Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Financial Management (OFM), Financial Services Group (FSG), Division of Medicare Secondary Payer Operations (DMPO). As a Supervisory Health Insurance Specialist, GS-0107-15, you serve as the Director of DMPO with overall responsibility for planning and coordinating the functions related to Medicare and payers that are primary or secondary to Medicare. Responsibilities Oversee the national Medicare Secondary Payer and crossover claim operational policies and procedures. Provide management and oversight of the development and maintenance of information technology program systems related to national MSP data and debt collection activities. Ensure that the Division’s work supports CMS’ and HHS’ strategic plans, mission, vision and values. Negotiate schedule, cost, and deliverables with project teams, functional activity groups, and business partners within and outside of the Agency. Direct a staff responsible for employing a variety of techniques to provide comprehensive, balanced information and analysis on all sides of emerging or precedent setting Medicare issues. Requirements Conditions of Employment 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 , 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: 1) Responsibility for planning and coordinating the functions related to developing, analyzing, interpreting, and evaluating coordination of benefit activity between Medicare and payers that are primary or secondary to Medicare. and 2) Developing national Medicare Secondary Payer (MSP) and crossover claim operational policies and procedures for coordinating Medicare benefits with primary and secondary health insurance benefits; and 3) Providing technical expertise in advising CMS leadership on the Medicare Secondary Payer (MSP) Coordination of Benefits (COB), post-payment recovery activities related to group health plan (GHP) and non-GHP MSP claims and debts, including national Workers' Compensation Medicare Set-Aside Arrangement (WCMSA) review process.. 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 Federal employees 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: https://apply.usastaffing.gov/ViewQuestionnaire/12642509 Education Additional Information Bargaining Unit Position: No Tour of Duty: Flexible Recruitment/Relocation Incentive: Not Authorized Financial Disclosure: 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 www.opm.gov/rif/employee_guides/career_transition.asp.