Health Insurance Specialist
About The Position
This position is with the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare. The Health Insurance Specialist, GS-0107-14, leads Hospital Price Transparency policy development, regulatory alignment, interagency coordination, and technical oversight to advance national healthcare pricing transparency initiatives. The role develops Hospital Price Transparency regulations and guidance, evaluates policy alternatives, and advises senior leadership on complex regulatory issues. It aligns these policies with the Transparency in Coverage rule and No Surprises Act, and coordinates with CMS, HHS, the Department of Labor, and the Department of the Treasury. The specialist advises senior CMS and HHS officials, represents CMS in interagency and stakeholder discussions, and directs contractors and analysts while coordinating policy, compliance, enforcement, legal, and operational teams. The position has a regular and recurring reporting requirement to the CMS office listed in the announcement. CMS offers flexible working arrangements and alternative work schedules at the manager’s discretion. The tour of duty is flexible.
Requirements
- Demonstrate at least one year (52 weeks) of specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in the private or public sector.
- Experience leading development of healthcare regulations, guidance, and public comment adjudication for high-impact national policies.
- Experience applying understanding of complex contracting methodologies for hospital items and services to address program operations and policy priorities.
- Experience coordinating interagency healthcare policy involving overlapping statutory authorities, including the Social Security Act and Public Health Service Act.
- Experience advising senior leaders on sensitive policy matters, directing technical teams, and aligning stakeholders with competing interests.
- U.S. citizenship or national status is required.
- Current Federal employees must meet applicable time-in-grade restrictions, including 52 weeks at the next lower grade level.
- Applicants must meet all qualification requirements within 30 days of the announcement closing date.
- Resume must be no more than two pages and document relevant responsibilities and specialized experience.
Responsibilities
- Lead development of Hospital Price Transparency regulations, guidance, and responses to public comments.
- Evaluate policy alternatives and advise senior leadership on complex regulatory issues.
- Align Hospital Price Transparency policies with the Transparency in Coverage rule and No Surprises Act through legislative analysis and coordination across CMS, HHS, Labor, and Treasury.
- Advise senior CMS and HHS officials on transparency policy and represent CMS in interagency meetings and stakeholder discussions.
- Direct contractors and analysts, establish priorities, and review policy products.
- Coordinate policy, compliance, enforcement, legal, and operational teams to support effective policy implementation.
Benefits
- Federal employees receive access to a comprehensive benefits package for themselves and their families; specific benefits depend on position type and should be confirmed with the hiring agency.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
