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Position Title
Supervisory Health Insurance Specialist
Agency
Centers for Medicare & Medicaid Services
Announcement Number
CMS-OFM-22-11298023-IMP Opens in new window
Open Period
Friday, November 19, 2021 to Friday, December 3, 2021
For preview purposes only. To apply, please return to the USAJOBS announcement and click the Apply button.
Eligibilities
1. Career Transition Assistance Plan (CTAP):
Are you a current or former federal employee displaced from the Department of Health and Human Services? If yes, confirm:
     • you are located in the same local commuting area of the vacancy; AND
     • you are applying to a position that is at or below the grade level of the position from which you were or will be separated; AND
     • you are applying to a position that does not have greater promotion potential than the position from which you were or will be separated; AND
     • your last performance rating of record is at least fully successful or the equivalent.
For more information, review the USAJOBS Help Center.
 
To verify your eligibility, you must submit the following documents at the time of application: (1) Documentation showing abolishment of position or separation (i.e., Certificate of Expected Separation (CES), Agency certification that you are in a surplus organization or occupation, Notice that your position is being abolished, Letter stating you are eligible for discontinued service retirement, Specific Reduction-in-Force separation notice, OR Notice of proposed removal because you declined a directed reassignment or transfer of function out of the local commuting area); (2) Your latest performance rating showing a rating of at least "fully successful" (level 3); AND (3) Your latest Notification of Personnel Action, Standard Form 50 (SF-50), or equivalent personnel action showing your tenure, position occupied, and duty station.
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2. Current Career or Career-Conditional Employees within CMS:
Are you a current, permanent career or career-conditional employee in the competitive service within the Centers for Medicare & Medicaid Services (CMS)?

To verify your eligibility, you must submit the following document at the time of application: A copy of your latest Notification of Personnel Action, Standard Form 50 (SF-50), reflecting your permanent, competitive status. Your SF-50 must reflect:
     • Career or Career-Conditional (Tenure field is 1 or 2 in Block 24);
     • Your status is in the competitive service (Position Occupied field is 1 in Block 34);
     • The highest grade and step held on a permanent basis; AND     
     • That you currently work within CMS.
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Preferences
1. If you are a male at least 18 years of age, born after December 31, 1959, have you registered with the Selective Service System? (limit characters)
2. In the last five years, based on the closing date of this announcement, have you served or are you currently serving as an Executive Branch political, Schedule C, or Non-career SES appointee? You can find out if you have held one of these appointment types by looking at your Standard Form 50s in your Electronic Official Personnel Folder (eOPF), in Section 5 where the legal authorities are listed.
  • A political appointee is an appointment made by the President without confirmation by the Senate (5 CFR 213.3102(c)) OR an assistant position to a top-level federal official if filled by a person designated by the President as a White House Fellow (5 CFR 213.3102(z)).
  • A Schedule C appointee occupies a position excepted from the competitive service by the President, or by the Director of OPM, because of the confidential or policy-determining nature of the position duties (5 CFR 213.3301 and 5 CFR 213.3302).
  • A Non-career SES appointee is approved by the White House and serves at the pleasure of the appointing official without time limitations (5 CFR 317 Subpart F).
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3. Select the response or responses that best describe how you heard about this position INITIALLY or the VERY FIRST TIME YOU ENCOUNTERED CMS? This question is only designed to assist with recruitment planning efforts. (limit characters)
4. Please provide the specifics about how you heard about this vacancy announcement. For example - where exactly did you hear of this position; which job fair did you interact with CMS; if it was word of mouth, who did you hear it from, etc? Enter N/A if "Not Applicable". (limit characters)
Assessment 1
Thank you for applying for the position of Supervisory Health Insurance Specialist, GS-0107-15, with the Centers for Medicare and Medicaid Services (CMS). Your resume and the responses you provide to this assessment questionnaire will be used to determine if you are among the best qualified for this position. Your responses are subject to verification. Please review your responses for accuracy before you submit your application. (limit characters)
1. Select the one statement that best describes specialized experience that you possess that demonstrates your ability to perform Supervisory Health Insurance Specialist work at the GS-15 level or equivalent pay band in the Federal service. (There is no substitution of education for specialized experience) (limit characters)
For each item, select the one response that most accurately describes your current level of experience and capability using the scale below. (limit characters)
2. Direct activities to evaluate improper payment risks.
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3. Develop improper payment measurement programs.
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4. Identify and discuss potential changes needed to the Improper Payment Measurement Programs, with internal and external customers.
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5. Accurately measures payment accuracy in health insurance programs through the improper payment measurement program.
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6. Assure regulatory compliance in annual reporting requirements.
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7. Perform gap analysis of current resources to projected needs based on group's workload.
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8. Provide leadership by sharing technical knowledge and instruction with the team. (limit characters)
9. Make recommendations for resources needed by a team, so they may accomplish the program's mission.
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10. Analyze work barriers to develop ways to reduce them.
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11. Communicate improper payment findings to stakeholders to reduce errors and improve the integrity of the program.
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12. Conduct improper payment risk assessments on programs to determine risk level of improper payments.
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13. Oversee the development of improper payment measurement programs.
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14. Oversee operational activities to accurately measure payment accuracy in public health insurance programs.
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15. Explain or justify budget requests. (limit characters)
16. Participate in interviews and selection of candidates for positions. (limit characters)
17. Assign work to subordinates based on priorities. (limit characters)
18. I certify that, to the best of my knowledge and belief, all of the information included in this questionnaire is true, correct, and provided in good faith. I understand that if I make an intentional false statement, or commit deception or fraud in this application and its supporting materials, or in any document or interview associated with the examination process, I may be fined or imprisoned (18 U.S.C. 1001); my eligibilities may be cancelled, I may be denied an appointment, or I may be removed and debarred from Federal service (5 C.F.R. part 731). I understand that any information I give may be investigated. I understand that responding "No" to this item will result in my not being considered for this position.
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19. I certify that my resume includes detailed information as it relates to the responsibilities and specialized experience for this position. I understand that evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe my experience will result in an ineligible rating, and I will not receive further consideration.
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