Supervisory Health Insurance Specialist
What you'd do
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Program Operations and Local Engagement(OPOLE), Value-Based Care Group (VBCG). As a Supervisory Health Insurance Specialist, GS-0107-14, you will serve as a Division Director for one of the DVBCOs, which serve multi-state regions across the U.S. as the local focal point for activities related to Medicare Shared Savings Program, Accountable Care Organizations.
Major duties
Leads DVBCO as Division Director, supervising staff and managing SSP operations. Serves as primary contact for assigned SSP ACOs, overseeing technical assistance, compliance, policy implementation, and application reviews. Collaborates with CMS leadership to develop procedures and improve operations. Directs stakeholder communications, outreach, and issue resolution. Advances continuous improvement, strategic planning, performance goals, and resource management.
What you need to qualify
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-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) Leading staff responsible for the operations of Medicare, Medicaid, or other federal health insurance programs, including assigning and evaluating work assignments and resolving personnel matters; 2) Coordinating technical assistance and monitoring provider or ACO performance across a multi-state or regional area; 3) Analyzing and recommending national or local operating procedures for Medicare, Medicaid, or other federal health insurance programs to address gaps in program operations; AND 4) Developing short- and long-range program plans and objectives for a health insurance program division to achieve target performance metrics and align priorities with broader agency goals.. 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/12988821
Before you apply
Federal applications are different: your resume should be 3–5 pages and mirror the language of this announcement. Read our federal resume guide first — it's the #1 reason qualified people get screened out.
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