Clarification from the agency

All groups of qualified individuals

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.

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.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

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.