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Health Insurance Policy Specialist

4 weeks ago

Washington, United States Centers for Medicare & Medicaid Services Full time
Job Summary

This position is located in the Centers for Medicare & Medicaid Services (CMS), Office of Legislation (OL), Audit Management Group (AMG). As a Health Insurance Specialist, you will play a key role in ensuring the accuracy and effectiveness of CMS policies and programs.

Key Responsibilities
  • Manage and coordinate audits initiated by the Government Accountability Office (GAO) and Office of Inspector General (OIG) related to CMS programs.
  • Write and/or assist in writing responses to GAO/OIG audits on Medicare, Medicaid, CHIP, and private health insurance programs.
  • Prepare and secure clearance of responses associated with GAO/OIG audits, ensuring timely completion and accuracy.
  • Compile briefing materials for senior policy officials in response to GAO/OIG audits.
  • Coordinate and manage activities such as entrance and exit conference meetings, responding to requests for information or documentation, and preparing official agency responses to draft GAO and OIG reports.
Requirements

To be eligible for this position, you must meet the following qualifications:

  • Have at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-11 grade level in the Federal government, obtained in either the private or public sector.
  • Have experience reviewing and analyzing emerging issues related to GAO or OIG reports.
  • Have experience producing written documents for senior officials, including papers, fact sheets, talking points, briefing materials, or responses related to GAO/OIG reports.
  • Have experience serving as a contact for Congressional staff or GAO/OIG auditors on interests and concerns regarding organizational programs.

Please note that substitution of education for experience is not allowed for this position.