Supervisory Health Insurance Specialist

Centers for Medicare & Medicaid Services•San Francisco, CA

7d•Hybrid

About The Position

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Clinical Standards and Quality. As a Supervisory Health Insurance Specialist, GS-0107-14, you will direct the activities of a Branch that implements, monitors, and evaluates programs for assessing State survey agency performance in interpreting and applying health, quality-of-care, and Life Safety Code (LSC) standards and procedures.

Requirements

Must be a U.S. Citizen or National.
Subject to a background and suitability investigation.
Time-in-Grade restrictions apply.
Male born after December 31, 1959, must be registered or exempt from Selective Service.
One-year probationary period may be required.
Documentation for DHS Form I-9 will be verified through DHS "E-Verify" System.
Federal salary payments must be made by direct deposit.
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: Leading or monitoring health care programs to measure the performance of State agencies, contractors, or providers in interpreting and applying federal laws and regulations pertaining to the survey and certification program; Interpreting and implementing health care quality standards and procedures to provide guidance to suppliers and providers under the Medicare/Medicaid program; and Managing and overseeing the work of subordinate employees and team members or leading workgroups on the Federal Survey Process.

Responsibilities

Ensures staff complete timely and accurate provider certification actions, including terminations, waivers, and complaints.
Directs evaluation and certification of Medicare/Medicaid providers.
Promotes quality management, teamwork, customer focus, and continuous improvement.
Represents the agency on survey and certification matters.
Leads evaluation of validation surveys and State Survey Agency performance.