USAJOBS · 3 months ago
Supervisory Health Insurance Specialist
Multiple Locations, USA
Full-time
Hybrid
Mid, Senior Level
$142K/yr - $185K/yr
1+ years expThe Center for Consumer Information and Insurance Oversight (CCIIO) is part of the Department of Health & Human Services (HHS) and is seeking a Supervisory Health Insurance Specialist. In this role, you will serve as the Division Deputy Director, responsible for directing the review and analysis of qualified health plans (QHPs) issued in the Federally-facilitated Marketplaces to ensure compliance with relevant provisions.
ConsultingGovernmentHuman ResourcesInformation TechnologyInternetStaffing Agency
No H1B
U.S. Citizen Only
Responsibilities
Direct the review and analysis of qualified health plans (QHPs) issuers and plans, particularly QHPs in the Federally-facilitated Marketplaces (FFMs), to ensure compliance with PPACA provisions related to QHP certification
Direct the development and updates to standard operating procedures and other sub-regulatory guidance’s that instruct issuers on the conduct of benefit review for plans offered in markets under the FFMs
Conduct benefit and cost sharing reviews, and facilitates collaboration with CMS actuaries responsible for rate reviews, and oversees the provision of technical assistance to issuers, and notices of approval and disapproval to issuers
Represent the Division Director, or CMS, in contacts w/ State Departments of Insurance, the National Association of Insurance Commissioners and other internal/external stakeholders regarding controversial and sensitive matters
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-13 grade level in the Federal government, obtained in either the private or public sector, to include: Overseeing program operations related to Qualified Health Plans (QHPs) review in Federally Facilitated Exchanges (FFEs); Developing policy, operational, or business requirements to ensure compliance with ACA provisions for QHP (Qualified Health Plan) certification; AND 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 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
Benefits
A career with the U.S. government provides employees with a comprehensive benefits package.
As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.
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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