Clarification from the agency

All groups of qualified individuals

Videos

• Directs the development, evaluation, and review of regulations, manuals, program guidance and memoranda, policy letters, and instructions for policy activity related to eligibility and enrollment functions.
• Directs the development of business processes and requirements for the design and development of systems interfaces associated with a streamlined eligibility and enrollment process.
• Oversees the development of business processes, system requirements, and contractor requirements for data matching, inconsistency resolution, and exemption processing, including document intake and review, and consumer outreach.
• Coordinates with other CMS components and the Assistant Secretary for Public Affairs in the development of resources to optimize the consumer experience with the Marketplace application.
• Directs the coordination of data sharing with States, Exchanges, and other Federal agencies through the CMS data services hub.
• Oversees the development of data sharing agreements and performance of user acceptance testing.
• Manages relationships with State and Federal users to ensure adherence to privacy requirements and coordination of data collection and verification.
• Directs the provision of technical assistance to States on eligibility and enrollment policy and in the development of operations and systems to support eligibility and enrollment functions for the Exchanges.
• Develops and maintains contact with partners and stakeholders, such as States, territories, Tribes, health insurance industry representatives, other government entities, advocacy groups, and the public regarding eligibility and enrollment matters.
• Serves as the liaison to a myriad of external stakeholders, such as health insurance issuers, state departments of insurance, Medicaid/CHIP agencies, consumer advocates and enrollment assisters to incorporate perspectives on policies and procedures.
• Drives best practices in the individual and small group market with respect to Exchange operations and implementation of eligibility and enrollment policy.
• Oversees the development and negotiation of procurement contracts for policy, operations, and research areas which include the development of contractor specifications, work statements, and evaluation criteria to support programmatic functions.
• Oversees the evaluation, assessment, and monitoring of contractors' performance to ensure compliance

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.
• All 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.

1. Comprehensive knowledge of laws, policies, regulations, and precedents that apply to the Marketplace program (such as enrollment/disenrollment, enrollment reconciliation, eligibility determination) as well as of the legislative and regulatory processes.
2. Demonstrated knowledge of eligibility and enrollment information technology systems, including business requirements development and change management.
3. Demonstrated ability to direct, oversee and participate in operations for complex eligibility and enrollment processes related to Federal government programs, specifically those regarding the health insurance Marketplace.

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.