KEY REQUIREMENTS



• You must be a U.S. citizen or national to apply for this position.
• Suitability for Federal employment determined by background investigation.
• May be required to serve a one-year probationary period.
• You must meet the Selective Service requirements, if applicable.
• All supporting documents must be received by the closing date.

As a Health Insurance Specialist in the Center for Medicaid Innovations, Learning and Diffusion Group , in the Centers for Medicare & Medicaid Services, you will perform as an analyst with the responsibility for the review, analysis, development, and evaluation of CMS Medicare, Medicaid, and Children's Health Insurance Program (CHIP)  Specifically, you will:

• Establish and maintain ongoing networks of stakeholders in the health care industry to foster and encourage commitment around improvement goals.
• Consult closely with evaluation staff in the Center, and throughout the agency to prepare mechanisms for ongoing and rapid evaluation of tested models.
• Work with evaluators and the Office of the Actuary to prepare recommendations for program end, modification and or more wide scale adoption.
• Prepare materials for the purpose of evaluating proposed models to be tested as well as to report on models in progress
• Make recommendations to the organizations leadership and advisory committees regarding patient care models in the innovation “pipeline”.

   

In order to be qualified at the GS-11 level, you must possess one of the following:

A.  One year of specialized experience, equivalent to at least the GS-9 level in the federal service that equipped the applicant with the particular knowledge, skills, and abilities to perform successfully the duties of this position, and that is typically in or related to the work of the position to be filled.  For example, this could include experience performing, work concerned with the administration and operation of national health insurance programs, such as Medicare and Medicaid; experience interpreting program requirements and formulating policies, methods, and procedures; monitoring, reviewing, evaluating, and assessing the integrity and quality of program operations; preparing and analyzing health care data related to the programs; or performing other related activities.

  - OR -

B.   A PhD in healthcare administration, business administration, public administration, or a closely related field which provided the knowledge, skills, and abilities to do the work of the position. - OR -

C.   A combination of the specialized experience as described in A and graduate education as described in B that, when combined, equals 100% of the total requirement.   (Please note that only graduate education in excess of the first two years may be used in this calculation.)

In order to be qualified at the GS-12 level, you must possess one year of specialized experience, equivalent to at least the GS-11 level in the Federal service, one year of experience that equipped the applicant with the particular knowledge, skills, and abilities to perform successfully the duties of this position, and that is typically in or related to the work of the position to be filled.  For example, this could include experience evaluating, work concerned with the administration and operation of national health insurance programs, such as Medicare and Medicaid; experience interpreting program requirements and formulating policies, methods, and procedures; monitoring, reviewing, evaluating, and assessing the integrity and quality of program operations; preparing and analyzing health care data related to the programs; or performing other related activities.

If you are claiming education as any part of your qualifications for this position, you must submit an official transcript, unofficial transcript, or a list including courses, grades earned, completion dates, and quarter and semester hours earned.  Failure to do so may result in an ineligible rating.

Foreign Education:  If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show that the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program.  For further information, click on foreign education

Conditions of Employment:

1. Security and Background Requirements: If not previously completed, a background security investigation will be required for all appointees.  Appointment will be subject to the applicant's successful completion of a background security investigation and favorable adjudication.  Failure to successfully meet these requirements may be grounds for appropriate personnel action.  In addition, if hired, a background security reinvestigation or supplemental investigation may be required at a later time.  Applicants are also advised that all information concerning qualifications is subject to investigation.  False representation may be grounds for non-consideration, non-selection and/or appropriate disciplinary action. 

• Optional Form 306 – Declaration of Federal Employment – available at http://www.opm.gov/forms/pdf_fill/of306.pdf. This form is not required to be submitted at the time of submitting your application. However, if selected, this form will be required prior to final job offer.

2. E-Verify: If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS "E-Verify" System.  Federal law requires DHS to use the E-Verify System to verify employment eligibility of all new hires, and as a condition of continued employment obligates the new hire to take affirmative steps to resolve any discrepancies identified by the system.  The U.S. Department of Health and Human Services is an E-Verify Participant.

3. Direct Deposit: All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choosing.

4. All qualification requirements must be met within 30 days after the closing date of the announcement.

5. Financial disclosure statement may be required. 

6. One-year probationary period may be required. 

7. Travel, transportation, and relocation expenses will be paid: No 

8. Bargaining Unit Position: Yes  

9. Drug Screening Required: No 

10. Recruitment incentives may be authorized: No  

11. Student loan repayment incentive authorized:  No 

12. Annual leave for non-federal service authorized:  No

HOW YOU WILL BE EVALUATED:

Once the application process is complete, a review of your resume and supporting documentation will be made and compared against your responses to the assessment to the assessment questionnaire to determine if you are qualified for this job. If, after reviewing your résumé and supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position and/or your score may be adjusted to more accurately reflect your skills and abilities.  Please follow all instructions carefully. Errors or omissions may affect your eligibility.

For Competitive Applicants/All U.S. Citizens:  Eligible candidates will be assigned to a quality category: Best Qualified, Well Qualified or Qualified.  Candidates in the highest category will be referred to the hiring agency.

Application of Veterans' Preference: The Category Rating process does not add veterans' preference points but protects the rights of veterans by placing them ahead of non-preference eligibles within each category.  Preference eligibles who meet the minimum qualification requirements and who have a compensable service connected disability of at least 10 percent must be listed in the highest quality category (except in the case of scientific or professional positions at the GS-09 level or higher.) 

Your qualifications will be evaluated against the following competencies (knowledge, skills, abilities, and other characteristics):

The Federal government offers a comprehensive benefits package.  Explore the major benefits offered to most Federal employees at http://www.opm.gov/retire/retire_jobseekers.asp.

OTHER INFORMATION:

Veterans' Preference: If you are a veteran claiming 5-point veterans' preference, you must submit a copy of your DD-214 (Member Copy 4) or an official statement (including Character of Service) from your command if currently on active duty. If you are claiming 10-point veterans' preference, in addition to the DD-214, you must also submit a Standard Form 15 (Application for 10-Point Veteran Preference) and the required supporting documents listed on that form.  For more information on veterans' preference see www.fedshirevets.gov.

Career Transition Assistance Programs: This program applies to Federal workers whose positions have been deemed 'surplus' or no longer needed, or an employee has been involuntarily separated from a Federal service position within the competitive service.  To receive selection priority for this position, you must be rated 'well-qualified'.  For information on how to apply and what documents to submit as an CTAP/ICTAP eligible, go to: http://www.opm.gov/rif/employee_guides/career_transition.asp#ictap.  Candidates must meet or exceed the Well-Qualified category (85) to be considered as an ICTAP eligible.

Noncompetitive Appointment Authorities: The following links contain information on the eligibility requirements to be considered under a noncompetitive appointing authority:

http://www.opm.gov/hr_practitioners/lawsregulations/appointingauthorities/

Hiring Authorities for Veterans

People with Disabilities

Selective Service: The Defense Authorization Act of 1986 requires that all male applicants born after 12/31/59 who are required to register under the Military Selective Service Act, be registered or they are not eligible for appointment to this position.  For further information concerning Selective Service requirements, please visit http://www.sss.gov/.

Click the Apply Online button to create an account or log in to your existing USAJOBS account.  Follow the prompts to complete the on-line assessment questionnaire. Please ensure you click the Submit My Answers button at the end of the process.

Note: To return to your saved application materials, log in at: https://applicationmanager.gov/ and click on Vacancy ID 727929.

If you cannot apply online, you will need to:

1) Print the instructions and questionnaire by clicking View Occupational Questionnaire.

2) Print the 1203FX form to record your responses to the questionnaire.

3) Fax the completed 1203FX (all 6 pages but do not include a Cover Page for this document) to:  1-478-757-3144.

4) Print the Fax Cover Page and include with any supporting documents you fax (e.g., résumé, transcripts, veterans documentation, etc.) to the same fax number above.

Please do not complete steps 1-4 above if you are applying on-line.

REQUIRED DOCUMENTS:

• Your Resume - You are encouraged to use the USAJobs online resume builder to ensure that all required information is in your resume.  If you use your own resume, curriculum vitae, or any other written form you choose then you must describe your job-related qualifications that include beginning and ending dates for paid and non-paid work experience, hours worked per week, month and year of employment for each job title listed.

• Responses to the Assessment Questionnaire

Other Supporting Documents: (Only submit if applicable to you.)

• College transcripts (if qualifying all or in part based on your education)
• Veterans' Preference documentation (Copy of DD-214 provided must show type of discharge/character of service)

• CTAP/ICTAP documentation

APPLICATION MATERIALS MUST BE RECEIVED BY MIDNIGHT (EASTERN TIME) ON THE CLOSING DATE OF THIS ANNOUNCEMENT

 

For Résumé and Application Tips visit: http://www.usajobs.gov/ResourceCenter/Index/Interactive/ResumeAndApplicationTips#icc

AGENCY CONTACT INFO:

WHAT TO EXPECT NEXT:

Once the online questionnaire is received you will receive an acknowledgement email that your submission was successful.  The most highly qualified candidates will be referred to the hiring manager for further consideration and possible interview.  We expect to make a selection within 45 days of the closing date of this announcement.  You will receive notice via email or by mail (if no email address was provided by you during the application process) once this process is completed (generally 4 - 6 weeks).