Health Insurance Specialist (Program Contractor Management) chez Department of Health and Human Services

Not Required

Duties

Conducts and leads analytical studies and special projects by gathering, organizing, and interpreting policy, program, and/or operational issues related to contractor management administration functions.,Evaluates proposed, modified, or new legislation and regulations on national health delivery, quality, or payment programs, and develops health care policies and legislation to draft policy documents, regulations, procedures and guidance to states.,Monitors, evaluates, and provides technical oversight in the day-to-day administration of related Agency programs.,Oversees and monitor contractor performance, provide technical oversight, and mitigate and resolve performance issues of contractors that support or participate in complex CMS health care delivery, quality, or payment programs,Analyzes performance against contract requirements and document performance with special emphasis on significant trends and items of interest in the management of contractor actions.

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 meet the following: 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: Developing, evaluating, and implementing policies related to administering, reviewing, and evaluating contracted stakeholders that participate in agency health care delivery and quality or payment programs; Planning, identifying and designing contract requirements during the planning and awarding phase of acquisitions, including developing acquisition packages to support model design and implementation; AND Analyzing performance against contract requirements and document performance with emphasis on significant trends, providing feedback to contractors and informing process improvement over the life of the contract. 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. Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12803921

Other 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 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.