This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation (CMMI), Patient Care Models Group (PCMG). As a Heath Insurance Specialist (Technical Advisor), GS-0107-14, you will serve as a senior Technical Advisor, leading the design and implementation of payment models including guidance to stakeholders to improve care, quality, and spending for Medicare and Medicaid beneficiaries.
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-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 GS13 grade level in the Federal government, obtained in either the private or public sector, to include: Providing technical guidance or analysis on payment model approaches; and designing or implementing health care payment models; and leading the development or implementation of policies or projects. 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 or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year 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/12791509
Provide technical leadership to develop alternative payment models in acute, post-acute, and specialty care to achieve better care, better health, and lower cost for Medicare, Medicaid, and CHIP.
Identify opportunities to inform the design of models focused on specialty care and primary care integration to improve quality and spending while complimenting the existing model portfolio.
Conduct special research and operations assignments involving sensitive technical program-related issues that have significant impact on DSPM models, initiatives, and CMS programs.
Prepare written reports and other briefing materials for HHS, CMS leadership and external stakeholders.
Recommend solutions to critical program management problems affecting policy and operational effectiveness.