Supervisory Health Insurance Specialist

Centers for Medicare & Medicaid Services • Woodlawn, MD

5d

About The Position

This position is in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM). The Supervisory Health Insurance Specialist, GS-0107-15, directs a division and its staff in developing, analyzing, interpreting, and implementing policies and standards for the Medicare Shared Savings Program. The position develops program policy and technical guidance, advises senior CMS officials and stakeholders, manages implementation activities, coordinates with CMS components and oversight bodies, and leads multidisciplinary staff. The role includes supervisory responsibilities such as planning work, setting priorities, conducting performance appraisals, approving leave and training requests, interviewing candidates, and handling disciplinary actions.

The position has a regular and recurring reporting requirement to the CMS office listed in the announcement. CMS allows flexible work arrangements and alternative work schedules at the manager’s discretion. A one-year probationary period may be required. Financial disclosure is required (OGE-450). Recruitment and relocation incentives are not authorized.

Requirements

• Be a U.S. Citizen or National.
• Meet applicable time-in-grade requirements, including at least 52 weeks at the next lower grade for eligible current or former Federal employees as specified in the announcement.
• Have at least one year (52 weeks) of specialized experience equivalent to the GS-14 grade level in the Federal government, acquired in the public or private sector.
• Specialized experience must include leading data analysis and development and implementation of Medicare value-based payment and Medicare Shared Savings Program payment policies and rulemaking; advising senior officials and internal and external stakeholders on Medicare value-based payment policy and operations; and leading Medicare payment policy and analytic teams, including program operations.
• Submit a resume of no more than two pages with detailed information documenting relevant responsibilities and specialized experience.
• Meet all qualification requirements within 30 days of the announcement closing date.
• Be subject to a background and suitability investigation.
• Meet Selective Service requirements if applicable.
• If selected, have documentation for DHS Form I-9 verified through E-Verify.
• Receive Federal salary payments by direct deposit to a financial institution.

Responsibilities

• Develop policies, technical specifications, guidance, and procedures for the Medicare Shared Savings Program.
• Conduct policy analysis for senior CMS officials and manage program implementation activities, including beneficiary assignment, benchmarking, data sharing, and financial reconciliation.
• Provide expert consultation to internal and external stakeholders and respond to inquiries from providers, Congress, and the public.
• Coordinate with other CMS components and oversight bodies, including the Office of Inspector General (OIG) and Government Accountability Office (GAO).
• Lead multidisciplinary staff by planning work, setting priorities, and preparing task-completion schedules.
• Conduct formal performance appraisals; approve leave and training requests; interview candidates; and handle disciplinary actions, including written warnings and recommendations for more serious measures.

Benefits

• Federal employees and their families have access to a comprehensive benefits package; specific benefits depend on position type and should be confirmed with the hiring agency.

What This Job Offers

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