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Supervisory Health Insurance Specialist

4 months ago

Washington, Washington, D.C., United States USAJobs Full time
Duties
  • Serves as the Deputy Director for the Fraud Investigations Group (FIG) planning, directing, and overseeing the operations and work activities of the organization to be accomplished by subordinate employees and/or teams.
  • Develops Medicare program integrity policy and operational options and presents recommendations to the Group Director and senior CPI and CMS management.
  • Serves as the senior level Medicare program integrity liaison between CPI, FIG, the Department of Justice (DOJ), and the Offices of the Inspector General (HHS-OIG).
  • Responsible for providing technical guidance on a national investigative strategy for oversight of fraud, waste and abuse deterrence activities for the Medicare program.
  • Recommends legislative and/or administrative remedies to improve existing Medicare policies.

    Requirements

    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.
    • May be required to serve a 1-year supervisory probationary period.

      Qualifications

      ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT.

      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-15 grade level, 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:
    • Plan, coordinate, and implement activities and procedures to provide for the oversight of fraud, waste, and abuse detection and deterrence activities for a Medicare program.
    • Identify Medicare emerging fraud trends and identify the need to develop and facilitate program integrity summits with all relevant internal and external stakeholders.
    • Develop short- and long-range goals, budget, and Medicare program integrity plans for an organization.
    • Within an organization of Medicare specialists, oversee the operations and work activities to be accomplished by subordinate employees and/or team. 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.

      Time-in-Grade: 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:

      Education

      This job does not have an education qualification requirement.

      Additional information

      Bargaining Unit Position: No
      Tour of Duty: Flexible
      Recruitment/Relocation Incentive: Not authorized
      Financial Disclosure: Not required

      Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement; however, CMS offers flexible working arrangements and allows employees the opportunity to participate in telework combined with alternative work schedules at the manager's discretion. This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Supervisory positions must report a minimum 2 times per week and non-Supervisory positions must report a minimum of 2 times per pay period.

      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. Click here for a detailed description of the required supporting documents . 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 .