Summary
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Medicare Plan Payment Group (MPPG), Division of Payment Reconciliation (DPR). As a Health Insurance Specialist, referred here as a Health Insurance Specialist (Data Analysis & Studies), GS-0107-13, you will perform data analysis and lead studies and projects related to Medicare programs.
Duties
Design, plan, and conducts complex data analyses and studies supporting Medicare Part D operations/policy and Part C enrollment and encounter data operations/policy/
Validate and interpret program data; identifies trends, disparities, data-quality issues, and operational risks; and develops technically sound recommendations.
Research and analyze policy issues, laws, regulations, and program requirements and evaluates operational and data implications.
Lead cross-functional project to improve data quality, business practices, operational requirements, reporting, and program performance.
Prepare reports, metrics, briefings, presentations, and recommendations and work with stakeholders to resolve complex program and data issues.
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. You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics): Attention to Detail Customer Service Decision Making Flexibility 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.