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 Medicaid and CHIP Services (CMCS), Medicaid Benefits & Health Programs Group (MBHPG), Division of Pharmacy (DP).

As a Supervisory Health Insurance Specialist, GS-0107-15, you will serve as a Division Director, who leads a staff responsible for planning and coordinating the development of program policy related to all Medicaid prescription drug programs.

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 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 and/or implementing Medicaid prescription drug policies and programs in one or more of the following subject matters: the Medicaid Drug Rebate Program, Medicaid coverage and payment policy for prescription drugs, classification of drugs, Federal Upper Payment Limits, drug utilization review, prior authorization, or preferred drug lists, AND (2) Providing technical direction to staff engaged in such work, OR providing technical assistance to states, manufacturers or other stakeholders implementing such programs, AND (3) Preparing technical and non-technical documents such as briefing documents, analytical reports, standard operating procedures, guidelines, issue papers, administrative and management reports.

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/12859330 Major Duties:

• Lead staff responsible for planning and coordinating the development of program policy related to all Medicaid prescription drug programs.
• Serve as a technical expert and advisor to CMS leadership on identifying and defining policy issues and establishing and developing policies regarding all policy areas for which the division is responsible.
• Lead and direct projects to analyze key Medicaid policy issues to support legislative, regulatory, policy and/or operational initiatives.
• Make decisions on controversial problems and policy interpretations which have regional and/or national implications.