Health Insurance Specialist

This Health Insurance Specialist position is with Centers for Medicare & Medicaid Services (Department of Health and Human Services) in Phoenix, AZ. This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM).. As a Health Insurance Specialist, GS-0107-14, you will lead Hospital Price Transparency policy development, regulatory alignment, interagency coordination, and technical oversight to advance national healthcare pricing transparency initiatives. Key duties: • Leading development of Hospital Price Transparency regulations, guidance, and public comment responses; evaluate policy alternatives and advise senior leadership on complex regulatory issues. • Aligning with Hospital Price Transparency policies with the Transparency in Coverage rule and No Surprises Act through legislative analysis and coordination across CMS, HHS, Labor, and Treasury. • Advising senior CMS and HHS officials on transparency policy and represent CMS in interagency meetings and stakeholder discussions to advance national healthcare pricing transparency priorities. • Directing contractors and analysts, establish priorities, review policy products, and coordinate policy, compliance, enforcement, legal, and operational teams to ensure effective policy implementation. 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 GS-14, 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. Leading the development of healthcare regulations, guidance, and public comment adjudication for high-impact national policies; 2. Applying understanding of complex contracting methodologies for hospital items and services to address program operations and policy priorities; 3. Coordinating interagency healthcare policy involving overlapping statutory authorities, including the Social Security Act and Public Health Service Act; AND 4. Advising senior leaders on sensitive policy matters, direct technical teams, and align stakeholders with competing interests. 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/13101289 View the full announcement and apply on USAJOBS.gov.