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). As a Supervisory Health Insurance Specialist GS-107-15, you will conduct policy analysis and program operations related to certification and operations of qualified health plans (QHPs) in the Federally facilitated Marketplaces (FFMs).
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, 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) Overseeing program operations related to Qualified Health Plans (QHPs) review in Federally Facilitated Exchanges (FFEs); 2) Developing policy, operational, and/or business requirements to ensure compliance with ACA provisions for Qualified Health Plan (QHP) certification; AND 3) Planning, organizing, or assessing the work activities of subordinate employees. 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/12778910
Serve as the Division Director developing and overseeing policy analysis and the operational implementation of programs related to qualified health plans (QHPs) in the Federally-facilitated Marketplaces (FFMs).
Lead benefit and cost-sharing reviews, coordinating with CMS actuaries responsible for rate assessments, and overseeing the delivery of technical assistance to Issuers.
Manage the development and negotiation of procurement contracts for operational activities, including the development of contractor specifications, work statements, and evaluation criteria to support group programmatic functions.
Direct the development and reporting of administrative program performance metrics on bid submissions and financial solvency for program management and monitoring, public notice, and plan comparison.
Oversee data sharing with Issuers, States, Marketplaces, and other Federal agencies, including the development of data-sharing agreements and the performance of user acceptance testing for bid review and financial solvency.