Health Insurance Specialist
Share
Job Location:
Denver, CO - USA
Yearly Salary:
$ 136736 - 187093
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Summary
This position is located in the Department of Health & Human Services (HHS) Centers for Medicare & Medicaid Services (CMS) Center for Medicare (CM) Medicare Plan Payment Group (MPPG) Division of Payment Analysis & Policy (DPAP).
As a Health Insurance Specialist you will serve provide guidance on complex cross-cutting legal issues and questions affecting Medicare Advantage (MA) and Part D payment policy.
- Provide highly specialized legal analysis requiring deep understanding of Medicare Part C and D statutory frameworks payment methodologies and regulatory complexities both across MPPG and directly to Center leadership.
- Stay abreast of legal and regulatory changes and emerging legal challenges related to Medicare Part C and D payment policy.
- Develop and draft legislative proposals and recommend policy changes affecting MA and Part D payment policies for potential inclusion in the Presidents Budget.
- Serve as the principal liaison to internal and external offices partners and stakeholders including the Office of General Counsel (OGC) and other CMS components on legal issues.
- Respond to inquiries regarding legal issues pertaining to MA and Part D payment policies from a variety of internal and external stakeholders (e.g. beneficiaries plans congressional staff and other government officials).
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) Developing Medicare Advantage and/or Part D regulations guidance or sub-regulatory policies ensuring compliance with statutory authority and administrative law; AND (2) Conducting analyses of legislative regulatory or policy initiatives to assess impact on Medicare Advantage or Part D programs; AND (3) Providing legal and policy advice on Medicare Advantage or Part D payment policy issues to senior CMS officials Congress or external stakeholders; AND (4) Representing CMS in meetings and negotiations with health plans on legal or contractual issues related to Medicare payment policy.
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: 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: 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 managers 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 OPMs Career Transition Resources website at 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.
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
Required Experience:
IC
Key Skills
- Accounts Handling
- Access
- Commissioning
- Biotechnology
- Civil Engineering
- Health And Safety Management
