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Supervisory Health Insurance Specialist (Deputy Directors)

Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services (CMCS)

Summary

These positions are located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS),Center for Medicaid and CHIP Services (CMCS), Financial Mgmt Group (FMG).

As a Supervisory Health Insurance Specialist, GS-0107-14, you will serve as the Deputy Director to the Division, developing national policy, ensuring consistent policy application for all fee-for service payment methodologies for Medicaid non-institutional and institutional services.

Overview

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Accepting applications
Open & closing dates
12/17/2025 to 12/24/2025
Salary
$106,382 to - $138,296 per year

This is the BASE salary for the position. Please see Additional Information for details regarding locality pay rates.

Pay scale & grade
GS 14
Locations
2 vacancies in the following locations:
Denver, CO
Atlanta, GA
Woodlawn, MD
Kansas City, MO
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
Permanent
Work schedule
Full-time
Service
Competitive
Promotion potential
14
Supervisory status
Yes
Security clearance
Not Required
Drug test
No
Position sensitivity and risk
Moderate Risk (MR)
Trust determination process
Financial disclosure
No
Bargaining unit status
No
Announcement number
CMS-CMCS-26-12852068-IMP
Control number
852529700

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 Centers for Medicare and Medicaid Services (CMS) Employees.

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Duties

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  • Serve as Deputy Director, assisting the Director in developing and disseminating national policy and ensuring consistent policy application for all Medicaid fee-for-service payment methodologies, cost allocation, and state financing sources.
  • Oversee Medicaid reimbursement policies for non-institutional (outpatient, physician, clinics) and institutional (inpatient, nursing facility, ICF/IID) services, including upper payment limits, cost allocation, and administrative claiming plans.
  • Develop methods to improve production and the quality of work directed and creates performance standards.
  • Manage preparation of briefing materials for CMCS senior officials to use in discussion with senior CMS and Departmental officials, congressional staff, state representatives, and interest groups that represent health organizations.
  • Plan work to be accomplished by subordinates, setting and adjusting short- and long- term priorities, and preparing schedules for work completion.
  • Determine short and long-term work objectives, plans the overall workload distribution, sets priorities, and prepares schedules for completion.

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 (limited to no more than 2 pages) 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 being considered further.


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 reimbursement and state financing policy for Medicaid or the Children's Health Insurance Program (CHIP); AND
  2. Monitoring the financial oversight activities for Medicaid, CHIP, or other similar national healthcare programs; AND
  3. Overseeing the work assignment of subordinate team members, performing technical review of staff work, and providing feedback for improvements.

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/12852068

Education

This job does not have an education qualification requirement.

Additional information

Bargaining Unit Position: No
Tour of Duty: Flexible
Recruitment Incentive: Not Authorized
Relocation Incentive: Not Authorized
Financial Disclosure: Not Required

For more information on locality and pay scales, please click here. www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/

Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion.

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.

Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.

How you will be evaluated

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

You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), the responses you provide on the application questionnaire, and the results of the online assessments required for this position. A Subject Matter Expert may assist in the resume review process to help determine whether you meet the minimum job qualifications. Please follow all instructions carefully. Errors or omissions may affect your rating.

You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics):

Attention to Detail
Customer Service
Decision Making
Flexibility
Influencing/Negotiating
Integrity/Honesty
Interpersonal Skills
Learning
Reading
Self-Management
Stress Tolerance
Teamwork

In order to be considered for this position, you must complete all required steps in the process. In addition to the application and application questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job.

The assessment includes a cut score based on the minimum level of required proficiency in these critical general competencies. You must meet or exceed the cut score to be considered. You will not be considered for the position if you score below the cut score or fail to complete the assessment.

Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on the online assessment may also result in your removal from consideration.

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