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Director, Medicaid and CHIP Operations Group

Department of Health and Human Services
Centers for Medicare & Medicaid Services
This job announcement has closed

Summary

This position is located in the Center for Medicaid and Children's Health Insurance Program (CHIP) Services (CMCS) within CMS.

As the Director, Medicaid and CHIP Operations Group (MCOG), you will provide leadership and executive direction for program operations areas within CMCS and serve as the local point of contact for assistance with formulation, coordination, integration, and implementation of national program policies and operations relating to Medicaid and CHIP.

Overview

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Hiring complete
Open & closing dates
08/30/2019 to 09/30/2019
Salary
$127,914 to - $192,300 per year
Pay scale & grade
ES 00
Location
1 vacancy in the following location:
Location Negotiable After Selection, United States
Telework eligible
No
Travel Required
50% or less - You may be expected to travel for this position.
Relocation expenses reimbursed
Yes—You may qualify for reimbursement of relocation expenses in accordance with agency policy.
Appointment type
Permanent
Work schedule
Full-Time
Service
Senior Executive
Promotion potential
None
Job family (Series)
Supervisory status
Yes
Security clearance
Other
Drug test
No
Position sensitivity and risk
Moderate Risk (MR)
Trust determination process
Announcement number
HHS-CMS-ES-2019-10590806
Control number
544169800

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Duties

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  • Leads CMS interactions and collaboration relating to Medicaid and CHIP with the States and the stakeholder community.
  • Implements national policies for Medicaid and CHIP programs and monitoring state compliance with Federal requirements.
  • Assists State agencies carrying out their responsibilities for effective program administration and beneficiary protection.
  • Supports States in correcting problems and improving the quality of their operations.
  • Works in collaboration with other CMCS Groups to ensure consistent application of Medicaid policies.
  • Coordinates with the Center for Program Integrity on the identification of program vulnerabilities and implementation of strategies to eliminate fraud, waste, and abuse.
  • Coordinates with external offices within the agency to ensure consistency of national messaging across program areas, and with external partners.

Requirements

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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. Extensive knowledge of Medicaid program management.
  2. Experience and subject matter expertise in understanding the nation's health care programs, their interrelationships, and the social, political and economic forces that affect them.
  3. Skill in interacting, collaborating, and negotiating with senior level internal and external stakeholder communities regarding Medicaid national health care programs to strengthen policies, enforce compliance, and provide support to meet objectives.
  4. Skill in dealing and negotiating with a wide range of senior level officials on complex and controversial issues concerning public or private health insurance 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

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 qualification 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. Interviews will be at the discretion of the panel and/or selection official.
  3. Referral: If you are among the top qualified candidates, your application will be referred to a selection official for consideration and possible interview.

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