Health Insurance Specialist

Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Legislation, Audit Management Group. As a Health Insurance Specialist, GS-0107-11, purpose of this position is to perform reviewing, analyzing, and evaluating proposed legislation, regulations and other administrative actions for CMS' programs. Learn more about this agency Duties Serving as a liaison to CMS and congressional staff in the development of legislation affecting CMS' programs and the analysis of the impacts of legislative or administrative changes on established policy and program operations. Assists in developing, recommending, and preparing legislative policies and proposals for consideration by senior policy officials for inclusion in the President's budget and legislative agenda. Plans, develops, and directs the strategy to enhance the enactment of the Administration's legislative program for assigned areas of responsibility. Anticipates and addresses congressional inquiries on complex policies and issues; appropriately handles sensitive information; develops a thorough understanding of problems and elevates them to the attention of management when appropriate. Identifies and achieves consensus on viable solutions in collaboration with others including CMS' program staff; present problems and recommended solutions to management and senior leadership; and ensure follow through on the agreed-upon response. Requirements Conditions of employment You must be a U.S. Citizen or National to apply for this position. You will be subject to a background and suitability investigation. Selective Service: Males born after December 31, 1959, must be registered or exempt from Selective Service - http://www.sss.gov One-year probationary period may be required If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS "E-Verify" System All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice Qualifications 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-11, 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-09 grade level in the Federal government, obtained in either the private or public sector, to include: 1. Analyzing policies regarding the Medicare, Medicaid, Children's Health Insurance Program (CHIP) or private health insurance programs; 2. Producing written documents for management, including briefing documents, reports, issue papers, responses to GAO/OIG or decision memoranda regarding the Medicare, Medicaid, CHIP or private health insurance programs; and 3. Preparing leadership for meetings with external entities regarding the Medicare, Medicaid, CHIP or private health insurance programs. - OR - Substitution of Education for Experience: You may substitute education for specialized experience at the GS-11 level by possessing a Ph.D. or equivalent doctoral degree or 3 full years of progressively higher-level graduate education leading to such a degree or equivalent doctoral degree or LL.M., if related to the position being filled. - OR - Combination of Experience and Education: Only graduate education in excess of the amount required for the GS-09 grade level may be used to qualify applicants for positions at grades GS-11. Therefore, only education in excess of a master's or equivalent graduate degree or 2 full years of progressively higher-level graduate education leading to such a degree may be used to combine education and experience. TRANSCRIPTS are required to verify satisfactory completion of the educational requirement related to the substitution of education for experience and the combination of experience and education. Please refer to the "Required Documents" section below for the documentation required at the time of application. 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. Education If you are claiming education as any part of your qualifications for this position, you must submit an official transcript, unofficial transcript, or a list including courses, grades earned, completion dates, and quarter and semester hours earned. All academic degrees and coursework must be completed at a college or university that has obtained accreditation or pre-accreditation status from an accrediting body recognized by the U.S. Department of Education. For a list of schools that meet this criteria, see https://www.ed.gov/ Special Instructions for Foreign Education: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show that the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. Failure to provide such documentation with your application will result in lost consideration. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.In addition, when reviewing applicant's transcripts, assumptions will not be made. Applicants MUST state which coursework is relevant. Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12967423 Additional information Bargaining Unit Position: Yes Tour of Duty: Flexible Recruitment Incentive: Not Authorized Relocation Incentive: Not Authorized Financial Disclosure: Not Required Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion. The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit the required documentation and be rated well-qualified for this vacancy. Click here for a detailed description of the required supporting documents. A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at www.opm.gov/rif/employee_guides/career_transition.asp. Expand Hide  additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Benefits A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.