Health Insurance Specialist (Program Oversight)

• Develop implement and maintain a comprehensive program oversight strategy and processes for overseeing entities that provide health care and prescription drug services.
• Establish and maintain relationships with internal and external stakeholders to resolve problems pertaining to program oversight.
• Gather and analyze information conduct various reviews and studies to assess ongoing operations program vulnerabilities and initiate/recommend improvements or appropriate action.
• Prepare a variety of written products including position papers manuals reports correspondence briefing materials etc. for the assigned program area.

• 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.
• Selective Service: Males born after December 31 1959 must be registered or exempt from Selective Service - .
• One-year probationary period may be required.
• If you are selected for this position the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS E-Verify System.
• All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice.

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY 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-12 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-11 grade level in the Federal government obtained in either the private or public sector to include: 1) Modifying oversight processes of health care or prescription drug service providers; 2) Monitoring entities for compliance with health insurance program regulations and policies; and 3) Conducting reviews to assess health insurance program operations.

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: This job does not have an education qualification requirement.