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Job Details

Supervisory Health Insurance Specialist

Woodlawn, MD, United States

Posted on
Jul 11,2019

Apply for this job


This position is located in the Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS)State Demonstration Group (SDG), Division of Demonstration Monitoring & Evaluation (DDME) .

As a Supervisory Health Insurance Specialist, GS-0107-15, you will responsible for directing division staff and activities related to the development of program policies, procedures, as well as the conduct of monitoring and evaluation related to Medicaid section 1115 demonstrations.
Serving as a first line manager and providing administrative, policy, and programs objectives, assigning tasks, and evaluating staff work.
Overseeing the development/formulation and the review of various technical and administrative documents.
Providing subject matter expertise related to monitoring and evaluation of Medicaid section 1115 demonstrations.
Ensuring adherence to sound personnel management practices and procedures; dealing with officials from other work units and providing advice to managers at higher levels in the organization.
Providing direction and overseeing contracts and other operational development and maintenance activities to support the approval, monitoring and evaluation of Medicaid 1115 demonstrations.
Travel Required
Not required
Supervisory status
Promotion Potential
Job family (Series)
Conditions of Employment
You must be a U.S. Citizen or National to apply for this position.
You will be subject to a background and suitability investigation.
Time-in-Grade restrictions apply.
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) Leading the development and/or implementation of a program to monitor and evaluate demonstrations under Medicaid or other similar national health insurance program to promote program innovation and improvement in coverage, access to care, health outcomes and program costs;
(2) Collaborating with stakeholders to assess and address technical needs to ensure successful monitoring and evaluation program administration; (3) Directing teams and other resources to establish or enhance an evaluation program to support advancements needed to accomplish an organization's mission; and
(4) Producing technical written documents (i.e. health services program evaluation designs or reports, policy statements, and guidelines for monitoring and evaluation of demonstration proposals) needed to monitor and evaluate Medicaid or other similar national health insurance programs.

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.

To be eligible, current or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying.

Click the following link to view the occupational questionnaire:
This job does not have an education qualification requirement.
Additional information
Bargaining Unit Position:
Tour of Duty:
Recruitment/Relocation Incentive:
Not Authorized
Financial Disclosure:
Not Required

CMS employees currently participating in 100% Full-Time Telework Program may be eligible to remain in the program. If an employee in this program is selected, the pay will be set in accordance with the locality pay for the applicable duty station. The listed salary range reflects the locality pay assigned to the duty location(s) listed in the vacancy announcement. For more information about pay based on locality, please visit the .

Additional Forms REQUIRED Prior to Appointment:
Optional Form 306, Declaration of Federal Employment and the Background/Suitability Investigation
- A background and suitability investigation will be required for all selectees. Appointment will be subject to the successful completion of the investigation and favorable adjudication. Failure to successfully meet these requirements may be grounds for appropriate personnel action. In addition, if hired, a reinvestigation or supplemental investigation may be required at a later time. If selected, the Optional Form 306 will be required prior to final job offer. .
Form I-9, Employment Verification and the Electronic Eligibility Verification Program
- CMS participates in the Electronic Employment Eligibility Verification Program (E-Verify). E-Verify helps employers determine employment eligibility of new hires and the validity of their Social Security numbers. If selected, the Form I-9 will be required at the time of in-processing. .
Standard Form 61, Appointment Affidavits
- If selected, the Standard Form 61 will be required at the time of in-processing. .
The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP)
provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit the required documentation and be rated well-qualified for this vacancy. . A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at .

Additional selections
may be made from this announcement for similar positions within CMS in the same geographical location. For Central Office vacancies, the same geographical location includes Baltimore, Maryland; Bethesda, Maryland; and Washington, D.C.

If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an .
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
Once the announcement has closed, your online application, resume, and CMS required documents will be used to determine if you meet eligibility and qualification requirements listed on this announcement. If you are found to be among the top qualified candidates, you will be referred to the selecting official for employment consideration. Please follow all instructions carefully. Errors or omissions may affect your rating.

Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics):
Building Coalitions/Communications
Business Acumen
Health Insurance
Leading People
Managing Change
Results Driven
Background checks and security clearance
Security clearance
Drug test required
Position sensitivity and risk
Trust determination process
Required Documents
The following documents are REQUIRED:
1. Resume
showing relevant experience; cover letter optional
. Your resume must indicate your citizenship and if you are registered for Selective Service if you are a male born after 12/31/59. Your resume must also list your work experience and education (if applicable) including the start and end dates (mm/dd/yy) of each employment along with the number of hours worked per week. For work in the Federal service, you must include the series and grade level for the position(s). Your resume will be used to validate your responses to the assessment tool(s). For resume and application tips visit:

2. CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.).
Required documents may be necessary to be considered for this vacancy announcement. . Failure to provide the required documentation WILL result in an ineligible rating OR non-consideration.

A complete application package includes the online application, resume and CMS required documents. Please carefully review the full job announcement to include the Required Documents and How to Apply sections. Failure to submit the online application, resume and CMS required documents, will result in you not being considered for employment.
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. .
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 to Apply
Your complete application package, as described in the Required Documents section, must be received by 11:59 PM ET on 07/24/2019 to receive consideration.

We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Please ensure EACH
work history includes ALL
of the following information: Official Position Title (include series and grade if Federal job)
Duties (be specific in describing your duties)
Employer's name and address
Supervisor name and phone number
Start and end dates including month, day and year (e.g. June 18, 2007 to April 05, 2008)
Full-time or part-time status (include hours worked per week)
Determining length of general or specialized experience is dependent on the above information and failure to provide ALL of this information WILL result in a finding of ineligible.
To begin, click Apply
to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application.
Follow the prompts to select your resume and/or other supporting documents
to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.
After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process
You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application.
To verify the status of your application, log into your USAJOBS account (), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: .

This agency provides reasonable accommodation to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please send an email to ****. The decision to grant reasonable accommodation will be made on a case-by-case basis.

Commissioned Corps Officers
(including Commissioned Corps applicants that are professionally boarded) who are interested in applying for this position must send their professional resume (not PHS Curriculum Vitae) and cover letter to in lieu of applying through this announcement. The cover letter should specifically explain how you are qualified for this position and draw specific attention to your resume that demonstrates these qualifications. In the subject line of your e-mail please include only the Job Announcement Number. In the body of your e-mail please include your current rank name and serial number. Failure to provide this information may impact your consideration for this position.
Agency **** Security Blvd
Woodlawn, MD 21244
Next steps
Once your online application is submitted, you will receive a confirmation notification by email. Your application will be evaluated to determine your eligibility and qualifications for the position. After the evaluation is complete, you will receive another email notification regarding the status of your application.

Within 30 business days of the closing date,07/24/2019, you may check your status online by logging into your USAJOBS account (). We will update your status after each key stage in the application process has been completed.
Fair & Transparent
The Federal hiring process is setup to be fair and transparent. Please read the following guidance.
Equal Employment Opportunity Policy
The United States Government does not discriminate in employment on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factor.
Equal Employment Opportunity (EEO) for federal employees & job applicants
Reasonable Accommodation Policy
Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Applicants requiring reasonable accommodation for any part of the application process should follow the instructions in the job opportunity announcement. For any part of the remaining hiring process, applicants should contact the hiring agency directly. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.
A reasonable accommodation is any change to a job, the work environment, or the way things are usually done that enables an individual with a disability to apply for a job, perform job duties or receive equal access to job benefits.
Under the Rehabilitation Act of 1973, federal agencies must provide reasonable accommodations when: An applicant with a disability needs an accommodation to have an equal opportunity to apply for a job.
An employee with a disability needs an accommodation to perform the essential job duties or to gain access to the workplace.
An employee with a disability needs an accommodation to receive equal access to benefits, such as details, training, and office-sponsored events.
You can request a reasonable accommodation at any time during the application or hiring process or while on the job. Requests are considered on a case-by-case basis.
Learn more about or
Legal and regulatory guidance
This job originated on . For the full announcement and to apply, visit . Only resumes submitted according to the instructions on the job announcement listed at will be considered.

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