Summary
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity,Provider Compliance Group. As a Health Insurance Specialist (Program Integrity), GS-0107-13 you will review regulatory guidance and CMS program changes; developed reporting tools to analyze data, improve compliance and efficiency, support leadership decisions, and ensure alignment with federal requirements.
Duties
Program Integrity Development and Implementation analyze, develop, and implement a wide range of program integrity initiatives that support CMS' lines of business through comprehensive program integrity reviews.
Analytical Research and Special Projects apply a wide range of analytical methods and techniques to assess and improve program efficiency, effectiveness, and complex processes or systems relating to health programs.
Legislative and Regulatory Analysis Evaluate and analyze the impact of new or revised changes to legislation before Congress pertaining to any CMS program.
Stakeholder Engagement and Technical Assistance provide technical assistance to staff in other federal agencies, state agencies, and private sector organizations, consistent with program expertise and experience.
Operational Requirements and Database Management produce routine and ad hoc reports, deliverables, and programmatic documentation to support program integrity operations.
How you will be evaluated
You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), the responses you provide on the application questionnaire, and the results of the online assessments required for this position. A Subject Matter Expert may assist in the resume review process to help determine whether you meet the minimum job qualifications. Please follow all instructions carefully. Errors or omissions may affect your rating. You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics): Attention to Detail Customer Service Decision Making Flexibility Integrity/Honesty Interpersonal Skills Learning Reading Comprehension Self-Management Stress Tolerance Teamwork Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on the online assessment may also result in your removal from consideration.