Serve as a technical authority for Medicaid and CHIP program policy development and implementation and provide technical direction and leadership to staff.
• Develop, interpret, and apply specific laws, regulations, and policies that directly improve state fiscal accountability and improve the efficiency of existing oversight activities of the Medicaid program and the related interactions with States.