Supervisory Health Insurance Specialist @ Centers for Medicare & Medicaid Services

Job Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Medicare Plan Payment Group (MPPG), Division of Payment Analysis and Policy (DPAP) As a Supervisory Health Insurance Specialist, GS-0107-15, you will perform the full range of supervisory duties for a staff of GS-7 through GS-15 employees. Plan work to be accomplished by subordinates, sets and adjusts short-term priorities.

Qualifications

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) Interpreting legislation and policy affecting Medicare Advantage or Part D payment and drug pricing to inform program decisions; AND
• 2) Advising senior management on the impact of health insurance industry trends to support program decision-making; AND
• 3) Overseeing a team responsible for developing technical guidance documents, policy briefs, or regulations; AND
• 4) Leading teams responsible for assessing the impact of legislative changes on healthcare policy.

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/13093604

Major Duties

• Provide leadership in the development and implementation of Medicare Parts C and D payment policies and methodologies.
• Lead complex data analysis and policy development related to Medicare Advantage and Part D bidding/payment.
• Direct/manage complex projects and Division deliverables.
• Perform supervisory/management responsibilities for a professional staff, GS-7 - GS-15.
• Serve as an expert advisor and rep on Medicare enrollment and payment systems and Parts C and D payment matters.