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USAJOBS · 3 weeks ago

Health Insurance Specialist (Data Analysis and Studies)

Multiple Locations, USA

Full-time

Onsite

Mid, Senior Level

$91K/yr - $118K/yr

1+ years exp

USAJOBS is seeking a Health Insurance Specialist (Data Analysis and Studies) for the Department of Health & Human Services. In this role, you will conduct program-related studies regarding quality of care, program oversight, and utilization of program services by beneficiaries.

ConsultingGovernmentHuman ResourcesInformation TechnologyInternetStaffing Agency

No H1B

U.S. Citizen Only

Responsibilities

Apply evaluative skills and determine future organizational impact on current operations

Ensure research and analysis conducted are technically sound and conform to policies, directives, and studies

Develop new techniques to research and prepare raw health insurance program data more efficiently and effectively within the Group/Division

Review the legal background, legislative history, administrative case law, and court decisions that interpret the policies and regulations for the CMS programs

Develop and implement programs and techniques to improve data quality and business practices for the Group/Division

Qualification

Data analysisQuantitative studiesQualitative techniquesPolicy analysisReport preparationCustomer serviceAttention to detailDecision makingTeamwork

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 (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position

In order to qualify for the GS-13, you must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-12 grade level in the Federal government, obtained in either the private or public sector, to include:

(1) Designing, planning, and conducting quantitative data studies to evaluate the impact on health insurance programs healthcare trends that impact CMS programs; AND

(2) Using qualitative and quantitative techniques to identify trends, root causes, contributing factors, or recommendations related to health insurance programs or healthcare administration; AND

(3) Identifying potential policy and operational problem areas and then devising and implementing solutions; AND

(4) Preparing briefings or summary reports to explain data obtained from studies

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 must include the series and grade level for the position(s) in your resume

Your resume must indicate your citizenship and whether you are registered with the Selective Service if you are a male born after December 31, 1959

Your resume must also list your work experience and education (if applicable), including the start and end dates (mm/yyyy) of each employment, along with the number of hours worked per week

Failure to include ALL of the information listed below on your resume WILL result in a finding of ineligible

To apply for this position, you must submit a complete Application Package which includes: Resume showing relevant experience; cover letter optional

CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.). Required documents may be necessary to be considered for this vacancy announcement

If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended, that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application

You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency-Based Assessments if you received the link after the close of the announcement

You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement

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.