Supervisor Health Insurance Specialist

Company: Centers for Medicare and Medicaid Services

Location: —

Clearance Required: None

Salary: Starting at $126,384 Per year (GS 15)

Description

Summary
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Offices of Hearings and Inquiries (OHI).

As a Supervisor Health Insurance Specialist, GS-0107-15, you will lead a multi-disciplinary team overseeing contractors, systems, and workflows supporting the Marketplace appeals program; coordinate IT linkages; advise CMS leadership on program improvements; and ensure appeals processes are fair, timely, effective, and reliable.

This job is open to

Internal to an agency
Current federal employees of the hiring agency that posted the job announcement.
Career transition (CTAP, ICTAP, RPL)
Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants.

Clarification from the agency
Career Transition Assistance Plan Eligibles; OR Current Permanent Career and Career-Conditional Employees in the Department of Health and Human Services (HHS)- Centers for Medicare & Medicaid Services (CMS).

Duties

Serving as first-level supervisor and Division Director, leading a staff responsible for implementing the use of information technology and data systems in the Marketplace appeals process.
Managing the work of subordinates by planning assignments, setting priorities, and establishing schedules.
Serving as technical expert and advisor to CMS leadership at the group, office, and agency level.
Analyzing program needs, projecting multi-year funding requirements, and preparing detailed justifications for all requested resources.
Managing staff that oversee the operations and IT systems contracts necessary to support appeals functionality.

Requirements

Conditions of employment
You must be a U.S. Citizen or National to apply for this position.
You will be subject to a background and suitability investigation.
Time-in-Grade restrictions apply.
Selective Service: Males born after December 31, 1959, must be registered or exempt from Selective Service – http://www.sss.gov
One-year probationary period may be required.
If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS “E-Verify” System.
All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice.

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:

Managing or overseeing operational business services and/or IT services contracts;
Leading and/or providing technical direction to staff engaged in such work, including administrative operations of the programs; and
Advising or participating in a team engaged in procurement and contract management activities.
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/13095028

Education
This job does not have an education qualification requirement.