Health Insurance Specialist

**Duties**:

- Develop and conduct program policy and/or data analyses to identify and understand the needs and preferences of CMCS programs and the beneficiaries we serve.
- Develop and use survey, market research, and statistical methodologies and techniques to conduct studies of assigned programs.
- Provide coordination support and assistance to other CMCS work units, States, internal CMS components, HHS components, and other external stakeholders.
- Serve as a liaison with representatives of the health care and human services industry to obtain expert input, and promote understanding of HHS program issues.
- Prepare all various forms of written documents to address technical and non-technical audience.

**Requirements**:
**Conditions of Employment**:
**Qualifications**:
**ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.**
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**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-14**, 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-13** grade level in the Federal government, obtained in either the private or public sector, to include:

- Serving as a technical authority on policies and initiatives for Medicaid, Children's Health Insurance Program (CHIP), Basic Health Program (BHP), or another national health insurance program; **_AND_**:

- Drafting health policy guidance, analyses, or operational instructions to implement initiatives; **_AND_**:

- Experience leading teams and managing projects;_ _**_AND_**:

- Collaborating and negotiating on policy development, implementation, and data analysis with internal and external stakeholders.

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.**Education**:
This job does not have an education qualification requirement.

**Additional information**:
**Bargaining Unit Position**:Yes-American Federation of Government Employees, Local 1923
**Tour of Duty**:Flexible
**Recruitment/Relocation Incentive**:Not Authorized
**Financial Disclosure**:Not Required

**Remote Positions at CMS**: This is a remote position; however, the position reports to a CMS Office on a periodic basis (e.g. 1-2 times per year). Requirements to report to the office will vary and can be discussed at the time of interview. As such, your pay will be based on your home address. For more information on locality and pay scales, please visit here. Your worksite must be within the United States and you must adhere to all regulations and policies regarding remote work at CMS and in the federal government, including the signing of a remote work agreement.
- Benefits

A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

**How You Will Be Evaluated**:
You will be evaluated for this job based on how well you meet the qualifications above.

You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics):

- Analysis
- Attention to Detail
- Customer Service
- Decision Making
- Flexibility
- Influencing/Negotiating
- Integrity/Honesty
- Interpersonal Skills
- Learning
- Oral Communication
- Project Management
- Reading Comprehension
- Self-Management
- Stress Tolerance
- Teamwork
- Technical Competence
- Written Communication

You will be placed in one of the following categories based on category rating and selection procedures if you meet all of the requirements outlined in this job opportunity announcement:

- Best Qualified - for those who are superior in the evaluation criteria
- Well Qualified - for those who excel in the evaluation criteria
- Qualified - for those who only meet the minimum qualification requirements

This is a competitive vacan