Summary
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare(CM), Division of Acute Care (DAC). As a Health Insurance Specialist, GS-0107-14, you will be a technical expert and principal advisor to the Director and Deputy Director, DAC, providing high-level technical and conceptual expertise on policy development and analysis, data management, quantitative analyses and policy implementation.
Duties
Serves as IPPS payment expert, analyzing policy and data to shape Medicare hospital payment rates, incentives, and legislation impacts, advising senior leadership on IPPS policy, strategic initiatives, and payment system refinements.
Oversees QA for data, modeling, and policy analysis on inpatient valuation; leads IPPS rulemaking coordination and teams; directs analysts; advises leadership; acts for Division Director/Deputy as needed.
Advises DAC payment teams on policy and technical issues, leading work structure and development. Presents policy options to senior leaders and may represent CMS in discussions with officials, Congress, and stakeholders.
Conducts impact analyses of proposed policies and payment rates, evaluating emerging and existing policies. Applies research and new concepts to long-range inpatient payment projects, supporting senior policy makers' decisions.
Coordinates implementation of inpatient payment policies, leading related projects. Serves as resource to CM, CMS, HHS, and congressional staff; advises leadership on legislative impacts; provides technical assistance and training.
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. Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities, and other characteristics): Attention to Detail Customer Service Decision Making Flexibility Influencing/Negotiating Integrity/Honesty Interpersonal Skills Learning Reading Comprehension Self-Management Stress Tolerance Teamwork In order to be considered for this position, you must complete all required steps in the process. In addition to the application and application questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job. 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.