U.S. Department of Health and Human Services

Health Insurance Specialist


Pay104,604.00 - 135,987.00 / year
LocationRemote
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 788054300
      This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS), Children and Adults Health Programs Group (CAHPG).

      As a Health Insurance Specialist, GS-0107-14, you will develop program policy, interpret program requirements, methods, and procedures; monitor, evaluate and assess the integrity and quality of program operations; prepare and analyze health care data related to the programs.

      Duties


      • Develop and conduct program policy and/or data analyses to identify and understand the needs and preferences of CMCS programs and the beneficiaries we serve.
      • Develop and use survey, market research, and statistical methodologies and techniques to conduct studies of assigned programs.
      • Provide coordination support and assistance to other CMCS work units, States, internal CMS components, HHS components, and other external stakeholders.
      • Serve as a liaison with representatives of the health care and human services industry to obtain expert input, and promote understanding of HHS program issues.
      • Prepare all various forms of written documents to address technical and non-technical audience.

      Requirements


      • You must be a U.S. Citizen or National to apply for this position.
      • You will be subject to a background and suitability investigation.

      Qualifications


      ALL QUALIFICATION REQUIREMENTS MUST BE MET BY 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-14, 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-13 grade level in the Federal government, obtained in either the private or public sector, to include:
      • Serving as a technical authority on policies and initiatives for Medicaid, Children's Health Insurance Program (CHIP), Basic Health Program (BHP), or another national health insurance program; AND
      • Drafting health policy guidance, analyses, or operational instructions to implement initiatives; AND
      • Experience leading teams and managing projects; AND
      • Collaborating and negotiating on policy development, implementation, and data analysis with internal and external stakeholders.

      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.

      Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12394768
  • About the company

      The United States Department of Health and Human Services, also known as the Health Department, is a cabinet-level executive branch department of the U.S. federal government with the goal of protecting the health of all Americans and providing essential human services. Its motto is "Improving the health, safety, and well-being of America". Before the separate federal Department of Education was created in 1979, it was called the Department of Health, Education, and Welfare.