Health Insurance Specialist

Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Medicare Drug Benefit and C&D Data Group, Division of Part D Policy. As a Health Insurance Specialist, GS-0107-14, you will develop, evaluate, and implement Medicare prescription drug benefit policies. Learn more about this agency Duties Conducting analytical studies and evaluating prescription drug benefit in policy areas related to access to Title XVIII, Part D plans, Part D benefit design. Coordination of benefits with Part D organizations as well as the low-income subsidy program under Part D. Viewed by management as a key agency focal point for these activities. The incumbent is viewed by external stakeholders as the key agency focal point for pharmacy transaction standards. The output of the incumbent may directly be reflected in parts of major Federal program decisions, and/or legislative proposals. Build and maintain working relationships with other Centers and Groups within CMS and HHS for collaboration on electronic pharmacy standards and coordination of benefits work. 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-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: 1. Providing technical expertise for electronic pharmacy transaction standards and coordination of benefit (COB) initiatives and activities related to legislation, regulation and program policy; AND 2. Identifying potential improvements or changes for the Medicare Part D program and making recommendations to implement such solutions; AND 3. Communicating technical and detailed information in a variety of formats such as regulations, briefing papers, and presentations. 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/12952937 Education This job does not have an education qualification requirement. Additional information Bargaining Unit Position: Yes Tour of Duty: Flexible Recruitment Incentive: Not Authorized Relocation Incentive: Not Authorized Financial Disclosure: Required: OGE-450 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.