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    Duties

    Summary

    This position is in the Senior Executive Service (SES), an elite group of government leaders charged with providing strategic leadership and upholding a commitment to public service that transcends loyalty to a specific agency mission or individual profession. As an SES member you will influence the direction of innovation and transformation of the federal government and lead the next generation of public servants.

    Learn more about this agency

    Responsibilities

    As the Deputy Center Director, CPI, you will serve as a senior officer for CPI responsible for all activities necessary for the operation and management of CPI including the following:

    • Integrating program integrity activities and contracting into a strategic framework that targets resources to highest risk areas and health system issues, tailors interventions to be appropriate for the various program integrity issues, and focuses on preventing fraud, waste and abuse.
    • Developing and implementing innovative program integrity initiatives.
    • Providing executive leadership and direction in the development and implementation of the Medicare and Medicaid Integrity Programs and providing strategic direction for CMS, the states, and law enforcement partners.
    • Directing the development of Medicare and Medicaid program integrity strategy and tactics for fee-for-service and managed care financing. Planning and developing methods to monitor program integrity efforts, including provider enrollment, coordination of the Agency's efforts to curb fraud and abuse in the Medicare/Medicaid programs, and administers the Medicare and Medicaid Integrity Programs.
    • Managing all facets of program integrity functions for both current Intermediaries and Carriers and Medicare Integrity Program contractors as well as managing all Medicare and Medicaid program integrity enforcement activities.

    Travel Required

    Occasional travel - You may be expected to travel for this position.

    Supervisory status

    Yes

    Promotion Potential

    00

  • Job family (Series)

    0340 Program Management

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    Requirements

    Conditions Of Employment

    • U.S. Citizenship required.
    • Background and/or Security Investigation required.
    • One year SES probationary period required.
    • The Ethics in Government Act, PL 95-521 requires the applicant selected for this position to submit a financial disclosure statement, SF-278, prior to assuming the SES position, annually, and upon termination of employment.
    • Status applicants must submit a copy of their most recent SF-50, Notification of Personnel Action, which verifies status.
    • All initial appointments to an SES position are contingent on approval from OPM's Qualifications Review Board unless the selectee has successfully participated in an OPM approved SES Candidate Development Program.
    • Aall male applicants born after December 31, 1959, must have registered for the selective service. You will be required to sign a statement certifying his registration, or the applicant must demonstrate exempt status under the Selective Service Law.
    • Only experience obtained by the closing date of this announcement will be considered.

    Qualifications

    All competitive candidates for SES positions with the Federal Government must demonstrate leadership experience indicative of senior executive level management capability. To meet the minimum qualification requirements for this position, you must show in your resume that you possess the Fundamental Competencies, five Executive Core Qualifications, and the Professional/Technical Qualifications listed below. Evidence of this experience must be incorporated into your five page resume. Separate narratives for the Executive Core Qualifications and/or Professional/Technical Qualifications will not be accepted or considered. Typically, experience of this nature is gained at or above the GS-15 grade level in the Federal service, or its equivalent with state or local government, the private sector, or nongovernmental organizations.

    Fundamental Competencies:
    Interpersonal Skills, Oral Communication, Integrity/Honesty, Written Communication, Continual Learning, and Public Service Motivation.

    Executive Core Qualifications (ECQs)
    1. Leading Change: The ability to bring about strategic change, both within and outside the organization, to meet organizational goals. Inherent to this ECQ is the ability to establish an organizational vision and to implement it in a continuously changing environment.
    2. Leading People: The ability to lead people toward meeting the organization's vision, mission, and goals. Inherent to this ECQ is the ability to provide an inclusive workplace that fosters the development of others, facilitates cooperation and teamwork, and supports constructive resolution of conflicts.
    3. Results Driven: The ability to meet organizational goals and customer expectations. Inherent to this ECQ is the ability to make decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks.
    4. Business Acumen: The ability to manage human, financial, and information resources strategically.
    5. Building Coalitions: The ability to build coalitions internally and with other Federal agencies, State and local governments, nonprofit and private sector organizations, foreign governments, or international organizations to achieve common goals.
    Professional/Technical Qualifications (PTQs)

    This position also requires that you possess PTQs that represent knowledge, skills, and abilities essential for success in this role. The following PTQs must be evident in your resume.
    1. Demonstrated knowledge and experience in managing health care delivery, program integrity, utilization management, or public health programs functions within a large-scale health plan/program, including the critical social, political, and economic forces that affect them.
    2. Comprehensive knowledge of laws, policies, and regulations that apply to the administration of health care delivery and program integrity and a demonstrated ability to use this knowledge and associated metrics to assess and improve program effectiveness, management processes, and systems to achieve organizational priorities and results.
    3. Demonstrated experience in a senior leadership position, dealing and negotiating with a wide range of senior level officials in various government agencies, law enforcement organizations, and/or public and private organizations on complex and controversial issues concerning health care programs, including the protection of the integrity of these programs.
    It is STRONGLY recommended that you visit the following Office of Personnel Management (OPM) webpage for more information regarding the Fundamental Competencies and ECQs.
    https://www.opm.gov/policy-data-oversight/senior-executive-service/executive-core-qualifications/#url=Overview

    If selected, you will be required to complete an ECQ package by drafting narratives for each of the ECQs for submission and certification by an OPM Qualifications Review Board (QRB) in order to be placed in this position. If you are currently serving in a career SES appointment, are eligible for reinstatement into the SES, or have successfully completed an SES Candidate Development Program approved by the Office of Personnel Management (OPM), you will not need to draft the ECQs.

    Education

    This job does not have an education qualification requirement.

    Additional information

    Salary for SES positions varies depending on qualifications. The annual salary range is found at the top of this announcement. The selectee for this position may be eligible for annual performance bonuses and performance-based pay adjustments.

    Veteran's Preference does not apply to the SES.

    How You Will Be Evaluated

    We use a multi-step process to evaluate and refer applicants:

    1. Minimum requirements: Your application must show that you meet all requirements, including the education and/or experience required for this position. You may be found 'not qualified' if you do not possess the minimum competencies required for the position. If your application is incomplete, we may rate you as ineligible.
    2. Rating: A panel of Senior Executives will review your application and evaluate your qualifications for this position based on the information in your application. Your application will be rated, based on the extent and quality of your experience, education, and training relevant to the duties of this position. Top qualified candidates will be contacted for a first round panel interview. Interviews will be at the discretion of the panel.
    3. Referral: If you are among the finalist candidates, your application will be referred to the selection official for consideration and a possible second round interview.

    Background checks and security clearance

    Security clearance

    Not Required

    Drug test required

    No

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    Required Documents

    All applicants are required to submit and/or complete the following documents to be considered for the position:

    1. Resume that contains your full name, address and phone number, and does not exceed the five page limit;
    2. Cover Letter (optional);
    3. Online Assessment Questionnaire. To preview the assessment questionnaire, click here: https://apply.usastaffing.gov/ViewQuestionnaire/10384943
    NOTE: THE USAJOBS RESUME TEMPLATE MAY RESULT IN A RESUME BEING LONGER THAN FIVE PAGES. PLEASE VERIFY PAGE LENGTH BEFORE SUBMISSION OF APPLICATION.

    Applicants who are currently, or were previously, Federal employees must also submit:
    1. An SF-50 showing your current or former civil service status; and
    2. Proof of OPM Qualifications Review Board certification (OPM-approved SES Candidate Development Program graduates), if applicable.
    NOTE: Documents submitted that are not listed in the Required Documents section of this announcement will not be considered or forwarded to the rating panel or selecting official.

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    Benefits

    A career with the U.S. Government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.

    http://www.opm.gov/healthcare-insurance/Guide-Me/New-Prospective-Employees/

    Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time, or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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    How to Apply

    The application process used to recruit for this position is the RESUME BASED method. Although applicants cannot address the ECQs or PTQs separately, evidence of each must be clearly demonstrated in the five page resume and throughout the rest of the application package.

    To be considered for this position, you must submit a complete application no later than 11:59 PM (Eastern Time) on the closing date of the announcement - 03/21/2019. If you fail to submit a complete application prior to the closing time, the application system will not allow you to finish. Requests for extensions will not be granted, so please begin the application process with enough time to finish before the deadline.

    ALL APPLICANTS: You must submit a resume (five-page maximum - resumes that exceed the five-page limit will not be considered). You may also submit an optional cover letter. Separate written narratives addressing the ECQs and PTQs will not be considered.

    You must complete the online assessment questions. If your resume does not support the responses in your questionnaire, you may be rated "ineligible." We recommend that your resume emphasize your level of responsibilities, the scope and complexity of the programs managed, and your program accomplishments, including the results of your actions.

    Your five page resume should include the following:

    1. Job Information (Announcement number and title of job for which you are applying)
    2. Personal Information (Full name, mailing address, work and home phone number and email addresses)
    3. Education (College/University name, city and state, major, type and year of degree)
    4. Work Experience (Job title (including series and grade, if Federal employment, duties and accomplishments, employer's name and address, start and end dates (month and year), hours per week, and salary)
    5. Evidence of experience which addresses the five ECQs and the PTQs.
    6. Other qualifications (Job-related training courses (title and year), skills, certifications and licenses, honors, awards, and special accomplishments).
    It is important that your resume be complete and thorough. Please be sure to include and address all ECQs and PTQs in your resume. A sample five-page resume that incorporates the ECQs can be found in OPM's Guide to Senior Executive Service Qualifications: https://www.opm.gov/policy-data-oversight/senior-executive-service/reference-materials/guidetosesquals_2012.pdf
    Steps to submit a complete application:
    1. You must have a USAJobs account and be logged in.
    2. Once you are logged in and all of your application materials are ready, click the "Apply" button.
    3. You must respond to all application assessment questions, carefully following the instructions provided. To preview the questions, click here:
    4. You will then be asked to upload your resume and optional cover letter. Additional documentation not listed in the Required Documents will not be considered.

    Agency contact information

    Katherine Vaughn

    Address

    Center for Program Integrity
    7500 Security Blvd
    Woodlawn, MD 21244
    US
    Learn more about this agency

    Become a part of the Department that touches the lives of every American! At the Department of Health and Human Services (HHS) you can give back to your community, state, and country by making a difference in the lives of Americans everywhere. Join HHS and help to make our world healthier, safer and better for all Americans.

    The Centers for Medicare and Medicaid Services (CMS) works in partnership with the entire health care community to improve quality and efficiency in an evolving health care system and provides leadership in the broader health care marketplace. Our effectiveness depends on the capabilities of a dedicated, professional staff that is committed to supporting these objectives. A career with CMS offers the opportunity to get involved on important national health care issues and be part of a dynamic, fast-paced, and highly visible organization.

    Visit our careers page

    Learn more about what it's like to work at Centers for Medicare & Medicaid Services, what the agency does, and about the types of careers this agency offers.

    https://www.cms.gov//

    Next steps

    You will receive an email informing you of the receipt of your application. Applicants who are determined to be highly qualified by the SES rating panel will be referred to the selecting official for further consideration and possible interview, at which time you will be contacted. All applicants will be notified of the outcome of their applications once a final selection is made.

Fair & Transparent

The Federal hiring process is setup to be fair and transparent. Please read the following guidance.

Equal Employment Opportunity Policy

The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy And gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.

Reasonable Accommodation Policy

Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Applicants requiring reasonable accommodation for any part of the application process should follow the instructions in the job opportunity announcement. For any part of the remaining hiring process, applicants should contact the hiring agency directly. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.

A reasonable accommodation is any change in the workplace or the way things are customarily done that provides an equal employment opportunity to an individual with a disability. Under the Rehabilitation Act of 1973 the Equal Employment Opportunity Commission (EEOC) must provide reasonable accommodations:

  • An applicant with a disability needs an accommodation to have an equal opportunity to apply for a job.
  • An employee with a disability needs an accommodation to perform the essential job duties or to gain access to the workplace.
  • An employee with a disability needs an accommodation to receive equal access to benefits, such as details, training, and office-sponsored events.

Legal and regulatory guidance

This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/522042200. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.