Health Insurance Specialist

Job Responsibilities

• Serve as an expert in the development, evaluation, and implementation of policies related to Medicaid state plan benefits and coverage policy.
• Lead and conduct analyses and special studies of policy issues and topics related to Medicaid state plan benefits and coverage programs and policy.
• Provide advice and consultation in the evaluation of proposed, modified, or new legislation and regulations to assess impact on Medicaid state plan benefits and coverage programs and policy.
• Prepare a variety of written products, including briefing documents, correspondence, reports, and issue papers.

Requirements

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

Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY 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-13 , you must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-12 grade level in the Federal government, obtained in either the private or public sector, to include:

1. Developing or implementing policies related to Medicaid State Plan Benefits and Coverage;
2. Analyzing National Health Care policy issues;
3. Collaborating with various partners for policy development, implementation, or program improvement;
4. Drafting a variety of technical documents (i.e. health policy statements, guidelines, decision papers, correspondence with partners, terms and conditions and/or other documents).

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.

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.

Required Documents

The following documents are REQUIRED:

1. Resume showing relevant experience; cover letter optional. Your resume must indicate your citizenship and if you are registered for Selective Service if you are a male born after 12/31/59. Your resume must also list your work experience and education (if applicable) including the start and end dates (mm/yyyy) of each employment along with the number of hours worked per week. For work in the Federal service, you must include the series and grade level for the position(s). Your resume will be used to validate your responses to the assessment tool(s).
2. CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.). Required documents may be necessary to be considered for this vacancy announcement. Failure to provide the required documentation WILL result in an ineligible rating OR non-consideration.

How to Apply

Your complete application package, as described in the "Required Documents" section, must be received by 11:59 PM ET on 10/22/2024 to receive consideration.

The Federal hiring process is set up to be fair and transparent. Please read the following guidance.