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USAJOBS · 1 month ago

Health Insurance Specialist, One Big Beautiful Bill Provisions

Washington, District of Columbia, USA

Full-time

Hybrid

Mid, Senior Level

$70K/yr - $132K/yr

1+ years exp

USAJOBS is seeking a Health Insurance Specialist within the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). The role involves supporting leadership in policy development and program implementation by overseeing executive decision-making processes.

ConsultingGovernmentHuman ResourcesInformation TechnologyInternetStaffing Agency

No H1B

U.S. Citizen Only

Responsibilities

Oversee the administrative functions of the agency’s clearance and decision-making processes, and associated clearance processing systems

Develop standards, processes, and procedures to ensure consistency across the continuum

Track the development and progression of CMS priorities. Negotiate timelines and priorities with internal and external stakeholders

Maintain broad awareness of current and emerging issues impacting CMS’ programs and policies. Synthesizes internal and external sources of information to improve the coordination of executive-level clearances

Produce high-quality, error-free documents for the Administrator’s review, approval, signature, and public release

Qualification

Health insurance programsStakeholder managementOperational processesPolicy developmentDocument productionConflict resolution

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

Your resume must include detailed information as it relates to the responsibilities and specialized experience for this position

In order to qualify for the GS-09, you must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-07 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Assisting in cultivating partnerships with internal and external stakeholders to manage competing priorities, establish timelines, achieve consensus, and drive effective conflict resolution; 2) Supporting operational processes that ensure procedural consistency, workflow efficiencies, and statutory compliance; AND 3) Assisting in monitoring national health insurance programs (such as Medicare, Medicaid, or private marketplaces) to support executive decision-making

Substitution of Education for Experience: You may substitute education for specialized experience at the GS-09 level by possessing a Master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D., if related to the position being filled

Combination of Experience and Education: Only graduate education in excess of the amount required for the GS-07 grade level may be used to qualify applicants for positions at the grade GS-09. Therefore, only education in excess of 1 full year of graduate level education may be used to combine education and experience

TRANSCRIPTS are required to verify satisfactory completion of the educational requirement related to substitution of education for experience and combination of experience and education

In order to qualify for the GS-11, you must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-09 grade level in the Federal government, obtained in either the private or public sector), to include: 1) Cultivating partnerships with internal and external stakeholders to manage competing priorities, establish timelines, achieve consensus and effective conflict resolution; 2) Assisting in managing operational processes that ensure procedural consistency, workflow efficiencies, and statutory compliance; AND 3) monitoring and analyzing national health insurance programs (such as Medicare, Medicaid, or private marketplaces) to support executive decision-making

Substitution of Education for Experience: You may substitute education for specialized experience at the GS-11 level by possessing a Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree or equivalent doctoral degree or LL.M., if related to the position being filled

Combination of Experience and Education: Only graduate education in excess of the amount required for the GS-09 grade level may be used to qualify applicants for positions at the grade GS-11. Therefore, only education in excess of a master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree, may be used to combine education and experience

TRANSCRIPTS are required to verify satisfactory completion of the educational requirement related to substitution of education for experience and combination of experience and education

In order to qualify for the GS-12, you must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-11 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Cultivating partnerships with internal and external stakeholders to manage competing priorities, establish timelines, achieve consensus and effective conflict resolution; 2) Managing operational processes that ensure procedural consistency, workflow efficiencies, and statutory compliance; AND 3) Monitoring and analyzing national health insurance programs (such as Medicare, Medicaid, or private marketplaces) to inform executive decision-making and support implementation

Substitution of Education for Experience: There is no substitution of education to meet the specialized experience requirement at the GS-12 grade level

Combination of Experience and Education: There is no combination of experience and education to meet the specialized experience requirement at the GS-12 grade level

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