Remote Health Insurance Specialist Jobs (NOW HIRING)

Summary
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare, Center for Medicare.
As a Health Insurance Specialist, GS-0107-13, you will be responsible for developing, evaluating and implementing requirements, policies, and operating procedures for monitoring, compliance, and oversight activities related to Medicare and external CMS stakeholders.
This position is a reannouncement to reflect Kansas City, MO.
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Duties
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• Serve as an expert in the development, evaluation, and implementation of Medicare, Providers and Private Health Plans.
• Develop, implement, and maintain operational requirements and comprehensive program oversight strategy that provide health care and prescription drug services.
• Develop and review health care policies and legislation in order to draft related policy documents, regulations, procedures and guidance to states.
• Gathers and analyzes information, conducts various reviews and studies to assess ongoing operations, program vulnerabilities and initiate and/or recommend improvements or appropriate action to ensure compliance.

Requirements
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Conditions of employment

• You must be a U.S. Citizen or National to apply for this position.
• You will be subject to a background and suitability investigation.
• Time-in-Grade restrictions apply.
• Selective Service: Males born after December 31, 1959, must be registered or exempt from Selective Service - http://www.sss.gov.
• One-year probationary period may be required.
• 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.
• All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice.

Qualifications
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-13 position, 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-12 grade level in the Federal government, obtained in either the private or public sector, to include:
(1) Modifying, developing, or maintaining oversight processes of national health insurance programs such as Medicare or entities in the prescription drug supply chain;
(2) Ensuring compliance of healthcare or prescription drug supply operations with national health insurance programs such as Medicare regulations and policies; AND
(3) Conducting reviews to assess program operations for health insurance programs such as Medicare regulations and guidance.
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 or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year 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/13004399
Education
This job does not have an education qualification requirement.
Additional information
Bargaining Unit Position: Yes
Tour of Duty: Flexible
Recruitment Incentive: Not Authorized
Relocation Incentive: Not Authorized
Financial Disclosure: Not Required
Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion.
The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit the required documentation and be rated well-qualified for this vacancy. Click here for a detailed description of the required supporting documents. A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at www.opm.gov/rif/employee_guides/career_transition.asp.
Pay Table Ranges based on Locality Rates:
Woodlawn, MD: $121.785 - $158,322
Washington, DC: $121.785 - $158,322
Bethesda, MD: $121.785 - $158,322
New York, NY: $125,431 - $163,062
Denver, CO: $118,675 - $154,280
Philadelphia, PA: $117,284 - $152,471
Atlanta, GA: $112,556 - $146,325
Dallas, TX: $115,711 - $150,426
Kansas City, MO: $108,173 - $140,627
Seattle, WA: $119,630 - $155,521
Chicago, IL: $118,984 - $154,682
San Francisco, CA: $133,060-$172,980
Boston, MA : $120,548 - $156,715
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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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. Opens in a new windowLearn more about federal benefits.
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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.