Supervisory 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 and Medicaid Innovation (CMMI).

As a Supervisory Health Insurance Specialist, GS-0107-15, you will serves as the Division Director responsible for directing a staff of highly skilled health insurance specialists and analysts in the successful implementation and operation of alternative payment models.

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-15, 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-14 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Developing alternative payment methodologies for health care providers; 2) Engaging with either governmental or non-governmental entities on health care payment and delivery systems; AND 3) Utilizing data analysis to propose payment policies for models that focus on specialty care.

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/12926057 Major Duties:

• Direct DPM operations by assigning and overseeing work, setting and adjusting short-term priorities, and developing schedules to ensure timely completion of assignments.
• Lead development and implementation of models testing innovative payment approaches that drive care redesign across acute and post-acute settings to improve care, health outcomes, and reduce costs in Medicare, Medicaid, and CHIP.
• Provide technical leadership and expertise to various CMS and non-governmental entities on health care payment and delivery system reform alternatives.
• Build and maintain collaborative provider relationships by understanding their needs and engaging them in CMS goals to improve care quality, health outcomes, and cost efficiency through continuous quality improvement.