This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Strategic Operations and Regulatory Affairs,(OSORA) . As a Health Insurance Specialist, referred to here as a Health Insurance Specialist, One Big Beautiful Bill Provisions, GS-0107-9/11/12,you will support leadership in policy development and program implementation by overseeing the internal clearance and coordination of executive decision-making processes.
ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT. Your resume 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 receiving further consideration. In order to qualify for the GS-09, 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-07 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Assisting in cultivating partnerships with internal and external stakeholders to manage competing priorities, establish timelines, achieve consensus, and drive effective conflict resolution; 2) Supporting operational processes that ensure procedural consistency, workflow efficiencies, and statutory compliance; AND 3) Assisting in monitoring national health insurance programs (such as Medicare, Medicaid, or private marketplaces) to support executive decision-making. - OR - Substitution of Education for Experience: You may substitute education for specialized experience at the GS-09 level by possessing a Master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D., if related to the position being filled. - OR - Combination of Experience and Education: Only graduate education in excess of the amount required for the GS-07 grade level may be used to qualify applicants for positions at the grade GS-09. Therefore, only education in excess of 1 full year of graduate level education may be used to combine education and experience. TRANSCRIPTS are required to verify satisfactory completion of the educational requirement related to substitution of education for experience and combination of experience and education. Please see "Required Documents" section below for what documentation is required at the time of application. In order to qualify for the GS-11, 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-09 grade level in the Federal government, obtained in either the private or public sector), to include: 1) Cultivating partnerships with internal and external stakeholders to manage competing priorities, establish timelines, achieve consensus and effective conflict resolution; 2) Assisting in managing operational processes that ensure procedural consistency, workflow efficiencies, and statutory compliance; AND 3) monitoring and analyzing national health insurance programs (such as Medicare, Medicaid, or private marketplaces) to support executive decision-making. - OR - Substitution of Education for Experience: You may substitute education for specialized experience at the GS-11 level by possessing a Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree or equivalent doctoral degree or LL.M., if related to the position being filled. - OR - Combination of Experience and Education: Only graduate education in excess of the amount required for the GS-09 grade level may be used to qualify applicants for positions at the grade GS-11. Therefore, only education in excess of a master's or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree, may be used to combine education and experience. TRANSCRIPTS are required to verify satisfactory completion of the educational requirement related to substitution of education for experience and combination of experience and education. Please see "Required Documents" section below for what documentation is required at the time of application. In order to qualify for the GS-12, 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-11 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Cultivating partnerships with internal and external stakeholders to manage competing priorities, establish timelines, achieve consensus and effective conflict resolution; 2) Managing operational processes that ensure procedural consistency, workflow efficiencies, and statutory compliance; AND 3) Monitoring and analyzing national health insurance programs (such as Medicare, Medicaid, or private marketplaces) to inform executive decision-making and support implementation. Substitution of Education for Experience: There is no substitution of education to meet the specialized experience requirement at the GS-12 grade level. Combination of Experience and Education: There is no combination of experience and education to meet the specialized experience requirement at the GS-12 grade level. 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. Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12840195
Oversee the administrative functions of the agency’s clearance and decision-making processes, and associated clearance processing systems.
Develop standards, processes, and procedures to ensure consistency across the continuum.
Track the development and progression of CMS priorities. Negotiate timelines and priorities with internal and external stakeholders.
Maintain broad awareness of current and emerging issues impacting CMS’ programs and policies. Synthesizes internal and external sources of information to improve the coordination of executive-level clearances.
Produce high-quality, error-free documents for the Administrator’s review, approval, signature, and public release.