Technical Advisor
CMS, Riverdale, MD, United States
Summary
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare, Hospital & Ambulatory Policy Group, Division of Acute Care.
As Health Insurance Specialist, referred here as a Technical Advisor, GS-0107-14, you will lead multiple payment policy teams which focus on payment, legislation, appeals and litigation.
Learn more about this agency
Duties
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Serve as a technical expert and advisor on issues relating to payment methods and policies for the Inpatient and Long Term Care Hospital Prospective Payment System (IPPS/LTCH PPS) .
Develop and execute analyses in order to make policy recommendation regarding how Medicare pays for hospital inpatient services.
Use analysis results to inform and make recommendations to senior leadership on the development of payment rates, payment incentives and policy development for IPPS and LTCH PPS.
Lead projects and team members designed to develop and implement payment policies and incentives for hospital inpatient services.
Requirements
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Conditions of employment
You must be a U.S. Citizen or National to apply for this position.
You will be subject to a background and suitability investigation.
Time-in-Grade restrictions apply.
Qualifications
ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT.
Your resume (limited to no more than 2 pages) 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 being considered further.
In order to qualify for the Technical Advisor position
, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Providing technical direction in implementing payment methods for inpatient and long-term hospital care, and
2) Conducting analysis, in order to inform policy recommendations regarding how Medicare pays for hospital inpatient services, and
3) Providing recommendations to senior leadership based on the analysis of the inpatient and long-term hospital care data.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Time-in-Grade:
To be eligible, current Federal employees must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying.
Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12944144
Education
This job does not have an education qualification requirement.
Additional information
Bargaining Unit Position:
Yes
Tour of Duty:
Flexible
Recruitment Incentive:
Not Authorized
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. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion.
The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP)
provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit the required documentation and be rated well-qualified for this vacancy. Click here for a detailed description of the required supporting documents. A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at www.opm.gov/rif/employee_guides/career_transition.asp.
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Help
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.
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare, Hospital & Ambulatory Policy Group, Division of Acute Care.
As Health Insurance Specialist, referred here as a Technical Advisor, GS-0107-14, you will lead multiple payment policy teams which focus on payment, legislation, appeals and litigation.
Learn more about this agency
Duties
Help
Serve as a technical expert and advisor on issues relating to payment methods and policies for the Inpatient and Long Term Care Hospital Prospective Payment System (IPPS/LTCH PPS) .
Develop and execute analyses in order to make policy recommendation regarding how Medicare pays for hospital inpatient services.
Use analysis results to inform and make recommendations to senior leadership on the development of payment rates, payment incentives and policy development for IPPS and LTCH PPS.
Lead projects and team members designed to develop and implement payment policies and incentives for hospital inpatient services.
Requirements
Help
Conditions of employment
You must be a U.S. Citizen or National to apply for this position.
You will be subject to a background and suitability investigation.
Time-in-Grade restrictions apply.
Qualifications
ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT.
Your resume (limited to no more than 2 pages) 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 being considered further.
In order to qualify for the Technical Advisor position
, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Providing technical direction in implementing payment methods for inpatient and long-term hospital care, and
2) Conducting analysis, in order to inform policy recommendations regarding how Medicare pays for hospital inpatient services, and
3) Providing recommendations to senior leadership based on the analysis of the inpatient and long-term hospital care data.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Time-in-Grade:
To be eligible, current Federal employees must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying.
Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12944144
Education
This job does not have an education qualification requirement.
Additional information
Bargaining Unit Position:
Yes
Tour of Duty:
Flexible
Recruitment Incentive:
Not Authorized
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. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion.
The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP)
provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit the required documentation and be rated well-qualified for this vacancy. Click here for a detailed description of the required supporting documents. A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at www.opm.gov/rif/employee_guides/career_transition.asp.
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Help
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.