Supervisory Health Insurance Specialist

2 weeks ago

Washington, United States US Centers for Medicare & Medicaid Services 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**:

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

**Qualifications**:
**ALL QUALIFICATION REQUIREMENTS MUST BE MET BY 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.**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.
- 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.
- 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

Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics):

- Building Coalitions/Communications
- Business Acumen
- Leading People
- Managing Change
- Results Driven

This is a competitive vacancy announcement advertised under Delegated Examining Authority. Selections made under this vacancy announcement will be processed as new appointments to t

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