This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight (CCIIO), Consumer Support Group (CSG), Division of Independent Dispute Resolution (DIDR). As a Supervisory Health Insurance Specialist, GS-0107-15, you will provide leadership and coordinate program policy development for federal Independent Dispute Resolution (IDR) processes.
ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF 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-15 grade level, 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-14 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Developing and/or analyzing policies related to programs under the Affordable Care Act (ACA) and/or the No Surprises Act (NSA), for example, the federal Independent Dispute Resolution (IDR) process; 2) Advising leadership on critical issues that may impact policy implementation or business planning; AND 3) Leading a project or team by overseeing the progress of team projects or other work assignments. 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/12722674
Plans work to be accomplished by staff, sets priorities, and prepares schedules for completion of work; assigns work to staff based on priorities.
Provides strategic, long-range business planning for the implementation of programs, and for developing cross-component business plans to ensure all independent dispute resolution (IDR) process requirements are addressed.
Reviews, analyzes, and evaluates pertinent aspects of program areas and consults with CCIIO, CMS, HHS, and federal agency key management officials to ensure a comprehensive approach toward implementing federal IDR programs.
Manages the review of related policies and procedures developed by other components to ensure consistency, provide technical assistance, and assess the impact on NSA-related programs, such as the federal IDR processes.
Consults and advises the Consumer Support Group Director and Deputy Director on policies, procedures, and critical issues that have a major impact on the implementation of federal IDR programs.