Health Insurance Specialist

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare(CM), Division of Chronic Care Management (DCCM) As a Health Insurance Specialist, GS-0107-15, you will serve as a senior operational and policy leader responsible for the strategic oversight, development, implementation, and continuous improvement of complex Medicare Fee-for-Service (FFS) payment systems.

Supervisory and Managerial Leadership Plan, assign, evaluate, and coordinate the work of a professional staff; manage performance, resolve grievances, approve training and leave requests, and foster a productive and inclusive workplace.

Serve as CMS’s National Expert in IPF/ESRD Payment Policy Lead development, analysis, and implementation of Medicare FFS payment policy; interpret regulations; propose modifications to address health care needs and system changes.

Policy Development and Regulatory Work Develop, evaluate, and oversee regulations, manuals, guidelines, program instructions, and policy communications for IRF payment systems.

Strategic Planning and Coordination Across CMS and HHS Advise senior leadership; coordinate clearance of policy materials; ensure alignment with CMS/HHS strategy; negotiate schedules, deliverables, and solutions to sensitive issues.

Lead Correspondence, Liaison, and External Communications, Prepare briefings, regulatory language, and talking points; engage with Congress, OGC, DOJ, OIG, GAO, state agencies, and industry associations; provide expert technical assistance.