Clarification from the agency

All groups of qualified individuals

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• Leads national program operations and directs activities including strategically coordinating human capital, financial, systems, data, and other resources to accomplish the Center?s mission.
• Arbitrates major issues, personnel, and administrative concerns within the Center.
• Oversees major operational activities such as the development, interpretation and application of specific laws, regulations and policies that govern the management and financial operations of the Medicaid and CHIP programs.
• Proposes modifications to Medicaid, CHIP, and BHP regulations, laws, and policies to reflect changes or trends in the health care industry, program objectives, and the needs of Medicaid, CHIP, and BHP beneficiaries.
• Leads and supports CMS interactions/collaboration with States and local governments, territories, Indian Tribes, and tribal healthcare providers, key stakeholders and other Federal government entities.
• Develops and implements a comprehensive strategic plan, objectives, and measures to carry out CMS's Medicaid, CHIP, and BHP mission and goals. Positions the organization to meet future challenges.
• Provides oversight and direction to Center business lines (i.e. eligibility, coverage, managed care, data, systems, financing, section 1115 demonstrations and waivers) responsible for the strategic and regulatory operation of the Medicaid, CHIP, BHP.
• Undertakes highly complex and sensitive assignments involving the development and implementation of operating policies and procedure.
• Represents the Center before various stakeholders, partners, Congress, and other Federal and State agencies. Leads complex negotiates with key federal and state officials on matters of major importance.

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.

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 expertise in payment and delivery system reform and a deep understanding of Medicaid and CHIP, the challenges facing these programs and the beneficiaries they serve. Leadership skills to build coalitions and partnerships with stakeholders to advance health system transformation.
2. Knowledge of Medicaid and Children's Health Insurance Program (CHIP) regulations, laws, and policies, their interrelationship with the national health care industry, and the social, political, and economic forces that affect them. Skill in dealing and negotiating with a wide range of senior level officials on complex and controversial issues concerning health coverage programs including Medicaid and CHIP.
3. Experience planning, developing, implementing, and evaluating the operations of a major health program such as Medicaid. Understanding of the organizational structure, responsibilities and operational aspects of CMS, HHS, the Executive Office of the President (including the Office of Management and Budget), congressional committees with jurisdiction over Medicaid and CHIP, and other relevant Federal and State agencies that impact CMCS's priorities.

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 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.