USAJOBS · 3 months ago
Supervisory Health Insurance Specialist
Multiple Locations, USA
Full-time
Hybrid
Lead/Staff, Director/Executive
$168K/yr - $195K/yr
1+ years expUSAJOBS is seeking a Supervisory Health Insurance Specialist in the Department of Health & Human Services. The role involves conducting policy analysis and program operations related to the certification and operations of qualified health plans in the Federally facilitated Marketplaces.
ConsultingGovernmentHuman ResourcesInformation TechnologyInternetStaffing Agency
No H1B
U.S. Citizen Only
Responsibilities
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
Qualification
Required
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
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
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
Benefits
A career with the U.S. government provides employees with a comprehensive benefits package.
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent.
Company
USAJOBS
USAJOBS enables federal job seekers to access job opportunities across hundreds of federal agencies and organizations.
10001+ employees
Funding
Current Stage
Late StageRecent News
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