Supervisory Health Insurance Specialist (Division Director)

Centers for Medicare & Medicaid Services•Woodlawn, MD

About The Position

The Supervisory Health Insurance Specialist (Division Director), GS-0107-15, serves as Division Director in the Division of Medicare Enrollment Coordination (DMEC), within the Medicare Enrollment and Appeals Group (MEAG) of the Center for Medicare at the Centers for Medicare & Medicaid Services (CMS), Department of Health & Human Services. The position directs, coordinates, and integrates staff functions with the work of other internal and external organizations. The Division Director oversees teams responsible for operational changes to Medicare beneficiary programs; develops technical instructions on Medicare beneficiary enrollment policies for stakeholders; analyzes new or proposed legislation for its impact on current operations and develops implementation plans; serves as a business owner and system manager for several Medicare enrollment systems; and works with industry stakeholders on best practices for data security and beneficiary-data exchange, as well as resolution of complex enrollment issues. 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

Be a U.S. Citizen or National.
Meet applicable time-in-grade restrictions; current Federal employees must have served 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, obtained in the private or public sector, including overseeing teams responsible for operational changes to Medicare beneficiary programs, developing technical enrollment-policy instructions for stakeholders, and analyzing new or proposed legislation for its impact on current operations.
Meet all qualification requirements within 30 days of the announcement closing date.
Submit a resume of no more than two pages documenting relevant responsibilities and specialized experience.
Undergo a background and suitability investigation.
Meet Selective Service registration or exemption requirements if applicable.
Complete a one-year probationary period if required.
Have employment eligibility documentation verified through DHS E-Verify if selected.
Receive Federal salary payments by direct deposit.

Responsibilities

Direct, coordinate, and integrate staff functions with the work of internal and external organizations.
Oversee work activities of teams responsible for operational changes to Medicare beneficiary programs.
Develop technical instructions on policies related to Medicare beneficiary enrollment for stakeholders.
Analyze new or proposed legislation to determine its impact on current operations and develop implementation plans.
Serve as a business owner and system manager for several Medicare enrollment systems.
Collaborate with industry stakeholders on best practices for beneficiary-data security and exchange, and resolve complex enrollment-related issues.