Health Insurance Specialist

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight (CCIIO). As a Health Insurance Specialist, GS-0107-14, you will you will lead technical reviews of Qualified Health Plan (QHP) submissions, improve certification processes and tools, develop operational guidance, and coordinate with CMS, States, issuers, and contractors to resolve complex issues.

ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT. Your resume (limited to no more than 2 pages) 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 being considered further. In order to qualify for the GS-14 , 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-13 grade level in the Federal government, obtained in either the private or public sector, to include: Developing or implementing policy, operational, or business requirements related to issuer compliance with Affordable Care Act (ACA) related programs; Reviewing and analyzing Qualified Health Plans (QHPs) in the Federally-Facilitated Marketplaces (FFMs), to ensure compliance with QHP certification; and Overseeing the provision of technical assistance to issuers to ensure compliance with QHP Certification Standards, to include conducting benefit and cost sharing reviews.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, Ameri. Corps) 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/View. Questionnaire/13089787

This job does not have an education qualification requirement.