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), Center for Medicaid and CHIP Services(CMCS). As a Health Insurance Specialist, GS-0107-13, you will serve as an expert in the development, evaluation, and implementation of policies related to Medicaid, CHIP, and Basic Health Program (BHP) policies to support Fraud, Waste, and Abuse (FWA) and Working Families Tax Credit (WFTC) initiatives.
Major duties
Analyzes internal policies, processes, and procedures to assure increased efficiency in operations and implements them to resolve problems and improve internal operations. Serves as an expert in the development, evaluation, and implementation of policies related to Medicaid, CHIP, and/or Basic Health Program (BHP) policies. Identifies and proposes modifications to Medicaid, CHIP, and BHP program measures, regulations, laws, and policies to reflect changes or trends in the health care industry, program objectives, and the needs of Medicaid, CHIP, and BHP beneficiaries. Conducts analysis of policy issues and topics by researching background information, the origin of laws, and the intended impact to make effective policy recommendations. Researches all program issues and develop the appropriate response that includes CMS regulations, or policy issuances.
What you need to qualify
ALL 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 receiving further consideration. In order to qualify for the GS-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 GS-12 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Analyzing or implementing Medicaid, CHIP, or BHP eligibility or enrollment policy; and 2) Providing technical guidance on Medicaid, CHIP, or BHP eligibility or enrollment policy; and 3) Developing Medicaid, CHIP, or BHP technical documents such as policy analysis, status reports, briefing papers, or policy recommendations. 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.
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.
Don't miss the next one.
Get an email the moment a similar federal job opens — postings can close in as little as 5 days.