Supervisory Health Insurance Specialist

Supervisory Health Insurance Specialist

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS), Managed Care Medicaid Group (MCG). As a Supervisory Health Insurance Specialist, GS-0107-15, you will direct staff responsible for the development of Medicaid Managed Care policies, including overarching program and financial policy, program monitoring and oversight, and operations.

Responsibilities include planning work to be accomplished by subordinates, setting and adjusting short-term priorities, and preparing schedules for completion of work. Lead the development, monitoring, enforcement, and evaluation of regulations, policies, procedures, State Plan Amendments and other guidelines for States in the design and implementation of their Medicaid Managed Care programs. Serve as the Group Deputy Director / 2nd line manager who directs staff responsible for the development of Medicaid Managed Care policies, including overarching program and financial policy, program monitoring and oversight, and operations. Provide executive leadership in the administration of key national program policies and procedures, for projects that are implemented across MCG divisions; and in the absence of the Director, assumes responsibility for the operations of MCG.

Requirements include : Conditions of Employment Qualifications ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT. Your resume 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 receiving further consideration. 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 : Leading and overseeing a national and / or statewide healthcare, public welfare, or managed care plan that serves low-income families, adults and children including program and financial policy development, program monitoring and oversight, or operations; AND Experience in a senior leadership position that includes negotiation and collaboration with a wide range of senior level officials on complex issues concerning national and / or state health care, public welfare, or managed care program; AND Directing the development of editing a variety of technical and non-technical documents such as health care program policy, program guidance, program issue and decision papers, regulations and other guidance documents such as executive management reports, etc. 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.

Additional Information Bargaining Unit Position : No 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.