Health Insurance Specialist

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Technology, Coding and Pricing Group (TCPG), Division of New Technology (DNT). As a Health Insurance Specialist, GS-0107-14, you will serve as a national expert leading CMS technology, payment systems, policy analysis, program evaluation, regulatory coordination, and stakeholder engagement for strategic healthcare initiatives.

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-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) Serving as a technical expert on Medicare payment systems, including Hospital Inpatient Prospective Payment System (IPPS), Hospital Outpatient Prospective Payment System (OPPS), and End-Stage Renal Disease Prospective Payment System (ESRD PPS), Advanced Diagnostic Laboratory Tests (ADLTs) supporting review of new technology applications; (2) Conducting analyses and evaluate applications for new drugs, devices, labs, and services to support payment and policy decisions; (3) Advising leadership and stakeholders on policy, regulatory, and program issues related to new technology in Medicare; AND (4) Overseeing regulation coordination and provides oversight of contracts. 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/12961301