About this role
Job SummaryThis position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS). As a Health Insurance Specialist, GS-0107-13, you will serve as CMS' focal point for assistance with formulation, coordination, integration, and implementation of all national program policies and operations relating to (CHIP), and the Basic Health Program (BHP).
QualificationsALL 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 13, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the 12 grade level in the Federal government, obtained in either the private or public sector, to include: 1. Developing or implementing policies at the state or national level for Medicaid, CHIP, or other similarly scaled health services program; AND 2. Providing technical assistance on health policy and health program compliance and/or cost issues, AND 3. Drafting a variety of technical documents (i.e. health program policy issue and decision papers, and terms and conditions or other legal documents). 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/13041151
Major DutiesProviding oversight and technical assistance to states on Medicaid, CHIP, and BHP delivery systems, waivers, State Plan Amendments, payment policies, and program implementation.Developing, analyzing, interpreting, and evaluating national policies, regulations, legislation, procedures, and guidance governing Medicaid, CHIP, BHP, and related health programs.Reviewing state financing, reimbursement, eligibility, benefits, prescription drug, third-party liability, and other program policies to ensure compliance with applicable requirements.Coordinating with states, territories, tribal organizations, Federal agencies, stakeholders, and Congressional staff to provide technical assistance, resolve program issues, and support policy implementation.Conducting program analyses, studies, data reviews, and evaluations to assess program performance, policy impacts, financial operations, integrity risks, and opportunities to improve care and reduce costs.