Supervisory Health Insurance Specialist

Centers for Medicare & Medicaid Services • Woodlawn, MD

5d

About The Position

This position is located 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 role develops policy, technical specifications, guidance, and procedures; conducts policy analysis for senior CMS officials; and manages program implementation, including beneficiary assignment, benchmarking, data sharing, and financial reconciliation. It provides expert consultation to internal and external stakeholders and coordinates with CMS components and oversight bodies. The position also leads multidisciplinary staff and performs supervisory and personnel-management duties.

The position has a regular and recurring reporting requirement to the CMS office listed in the announcement. CMS allows flexible working arrangements and alternative work schedules at the manager’s discretion. A one-year probationary period may be required. Financial disclosure is required (OGE-450).

Requirements

• Be a U.S. Citizen or National.
• Meet applicable time-in-grade restrictions.
• For the GS-15 level, have at least one year (52 weeks) of qualifying specialized experience equivalent to GS-14 in the Federal government, obtained 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.
• Current or former Federal employees subject to the stated time-in-grade provision must have served at least 52 weeks at the next lower grade level.
• Meet all qualification requirements within 30 days of the announcement closing date.
• Submit a resume of no more than two pages with detailed information relevant to the responsibilities and specialized experience.
• Undergo a background and suitability investigation.
• Males born after December 31, 1959, must be registered for Selective Service or exempt.
• If selected, have documentation presented for Form I-9 verified through the DHS E-Verify System.
• Receive Federal salary payments by direct deposit.

Responsibilities

• Develop policy, technical specifications, guidance, and procedures for the Medicare Shared Savings Program.
• Conduct policy analysis for senior CMS officials and manage program implementation, 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 and Government Accountability Office.
• 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