This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/job/587235900. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.
Help
Summary
This position is located in the Center for Clinical Standards and Quality (CCSQ), Coverage and Analysis Group (CAG) within CMS, in Woodlawn, MD.
As the Director, CAG, you will be responsible for overall executive leadership and coordination within HHS, CMS, the medical community, and outside organizations on the development, implementation, and alignment of evidence-based Medicare coverage policies and related activities.
Help
Overview
- Hiring complete
-
Open & closing dates
01/04/2021 to 02/04/2021
-
Salary
$131,239 - $197,300 per year
-
Pay scale & grade
ES 00
-
Location
1 vacancy in the following location:
-
Telework eligible
Yes—as determined by the agency policy.
-
Travel Required
Occasional travel - You may be expected to travel for this position.
-
Relocation expenses reimbursed
No
-
Appointment type
Permanent
-
Work schedule
Full-Time
-
Service
Senior Executive
-
Promotion potential
None
-
Job family (Series)
-
Supervisory status
Yes
-
Security clearance
-
Drug test
No
-
Position sensitivity and risk
-
Trust determination process
-
Announcement number
HHS-CMS-ES-2021-10985460
-
Control number
587235900
Help
This job is open to
-
The public
U.S. Citizens, Nationals or those who owe allegiance to the U.S.
-
Senior executives
Those who meet the five Executive Core Qualifications (ECQs).
Clarification from the agency
All groups of qualified individuals
Help
Duties
- Oversee all facets of the Group's work by mobilizing a team of multi-disciplinary professionals managing and coordinating all facets of the Medicare coverage process.
- Direct the administration of Medicare coverage policies and coordination with other agencies with related missions.
- Oversee the development and modification of Medicare program coverage policies to reflect changes in beneficiary health care needs, program objectives, and the health care delivery system.
- Serve as a technical expert to stakeholders on Medicare coverage policy, including the direction of a national coverage evidentiary system that supports clinically improved health outcomes for beneficiaries.
- Oversee the ongoing clinical review of patient care trends and the scientific literature to evaluate existing and proposed Medicare coverage policy and provide clinical support for policy formulation.
- Oversee the management and conduct of the Medicare Evidence Development and Coverage Advisory Committee (MEDCAC) meetings.
- Direct the development of Medicare coverage policy recommendations based on MEDCAC discussions and recommendations, external technology assessments, and internal review and assessment.
- Provide leadership in the communication of Medicare coverage policy and the basis upon which coverage determinations are made to the clinical and scientific community.
- Promote coordination between Medicare Administrative Contractors (MACs) to strengthen the local coverage determination (LCD) process.
- Oversee the management of the Medicare Coverage Database and other related content on CMS.gov and Medicare.gov for communicating with the public about the Medicare coverage process and national policies.
- Serve as a key liaison to leadership from beneficiary and provider groups, medical technology manufacturers, special interest groups, and other external entities with interests in Medicare national and local coverage analyses and determinations.
Help
Requirements
Conditions of Employment
- U.S. Citizenship required.
- Background and/or Security Investigation required.
- One year SES probationary period required.
- The Ethics in Government Act, PL 95-521 requires the applicant selected for this position to submit a financial disclosure statement, SF-278, prior to assuming the SES position, annually, and upon termination of employment.
- Status applicants must submit a copy of their most recent SF-50, Notification of Personnel Action, which verifies status.
- All initial appointments to an SES position are contingent on approval from OPM's Qualifications Review Board unless the selectee has successfully participated in an OPM approved SES Candidate Development Program.
- All male applicants born after December 31, 1959, must have registered for the selective service. You will be required to sign a statement certifying his registration, or the applicant must demonstrate exempt status under the Selective Service Law.
- Only experience obtained by the closing date of this announcement will be considered.
Qualifications
All competitive candidates for SES positions with the Federal Government must demonstrate leadership experience indicative of senior executive level management capability. To meet the minimum qualification requirements for this position, you must show in your resume that you possess the Fundamental Competencies, five Executive Core Qualifications, and the Professional/Technical Qualifications listed below. Evidence of this experience must be incorporated into your five page resume. Separate narratives for the Executive Core Qualifications and/or Professional/Technical Qualifications will not be accepted or considered. Typically, experience of this nature is gained at or above the GS-15 grade level in the Federal service, or its equivalent with state or local government, the private sector, or nongovernmental organizations.
Fundamental Competencies:
Interpersonal Skills, Oral Communication, Integrity/Honesty, Written Communication, Continual Learning, and Public Service Motivation.
Executive Core Qualifications (ECQs)
This position also requires that you possess PTQs that represent knowledge, skills, and abilities essential for success in this role. The following PTQs must be evident in your resume.
1. Demonstrated ability to mobilize a team of multi-disciplinary professionals to manage and coordinate all facets of the Medicare coverage process while coordinating this work with other agencies who have related missions. Ability should reflect executive level knowledge and experience coordinating within HHS, CMS, the medical community, and outside organizations on the development, implementation, and alignment of evidence-based coverage policies and related activities.
2. Demonstrated executive level experience in providing authoritative recommendations including comprehensive, balanced analysis on all sides of emerging or precedent-setting issues or developments concerning Medicare coverage of medical technologies and treatments. Experience using medical evidence developed within the clinical research community, and other associated policy issues to improve the care and services for Medicare beneficiaries in all settings.
3. Technical expert knowledge of a comprehensive national coverage evidentiary system that supports clinically meaningful improved health outcomes for Medicare beneficiaries. Demonstrated experience overseeing the ongoing clinical review of patient care trends and the scientific literature to evaluate existing and proposed coverage policy and provide clinical support for policy formulation.
It is STRONGLY recommended that you visit the following Office of Personnel Management (OPM) webpage for more information regarding the Fundamental Competencies and ECQs.
https://www.opm.gov/policy-data-oversight/senior-executive-service/executive-core-qualifications/#url=Overview
If selected, you will be required to complete an ECQ package by drafting narratives for each of the ECQs for submission and certification by an OPM Qualifications Review Board (QRB) in order to be placed in this position. If you are currently serving in a career SES appointment, are eligible for reinstatement into the SES, or have successfully completed an SES Candidate Development Program approved by the Office of Personnel Management (OPM), you will not need to draft the ECQs.
Fundamental Competencies:
Interpersonal Skills, Oral Communication, Integrity/Honesty, Written Communication, Continual Learning, and Public Service Motivation.
Executive Core Qualifications (ECQs)
- Leading Change: The ability to bring about strategic change, both within and outside the organization, to meet organizational goals. Inherent to this ECQ is the ability to establish an organizational vision and to implement it in a continuously changing environment.
- Leading People: The ability to lead people toward meeting the organization's vision, mission, and goals. Inherent to this ECQ is the ability to provide an inclusive workplace that fosters the development of others, facilitates cooperation and teamwork, and supports constructive resolution of conflicts.
- Results Driven: The ability to meet organizational goals and customer expectations. Inherent to this ECQ is the ability to make decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks.
- Business Acumen: The ability to manage human, financial, and information resources strategically.
- Building Coalitions: The ability to build coalitions internally and with other Federal agencies, State and local governments, nonprofit and private sector organizations, foreign governments, or international organizations to achieve common goals.
This position also requires that you possess PTQs that represent knowledge, skills, and abilities essential for success in this role. The following PTQs must be evident in your resume.
1. Demonstrated ability to mobilize a team of multi-disciplinary professionals to manage and coordinate all facets of the Medicare coverage process while coordinating this work with other agencies who have related missions. Ability should reflect executive level knowledge and experience coordinating within HHS, CMS, the medical community, and outside organizations on the development, implementation, and alignment of evidence-based coverage policies and related activities.
2. Demonstrated executive level experience in providing authoritative recommendations including comprehensive, balanced analysis on all sides of emerging or precedent-setting issues or developments concerning Medicare coverage of medical technologies and treatments. Experience using medical evidence developed within the clinical research community, and other associated policy issues to improve the care and services for Medicare beneficiaries in all settings.
3. Technical expert knowledge of a comprehensive national coverage evidentiary system that supports clinically meaningful improved health outcomes for Medicare beneficiaries. Demonstrated experience overseeing the ongoing clinical review of patient care trends and the scientific literature to evaluate existing and proposed coverage policy and provide clinical support for policy formulation.
It is STRONGLY recommended that you visit the following Office of Personnel Management (OPM) webpage for more information regarding the Fundamental Competencies and ECQs.
https://www.opm.gov/policy-data-oversight/senior-executive-service/executive-core-qualifications/#url=Overview
If selected, you will be required to complete an ECQ package by drafting narratives for each of the ECQs for submission and certification by an OPM Qualifications Review Board (QRB) in order to be placed in this position. If you are currently serving in a career SES appointment, are eligible for reinstatement into the SES, or have successfully completed an SES Candidate Development Program approved by the Office of Personnel Management (OPM), you will not need to draft the ECQs.
Education
This job does not have an education qualification requirement.
Additional information
Salary for SES positions varies depending on qualifications. The annual salary range is found at the top of this announcement. The selectee for this position may be eligible for annual performance bonuses and performance-based pay adjustments.
Veteran's Preference does not apply to the SES.
Benefits
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.
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.
How You Will Be Evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
We use a multi-step process to evaluate and refer applicants:
- Minimum requirements: Your application must show that you meet all requirements, including the education and/or experience required for this position. You may be found 'not qualified' if you do not possess the minimum competencies required for the position. If your application is incomplete, we may rate you as ineligible.
- Rating: A panel of Senior Executives will review your application and evaluate your qualification for this position based on the information in your application. Your application will be rated, based on the extent and quality of your experience, education, and training relevant to the duties of this position. Interviews will be at the discretion of the panel and/or selection official.
- Referral: If you are among the top qualified candidates, your application will be referred to a selection official for consideration and possible interview.
Benefits
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.
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.
Required Documents
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.
All applicants are required to submit and/or complete the following documents to be considered for the position:
- Resume that contains your full name, address and phone number, and does not exceed the five page limit;
- Cover Letter (optional);
- Online Assessment Questionnaire. To preview the assessment questionnaire, click here: https://apply.usastaffing.gov/ViewQuestionnaire/10985460
Applicants who are currently, or were previously, Federal employees must also submit:
- An SF-50 showing your current or former civil service status; and
- Proof of OPM Qualifications Review Board certification (OPM-approved SES Candidate Development Program graduates), if applicable.
How to Apply
The application process used to recruit for this position is the RESUME BASED method. Although applicants cannot address the ECQs or PTQs separately, evidence of each must be clearly demonstrated in the five page resume and throughout the rest of the application package.
To be considered for this position, you must submit a complete application no later than 11:59 PM (Eastern Time) on the closing date of the announcement - 02/04/2021. If you fail to submit a complete application prior to the closing time, the application system will not allow you to finish. Requests for extensions will not be granted, so please begin the application process with enough time to finish before the deadline.
ALL APPLICANTS: You must submit a resume (five-page maximum - resumes that exceed the five-page limit will not be considered). You may also submit an optional cover letter. Separate written narratives addressing the ECQs and PTQs will not be considered.
You must complete the online assessment questions. If your resume does not support the responses in your questionnaire, you may be rated "ineligible." We recommend that your resume emphasize your level of responsibilities, the scope and complexity of the programs managed, and your program accomplishments, including the results of your actions.
Your five page resume should include the following:
- Job Information (Announcement number and title of job for which you are applying)
- Personal Information (Full name, mailing address, work and home phone number and email addresses)
- Education (College/University name, city and state, major, type and year of degree)
- Work Experience (Job title (including series and grade, if Federal employment, duties and accomplishments, employer's name and address, start and end dates (month and year), hours per week, and salary)
- Evidence of experience which addresses the five ECQs and the PTQs.
- Other qualifications (Job-related training courses (title and year), skills, certifications and licenses, honors, awards, and special accomplishments).
Steps to submit a complete application:
- You must have a USAJobs account and be logged in.
- Once you are logged in and all of your application materials are ready, click the "Apply" button.
- You must respond to all application assessment questions, carefully following the instructions provided. To preview the questions, click here: https://apply.usastaffing.gov/ViewQuestionnaire/10985460
- You will then be asked to upload your resume and optional cover letter. Additional documentation not listed in the Required Documents will not be considered.
Agency contact information
Laura Cowan
- Address
-
Center for Clinical Standards and Quality
7500 Security Blvd
Woodlawn, MD 21244
US
Next steps
You will receive an email informing you of the receipt of your application. Applicants who are determined to be highly qualified by the SES rating panel will be referred to the selecting official for further consideration and possible interview, at which time you will be contacted. All applicants will be notified of the outcome of their applications once a final selection is made.
Fair and Transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
Help
Applicants who are currently, or were previously, Federal employees must also submit:
Required Documents
All applicants are required to submit and/or complete the following documents to be considered for the position:
- Resume that contains your full name, address and phone number, and does not exceed the five page limit;
- Cover Letter (optional);
- Online Assessment Questionnaire. To preview the assessment questionnaire, click here: https://apply.usastaffing.gov/ViewQuestionnaire/10985460
Applicants who are currently, or were previously, Federal employees must also submit:
- An SF-50 showing your current or former civil service status; and
- Proof of OPM Qualifications Review Board certification (OPM-approved SES Candidate Development Program graduates), if applicable.
Help
Steps to submit a complete application:
Learn more about this agency
How to Apply
The application process used to recruit for this position is the RESUME BASED method. Although applicants cannot address the ECQs or PTQs separately, evidence of each must be clearly demonstrated in the five page resume and throughout the rest of the application package.
To be considered for this position, you must submit a complete application no later than 11:59 PM (Eastern Time) on the closing date of the announcement - 02/04/2021. If you fail to submit a complete application prior to the closing time, the application system will not allow you to finish. Requests for extensions will not be granted, so please begin the application process with enough time to finish before the deadline.
ALL APPLICANTS: You must submit a resume (five-page maximum - resumes that exceed the five-page limit will not be considered). You may also submit an optional cover letter. Separate written narratives addressing the ECQs and PTQs will not be considered.
You must complete the online assessment questions. If your resume does not support the responses in your questionnaire, you may be rated "ineligible." We recommend that your resume emphasize your level of responsibilities, the scope and complexity of the programs managed, and your program accomplishments, including the results of your actions.
Your five page resume should include the following:
- Job Information (Announcement number and title of job for which you are applying)
- Personal Information (Full name, mailing address, work and home phone number and email addresses)
- Education (College/University name, city and state, major, type and year of degree)
- Work Experience (Job title (including series and grade, if Federal employment, duties and accomplishments, employer's name and address, start and end dates (month and year), hours per week, and salary)
- Evidence of experience which addresses the five ECQs and the PTQs.
- Other qualifications (Job-related training courses (title and year), skills, certifications and licenses, honors, awards, and special accomplishments).
Steps to submit a complete application:
- You must have a USAJobs account and be logged in.
- Once you are logged in and all of your application materials are ready, click the "Apply" button.
- You must respond to all application assessment questions, carefully following the instructions provided. To preview the questions, click here: https://apply.usastaffing.gov/ViewQuestionnaire/10985460
- You will then be asked to upload your resume and optional cover letter. Additional documentation not listed in the Required Documents will not be considered.
Agency contact information
Laura Cowan
- Address
-
Center for Clinical Standards and Quality
7500 Security Blvd
Woodlawn, MD 21244
US
Next steps
You will receive an email informing you of the receipt of your application. Applicants who are determined to be highly qualified by the SES rating panel will be referred to the selecting official for further consideration and possible interview, at which time you will be contacted. All applicants will be notified of the outcome of their applications once a final selection is made.
Fair & Transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
Beginning of a dialog window for the agency announcing this job. It begins with a heading 2 called "Learn more about Field Operating Offices of the Office of the Secretary of the Army". Escape will cancel and close the window.
Learn more about
Centers for Medicare & Medicaid Services
Become a part of the Department that touches the lives of every American! At the Department of Health and Human Services you can give back to your community, state, and country by making a difference in the lives of Americans everywhere. Join HHS and help to make our world healthier, safer and better for all Americans.
The Centers for Medicare and Medicaid Services (CMS) works in partnership with the entire health care community to improve quality and efficiency in an evolving health care system and provides leadership in the broader health care marketplace. Our effectiveness depends on the capabilities of a dedicated, professional staff that is committed to supporting these objectives. A career with CMS offers the opportunity to get involved on important national health care issues and be part of a dynamic, fast-paced, and highly visible organization.
Agency contact information
Laura Cowan
- Address
-
Center for Clinical Standards and Quality
7500 Security Blvd
Woodlawn, MD 21244
US