Are you interested in helping to operationalize the newly enacted Postal Service Health Benefits Program (PSHBP), which will provide health insurance options to approximately 1.7 million postal service employees, annuitants and their family members? Join the team charged with leading contracting, planning implementation, program analysis, developing processes and procedures, benefit negotiations and disputed claims resolution for the PSHBP.
Summary
Are you interested in helping to operationalize the newly enacted Postal Service Health Benefits Program (PSHBP), which will provide health insurance options to approximately 1.7 million postal service employees, annuitants and their family members? Join the team charged with leading contracting, planning implementation, program analysis, developing processes and procedures, benefit negotiations and disputed claims resolution for the PSHBP.
This announcement will be used to fill vacancies through the OPM-Direct Hire Authority for the Office of Healthcare and Insurance (OPM-002) due to a Critical Hiring Need/Severe Shortage of Candidates. Veteran preference and traditional rating/ranking of applicants do not apply. For more information on OPM's authorization of Direct Hire Authority, please visit: https://www.opm.gov/policy-data-oversight/hiring-information/direct-hire-authority/
THIS IS A PUBLIC NOTICE: This Notice is issued under direct-hire authority (DHA) to recruit new talent for the positions listed below. This means that we can hire any qualified candidate, either from this notice or from any source.
Please note, there may or may not be actual/projected vacancies when you submit your application. Your resume and any supporting documentation will be retained with other applicants and reviewed as vacancies occur.
You will not receive a notice regarding your application's status.
Position 24-PI-PRGM-ANLST-JRT-SPLASH: Program Analyst: As a Program Analyst you will be responsible for planning and supporting activities necessary for the successful operation of the Postal Service Health Benefits (PSHB) Program and Federal Employees Health Benefits (FEHB) Program Plan Performance Assessment (PPA). The incumbent supports the end-to-end operation of the PPA which measures carrier performance through an assessment of performance on quality measures and contract management. This may include measure curation, scoring methodology, score calculation and verification, results interpretation, measure and methodology maintenance, results reporting, data visualization, trend analysis, best practices elucidation, and derivatives.
Duties include:
Researches and observes the process for selection and maintenance of measures evaluated in the PPA, including new measures, measure updates and retirements, prioritization, weighting, benchmark selection, scoring and analysis of results across the portfolio of FEHB, PSHB and FEDVIP plans.
Provides input to assigned selections of the annual plan review for all FEHB, PSHB and FEDVIP Carriers to validate or dispute scoring before final results are applied to allowable plan payment formulas.
Reviews the PPA to learn how to detect vulnerabilities in the measure set or methodology, as well as individual and systematic elements of noncompliance by carriers. Identify, describe, and recommend program revisions.
As part of a team, participates in drafting documents for senior analyst review. May include internal and external program documents, including but not limited to PPA Carrier Letters, Operations Manuals, Methodology Manual, reports, white papers, and trend analyses, as well as accreditation programs and patient safety.
Contributes information and research results to add to presentations and training modules on PPA processes for FEHB, PSHB and FEDVIP Carriers and HI staff.
Under the guidance of a senior analyst, participates in internal audit, reconciliation, and controls pertaining to the PPA.
Compiles best practices through PPA data analysis, literature review, or market research.
Participates in meetings with FEHB, PSHB and FEDVIP Contracting Officers and actuarial staff to support application of PPA scoring to final determination of applicable service charge (experience-rated plans) or performance adjustment (community-rated plans).
Observes and assists the process for reviewing and analyzing contracts and vendor relationships supporting PPA, including procurement, contractor evaluation, and exercising options.
Participates in the creation of PPA content for the OPM website, FEHB and PSHB brochure templates, and applicable consumer choice tools supporting Open Season.
Participates on the FEHB and PSHB PPA, and FEDVIP Workgroup cross functional teams.
Reviews and researches new developments and best practices in quality management, performance improvement, and accreditation.
Males born after 12-31-59 must be registered for Selective Service
Suitable for Federal employment, determined by a background investigation
May be required to successfully complete a probationary period
This position is eligible for inclusion in the bargaining unit.
if the duty station is finalized in the Washington, DC metropolitan area, employees in this position will be represented by the American Federation of Government Employees (AFGE) Local 32.
if the duty station is finalized outside of the Washington, DC metropolitan area, this position will not be represented by a bargaining unit.
Qualifications
For the GS-09 Grade Level: You must have at least one year of specialized experience which is equivalent in difficulty and complexity to the GS-07 grade level in the Federal Service (obtained in either the private or public sector) which demonstrates the following:
Reviewing and researching new developments and best practices in quality management and performance improvement;
Participating in drafting documents for senior analyst review; and
Contributing information and research results to add to presentations and training modules.
- Or -
GRADUATE EDUCATION: A master's or equivalent graduate degree or two full years of progressively higher level graduate education leading to such a degree or LL.B or J.D., in Healthcare Administration, Health Policy, Business Administration, Management or other related degree.
-Or -
COMBINATION OF EDUCATION AND EXPERIENCE TO QUALIFY AT THIS LEVEL: You must have a combination of successfully completed post-high school education and experience may be used to meet total qualification requirements. To calculate, divide the number of semester hours earned (in excess of 18 semester hours) towards a graduate degree by 18. If your education is in quarter hours, convert to semester hours by multiplying the number of quarter hours earned by 2/3rds. Then divide the number of months of full-time experience by 12. If your experience was part-time, convert to full-time by dividing the number of hours worked per week by 40 then multiply by number of months. Add the two percentages. The total must equal at least 100 percent to qualify.
You must meet all qualification and eligibility requirements by the closing date of this announcement.
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
IF YOU ARE USING YOUR EDUCATION TO QUALIFY: You MUST provide transcripts, official or unofficial transcripts are acceptable.
GRADUATE EDUCATION: One academic year of graduate education is considered to be the number of credits hours that your graduate school has determined to represent one academic year of full-time study. Such study may have been performed on a full-time or part-time basis. If you cannot obtain your graduate school's definition of one year of graduate study, 18 semester hours (or 27 quarter hours) should be considered as satisfying the requirement for one year of full-time graduate study.
Additional information
This announcement will be used to fill vacancies through the OPM-Direct Hire Authority for the Office of Healthcare and Insurance (OPM-002) due to a Critical Hiring Need/Severe Shortage of Candidates. Veteran preference and traditional rating/ranking of applicants do not apply. For more information on OPM's authorization of Direct Hire Authority, please visit: https://www.opm.gov/policy-data-oversight/hiring-information/direct-hire-authority/
Relocation expenses will not be paid.
Incentive payments may be considered.
This job opportunity announcement may be used to fill additional similar vacancies across OPM.
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, your resume and supporting documentation will be used to determine whether you meet the job qualifications for a position within Healthcare and Insurance. Applicants who meet minimum qualification requirements will be referred to the hiring manager for further consideration. The hiring manager may require you to submit a writing sample as part of the consideration process.
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 provide a complete Application Package which includes:
Your Resume (no more than 5 pages) showing full legal name, email address, identify full or part time status for each job worked, dates of employment and duties performed. Resume must be submitted to the designated email address as an attached Word or PDF document. Submissions that include links to documents being stored in cloud storage will not be considered.
Do not include the following types of information in your 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
Below are some useful links on how to write an effective federal resume.
College Transcript(s), if qualifying based on education
Failure to submit any of the above-mentioned required documents may result in loss of consideration due to an incomplete application package. It is your responsibility to ensure all required documents have been submitted.
If you are relying on your education to meet qualification requirements:
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
This Direct Hire Public Notice will be used to build a list/inventory of applicants that may be referred as vacancies become available. You must submit a resume before your eligibility can be confirmed. Errors or omissions may result in you not being considered for this vacancy. You can modify/complete your application any time before the vacancy date/time deadline.
Email your Resume to: hidirecthire1@opm.gov, and reference position of interest "(e.g., 24-PI-PRGM-ANLST-JRT-SPLASH)" in the subject line. If no position is identified in the subject line, you will not be considered. See below:
For the Program Analyst position: The subject line should be: 24-PI-PRGM-ANLST-JRT-SPLASH
OPM Human Resources
1900 E St., NW
Washington, DC 20415
US
Next steps
This Notice is issued under Direct-Hire Authority (DHA) to recruit new talent to help with the implementation of the Postal Service Health Benefits Program (PSHBP). To help us fill these jobs, we have been granted "Direct Hire Authority" or DHA. This means that when we have a vacant job, we can hire any qualified candidate, either from this notice or from any source. The benefit of applying to this notice is that your application may be shared with a hiring manager if they request resumes. The following process is used if your application is submitted.
1. ELIGIBILITY/QUALIFICATIONS: Your resume will be reviewed for qualifications.
2. REFERRAL TO MANAGEMENT: If you meet all of the requirements, your resume will be passed to the hiring manager. You may be contacted for an interview.
3. SELECTION/TENTATIVE JOB OFFER: If you are selected, you will receive a tentative offer and start the suitability and/or security background investigation process.
4. FINAL JOB OFFER: Once our security office determines your suitability for employment, you will be given a final offer. This process may take up to 6 weeks.
We appreciate the time and effort you have taken to apply with the Office of Personnel Management.
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
To apply for this position, you must provide a complete Application Package which includes:
Your Resume (no more than 5 pages) showing full legal name, email address, identify full or part time status for each job worked, dates of employment and duties performed. Resume must be submitted to the designated email address as an attached Word or PDF document. Submissions that include links to documents being stored in cloud storage will not be considered.
Do not include the following types of information in your 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
Below are some useful links on how to write an effective federal resume.
College Transcript(s), if qualifying based on education
Failure to submit any of the above-mentioned required documents may result in loss of consideration due to an incomplete application package. It is your responsibility to ensure all required documents have been submitted.
If you are relying on your education to meet qualification requirements:
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
This Direct Hire Public Notice will be used to build a list/inventory of applicants that may be referred as vacancies become available. You must submit a resume before your eligibility can be confirmed. Errors or omissions may result in you not being considered for this vacancy. You can modify/complete your application any time before the vacancy date/time deadline.
Email your Resume to: hidirecthire1@opm.gov, and reference position of interest "(e.g., 24-PI-PRGM-ANLST-JRT-SPLASH)" in the subject line. If no position is identified in the subject line, you will not be considered. See below:
For the Program Analyst position: The subject line should be: 24-PI-PRGM-ANLST-JRT-SPLASH
OPM Human Resources
1900 E St., NW
Washington, DC 20415
US
Next steps
This Notice is issued under Direct-Hire Authority (DHA) to recruit new talent to help with the implementation of the Postal Service Health Benefits Program (PSHBP). To help us fill these jobs, we have been granted "Direct Hire Authority" or DHA. This means that when we have a vacant job, we can hire any qualified candidate, either from this notice or from any source. The benefit of applying to this notice is that your application may be shared with a hiring manager if they request resumes. The following process is used if your application is submitted.
1. ELIGIBILITY/QUALIFICATIONS: Your resume will be reviewed for qualifications.
2. REFERRAL TO MANAGEMENT: If you meet all of the requirements, your resume will be passed to the hiring manager. You may be contacted for an interview.
3. SELECTION/TENTATIVE JOB OFFER: If you are selected, you will receive a tentative offer and start the suitability and/or security background investigation process.
4. FINAL JOB OFFER: Once our security office determines your suitability for employment, you will be given a final offer. This process may take up to 6 weeks.
We appreciate the time and effort you have taken to apply with the Office of Personnel Management.
Fair and transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
