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Supervisory Health Insurance Specialist (Branch Manager)

Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Clinical Standards and Quality (CCSQ)
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 Clinical Standards and Quality,(CCSQ), Survey & Operations Group (SOG).

As a Supervisory Health Insurance Specialist (Branch Manager), GS-0107-14, you will direct Branch activities whose purpose is to implement, monitor, and evaluate programs for assessing State survey agency performance in interpreting and applying quality health care standards and procedures.

Overview

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Reviewing applications
Open & closing dates
12/31/2025 to 01/08/2026
Salary
$107,446 to - $139,684 per year

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

Pay scale & grade
GS 14
Locations
1 vacancy in the following locations:
New York, NY
Philadelphia, PA
Remote job
No
Telework eligible
Yes—as determined by the agency policy.
Travel Required
25% or less - You may be expected to travel up to 25% 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
Yes - Financial Disclosure Required: OGE-450
Bargaining unit status
No
Announcement number
CMS-CCSQ-26-12855958-IMP
Control number
853388400

This job is open to

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Clarification from the agency

Career Transition Assistance Plan Eligibles; OR Current Centers for Medicare and Medicaid Services Permanent Career and Career-Conditional Employees.

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Duties

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  • Ensure that the staff completes correct and timely actions on provider certifications, voluntary terminations, waiver recommendations, complaints, involuntary provider terminations, and other certification activities.
  • Direct evaluation and certification of health care providers in the Medicare/Medicaid program.
  • Promote the principles of quality management, teamwork, customer focus, and continuous improvement in carrying out responsibilities.
  • Represent the agency’s actions and viewpoints surrounding survey and certification programs.
  • Direct program evaluation efforts of Federal validation surveys of health facilities and State Survey Agency performance and certification programs.

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 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 13 grade level in the Federal government, obtained in either the private or public sector, to include:

(1); Overseeing healthcare programs to assess state agencies, contractors, or providers on compliance with federal laws and regulations for the survey and certification program;
(2) Interpreting and implementing quality healthcare standards and procedures to provide guidance to Medicare or Medicaid Program suppliers and providers; AND
(3) Leading teams or workgroups and managing staff in implementing the Federal Survey Process.

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/12855958

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: Required-Financial Disclosure Required: OGE-450

OPM GS Pay Table:
New York NY. $148,222-$ 192,694
Philadelphia PA. $138,595 -$180,178

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.

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):


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.

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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