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HEALTH INSURANCE SPECIALIST

Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services (CMCS)
This job announcement has closed

Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS), Division of Eligibility Coverage Demonstrations (DECD).

As a HEALTH INSURANCE SPECIALIST, GS-0107-14, you will serve as a Technical Director providing complex technical and analytical capabilities to support development of Medicaid section 1115 demonstrations.

Overview

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Reviewing applications
Open & closing dates
04/18/2025 to 04/24/2025
Salary
$142,488 to - $185,234 per year
Pay scale & grade
GS 14
Location
1 vacancy in the following location:
Woodlawn, MD
Remote job
No
Telework eligible
Yes—as determined by the agency policy.
Travel Required
Occasional travel - You may be expected to travel for this position.
Relocation expenses reimbursed
No
Appointment type
Temporary - 1 Year
Work schedule
Full-time
Service
Competitive
Promotion potential
14
Supervisory status
No
Security clearance
Not Required
Drug test
No
Position sensitivity and risk
High Risk (HR)
Trust determination process
Financial disclosure
No
Bargaining unit status
Yes
Announcement number
CMS-CMCS-25-12726791-IMP
Control number
835415600

This job is open to

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Clarification from the agency

Career Transition Assistance Plan Eligibles; OR Current Permanent Career and Career-Conditional Employees in CMS, Center for Medicaid and CHIP Services (CMCS) in Woodlawn, MD.

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Duties

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  • Serve as a Technical Director providing complex technical and analytical capabilities to support development of Medicaid section 1115 demonstrations.
  • Lead or conduct analyses and special studies of policy issues and topics related to Medicaid section 1115 agreements and/or other policy areas of responsibility that are located within the division.
  • Serve as a resource person and technical authority and coordinates cross-cutting projects and conducts special assignments on a wide range of significant management, operational, and policy issues.
  • Provide guidance and direction to the team members, individually and collectively, on matters related to section 1115 demonstrations.
  • Prepare a variety of written products, including briefing documents, talking points, evaluations, reports, and issue papers.

Requirements

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Conditions of employment

  • You must be a U.S. Citizen or National to apply for this position.
  • You will be subject to a background and suitability investigation.
  • Time-in-Grade restrictions apply.

Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT.

Your resume must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from receiving further consideration.

In order to qualify for the GS-14, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Providing technical guidance on policies pertaining to Medicaid Section 1115 demonstrations; OR the conduct of evaluations of Section 1115 Demonstrations; 2) Overseeing projects and associated resources to enhance program advancements in support of the organization's mission; AND 3) Creating technical written documents (i.e. health policy statements, special terms and conditions, evaluation summaries) to inform decision making about policy design, implementation, or compliance.


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.

Time-in-Grade: To be eligible, current Federal employees must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying.

Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12726791

Education

This job does not have an education qualification requirement.

Additional information

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

Workplace Flexibility at CMS: This position has a regular full-time in-person reporting requirement to the CMS office listed in this announcement; however, CMS offers flexible working arrangements and allows employees the opportunity to participate with alternative work schedules at the manager's discretion. This position may be authorized for situational telework. Telework eligibility will be discussed during the interview process.

The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit the required documentation and be rated well-qualified for this vacancy. Click here for a detailed description of the required supporting documents. A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at www.opm.gov/rif/employee_guides/career_transition.asp.

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, and CMS required documents will be used to determine if you meet eligibility and qualification requirements listed on this announcement. If you are found to be among the top qualified candidates, you will be referred to the selecting official for employment consideration. Please follow all instructions carefully. Errors or omissions may affect your rating.

Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics):

  • Health Insurance
  • Oral Communication
  • Project Management
  • Reasoning
  • Written Communication


This position is being filled through a temporary promotion that may not exceed one year. In rare instances, an extension may be granted beyond one year. Management may end this temporary promotion at any time, and in such cases, the employee will be returned to the previously held position or another position of equivalent grade and pay. In addition, this temporary promotion may be made permanent at any time without further competition.

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