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), Offices of Hearings and Inquiries(OHI), Medicare Ombudsman Group (MOG).

As a Supervisory Health Insurance Specialist, GS-0107-15, in addition to supervisory duties, you will serve as a technical expert and advisor to CMS leadership on customer service-related issues potentially affecting beneficiaries and their ability to access benefits available to them.

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.

Providing strategic guidance and management on Medicare-related casework and operations to both internal and external stakeholders; AND 2.

Leading research and analysis to resolve discrepancies in Medicare enrollment, billing, third-party, and other program issues; AND 3.

Managing staff and tasks related to Medicare Parts A, B, C, and D, and monitoring casework from individuals and their advocates entitled to aspects of the Medicare Program; AND 4.

Leading strategic planning activities focused on administrative issues affecting Medicare beneficiaries and their caregivers.

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/12914638 Major Duties:

• Direct the work of staff. Assign work to subordinates based on priorities, selective consideration of the difficulty and requirements of assignments, and the capabilities of employees. Reviews work performance of subordinates.
• Provide oversight and support for the collection of Medicare premiums for the direct paying beneficiary population.
• Direct the dissemination of a variety of statistical and management reports for use by CMS senior leadership related to trends in beneficiary customer service.
• Oversee or conduct work that develops and produces a variety of written products, including briefing documents, correspondence, contractor performance evaluations, project evaluations and reports, and issue papers.
• Identify the internal and external politics that impact the work of the organization, and recognize the potential political or organizational impact of alternative courses of action from a programmatic perspective.