- Position Title
- Health Insurance Specialist
- Agency
- Centers for Medicare & Medicaid Services
- Announcement Number
- CMS-CM-22-11568562-IMP Opens in new window
- Open Period
- Friday, July 15, 2022 to Sunday, July 24, 2022
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.
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.
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.
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.
Preferences
1.
Select the location(s) you want to be considered for. You must choose at least one location.
2.
If you are a male at least 18 years of age, born after December 31, 1959, have you registered with the Selective Service System?
3.
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).
4.
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.
5.
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".
Assessment 1
Thank you for applying for the position of Health Insurance Specialist, GS-0107-14, 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.
1.
Select one statement from below that best describes your experience in order to meet the minimum qualification requirements for the position of a Health Insurance Specialist GS-0107-14.
Select the one statement that most accurately describes your training and experience carrying out each task using the scale provided.
2.
Evaluate contractor operations to ensure adherence to guidelines or the statement of work.
3.
Analyze new legislation to determine potential impact on current organization programs, policies, or operating procedures.
4.
Resolve programmatic or payment issues by working directly with providers or provider associations.
5.
Lead a contract administration team comprised of a Contracting Officer's Representative (COR) or a program analyst to ensure the appropriate oversight of contracts.
6.
Negotiate proposed costs with contractors to ensure the best value for a government agency.
7.
Oversee the development of requests for contract or cost packages.
8.
Conduct meetings with team members to ensure monitoring or oversight activities are carried out according to the contract.
9.
Facilitate meetings with contract administrators or other staff to obtain the status of contractor operations.
10.
Explain to stakeholders the impact of Medicare Fee-for-Service operations as it relates to program requirements.
11.
Coordinate feedback from business owners or subject matter experts within an organization to ensure contractor proposals meet requirements.
12.
Incorporate feedback from stakeholders on contractor performance for use in producing written assessments.
13.
Initiate corrective action when it is identified that administrative contracts are not meeting performance metrics or the requirements of the Statement of Work, (i.e. Workload Implementation Requirements, Infrastructure Requirements, Administrative Requirements, Claims Processing, Claims Systems, and Fiscal Management).
14.
Provide technical direction to contractors regarding performance or operational issues.
15.
Develop SOPs (Standard Operating Procedures) as they relate to contract administration.
16.
Research programmatic issues in order to draft decision papers, reports, or briefings.
17.
Prepare written assessments of contractor performance.
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, that my eligibilities may be cancelled, I may be denied an appointment, I may be removed and debarred from Federal service (5 CFR part 731), or I may be fined or imprisoned (18 U.S.C. 1001), I understand that any information I give may be investigated.
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.