This job announcement has closed

As a Presidential Management Fellow in a Health Insurance Specialist, GS-0107-9/11 position, you can wear many hats. This series typically performs health care policy or program development, research, analysis, or audit. This position focuses on innovative solutions to current healthcare outcomes.

Refer to: PMF-AO-2024-7641

Learn more about this agency

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Reviewing applications

Open & closing dates

04/18/2024 to 04/24/2024
Salary

$66,670 - $107,590 per year
Pay scale & grade

GS 9 - 11
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Locations
- Denver, CO 1 vacancy
- Woodlawn, MD Many vacancies
Remote job

No
Telework eligible

Yes—as determined by the agency policy.
Travel Required

Occasional travel - You may be expected to travel up to 5% for this position.
Relocation expenses reimbursed

No
Appointment type

Presidential Management Fellows
Work schedule

Full-time
Service

Excepted
Promotion potential

12 - Upon successful completion of the 2-year PMF program, the employee MAY be eligible for conversion to a career-conditional or career appointment with a full performance level of a GS-12.
Job family (Series)
- 0107 Health Insurance Administration
Supervisory status

No
Security clearance

Not Required
Drug test

No
Position sensitivity and risk

Moderate Risk (MR)
Trust determination process
- Suitability/Fitness
- Credentialing
Announcement number

HHS-CMS-PMF-24-12336276
Control number

787121400

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Custom announcement

Custom announcement

Clarification from the agency

Open to 2024 PMF Finalists Only

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Analyze data to interpret how alternative approaches to payment impact health and cost outcomes and quality of care.
Identify potential policy and program problem areas and develop recommendations for resolving them.
Research, evaluate, and interpret statutes, federal regulations, draft legislation, policy statements, other program guidance, and data to prepare and analyze materials to make effective policy recommendations for healthcare program improvements.
Develop federal regulations, policy statements, and other program guidance and materials to effectively communicate and present information to internal and external audiences, such as States.
Conduct evaluations or analyses of program data related to Health Insurance Exchange programs under the Affordable Care Act.

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Conditions of Employment

You must be a U.S. Citizen or National to apply for this position.
You must meet all program, qualification and education requirements.
You will be subject to a background and suitability investigation.
You must sign a Pathways Participant Agreement before starting employment.

Qualifications

To be eligible for the Presidential Management Fellows Program, applicants must meet the following requirements:
1. Presidential Management Fellow candidates from the Class of 2024, and
2. Qualification Requirements:

In order to qualify for the GS-09, you must meet one of the following:

Specialized Experience: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-07 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Assisting with analytical duties related to public service or health care programs; and 2) assisting senior officials in the review or audit of healthcare regulations or policies. - OR -
Substitution of Education for Experience: You may substitute education for specialized experience at the GS-09 grade level by possessing a Master's Degree or equivalent graduate degree or at least 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D. - OR -
Combination of Experience and Education: Only graduate education in excess of the amount required for the GS-07 grade level may be used to qualify applicants for positions at the GS-09 grade level. Therefore, only education in excess of one full year of graduate level education may be used to combine education and experience.

In order to qualify for the GS-11, you must meet one of the following:

Specialized Experience: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-09 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Evaluating or developing public service or healthcare policies; and 2) Providing recommendations for complex issues related to public service or healthcare programs. - OR -
Substitution of Education for Experience: You may substitute education for specialized experience at the GS-11 level by possessing a Ph.D. or equivalent doctoral degree or 3 full years of progressively higher level graduate education leading to such a degree or equivalent doctoral degree or LL.M., if related to the position being filled.- OR -
Combination of Experience and Education: Only graduate education in excess of the amount required for the GS-09 grade level may be used to qualify applicants for positions at the GS-09 grade level. Therefore, only education in excess of two full years of graduate level education may be used to combine education and experience.

TRANSCRIPTS are required at the time of application to verify satisfactory completion of the educational requirement related to substitution of education for experience and combination of experience and education. Please see "Required Documents" section below on what documentation is required.

NOTE: One year of full-time graduate education is considered to be the number of credit hours that the school you attended has determined to represent one year of study. If this information cannot be obtained from your transcript we will consider 18 semester/27 quarter hours to be equal to one year of full-time study.

Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12336276

Education

Additional information

Bargaining Unit Position: Yes-American Federation of Government Employees, Local 1923
Tour of Duty: Flexible
Recruitment/Relocation Incentive: Not Authorized
Financial Disclosure: Not 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.

Salary Range by Location:
Woodlawn, MD
GS-09: $68,405 - $88,926
GS-11: $82,764 - $107,590

Denver, CO
GS-09 - $66,670 - $86,670
GS-11 - $80,665 - $104,861

For more information about pay based on locality, please visit the Office of Personnel Management (OPM) Salaries & Wages Page.

PROGRAM COMPLETION AND CONVERSION: Program participants may be converted, without a break in service, to a term, career or career conditional appointment upon completion of program requirements. The position to which converted may have a full-performance level up to a GS-12. To be eligible for conversion, Presidential Management Fellow must meet all of the following:
- Citizenship requirement
- Complete two continuous years of work experience acquired through a Presidential Management Fellows (PMF) Program
- Meet qualification standards for the position to which the Presidential Management Fellow will be converted
- Any agency-specific requirements specified in the Participant's Agreement
- Demonstrate successful job performance that results in a rating of record of at least fully successful and a recommendation for conversion by the first level supervisor.

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

You will be evaluated for this job based on how well you meet the qualifications above.

Once the announcement has closed, your online application, resume, transcripts and CMS required documents will be used to determine if you meet eligibility and qualification requirements listed on this announcement for this particular position. Please follow all instructions carefully. Errors or omissions may affect your rating.

Applicants meeting the eligibility and minimum qualification requirements will be referred for selection without ranking, in accordance with applicable veterans' preference requirements, Part 302 of 5 Code of Federal Regulations (CFR). Applicants with Veterans' preference who meet the minimum qualification requirements will be listed ahead of non-preference applicants.

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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

Review our benefits

Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.

The following documents are REQUIRED:

1. Resume showing relevant experience; cover letter optional. Your resume must indicate your citizenship and if you are registered for Selective Service if you are a male born after 12/31/59. Your resume must also list your work experience and education (if applicable) including the start and end dates (mm/yyyy) of each employment along with the number of hours worked per week. For work in the Federal service, you must include the series and grade level for the position(s). Your resume will be used to validate your responses to the assessment tool(s). For resume and application tips visit: https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/.

2. College Transcripts. Since this position requires specific education, you must submit a transcript attesting to your possession of the required education. You must submit an unofficial transcript at time of application. An official transcript is required if you are selected for the position. If selected, you must provide an original document before the final job offer may be extended.

College Transcripts and Foreign Education: Applicants who have completed part or all of their education outside of the U.S. must have their foreign education evaluated by an accredited organization to ensure that the foreign education is comparable to education received in accredited educational institutions in the U.S. For a listing of services that can perform this evaluation, visit the National Association of Credential Evaluation Services website. This list, which may not be all inclusive, is for informational purposes only and does not imply any endorsement of any specific agency.

3. Veterans' Documents. If you are a veteran, in addition to your resume and transcripts, you must also submit at the time of application a copy of your latest Certificate of Release or Discharge from Active Duty, DD-214 (copy indicating character of service), or other proof of your service which includes character of service.

PLEASE NOTE:A complete application package includes the online application, resume, transcripts and veterans' documents if applicable. Please carefully review the full job announcement to include the "Required Documents" and "How to Apply" sections. Failure to submit the online application, resume, transcripts and CMS required documents, will result in you not being considered for employment.

Additional Forms REQUIRED Prior to Appointment:
- Optional Form 306, Declaration of Federal Employment and the Background/Suitability Investigation - A background and suitability investigation will be required for all selectees. Appointment will be subject to the successful completion of the investigation and favorable adjudication. Failure to successfully meet these requirements may be grounds for appropriate personnel action. In addition, if hired, a reinvestigation or supplemental investigation may be required at a later time. If selected, the Optional Form 306 will be required prior to final job offer. Click here to obtain a copy of the Optional Form 306.
- Form I-9, Employment Verification and the Electronic Eligibility Verification Program - CMS participates in the Electronic Employment Eligibility Verification Program (E-Verify). E-Verify helps employers determine employment eligibility of new hires and the validity of their Social Security numbers. If selected, the Form I-9 will be required at the time of in-processing. Click here for more information about E-Verify and to obtain a copy of the Form I-9.
- Standard Form 61, Appointment Affidavits - If selected, the Standard Form 61 will be required at the time of in-processing. Click here to obtain a copy of the Standard Form 61.
If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
Your complete application package, as described in the "Required Documents" section, must be received by 11:59 PM ET on 04/24/2024 to receive consideration.

IN DESCRIBING YOUR WORK EXPERIENCE AND/OR EDUCATION, PLEASE BE CLEAR AND SPECIFIC REGARDING YOUR EXPERIENCE OR EDUCATION.

We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Please ensure EACH work history includes ALL of the following information:
- Official Position Title (include series and grade if Federal job)
- Duties (be specific in describing your duties)
- Employer's name and address
- Supervisor name and phone number
- Start and end dates including month and year (e.g. June 2007 to April 2008)
- Full-time or part-time status (include hours worked per week)
- Salary
Determining length of general or specialized experience is dependent on the above information and failure to provide ALL of this information WILL result in a finding of ineligible.
- To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application.
- Follow the prompts to select your resume and/or other supporting documents to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.
- After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process.
- You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application.
To verify the status of your application, log into your USAJOBS account (https://my.usajobs.gov/Account/Login), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: https://www.usajobs.gov/Help/how-to/application/status/.

This agency provides reasonable accommodation to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please send an email to hrinquiries@cms.hhs.gov. The decision to grant reasonable accommodation will be made on a case-by-case basis.

Additional selections may be made from this announcement for similar positions within CMS with the same remote/telework designation and same geographical location, if applicable. For example, for Woodlawn, MD vacancies the "same geographical location" includes Baltimore, Maryland; Bethesda, Maryland; and Washington, D.C
Agency contact information

CMS HR Inquiries

Email

hrinquiries@cms.hhs.gov

Address

Pathways Presidential Management Fellows Program
7500 Security Blvd
Woodlawn, MD 21244
US

Learn more about this agency

Next steps

Once your online application is submitted, you will receive a confirmation notification by email. Your application will be evaluated to determine your eligibility and qualifications for the position. After the evaluation is complete, you will receive another email notification regarding the status of your application.

Within 30 business days of the closing date, 04/24/2024, you may check your status online by logging into your USAJOBS account (https://my.usajobs.gov/Account/Login). We will update your status after each key stage in the application process has been completed.
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

Help

The following documents are REQUIRED:

1. Resume showing relevant experience; cover letter optional. Your resume must indicate your citizenship and if you are registered for Selective Service if you are a male born after 12/31/59. Your resume must also list your work experience and education (if applicable) including the start and end dates (mm/yyyy) of each employment along with the number of hours worked per week. For work in the Federal service, you must include the series and grade level for the position(s). Your resume will be used to validate your responses to the assessment tool(s). For resume and application tips visit: https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/.

2. College Transcripts. Since this position requires specific education, you must submit a transcript attesting to your possession of the required education. You must submit an unofficial transcript at time of application. An official transcript is required if you are selected for the position. If selected, you must provide an original document before the final job offer may be extended.

College Transcripts and Foreign Education: Applicants who have completed part or all of their education outside of the U.S. must have their foreign education evaluated by an accredited organization to ensure that the foreign education is comparable to education received in accredited educational institutions in the U.S. For a listing of services that can perform this evaluation, visit the National Association of Credential Evaluation Services website. This list, which may not be all inclusive, is for informational purposes only and does not imply any endorsement of any specific agency.

3. Veterans' Documents. If you are a veteran, in addition to your resume and transcripts, you must also submit at the time of application a copy of your latest Certificate of Release or Discharge from Active Duty, DD-214 (copy indicating character of service), or other proof of your service which includes character of service.

PLEASE NOTE:A complete application package includes the online application, resume, transcripts and veterans' documents if applicable. Please carefully review the full job announcement to include the "Required Documents" and "How to Apply" sections. Failure to submit the online application, resume, transcripts and CMS required documents, will result in you not being considered for employment.

Additional Forms REQUIRED Prior to Appointment:

Optional Form 306, Declaration of Federal Employment and the Background/Suitability Investigation - A background and suitability investigation will be required for all selectees. Appointment will be subject to the successful completion of the investigation and favorable adjudication. Failure to successfully meet these requirements may be grounds for appropriate personnel action. In addition, if hired, a reinvestigation or supplemental investigation may be required at a later time. If selected, the Optional Form 306 will be required prior to final job offer. Click here to obtain a copy of the Optional Form 306.
Form I-9, Employment Verification and the Electronic Eligibility Verification Program - CMS participates in the Electronic Employment Eligibility Verification Program (E-Verify). E-Verify helps employers determine employment eligibility of new hires and the validity of their Social Security numbers. If selected, the Form I-9 will be required at the time of in-processing. Click here for more information about E-Verify and to obtain a copy of the Form I-9.
Standard Form 61, Appointment Affidavits - If selected, the Standard Form 61 will be required at the time of in-processing. Click here to obtain a copy of the Standard Form 61.

If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.

If you are relying on your education to meet qualification requirements:

Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

Help

Your complete application package, as described in the "Required Documents" section, must be received by 11:59 PM ET on 04/24/2024 to receive consideration.

IN DESCRIBING YOUR WORK EXPERIENCE AND/OR EDUCATION, PLEASE BE CLEAR AND SPECIFIC REGARDING YOUR EXPERIENCE OR EDUCATION.

We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Please ensure EACH work history includes ALL of the following information:

Official Position Title (include series and grade if Federal job)
Duties (be specific in describing your duties)
Employer's name and address
Supervisor name and phone number
Start and end dates including month and year (e.g. June 2007 to April 2008)
Full-time or part-time status (include hours worked per week)
Salary

Determining length of general or specialized experience is dependent on the above information and failure to provide ALL of this information WILL result in a finding of ineligible.

To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application.
Follow the prompts to select your resume and/or other supporting documents to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.
After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process.
You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application.

To verify the status of your application, log into your USAJOBS account (https://my.usajobs.gov/Account/Login), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: https://www.usajobs.gov/Help/how-to/application/status/.

This agency provides reasonable accommodation to applicants with disabilities. If you need a reasonable accommodation for any part of the application or hiring process, please send an email to hrinquiries@cms.hhs.gov. The decision to grant reasonable accommodation will be made on a case-by-case basis.

Additional selections may be made from this announcement for similar positions within CMS with the same remote/telework designation and same geographical location, if applicable. For example, for Woodlawn, MD vacancies the "same geographical location" includes Baltimore, Maryland; Bethesda, Maryland; and Washington, D.C

Agency contact information

CMS HR Inquiries

Email: hrinquiries@cms.hhs.gov
Address: Pathways Presidential Management Fellows Program
7500 Security Blvd
Woodlawn, MD 21244
US

Learn more about this agency

Next steps

Once your online application is submitted, you will receive a confirmation notification by email. Your application will be evaluated to determine your eligibility and qualifications for the position. After the evaluation is complete, you will receive another email notification regarding the status of your application.

Within 30 business days of the closing date, 04/24/2024, you may check your status online by logging into your USAJOBS account (https://my.usajobs.gov/Account/Login). We will update your status after each key stage in the application process has been completed.

The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

This job announcement has closed

Help

Reviewing applications

Open & closing dates

04/18/2024 to 04/24/2024
Salary

$66,670 - $107,590 per year
Pay scale & grade

GS 9 - 11
Locations
- Denver, CO 1 vacancy
- Woodlawn, MD Many vacancies
Remote job

No
Telework eligible

Yes—as determined by the agency policy.
Travel Required

Occasional travel - You may be expected to travel up to 5% for this position.
Relocation expenses reimbursed

No
Appointment type

Presidential Management Fellows
Work schedule

Full-time
Service

Excepted
Promotion potential

12 - Upon successful completion of the 2-year PMF program, the employee MAY be eligible for conversion to a career-conditional or career appointment with a full performance level of a GS-12.
Job family (Series)
- 0107 Health Insurance Administration
Supervisory status

No
Security clearance

Not Required
Drug test

No
Position sensitivity and risk

Moderate Risk (MR)
Trust determination process
- Suitability/Fitness
- Credentialing
Announcement number

HHS-CMS-PMF-24-12336276
Control number

787121400

This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/job/787121400. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.

Health Insurance Specialist

Summary

Overview

Open & closing dates

Salary

Pay scale & grade

Locations

Remote job

Telework eligible

Travel Required

Relocation expenses reimbursed

Appointment type

Work schedule

Service

Promotion potential

Job family (Series)

Supervisory status

Security clearance

Drug test

Position sensitivity and risk

Trust determination process

Announcement number

Control number

This job is open to

Clarification from the agency

Videos

Duties

Requirements

Conditions of Employment

Qualifications

Education

Additional information

How You Will Be Evaluated

Required Documents

If you are relying on your education to meet qualification requirements:

How to Apply

Agency contact information

Next steps

Fair & Transparent