The incumbent will serve as a Health Insurance Specialist; aids in the overall administration and operation of national health insurance programs, as it relates to interpreting program requirements, i.e., member relation services and treatment benefits of a federal health plan.
Summary
The incumbent will serve as a Health Insurance Specialist; aids in the overall administration and operation of national health insurance programs, as it relates to interpreting program requirements, i.e., member relation services and treatment benefits of a federal health plan.
Participate in the management of the diagnostic and treatment benefits of a health plan and complex program deliverables through analysis and review of problems, issues, or Program requirements.
Collaborate with occupational health subject matter experts and interfaces, administrators and a diverse set of federal and contract staff on a wide variety of actions and problems.
Identify objectives based on an understanding of the Program, overall priorities, and related efforts in the organization.
E-Verify: If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS "E-Verify" System. Federal law requires DHS to use the E-Verify System to verify employment eligibility of all new hires, and as a condition of continued employment obligates the new hire to take affirmative steps to resolve any discrepancies identified by the system. The U.S. Department of Health and Human Services is an E-Verify Participant.
Direct Deposit: All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choosing.
All qualification requirements must be met by the closing date of the announcement.
One-year probationary period may be required.
Travel, transportation, and moving expenses may be paid: No
Bargaining Unit Position: Yes - Atlanta or Cincinnati
Drug Screening Required: No
Annual Leave for non-federal service may be authorized: No
Promotion potential: No
Supervisory position: No
Recruitment and/or relocation incentives are not authorized.
Public Trust/Moderate Background Investigation (5) is required
Current or Former Political Appointees: Agencies must seek prior approval from the Office of Personnel Management (OPM) before they can appoint a current or recent political appointee to a competitive or non-political excepted service position at any level under the provisions of title 5, United States Code. If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, or Non-career SES employee in the executive branch, you MUST disclose that to the Human Resources Office. Failure to disclose this information could result in disciplinary action including removal from Federal Service. Current or Former Political Appointees: Submit SF-50.
Qualifications
Minimum Qualifications: Applicants must have one year of specialized experience at or equivalent to the GS-11 level of difficulty and responsibility in the Federal service as defined in the next paragraph.
Specialized experience is experience at or equivalent to which is directly related to the position which has equipped the applicant with the particular knowledge, skills and abilities (KSAs) to successfully perform the duties of the position to include experience experience resolving member issues and providing written recommendations/alternatives in the overall administration and operation of national health insurance plans (i.e., Medicaid/Medicare, etc.).
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Education
This job does not have an education qualification requirement.
Additional information
Positions may be available in multiple locations across the United States, or eligible for telework and remote work opportunities, based on the Center for Disease Control and Prevention's (CDC's) Workplace Flexibilities Policy.
The utilization of shared certificates within multiple Centers of the Centers for Disease Control and Prevention may be used from this vacancy announcement for specialties to include but not limited to: Applied Epidemiology, Behavioral Epidemiology, Chronic Diseases, Emergency Preparedness and Response, Emerging Infectious Diseases, Environmental Health, HIV/AIDS, Immunization, Infectious Diseases (e.g. Viral, Parasitic, etc.), Influenza, Malaria, Non-communicable Diseases, Outbreak Investigations, Sexually Transmitted Diseases (STDs), Surveillance, Tropical Medicine, Tuberculosis (TB), Viral Hepatitis, and/or Zoonotic Diseases.
For more information you may contact American Federation of Government Employees or your local human resources office at 770-788-1725 and HRCS@cdc.gov
This position may be represented by the following union certified by the Federal Labor Relations Authority:
ATLANTA, GA.
NATIONAL ALLICANCE OF POSTAL AND FEDERAL EMPLOYEES
NAPFE LOCAL 303
BUS Code: 1868
Linda Bennett (President) https://intranet.cdc.gov/hro/docs/rights/AFGE-local-303-CBA-Atlanta.pdf
For more information you may contact National Alliance of Postal and Federal Employees or your local human resources office at 770-788-1725 and HRCS@cdc.gov
This position may be represented by the following union certified by the Federal Labor Relations Authority:
CINCINNATI, OH.
AMERICA FEDERATION OF GOVERNMENT EMPLOYEES
AFGE LOCAL 3840
BUS Code: 2046
Diane Wormus (President)
Phone: 513-841-4229 https://intranet.cdc.gov/hro/docs/rights/AFGE-Local-3840-CBA-Cincinnati.pdf
For more information you may contact American Federation of Government Employees or your local human resources office at 770-788-1725 and HRCS@cdc.gov
Former and present Peace Corps personnel may be considered to fill vacancies. Peace Corps personnel are eligible for consideration if you have completed at least 36 months of continuous service, without a break in service of 3 days or more. This requirement is consistent with section 7(a) of the Peace Corps Act (22 U.S.C. 2506), which pertains to the appointment of Peace Corps staff (not volunteers) and is applicable within 3 years after separation from qualifying service with the Peace Corps. A copy of your SF-50 is required to support your request.
Peace Corps Volunteers may be considered to fill vacancies. Executive Order 11103 provides eligibility for appointment in the competitive service for any person who is certified by the Director of the Peace Corps as having served satisfactorily as a Volunteer or Volunteer Leader under the Peace Corps Act and who passes such examination as the Office of Personnel Management may prescribe.
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. Opens in a new windowLearn more about federal benefits.
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.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
Once the application process is complete, a review of the resume and supporting documentation will be made and compared against your responses to the assessment questionnaire to determine if you are qualified for this job. If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position. Please follow all instructions carefully. Errors or omissions may affect your eligibility. Category rating procedures will be used to rate and rank candidates.
The category assignment is a measure of the degree to which your background matches the competencies required for this position. Qualified candidates will be ranked into one of three categories: Best Qualified, Well Qualified or Qualified. The Category Rating Process does not add veterans' preference points but protects the rights of veterans by placing them ahead of non-preference eligibles within each category. Preference eligibles who meet the minimum qualification requirements and who have a compensable service-connected disability of at least 10 percent must be listed in the highest quality category (except in the case of scientific or professional positions at the GS-9 level or higher).
Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics).
Interpersonal skills in presenting staffing recommendations and negotiating solutions
Knowledge of pertinent laws, regulations, policies, and precedents which affect Program
Knowledge of the major issues, Program goals and objectives, work processes, and administrative operations of a federal health plan.
Skill in applying analytical and evaluative methods and techniques
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. Opens in a new windowLearn more about federal benefits.
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.
To apply for this position, you must submit a complete Application Package which includes:
1. Your résumé showing work schedule, hours worked per week, dates of employment and duties performed.
Do not include the following types of information in your profile or resume:
Classified or government sensitive information
Social Security Number (SSN)
Photos of yourself
Personal information, such as age, gender, religious affiliation, etc.
Encrypted and digitally signed documents
2. Other supporting documents:
Cover Letter, optional
Veterans Preference Documentation, if applicable
Transcripts are not required*
Career Transition Assistance Program documentation, if applicable (e.g., Certification of Expected Separation, Reduction-In-Force Separation Notice, or Notice of Proposed Removal; SF-50 that documents the RIF separation action; and most recent performance appraisal).
If you are a veteran with preference eligibility and you are claiming 5-points veterans' preference, you must submit a copy of your DD-214 or other proof of eligibility. If you are claiming 10-point veterans' preference, you must also submit an SF-15, "Application for 10-Point Veterans' Preference" plus the proof required by that form.
For USPHS Commissioned Corps Call-To-Active Duty (CAD) Candidates:
In lieu of PHS Personnel Order (PHS-7063), submit an official copy of your USPHS CAD Medical and Professional Boarding notifications stating you are physically qualified andrecommended for appointment.
Consideration is subject to Armed Forces Veterans Preference.
*Note: You may submit an unofficial transcript or a list of college courses completed indicating course titles, credit hours, and grades received. An official transcript from an accredited educational institution is required if you are selected for the position.
Males born after December 31, 1959 must be registered or exempt from Selective Service (see http://www.sss.gov).
Failure to submit any of the above mentioned required documents will result in loss of consideration due to an incomplete application package. It is your responsibility to ensure all required documents have been submitted.
To apply for this position, you must complete the online application and submit the documentation specified in the Required Documents section.
A complete application package must be submitted by 11:59 PM (EST) on09/26/2022 of this announcement to receive consideration.
To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application.
Follow the prompts to select your résumé and/or other supporting documents to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.
After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process.
You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application.
To verify the status of your application, log into your USAJOBS account (https://my.usajobs.gov/Account/Login), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: https://www.usajobs.gov/Help/how-to/application/status/.
If you cannot apply online:
You are encouraged to apply online. If you are unable to apply online, please use the following link: Alternate Application. Applicants are strongly encouraged to apply online if at all possible. Applying online, through your USAJOBS account, will expedite the application process and allow you to check your application. If you utilize the Alternate Application method, your USAJOBS account will not display this application and you will not receive status updates.
Interagency Career Transition Assistance Program (ICTAP): For information on how to apply as an ICTAP eligible see http://opm.gov/rif/employee_guides/career_transition.asp#ictap. To be well-qualified and exercise selection priority for this vacancy, displaced Federal employees must be rated at 85.0 or above on the rating criteria for this position.
National Institute for Occupational Safety and Health, NIOSH
1600 Clifton Road, N.E.
Atlanta, GA 30333
US
Next steps
Once the online questionnaire is received you will receive an acknowledgement email that your submission was successful. The most highly qualified candidates will be referred to the hiring manager for further consideration and possible interview. We expect to make a selection within 45 days of the closing date of this announcement.
You will receive notice via email once this process is completed (generally 4-6 weeks).
Your position may be eligible for workplace flexibilities which may include remote work or telework options, and/or flexible work scheduling. These flexibilities may be requested in accordance with the HHS Workplace Flexibilities policy.
In accordance with Executive Order 12564 of September 14, 1986, The Department of Health and Human Services (HHS) is A Drug-Free Federal Workplace. The Federal government, as the largest employer in the Nation, can and should show the way towards achieving drug-free workplaces through programs designed to offer drug users a helping hand, and at the same time demonstrating to drug users and potential drug users that drugs will not be tolerated in the Federal workplace. The use of illegal drugs, on or off duty, by Federal employees is inconsistent not only with the law-abiding behavior expected of all citizens, but also with the special trust placed in such employees as servants of the public. Applicants tentatively selected for this position may be required to submit to urinalysis to screen for illegal drug use prior to appointment and be subject to reasonable suspicion and post-accident drug testing upon hiring. If required to submit to urinalysis, the appointment to the position will be contingent upon a negative applicant drug test result. In order to demonstrate commitment to the HHS goal of a drug-free workplace and to set an example for other Federal employees, employees not in a testing designated position may volunteer for unannounced random testing by notifying their Drug-free Federal Workplace Program Point of Contact upon hiring.
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
To apply for this position, you must submit a complete Application Package which includes:
1. Your résumé showing work schedule, hours worked per week, dates of employment and duties performed.
Do not include the following types of information in your profile or resume:
Classified or government sensitive information
Social Security Number (SSN)
Photos of yourself
Personal information, such as age, gender, religious affiliation, etc.
Encrypted and digitally signed documents
2. Other supporting documents:
Cover Letter, optional
Veterans Preference Documentation, if applicable
Transcripts are not required*
Career Transition Assistance Program documentation, if applicable (e.g., Certification of Expected Separation, Reduction-In-Force Separation Notice, or Notice of Proposed Removal; SF-50 that documents the RIF separation action; and most recent performance appraisal).
If you are a veteran with preference eligibility and you are claiming 5-points veterans' preference, you must submit a copy of your DD-214 or other proof of eligibility. If you are claiming 10-point veterans' preference, you must also submit an SF-15, "Application for 10-Point Veterans' Preference" plus the proof required by that form.
For USPHS Commissioned Corps Call-To-Active Duty (CAD) Candidates:
In lieu of PHS Personnel Order (PHS-7063), submit an official copy of your USPHS CAD Medical and Professional Boarding notifications stating you are physically qualified andrecommended for appointment.
Consideration is subject to Armed Forces Veterans Preference.
*Note: You may submit an unofficial transcript or a list of college courses completed indicating course titles, credit hours, and grades received. An official transcript from an accredited educational institution is required if you are selected for the position.
Males born after December 31, 1959 must be registered or exempt from Selective Service (see http://www.sss.gov).
Failure to submit any of the above mentioned required documents will result in loss of consideration due to an incomplete application package. It is your responsibility to ensure all required documents have been submitted.
To apply for this position, you must complete the online application and submit the documentation specified in the Required Documents section.
A complete application package must be submitted by 11:59 PM (EST) on09/26/2022 of this announcement to receive consideration.
To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application.
Follow the prompts to select your résumé and/or other supporting documents to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.
After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process.
You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application.
To verify the status of your application, log into your USAJOBS account (https://my.usajobs.gov/Account/Login), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: https://www.usajobs.gov/Help/how-to/application/status/.
If you cannot apply online:
You are encouraged to apply online. If you are unable to apply online, please use the following link: Alternate Application. Applicants are strongly encouraged to apply online if at all possible. Applying online, through your USAJOBS account, will expedite the application process and allow you to check your application. If you utilize the Alternate Application method, your USAJOBS account will not display this application and you will not receive status updates.
Interagency Career Transition Assistance Program (ICTAP): For information on how to apply as an ICTAP eligible see http://opm.gov/rif/employee_guides/career_transition.asp#ictap. To be well-qualified and exercise selection priority for this vacancy, displaced Federal employees must be rated at 85.0 or above on the rating criteria for this position.
National Institute for Occupational Safety and Health, NIOSH
1600 Clifton Road, N.E.
Atlanta, GA 30333
US
Next steps
Once the online questionnaire is received you will receive an acknowledgement email that your submission was successful. The most highly qualified candidates will be referred to the hiring manager for further consideration and possible interview. We expect to make a selection within 45 days of the closing date of this announcement.
You will receive notice via email once this process is completed (generally 4-6 weeks).
Your position may be eligible for workplace flexibilities which may include remote work or telework options, and/or flexible work scheduling. These flexibilities may be requested in accordance with the HHS Workplace Flexibilities policy.
In accordance with Executive Order 12564 of September 14, 1986, The Department of Health and Human Services (HHS) is A Drug-Free Federal Workplace. The Federal government, as the largest employer in the Nation, can and should show the way towards achieving drug-free workplaces through programs designed to offer drug users a helping hand, and at the same time demonstrating to drug users and potential drug users that drugs will not be tolerated in the Federal workplace. The use of illegal drugs, on or off duty, by Federal employees is inconsistent not only with the law-abiding behavior expected of all citizens, but also with the special trust placed in such employees as servants of the public. Applicants tentatively selected for this position may be required to submit to urinalysis to screen for illegal drug use prior to appointment and be subject to reasonable suspicion and post-accident drug testing upon hiring. If required to submit to urinalysis, the appointment to the position will be contingent upon a negative applicant drug test result. In order to demonstrate commitment to the HHS goal of a drug-free workplace and to set an example for other Federal employees, employees not in a testing designated position may volunteer for unannounced random testing by notifying their Drug-free Federal Workplace Program Point of Contact upon hiring.
Fair and transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
