Supervisory Health Insurance Specialist

ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT. 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. 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 being considered further.

In order to qualify for the GS-15 , 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-14 grade level in the Federal government, obtained in either the private or public sector, to include: Leading cross-functional project teams, to include planning, organizing, or assessing work activities, in developing policies or guidelines related to healthcare payment models; AND Advising stakeholders on the statutes or regulations (e.g., Medicare Access and Chip Reauthorization Act of 2015) related to developing Alternative Payment Models; AND Collaborating with stakeholders (e.g., CMS representatives, Federal agencies, state agencies, healthcare providers, clinical experts, Congressional Members) to improve healthcare outcomes for beneficiaries.

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.

Time-in-Grade: To be eligible, current Federal employees 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. Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/13097951

Direct the work of Health Insurance Specialists and Social Science Research Analysts. Assign work to subordinates based on priorities, selective consideration of the difficulty and requirements of assignments, and the capabilities of employees.,Direct formulation of policies related to the APM provisions of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).,Manage the development of comprehensive health care and payment policies for new models, including developing alternative payment rates, preparing provider agreements, and ensuring the availability of the necessary waiver language of each model.,Develop and maintain collaborative relationships through mutual understanding of providers' needs and concerns while simultaneously engaging providers in CMS goals of providing better care and better health at lower cost.