This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/job/785973800. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.
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Summary
We are looking to fill Health Insurance Specialist, GS-0107-7/9, positions in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details!
What is a Health Insurance Specialist (HIS)? At CMS, an HIS can wear many hats. This series typically works within health insurance policy development, research, analysis, and program development.
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Overview
- Reviewing applications
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Open & closing dates
04/11/2024 to 04/17/2024
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Salary
$55,924 - $88,926 per year
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Pay scale & grade
GS 7 - 9
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Location
Many vacancies in the following location:
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Remote job
No
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Telework eligible
Yes—as determined by the agency policy.
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Travel Required
Occasional travel - You may be expected to travel up to 5% for this position.
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Relocation expenses reimbursed
No
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Appointment type
Recent Graduates
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Work schedule
Full-time
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Service
Excepted
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Promotion potential
11 - Please see note in the "Additional Information" section.
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Job family (Series)
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Supervisory status
No
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Security clearance
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Drug test
No
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Position sensitivity and risk
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Trust determination process
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Announcement number
HHS-CMS-RG-24-12372289
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Control number
785973800
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This job is open to
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Duties
- Resolve health insurance program issues by conducting research on the problem area, analyzing the results, and making recommendations to management to resolve any problem areas.
- Engage with senior analysts and management in reviewing, analyzing, and developing program documents.
- Review, evaluate, and analyze health insurance programs for efficiency and effectiveness.
- Review draft regulations and responses to CMS' proposed regulations.
- Assist with the administration of health insurance program audits.
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Requirements
Conditions of Employment
- You must be a U.S. Citizen or National to apply for this position.
- You must possess a cumulative GPA of 3.0 or higher on a 4.0 scale.
- 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
PROGRAM REQUIREMENTS: You must be ELIGIBLE and QUALIFIED in order to be referred to Hiring Managers.
ELIGIBILITY REQUIREMENTS: Am I considered a Recent Graduate?
GPA Requirement: You must possess a cumulative GPA of 3.0 on the unweighted 4.0 scale upon completion of your academic degree or certificate program. (GPA 2.95 is rounded to 3.0 and 2.94 is rounded to 2.9.)
To be eligible as a Recent Graduate:
QUALIFICATION REQUIREMENTS: Do I qualify at the GS-07 or GS-09 Grade Level?
In order to qualify for the GS-07, you must meet one of the following:
ELIGIBILITY REQUIREMENTS: Am I considered a Recent Graduate?
GPA Requirement: You must possess a cumulative GPA of 3.0 on the unweighted 4.0 scale upon completion of your academic degree or certificate program. (GPA 2.95 is rounded to 3.0 and 2.94 is rounded to 2.9.)
To be eligible as a Recent Graduate:
- Individuals who within the previous 2 years, completed a qualifying associates, bachelors, masters, professional, doctorate, vocational or technical degree or certificate from a qualifying educational institution. Therefore, you must have completed your educational program no earlier than 4/17/2022. Veterans who were precluded from applying due to their military service obligation, begin their 2-year eligibility period upon release or discharge from active duty. Eligibility for veterans cannot exceed 6 years from the date on which they completed their degrees (or certification). Therefore, veterans must have completed your educational program no earlier than 4/17/2018.
- To verify your eligibility as a Recent Graduate, you must submit the following at the time of application: A copy of your unofficial transcripts from the educational institution you attended attesting to your possession of the required education. Your unofficial transcripts must reflect: (1) your name; (2) overall grade point average (GPA); and (3) Degree Type (e.g., Bachelor's, Master's, etc.) and Degree Major; AND (4) the date your Degree was conferred. Failure to submit proof of degree/certificate completion at time of application will result in the withdrawal of your application from consideration for this position.
- Individuals who are degree candidates for this current semester/term, i.e. Spring 2024, scheduled to complete a qualifying Associate's, Bachelor's, Master's, Doctorate, professional, vocational or technical degree or certificate program AND degree/certificate has not been conferred at time of application.
- To verify your eligibility as a Degree Candidate for Spring 2024: you must submit the following at the time of application: A copy of your unofficial transcripts from the educational institution you attended attesting to your education completed to date. Your unofficial transcripts must reflect: (1) your name; (2) overall grade point average (GPA); AND (3) Degree Type (e.g., Bachelor's, Master's, etc.) and Degree Major. If referred and selected, you must submit an additional unofficial transcript that confirms the date your degree was conferred before an Official Offer can be made. Degree must be conferred by June 30, 2024. Failure to submit proof of degree/certificate completion will result in the withdrawal of your application from consideration for this position.
QUALIFICATION REQUIREMENTS: Do I qualify at the GS-07 or GS-09 Grade Level?
In order to qualify for the GS-07, 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-05 grade level in the Federal government, obtained in either the private or public sector, to include: 1) assisting in performing routine analytical studies; and 2) preparing written materials (e.g., position papers, briefing materials, procedures) for senior staff. -OR-
- Substitution of Education for Experience: You may substitute education for specialized experience at the GS-07 grade level by possessing at least one full year of graduate level education. One year of full-time graduate education is considered to be the number of credit hours that the school attended has determined to represent 1 year of full-time study. If that information cannot be obtained from the school, 18 semester hours should be considered as satisfying the 1 year of full-time study requirement. Part-time graduate education is creditable in accordance with its relationship to a year of full-time study at the school attended - OR -
- Superior Academic Achievement: A bachelor's degree from an accredited college or university AND one of the following provisions of superior academic achievement:
- A grade-point average of "B" (3.0 or higher on a 4.0 scale) for all completed undergraduate courses or those completed in the last two years of undergraduate study. For example, 2.95 is rounded to 3.0, and 2.94 is rounded to 2.9.
- A grade-point average of 3.5 or higher on a 4.0 scale for all required courses completed in your major field of study, or those required courses in your major completed in the last two years of your undergraduate study.
- Rank in the upper one-third of your class in the college, university, or major subdivision.
- Membership in a national honor society (other than freshman honor societies) recognized by the Association of College Honor Societies. - OR -
- Combination of Experience and Education: Equivalent combinations of successfully completed post-high school education and experience may be used to meet total experience requirements at the GS-07 grade level. The percentage of your total qualifying experience the education must equal to 100% to qualify for this grade.
- 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) performing routine analytical studies related to healthcare programs or policies; and 2) assisting with developing health insurance operational guidance policies, reports, or procedures. - 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.
Education
Qualifications Continued:
NOTE: If you are using specialized experience to qualify for this position, 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.
NOTE: A certificate program is defined as post-secondary education, in a qualifying educational institution, equivalent to at least one academic year of full-time study (30 undergrad credits/18 grad school credits) that is part of an accredited college-level, technical, trade, vocational, or business school curriculum.
Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12372289
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. Telework eligibility will be discussed during the interview process. All supervisory employees 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-07: $55,924 - $72,703
GS-09: $68,405 - $88,926
For more information about pay based on locality, please visit the Office of Personnel Management (OPM) Salaries & Wages Page.
Conversion Eligibility: Recent Graduates may be eligible for non-competitive conversion to a career, career-conditional, or term appointment after successful completion of the Pathways Recent Graduate program. The position to which converted may have a full-performance level up to a GS-12.
NOTE: Full Performance Level (FPL): Employees selected for this position may be eligible for promotion up to the GS-11 level while in the Pathways Program and up to the GS-12 level after successful completion of the Program. There is no obligation to provide future promotions if you are selected.
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.
If you meet the minimum qualifications and education requirements for this position, your application and responses to the online occupational questionnaire will be evaluated under Category Rating and Selection procedures for placement in one of the following categories:
- Well Qualified - for those who excel in the evaluation criteria
- Qualified - for those who only meet the minimum qualification requirements
You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics):
- Analysis
- Health Insurance
- Oral Communication
- Written Communication
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. If you are found to be among the top qualified candidates, you will be referred to the selecting official for employment consideration. Please follow all instructions carefully. Errors or omissions may affect your rating.
CMS Pathways - Recent Graduate candidates will meet the qualification requirement consistent with the OPM qualification standards applicable to the position being filled. Veterans' preference applies to selections made under the Pathways authority in accordance with Part 302 of 5 Code of Federal Regulations (CFR). Candidates who meet the eligibility and qualification requirements need not be further evaluated.
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.
To apply for this position, you must submit a complete Application Package which includes:
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. For work in the Federal service, you must include the series and grade level for the position(s). For resume and application tips visit: https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/.
Your resume will be used to validate your responses to the assessment tool(s). We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Determining length of general or specialized experience is dependent on the information provided in the resume. Failure to include ALL of the information listed below on your resume WILL result in a finding of ineligible.
- 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 in the month and year format (e.g. June 2007 to April 2008)
- Full-time or part-time status (include hours worked per week)
- Salary
2. CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.). Supporting documents may be necessary to be considered for this vacancy announcement. Click here for a detailed description of the required supporting documents. Failure to provide the appropriate documentation WILL result in an ineligible rating OR non-consideration.
3. All 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. If you have preceding education, ensure that you submit ALL transcripts to potentially receive credit. 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.
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.
How to Apply
Your complete application package must be submitted by 11:59 PM (ET) on 04/17/2024 of the announcement 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
- 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.
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 brandie.poulin@cms.hhs.gov. The decision to grant reasonable accommodation will be made on a case-by-case basis.
Commissioned Corps Officers (including Commissioned Corps professionally boarded applicants) who are interested in applying for this position must send their cover letter and professional resume (not PHS Curriculum Vitae) to CMSCorpsJobs@cms.hhs.gov in lieu of applying through this announcement. The resume should specifically explain how you are qualified for this position and draw specific attention to your skills and experiences that demonstrates these qualifications. Also send any transcripts, licenses or certifications as requested in this announcement. Please send all documents in 1 PDF file. In the subject line of your e-mail include only the Job Announcement Number. In the body of your e-mail include your current rank name and serial number. Failure to provide this information may impact your consideration for this position.
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
- hrinquiries@cms.hhs.gov
- Address
-
Pathways Recent Graduates Program
7500 Security Blvd
Woodlawn, MD 21244
US
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,04/17/2024, 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.
Fair and Transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
Help
Required Documents
To apply for this position, you must submit a complete Application Package which includes:
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. For work in the Federal service, you must include the series and grade level for the position(s). For resume and application tips visit: https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/.
Your resume will be used to validate your responses to the assessment tool(s). We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Determining length of general or specialized experience is dependent on the information provided in the resume. Failure to include ALL of the information listed below on your resume WILL result in a finding of ineligible.
- 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 in the month and year format (e.g. June 2007 to April 2008)
- Full-time or part-time status (include hours worked per week)
- Salary
2. CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.). Supporting documents may be necessary to be considered for this vacancy announcement. Click here for a detailed description of the required supporting documents. Failure to provide the appropriate documentation WILL result in an ineligible rating OR non-consideration.
3. All 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. If you have preceding education, ensure that you submit ALL transcripts to potentially receive credit. 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.
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
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 brandie.poulin@cms.hhs.gov. The decision to grant reasonable accommodation will be made on a case-by-case basis.
Commissioned Corps Officers (including Commissioned Corps professionally boarded applicants) who are interested in applying for this position must send their cover letter and professional resume (not PHS Curriculum Vitae) to CMSCorpsJobs@cms.hhs.gov in lieu of applying through this announcement. The resume should specifically explain how you are qualified for this position and draw specific attention to your skills and experiences that demonstrates these qualifications. Also send any transcripts, licenses or certifications as requested in this announcement. Please send all documents in 1 PDF file. In the subject line of your e-mail include only the Job Announcement Number. In the body of your e-mail include your current rank name and serial number. Failure to provide this information may impact your consideration for this position.
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
Learn more about this agency
How to Apply
Your complete application package must be submitted by 11:59 PM (ET) on 04/17/2024 of the announcement 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
- 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.
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 brandie.poulin@cms.hhs.gov. The decision to grant reasonable accommodation will be made on a case-by-case basis.
Commissioned Corps Officers (including Commissioned Corps professionally boarded applicants) who are interested in applying for this position must send their cover letter and professional resume (not PHS Curriculum Vitae) to CMSCorpsJobs@cms.hhs.gov in lieu of applying through this announcement. The resume should specifically explain how you are qualified for this position and draw specific attention to your skills and experiences that demonstrates these qualifications. Also send any transcripts, licenses or certifications as requested in this announcement. Please send all documents in 1 PDF file. In the subject line of your e-mail include only the Job Announcement Number. In the body of your e-mail include your current rank name and serial number. Failure to provide this information may impact your consideration for this position.
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
- hrinquiries@cms.hhs.gov
- Address
-
Pathways Recent Graduates Program
7500 Security Blvd
Woodlawn, MD 21244
US
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,04/17/2024, 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.
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
The Department of Health & Human Services (HHS), Centers for Medicare & 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.
CMS' 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 in important national health care issues and be part of a dynamic, fast-paced, and highly visible organization. For more information on CMS, please visit: http://www.cms.gov/.
Join CMS for an incredible opportunity. The CMS Pathways - Recent Graduates Program provides dedicated recent graduates from a variety of educational institutions with a career that includes improving health care and ensuring coverage for all Americans.
These positions are located throughout the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS).
Agency contact information
CMS HR Inquiries
- hrinquiries@cms.hhs.gov
- Address
-
Pathways Recent Graduates Program
7500 Security Blvd
Woodlawn, MD 21244
US