Supervisor Health Insurance Specialist

Centers for Medicare & Medicaid Services•Atlanta, GA

19d

About The Position

This position is in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Offices of Hearings and Inquiries (OHI). The Supervisor Health Insurance Specialist, GS-0107-15, serves as a first-level supervisor and Division Director, leading a multidisciplinary team responsible for contractors, systems, and workflows supporting the Marketplace appeals program. The role includes implementing information technology and data systems in the appeals process, coordinating IT linkages, advising CMS leadership on program improvements, and ensuring appeals processes are fair, timely, effective, and reliable. The position manages staff and contract operations supporting appeals functionality, plans assignments, sets priorities and schedules, analyzes program needs, projects multi-year funding requirements, and prepares resource justifications. It also provides technical expertise and advice to CMS leadership at the group, office, and agency levels. The position has a regular and recurring reporting requirement to the CMS office listed in the announcement. CMS allows flexible working arrangements and alternative work schedules at the manager’s discretion. The tour of duty is flexible.

Requirements

Be a U.S. Citizen or National.
Meet applicable time-in-grade restrictions; current Federal employees must have at least 52 weeks at the next lower grade level.
Have at least one year (52 weeks) of specialized experience equivalent to GS-14 in the Federal government, gained in the public or private sector, including managing or overseeing operational business services and/or IT services contracts; leading or providing technical direction to staff engaged in such work, including program administrative operations; and advising or participating in a team engaged in procurement and contract management activities.
Submit a resume limited to no more than two pages with detailed information about relevant responsibilities and specialized experience.
Meet all qualification requirements within 30 days of the announcement closing date.
Meet background and suitability investigation requirements.
Meet Selective Service registration or exemption requirements if applicable.

Responsibilities

Serve as first-level supervisor and Division Director, leading staff responsible for implementing information technology and data systems in the Marketplace appeals process.
Manage subordinate staff work by planning assignments, setting priorities, and establishing schedules.
Serve as a technical expert and advisor to CMS leadership at the group, office, and agency levels.
Analyze program needs, project multi-year funding requirements, and prepare detailed justifications for requested resources.
Manage staff who oversee operations and IT systems contracts needed to support appeals functionality.
Coordinate IT linkages and support improvements to the Marketplace appeals program.