Supervisory Health Insurance Specialist

Centers for Medicare & Medicaid Services•District of Columbia, DC

About The Position

This position is in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Medicare Plan Payment Group (MPPG), Division of Payment Analysis and Policy (DPAP). The Supervisory Health Insurance Specialist, GS-0107-15, performs the full range of supervisory duties for GS-7 through GS-15 staff, including planning and assigning work and setting and adjusting short-term priorities. The position provides leadership in developing and implementing Medicare Parts C and D payment policies and methodologies; leads complex data analysis and policy development related to Medicare Advantage and Part D bidding and payment; directs and manages complex projects and division deliverables; and serves as an expert advisor and representative on Medicare enrollment and payment systems and Parts C and D payment matters. The position is being filled through a temporary promotion that may not exceed one year, though an extension may be granted in rare instances. Management may end the temporary promotion at any time, and it may be made permanent without further competition. The position has a regular and recurring reporting requirement to the CMS office listed in the announcement. CMS permits flexible working arrangements and alternative work schedules at the manager’s discretion.

Requirements

U.S. citizenship or nationality.
Successful background and suitability investigation.
Meet applicable time-in-grade restrictions; current Federal employees must have served at least 52 weeks at the next lower grade level.
At least one year (52 weeks) of qualifying specialized experience equivalent to GS-14 in the Federal government, gained in the public or private sector.
Experience interpreting legislation and policy affecting Medicare Advantage or Part D payment and drug pricing to inform program decisions.
Experience advising senior management on the impact of health insurance industry trends to support program decision-making.
Experience overseeing a team responsible for developing technical guidance documents, policy briefs, or regulations.
Experience leading teams responsible for assessing the impact of legislative changes on healthcare policy.
Resume limited to no more than two pages with detailed information relevant to the responsibilities and specialized experience.

Responsibilities

Plan work for subordinate staff and set and adjust short-term priorities.
Provide leadership in developing and implementing Medicare Parts C and D payment policies and methodologies.
Lead complex data analysis and policy development related to Medicare Advantage and Part D bidding and payment.
Direct and manage complex projects and Division deliverables.
Perform supervisory and management responsibilities for professional staff at GS-7 through GS-15.
Serve as an expert advisor and representative on Medicare enrollment and payment systems and Parts C and D payment matters.