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Health Insurance Specialist

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

Summary

As a Presidential Management Fellow in a Health Insurance Specialist, GS-0107-9/11 position, you can wear many hats. This series typically performs health care policy or program development, research, analysis, or audit. This position focuses on innovative solutions to current healthcare outcomes.

Refer to: PMF-AO-2024-7641

Overview

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Hiring complete
Open & closing dates
04/18/2024 to 04/24/2024
Salary
$66,670 to - $107,590 per year
Pay scale & grade
GS 9 - 11
Locations
Denver, CO
1 vacancy
Woodlawn, MD
Many vacancies
Remote job
No
Telework eligible
Yes—as determined by the agency policy.
Travel Required
Occasional travel - You may be expected to travel up to 5% for this position.
Relocation expenses reimbursed
No
Appointment type
Work schedule
Full-time
Service
Excepted
Promotion potential
12 - Upon successful completion of the 2-year PMF program, the employee MAY be eligible for conversion to a career-conditional or career appointment with a full performance level of a GS-12.
Supervisory status
No
Security clearance
Not Required
Drug test
No
Position sensitivity and risk
Moderate Risk (MR)
Trust determination process
Announcement number
HHS-CMS-PMF-24-12336276
Control number
787121400

This job is open to

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Clarification from the agency

Open to 2024 PMF Finalists Only

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Duties

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  • Analyze data to interpret how alternative approaches to payment impact health and cost outcomes and quality of care.
  • Identify potential policy and program problem areas and develop recommendations for resolving them.
  • Research, evaluate, and interpret statutes, federal regulations, draft legislation, policy statements, other program guidance, and data to prepare and analyze materials to make effective policy recommendations for healthcare program improvements.
  • Develop federal regulations, policy statements, and other program guidance and materials to effectively communicate and present information to internal and external audiences, such as States.
  • Conduct evaluations or analyses of program data related to Health Insurance Exchange programs under the Affordable Care Act.

Requirements

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Conditions of employment

  • You must be a U.S. Citizen or National to apply for this position.
  • You must meet all program, qualification and education requirements.
  • You will be subject to a background and suitability investigation.
  • You must sign a Pathways Participant Agreement before starting employment.

Qualifications

To be eligible for the Presidential Management Fellows Program, applicants must meet the following requirements:
1. Presidential Management Fellow candidates from the Class of 2024, and
2. Qualification Requirements:

In order to qualify for the GS-09, you must meet one of the following:

  • Specialized Experience: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-07 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Assisting with analytical duties related to public service or health care programs; and 2) assisting senior officials in the review or audit of healthcare regulations or policies. - OR -
  • Substitution of Education for Experience: You may substitute education for specialized experience at the GS-09 grade level by possessing a Master's Degree or equivalent graduate degree or at least 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D. - OR -
  • Combination of Experience and Education: Only graduate education in excess of the amount required for the GS-07 grade level may be used to qualify applicants for positions at the GS-09 grade level. Therefore, only education in excess of one full year of graduate level education may be used to combine education and experience.
In order to qualify for the GS-11, you must meet one of the following:
  • Specialized Experience: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-09 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Evaluating or developing public service or healthcare policies; and 2) Providing recommendations for complex issues related to public service or healthcare programs. - OR -
  • Substitution of Education for Experience: You may substitute education for specialized experience at the GS-11 level by possessing a Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree or equivalent doctoral degree or LL.M., if related to the position being filled.- OR -
  • Combination of Experience and Education: Only graduate education in excess of the amount required for the GS-09 grade level may be used to qualify applicants for positions at the GS-09 grade level. Therefore, only education in excess of two full years of graduate level education may be used to combine education and experience.
TRANSCRIPTS are required at the time of application to verify satisfactory completion of the educational requirement related to substitution of education for experience and combination of experience and education. Please see "Required Documents" section below on what documentation is required.

NOTE: One year of full-time graduate education is considered to be the number of credit hours that the school you attended has determined to represent one year of study. If this information cannot be obtained from your transcript we will consider 18 semester/27 quarter hours to be equal to one year of full-time study.

Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12336276

Education


Additional information

Bargaining Unit Position: Yes-American Federation of Government Employees, Local 1923
Tour of Duty: Flexible
Recruitment/Relocation Incentive: Not Authorized
Financial Disclosure: Not Required

Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement; however, CMS offers flexible working arrangements and allows employees the opportunity to participate in telework combined with alternative work schedules at the manager's discretion. This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Supervisory positions must report a minimum 2 times per week and non-Supervisory positions must report a minimum of 2 times per pay period.

Salary Range by Location:
Woodlawn, MD
GS-09: $68,405 - $88,926
GS-11: $82,764 - $107,590

Denver, CO
GS-09 - $66,670 - $86,670
GS-11 - $80,665 - $104,861

For more information about pay based on locality, please visit the Office of Personnel Management (OPM) Salaries & Wages Page.

PROGRAM COMPLETION AND CONVERSION: Program participants may be converted, without a break in service, to a term, career or career conditional appointment upon completion of program requirements. The position to which converted may have a full-performance level up to a GS-12. To be eligible for conversion, Presidential Management Fellow must meet all of the following:
- Citizenship requirement
- Complete two continuous years of work experience acquired through a Presidential Management Fellows (PMF) Program
- Meet qualification standards for the position to which the Presidential Management Fellow will be converted
- Any agency-specific requirements specified in the Participant's Agreement
- Demonstrate successful job performance that results in a rating of record of at least fully successful and a recommendation for conversion by the first level supervisor.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Once the announcement has closed, your online application, resume, transcripts and CMS required documents will be used to determine if you meet eligibility and qualification requirements listed on this announcement for this particular position. Please follow all instructions carefully. Errors or omissions may affect your rating.

Applicants meeting the eligibility and minimum qualification requirements will be referred for selection without ranking, in accordance with applicable veterans' preference requirements, Part 302 of 5 Code of Federal Regulations (CFR). Applicants with Veterans' preference who meet the minimum qualification requirements will be listed ahead of non-preference applicants.

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