Health Insurance Specialist

Centers for Medicare & Medicaid Services • Denver, CO

2d • Onsite

About The Position

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), Division of Reimbursement Policy (DRP). 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 non-institutional reimbursements and state financing policies.

Requirements

• Must be a U.S. Citizen or National.
• Subject to a background and suitability investigation.
• 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: Interpreting statutes, regulations, and policies related to Medicaid or Other Health Insurance Program to provide technical guidance or to apply to the other program related tasks; Conducting analyses using national and/or state level health services data to evaluate health service delivery or payments; AND Interpreting and implementing regulations pertaining to Medicaid financing, grant management, or other related budgetary activities to manage and provide program oversight, (i.e., contracts, intergovernmental agency agreements, discretionary grants, general acquisitions).

Nice To Haves

• A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position.

Responsibilities

• Review State Plan Amendments and provides technical assistance to the States on Medicaid institutional and non-institutional reimbursement.
• Provide advice and consultation in the development, recommendation, and evaluation of proposed, modified, or new legislation and regulations to assess impact on Medicaid institutional reimbursement and state financing policies.
• Conduct analytical studies and provide recommendations for improvements to the Medicaid program, operating policies and procedures, program guidance and instructions.
• Provide technical advice on all aspects of grant/financial mechanisms; and ensures compliance with established administrative and financial policies, procedures, and sound business practices.

Benefits

• A career with the U.S. government provides employees with a comprehensive benefits package.
• As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.
• Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed