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Lead Health Insurance Specialist

Company: Department Of Health And Human Services
Location: Bethesda
Posted on: June 3, 2021

Job Description:

  • Videos


  • Duties




This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight (CCIIO), Consumer Support Group (CSG), Division of Consumer Advocacy and Assister Support (DCAAS).

As a Lead Health Insurance Specialist, GS-0107-14, you will develop program policy and provide operations support for transparency and disclosure requirements in the private health insurance market.

Learn more about this agency


  • Ensure the organization?s strategic plan, mission, vision, and values are communicated to the team and integrated into the team?s strategies, goals, objectives, work plans, and work products and services.
  • Serve as lead on behalf of DCAAS overseeing the Independent Dispute Resolution (IDR) process development and operations, and systems related to the IDR process and Independent Dispute Resolution entities (IDRE) certification process.
  • Lead the development and analysis of policies related to the IDR process and IDRE certification process.
  • Review, evaluate, and draft recommendations pertaining to the private health insurance market, and advise management on these recommendations.
  • Represent leadership, or CMS as an agency, in contacts with State and local government officials, representatives of private health organizations, and the general public regarding matters which are often of a controversial and sensitive nature.

Travel Required

Occasional travel - You may be expected to travel up to 5% for this position.

Supervisory status


Promotion Potential


  • Job family (Series)

0107 Health Insurance Administration

  • Requirements



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.



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.

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 and analysis of policies related to the private health insurance market;

2) Overseeing the development, operations, or systems related to the private health insurance market; AND

3) Reviewing, evaluating, and drafting recommendations on major policy and operational decisions related to transparency and disclosure and provisions of the Affordable Care Act.

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.

Click the following link to view the occupational questionnaire:


This job does not have an education qualification requirement.

Keywords: Department Of Health And Human Services, Bethesda , Lead Health Insurance Specialist, Other , Bethesda, Maryland

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