Supervisory Health Insurance Specialist

Centers for Medicare & Medicaid Services • Washington, DC

5d

About The Position

This position is in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation (CMMI), Patient Care Models Group (PCMG), Division of Payment Models (DPM). The Supervisory Health Insurance Specialist, GS-0107-14, directs staff responsible for developing and implementing comprehensive health care and payment policies for advanced episode-based payment models.

The role oversees planning, development, and implementation of new and existing episode payment models, and manages existing models and demonstrations that test innovative health care payment and delivery approaches to examine implications for Medicare and/or Medicaid policy and regulations. It also leads policy development for new models, including alternative payment methodologies and requests for applications, and works with stakeholders to obtain feedback. The specialist represents the Director at meetings and on task forces and working groups, and assembles and directs teams for special assignments or projects.

The position has a regular and recurring reporting requirement to the CMS office listed in the announcement. Flexible working arrangements and alternative work schedules may be available at the manager’s discretion. A one-year supervisory probationary period may be required. Financial disclosure is required.

Requirements

• At least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in the public or private sector.
• Experience analyzing policies to determine their impact on program operations.
• Experience collaborating with teams and a range of stakeholders on model development.
• Experience developing or implementing alternative payment models.
• U.S. citizenship or nationality is required.
• Subject to background and suitability investigation.
• May be required to file a Confidential Financial Disclosure (OGE-450) within 30 days of appointment and annually thereafter.
• Federal salary payments must be made by direct deposit.
• If born after December 31, 1959, must certify Selective Service registration or exemption, if applicable.
• Resume must be no more than two pages and include detailed information relevant to the responsibilities and specialized experience.

Responsibilities

• Direct activities needed to plan, develop, and implement new and existing episode payment models.
• Implement and manage episode-based payment models and demonstrations testing innovative health care payment and delivery approaches and examining implications for Medicare and/or Medicaid policy and regulations.
• Lead the development of comprehensive health care and payment policies for new models, including developing alternative payment methodologies and writing requests for applications.
• Work with stakeholders to obtain feedback on models.
• Represent the Director at internal and external meetings, task forces, and working groups as needed.
• Assemble and direct teams or task forces for special assignments or projects.

Benefits

• Federal employee benefits package available to eligible employees; 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