Division Director

Centers-For-Medicare-and-Medicaid-Services; San Francisco (CA); On-site; USD 120,000 - 160,000; Full time

Job summary

The Centers for Medicare and Medicaid Services (CMS), part of the Department of Health and Human Services, seeks a Supervisory Health Insurance Specialist (Division Director, GS-0107-15) in the Patient Care Models Group to lead a team directing the implementation and operation of alternative payment models.

The role emphasizes oversight of health insurance specialists and analysts, providing technical recommendations to stakeholders and ensuring successful program outcomes in innovative

Qualifications

• Requires at least one year (52 weeks) of specialized experience at GS-14 level in the federal government.
• Experience leading cross-functional teams on healthcare payment or delivery models.
• Experience providing technical advice to Government officials, policy makers, providers, and agencies.

Responsibilities

• Direct highly skilled health insurance specialists and analysts in implementing and operating alternative payment models.

Skills

Policy analysis

Cross-functional leadership

Healthcare policy

Job description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation (CMMI), Patient Care Models Group (PCMG), Division of Payment Models (DPM).

As a Supervisory Health Insurance Specialist, referred to here as a Division Director, GS-0107-15, you will direct highly skilled health insurance specialists and analysts in the successful implementation and operation of alternative payment models.

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY 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-15, 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-14 grade level in the Federal government, obtained in either the private or public sector, to include:

1. Analyzing policies to determine the impact on program operations; AND
2. Leading cross-functional teams in implementing or developing healthcare payment or delivery care approaches (e.g., artificial intelligence (AI), Machine Learning, or digital health tools); AND
3. Providing technical advice or recommendations to stakeholders (e.g., Government officials, policy makers, healthcare providers, state agencies, congressional members) on healthcare payment or delivery system alternatives.

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.