About this role
Job SummaryThis position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Medicare Contractor Management Group (MCMG) As a Supervisory Health Insurance Specialist, GS-0107-15, you will serve as Deputy Group Director for the management of all Medicare Administrative Contractor (MAC) policy issues impacting Medicare Fee-For-Service activities.
QualificationsALL 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. Overseeing and evaluating third-party contractor(s) managing health care data, ensuring compliance with contracts for agency health care delivery and quality or payment programs; AND 2. Leading teams or directing projects related to the development and execution of contract procurement strategies, assessing the operational and budget impact of health care data initiatives, policies, strategic issues, and acquisition and procurement, either internally or through oversight of the contractors handling sensitive health data; AND 3. Conducting, evaluating, and analyzing policies and written options related to fiscal implications for contracted stakeholders that participate in agency health care delivery and quality or payment programs. 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 or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year 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/13058923
Major DutiesPlan work to be accomplished by subordinates, sets and adjusts short-term priorities, and prepares schedules for completion of work.Review work performance of subordinates.Plan and lead studies that analyze the efficiency, effectiveness, and/or improvement of Medicare policies that impact services provided by contractors.Assess the operational impact and budget impact of initiatives, developing and maintaining work statements for Medicare Administrative Contractors.Develop policy and operational options and presents issues to senior CM and CMS management.