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Position Title
Supervisory Health Insurance Specialist
Agency
Centers for Medicare & Medicaid Services
Announcement Number
CMS-CMCS-24-12459736-DE Opens in new window
Open Period
Friday, June 28, 2024 to Monday, July 8, 2024
For preview purposes only. To apply, please return to the USAJOBS announcement and click the Apply button.
Eligibilities
1. Do you claim Veterans’ Preference? (limit characters)
Preferences
1. Select the location(s) you want to be considered for. You must choose at least one location. You may only select up to 3 location(s). (limit characters)
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? (limit characters)
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 (SF) 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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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. (limit characters)
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". (limit characters)
6. If you are a Federal Civilian employee, under what type of appointment are you currently serving? (limit characters)
7. If you are, or ever were a Federal civilian employee, indicate the pay plan and grade level or pay band of the highest graded position you have ever held on a permanent basis. For example: GS-12. (limit 10 characters). If not applicable, please enter N/A. (limit 10 characters)
8. If you are, or ever were, a Federal civilian employee, please indicate the dates of the highest graded position you held on a permanent basis, example: MM-YYYY to MM-YYYY, or to Present. If not applicable, please enter N/A. (limit 150 characters)
9. Are you a Federal civilian retirement annuitant? If yes, and you are selected for this position, your salary may be reduced by the gross amount of the Federal annuity paid during the period of re-employment. Please click here for more information about retired annuitants. (limit characters)
10. Have you accepted a Voluntary Separation Incentive Payment (VSIP) from a Federal agency within the past 5 years? If yes, and you are selected for this position, you must repay the entire (pre-tax) amount of the incentive to the agency which paid the buyout before your first day of work in the new position. Please click here for more information about VSIP. (limit characters)
Conditions of Employment
1. In accordance with Executive Order (EO) 12964 and the Department of Health & Human Services (HHS) Federal Drug-Free Workplace Program governed by EO 12564, Federal employees MUST refrain from the use of ALL illegal drugs both on and off duty.

Marijuana use in any form (including medicinal), could deem a person unsuitable for Federal employment. State laws do not supersede Federal law.
Therefore, Federal employees MUST refrain from use of ALL illegal drugs (to include marijuana) on and off duty, even when residing in a state where marijuana use has been legalized for medicinal or recreational purposes.

Do you agree to refrain from all illegal drug use (to include but not limited to medicinal and recreational marijuana) if you are selected for Federal employment?
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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), Center for Medicaid and CHIP Services (CMCS). 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 one statement from below that best describes your experience to meet the minimum qualification requirements for the position of Supervisory Health Insurance Specialist, GS-0107-15.
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Select the one statement that most accurately describes your training and experience carrying out each task using the scale provided. (limit characters)
2. Provide technical direction on the administration of Medicaid Managed Care policies and operations.
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3. Lead and manage the development of Medicaid Managed Care program and operation policies.
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4. Oversee the review and approval of Medicaid Managed Care Operating Authorities and Payment Arrangements.
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5. Develop goals, objectives, strategies, and work plans to improve the organization.
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6. Evaluate issues/initiatives to develop work plans to improve the Medicaid Program.
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7. Analyze laws and regulations related to the Medicaid program.
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8. Manage subordinate work assignments to assure goals, objectives, and deadlines are met.
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9. Provide guidance to leads/managers on delivery of services to the Medicaid program beneficiaries.
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10. Manage and resolve conflicts, confrontations, and disagreements in a constructive manner.
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11. Collaborate with internal and external stakeholders (i.e., states, beneficiary groups, providers, and advocacy groups, other federal high ranking officials) to negotiate terms of new initiatives.
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12. Represent the interests of the organization in meetings, conferences, workgroups, and other platforms.
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13. Review and edit technical documents (e.g. regulations, policy guidance, and issue papers) for implementing new initiatives.
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14. Evaluate Medicaid Program policies, legislative or regulatory information to assess the impact on the Centers for Medicare & Medicaid Services (CMS) policies.
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15. Employ technical proficiency and currency in the Medicaid managed care program to develop policies and related guidance.
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16. Apply expert knowledge of Medicaid managed care policy and operations to provide executive leadership and to manage a segment of a national program.
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17. Assess employee performance to provide feedback to senior management on employee development. (limit characters)
18. Provide guidance and assistance to team members on both work and administrative matters.
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19. Identify and coordinate the training and development needs of the staff.
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20. 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.
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21. 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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