Health Insurance Specialist (Program Policy)

Centers-For-Medicare-and-Medicaid-Services; San Francisco (CA); On-site; USD 90,000 - 110,000; Full time

Job summary

The Centers for Medicare & Medicaid Services (CMS), part of the Department of Health & Human Services, seeks a Health Insurance Specialist (Program Policy) at GS-0107-12. You will work on policy related to national health insurance programs such as Medicare, Medicaid, CHIP, and Marketplace exchanges.

Qualifications require at least one year of specialized experience equivalent to GS-11, including analyzing health policy issues, refining regulations, and presenting policy findings.

Qualifications

• Analyses national health insurance program policy issues to inform policy recommendations.
• Refines regulations, manuals, program guidelines, or policy communications.
• Presents findings or recommendations based on health insurance program analysis.

Skills

Policy analysis

Regulation refinement

Policy communication

Job description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS).

As a Health Insurance Specialist (Program Policy), GS-0107-12, you will perform program policy work related to national health insurance programs, such as Medicare, Medicaid, the Children's Health Insurance Program (CHIP), Marketplace Exchange/private health insurance.

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-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:

• Analyzing national health insurance program policy issues in order to make policy recommendations;
• Refining regulations, manuals, program guidelines, program memoranda, policy letters, or instructions to communicate health insurance program policies;
• Presenting findings or recommendations based on analysis of health insurance programs.

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 both 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.