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Supervisory Health Insurance Specialist - Department Of Health And Human Services - New York, NY

Supervisory Health Insurance Specialist - Department Of Health And Human Services - New York, NY -
The Department of Health & Human Services (HHS), Facilities for Medicare & Medicaid Services (CMS) works in partnership with the complete well being care group to enhance high quality and effectivity in an evolving well being care system and offers management within the broader well being care market.

CMS’ effectiveness is dependent upon the capabilities of a devoted, skilled employees that’s dedicated to supporting these goals. A profession with CMS presents the chance to become involved on essential nationwide well being care points and be a part of a dynamic, quick-paced, and extremely seen group. For extra info on CMS, please go to: http://www.cms.gov/ .

This place is situated within the Department of Health & Human Services (HHS), Facilities for Medicare & Medicaid Services (CMS), Consortium for Medicare Health Plans Operations (CMHPO), Division of Medicare Health Plans Operations (DMHPO), in New York, NY.

WHO MAY APPLY: This can be a aggressive emptiness, open to all United States Residents or Nationals, marketed beneath Delegated Analyzing Authority. Choices made beneath this emptiness announcement will probably be processed as new appointments to the civil service. Present civil service staff would subsequently be given new appointments to the civil service; nevertheless, advantages, time served and all different Federal entitlements would stay the identical. Click on right here for extra info and definitions relating to candidates who might apply to this emptiness announcement.

This emptiness can also be being introduced concurrently with emptiness announcement CMS-CMHPO-MP-16-1620209 underneath benefit promotion procedures. Should you want to be thought-about beneath each bulletins, you will need to apply individually to every announcement.

Commissioned Corps Officers concerned about making use of for this place ought to ship their CV and canopy letter to DSRWS-CC@cms.hhs.gov . You MUST embrace the Job Announcement Quantity within the topic line of the e-mail or you’ll not be thought-about for the place.

Candidates eligible underneath Schedule A authority, all for making use of for this place ought to ship their resume, cowl letter, and “proof of incapacity” documentation to SpecialPrograms@cms.hhs.gov . You MUST embrace the Job Announcement Quantity within the topic line of the e-mail to obtain consideration for the place. For extra info relating to Schedule A authority click on right here .

Further choices could also be constructed from this announcement for comparable positions inside CMS in the identical geographical location. TRAVEL REQUIRED

Occasional Journey

15% RELOCATION AUTHORIZED

No KEY REQUIREMENTS

You have to be a U.S. Citizen or Nationwide to use for this place

You may be topic to a background and suitability investigation

A one-yr probationary interval could also be required upon appointment

A one-yr supervisory probationary interval could also be required upon appointment DUTIES:


Working within the Medicare Health Plans Department (MHPB), Division of Medicare Health Plans Operations (DMHPO), within the Consortium for Medicare Health Plans Operations, Facilities for Medicare and Medicaid Services (CMS) you may be a principal supply of recommendation to the Affiliate Regional Administrator (ARA), DMHPO and the Consortium Administrator (CA) for Medicare Health Plans together with Prescription Drug Plans (PDP). Particularly you’ll:


  • Handle Medicare Benefit (MA), Prescription Drug Plan (PDP), Program of All-inclusive Look after the Aged (PACE), Reasonably priced Care Act (ACA) Market, or different well being plans points for managers.

  • Develop tips for Medicare Benefit (MA), Prescription Drug Plan (PDP), Program of All-inclusive Look after the Aged (PACE), Reasonably priced Care Act (ACA) Market, or different well being plans in accordance to Medicare or different well being insurance insurance policies and laws.

  • Function the first level of contact on points associated to Medicare and ACA Health Plan program or different healthcare packages.

  • Resolve issues with beneficiaries or Congressional workplaces on healthcare points.

QUALIFICATIONS REQUIRED:
ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.


With a view to qualify on the GS-14, it’s essential to meet the next: You have to reveal in your resume a minimum of one (1) yr of qualifying specialised expertise equal to the 13 grade degree within the Federal Authorities to incorporate: Managing or main groups of individuals on healthcare supply packages associated to Medicare, Medicaid, the Reasonably priced Care Act, or different healthcare plans; and offering management, course, and steerage to employees on their duties or duties associated to those packages or comparable healthcare supply techniques and cost fashions.


Click on the next hyperlink to view the evaluation questionnaire: View Evaluation Questions


Circumstances of Employment:
1. Safety and Background Necessities: If not beforehand accomplished, a background safety investigation shall be required for all selectees . Appointment might be topic to the applicant’s profitable completion of a background safety investigation and favorable adjudication. Failure to efficiently meet these necessities could also be grounds for applicable personnel motion. As well as, if employed, a background safety reinvestigation or supplemental investigation could also be required at a later time. Candidates are additionally suggested that each one info regarding qualifications is topic to investigation. False illustration could also be grounds for non-consideration, non-choice and/or applicable disciplinary motion.


Optionally available Type 306 – Declaration of Federal Employment – obtainable at http://www.opm.gov/varieties/pdf_fill/of0306.pdf . This manner isn’t required to be submitted on the time of submitting your software. Nevertheless, if chosen, this kind might be required previous to remaining job supply.


2. E-Confirm: The Facilities for Medicare and Medicaid Services participates within the Digital Employment Eligibility Verification Program (E-Confirm). E-Confirm helps employers decide employment eligibility of latest hires and the validity of their Social Safety numbers. Click on right here for extra info.


three. Selective Service: Male candidates born after 12/31/1959 should have registered for the Selective Service. Click on right here for extra info.


four. Direct Deposit: All Federal staff are required to have Federal wage funds made by direct deposit to a monetary establishment of their selecting. 5. Oath of Workplace: All Federal staff are required to take the Oath of Workplace and signal Normal Type (SF) 61, Appointment Affidavits.

SF 61 – Appointment Affidavits – out there at http://www.opm.gov/types/pdf_fill/sf61.pdf . This manner is just not required to be submitted on the time of submitting your software. Nevertheless, if chosen, this manner might be required on the time of in-processing. HOW YOU WILL BE EVALUATED:


Should you meet the minimal qualifications for this place, your software and responses to the web questionnaire will probably be evaluated beneath Class Score and Choice procedures for placement in one of many following classes:

Greatest Certified – for many who are superior within the analysis standards

Nicely Certified – for many who excel within the analysis standards

Certified – for many who solely meet the minimal qualification necessities


The Class Score Course of doesn’t add veterans’ choice factors, however protects the rights of veterans by putting them forward of non-choice eligibles inside every class. Veterans with a service related incapacity of 10% or extra will probably be positioned on the prime of the Greatest Certified class (apart from skilled and scientific positions on the GS-9 degree or larger).


As soon as the appliance course of is full, a evaluation of your resume and supporting documentation can be made and in contrast towards your responses to the occupational questionnaire. If, after reviewing your resume and different relevant supporting documentation, a willpower is made that you’ve inflated your qualifications or expertise, your score can be adjusted to extra precisely mirror your information, expertise and skills. Please comply with all directions rigorously. Errors or omissions might have an effect on your score.


Your software shall be evaluated based mostly in your capacity to reveal the next information, expertise and skills/competencies:


  • Managing Change

  • Main Individuals

  • Constructing Coalitions/Communications

  • Outcomes Pushed

  • Enterprise Acumen

BENEFITS: The federal authorities presents a complete advantages package deal together with trip, sick depart, holidays, life insurance, well being advantages, and participation within the Federal Staff Retirement System. For extra info, take a look at OPM’s Worker Advantages Info .


OTHER INFORMATION:
Bargaining Unit Place: No

Tour of Obligation: Versatile


Recruitment Incentive: Not Approved

Monetary Disclosure: Required

Veterans’ Choice: In case you are a veteran claiming veterans’ choice, you have to submit a replica of your DD-214 (Member Copy four) or an official assertion (together with dates of service and Character of Service) out of your command if presently on lively obligation. In case you are a disabled veteran, the widow/widower of a veteran, or the partner of a disabled veteran claiming veterans’ choice, along with the DD-214, you have to additionally submit a Commonplace Type 15 (Software for 10-Level Veteran Choice) and the required supporting paperwork listed on that type. For extra info on veterans’ choice see www.fedshirevets.gov .

The Interagency Profession Transition Help Plan (ICTAP) and Profession Transition Help Plan (CTAP) present eligible displaced federal staff with choice precedence over different candidates for aggressive service vacancies. To be certified you have to submit applicable documentation (a replica of the company discover, your most up-to-date efficiency score, and your most up-to-date SF-50 noting present place, grade degree, and obligation location) and be rated properly certified for this emptiness. Properly certified candidates excel within the analysis standards for the place. Further details about ICTAP and CTAP eligibility is on OPM’s Profession Transition Assets web site at www.opm.gov/coverage-knowledge-oversight/workforce-restructuring/worker-information-to-profession-transition/ .

CMS staff presently collaborating in 100% Full-Time Telework Program could also be eligible to stay in this system. If an worker on this program is chosen, the pay can be set in accordance with the locality pay for the relevant obligation station. The listed wage vary displays the locality pay assigned to the obligation location(s) listed within the emptiness announcement. For extra details about pay based mostly on locality, please go to the Workplace of Personnel Administration (OPM) Salaries & Wages Web page . HOW TO APPLY:

To use for this place, you need to full the occupational questionnaire and submit the documentation specified within the Required Paperwork part under. The entire software package deal (to incorporate resume, occupational questionnaire, transcripts and different relevant supporting paperwork) have to be acquired by 11:59 PM ET on Monday, March 14, 2016 to obtain consideration.

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

We strongly encourage candidates to make the most of the USAJOBS resume builder within the creation of resumes. Please guarantee EACH work historical past consists of ALL of the next info:


  • Job Title (embrace collection and grade if Federal Job)

  • Duties (be particular in describing your duties)

  • Employer’s identify and handle

  • Supervisor identify and telephone quantity

  • Begin and finish dates together with month, day and yr (e.g. June 18 2007 to April 05 2008)

  • Full-time or half-time standing (embrace hours labored per week)

  • Wage

Figuring out size of basic or specialised expertise depends on the above info and failure to offer ALL of this info might end in a discovering of ineligible.


To start, click on Apply On-line to create a USAJOBS account or log in to your present account .


1. Comply with the prompts to pick your USAJOBS resume and/or different supporting paperwork and full the occupational questionnaire.


2. Click on the Submit My Solutions button to submit your software package deal. It’s your duty to make sure your responses and applicable documentation are submitted previous to the time limit.


three. To confirm your software is full, log into your USAJOBS account, https://my.usajobs.gov/Account/Login , choose the Software Standing hyperlink after which choose the Extra Info hyperlink for this place. The Particulars web page will show the standing of your software, the documentation acquired and processed, and any correspondence the company has despatched associated to this software. Your uploaded paperwork might take a number of hours to clear the virus scan course of.


four. To return to an incomplete software, log into your USAJOBS account and click on Replace Software within the emptiness announcement. You have to re-choose your resume and/or different paperwork out of your USAJOBS account or your software might be incomplete.


In the event you full the occupational questionnaire on-line and are unable to add transcripts or supporting doc(s), chances are you’ll fax the doc .


**To fax your paperwork, you will need to use the next cowl web page http://staffing.opm.gov/pdf/usascover.pdf and supply the required info. The Emptiness ID is 1620061 .


**Fax your supporting paperwork to 1(478)757-3144.


You’re inspired to use on-line. Making use of on-line will assist you to evaluate and monitor the standing of your software. In case you can’t full the Software Package deal on-line, you could fax your whole supplies. The entire software package deal have to be acquired by 11:59 PM ET on Monday, March 14, 2016 to obtain consideration. Make a copy of your fax affirmation within the occasion verification is required. In case you utilized on-line and your software is full, don’t fax the paper software (1203FX) as it will overwrite your prior on-line responses and should end in you being discovered ineligible.


To finish the occupational questionnaire and submit full software package deal by way of fax:


**Click on the next hyperlink to view and print the complete occupational evaluation questionnaire View Occupational Questionnaire ;


**Click on the next hyperlink to view and print the 1203FX type to offer your response to the evaluation questionnaire http://www.opm.gov/varieties/pdf_fill/OPM1203fx.pdf ; and


**Fax the entire 1203FX type together with any supporting paperwork to 1(478)757-3144. Your narrative responses are a required doc when submitting a 1203FX software. Your 1203FX will function a canopy web page on your fax transmission. The narrative responses have to be addressed on a separate doc and included as a part of your full software. Please quantity every narrative response with the corresponding questionnaire quantity and restrict your responses to 250 characters.


This company offers affordable lodging to candidates with disabilities. In case you want an inexpensive lodging for any a part of the appliance or hiring course of, please ship an e-mail to the CMS HR Helpdesk ( HRCenterHelpdesk@cms.hhs.gov ). You might also contact the CMS HR Helpdesk at 1(888)423-2737 or (410)786-3936. People who’re deaf or exhausting-of-listening to ought to contact the CMS HR Helpdesk by way of 1(888)423-2737 utilizing of your relay service supplier (Video Relay Services or Teletype Services). The choice to grant affordable lodging might be made on a case-by-case foundation.


REQUIRED DOCUMENTS:The next paperwork are required:
1. Resume displaying related expertise; cowl letter optionally available. Your resume should point out your citizenship and in case you are registered for Selective Service in case you are a male born after 12/31/59. Your resume also needs to listing your instructional and work expertise together with the dates (mm/dd/yy or mm/yyyy) of every employment together with the variety of hours labored per week. For work within the Federal service, please embrace the grade degree for the place(s). Your resume will probably be used to validate your responses to the evaluation software(s). For resume and software ideas go to: https://assist.usajobs.gov/index.php/Most_Effective_Resumes .


2. An entire Occupational Questionnaire.


three. Supporting Paperwork, if relevant (e.g., SF-50, DD-214, SF-15). Supporting paperwork could also be required within the emptiness announcement. Failure to offer applicable documentation MAY end in a not certified score OR non-consideration. Click on right here for an in depth description of the required supporting paperwork. You’ll be required to submit official documentation previous to receiving a last supply. The company will then confirm the knowledge offered in your software (e.g., veterans’ choice, incapacity).


Contact Info: CMS HR Middle Helpdesk

Telephone: 1(888)423-2737 or (410)786-3936

E-mail: HRCenterHelpdesk@cms.hhs.gov

Hours of Operation: Monday – Friday from eight:00AM ET to five:00PM ET (excludes all federal holidays)


PLEASE NOTE: Submission of a resume alone IS NOT an entire software package deal. This place requires the completion of the evaluation questionnaire, transcripts and submission of supplemental paperwork, as described underneath the “Required Paperwork” part of this announcement. Please rigorously evaluation the entire job announcement and the “The right way to Apply” directions. Failure to offer the required info and/or paperwork will end in you not being thought-about for employment. AGENCY CONTACT INFO: CMS HR Middle Helpdesk


Telephone: (888)423-2737


E-mail: HRCENTERHELPDESK@CMS.HHS.GOV


Company Info:
HHS CMS Middle

7500 Safety Boulevard

Mail Cease C4-14-15

BALTIMORE,

MD

21244




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