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Network Value-based Contracting Medicaid, Regional NE Lead Director

Clipped from: https://www.indeed.com/viewjob?jk=9c8cc38538c0c521&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Benefits

Pulled from the full job description

Relocation assistance

Candidates must reside in VA with commutable distance to Richmond office location or must be able and willing to relocate to VA. Candidates may have an opportunity for relocation assistance.

The Regional Lead Director, Network Management VBC-Northeast Region is accountable for working with our strategic provider partners to develop innovative value-based solutions to meet total cost and quality goals for our Medicaid businesses. This role leads a team of approximately 3 employees.


 

  • Responsible for designing conceptual models, initiative planning, and negotiating high value/risk contracts with the most complex and challenging, market/region/national, largest group/system or highest value/volume of spend providers in accordance with company standards in order to maintain and enhance provider networks, while working cross functionally to ensure consistency with all contracting strategies and meeting and exceeding accessibility, quality, compliance, and financial goals and cost initiatives.
  • Drives or guides development of holistic solutions or strategic plans negotiates and executes contracts with the most complex, market /region/national, largest group/system or highest value/volume of spend providers with significant financial implications.
  • Works with Territory Performance Team to manage contract performance and drives the development and implementation of value based contract relationships in support of business strategies.
  • Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within defined groups.
  • Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.
  • Responsible for identifying and managing cost issues and collaborating cross functionally to execute significant cost saving initiatives.
  • Represents company with high visibility constituents, including customers and community groups. Promotes collaboration with internal partners.
  • Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements.
  • Collaborates with internal partners to assess effectiveness of tactical plan in managing costs. May optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met.
  • Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.

Pay Range

The typical pay range for this role is:
Minimum: 100,000
Maximum: 221,000

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.


Required Qualifications

 

  • Resides commutable distance to Richmond office location or willing to relocate to commutable distance to Richmond office location
  • Minimum 8+ years of related experience and expert level negotiation skills with successful track record negotiating contracts with large or complex provider systems.
  • Experience developing, negotiating, executing and managing value-based arrangements. Strong understanding of value-based metrics and analytics.
  • Must understand strategy around risk arrangements
  • Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements.
  • Experience leading a team
  • Strong communication, critical thinking, problem resolution and interpersonal skills.

Preferred Qualifications

 

  • Project and/or Program Management
  • Provider Relations for VBS

Education

Bachelor’s Degree or equivalent experience

Business Overview

Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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Investigator – Medicaid Fraud Division | Minnesota Attorney General’s Office

Clipped from: https://jobs.startribune.com/job/427002/investigator-medicaid-fraud-division/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Job Summary

The Office of Attorney General Keith Ellison — one of Minnesota’s largest public law offices and recognized as a 2021/2022 Star Tribune Top Workplace Minnesota and 2022 Top Workplace USA — has a clear mission: we help Minnesotans afford their lives and live with dignity, safety, and respect. We are a dynamic group of dedicated professionals who could all work elsewhere but choose public service as a calling, and we are actively building an internal culture that supports that calling.

The Office is seeking a highly capable individual with the skills and drive to uncover, investigate, and stop fraudulent claims made to taxpayer-funded public health insurance programs.  This investigator makes a difference in the lives of vulnerable people and contributes to the economic well-being of Minnesotans and our state.

Investigators conduct criminal investigations into health care providers suspected of defrauding the Minnesota Medicaid program.  The investigator reviews complaints against public health care providers; evaluates and analyzes claims data, medical records, and financial records; conducts research and surveillance; interviews victims, witnesses, and targets of investigations; participates in the execution of search warrants; drafts reports summarizing investigative findings; and works with attorneys to prepare cases for prosecution.  Investigators are required to testify about their findings at criminal jury trials.

This position is eligible for a hybrid work environment.

 
 

Minimum Qualifications

  • Bachelor’s degree or demonstrable similar experience Good academic credentials
  • Ability to perform assigned job responsibilities with a high level of professionalism
  • Proven ability to show excellent judgement, character, and work ethic
  • Intermediate or advanced proficiency in Microsoft Office
  • Demonstrated skill in

 
 

  • Research and writing
  • Critical thinking
  • Communication

To be considered at the Legal Assistant 6 (LA6) level applicants must have 6 or more years related experience.

To be considered at the Legal Assistant 7 (LA7) level applicants must have 12 or more years related experience.   

LA5 Salary Range: $22.67 – $33.41/hourly; $47,334 – $69,760/annually

LA6 Salary Range: $24.58 – $37.51/hourly; $51,323 – $78,320/annually

LA7 Salary Range: $26.87 – $47.69/hourly; $56,104 – $99,576/annually

 
 

Preferred Qualifications

  • Fluency in Spanish, Hmong, Somali, or other relevant language for Minnesota
  • Education or experience in one of the following fields:

 
 

  • Accounting or finance; economics or statistics; criminal justice, law enforcement, or investigations; healthcare or nursing

 
 

Why Work For Us 

GREAT BENEFITS PACKAGE! The State of Minnesota offers a comprehensive benefits package including low cost medical and dental insurance, employer paid life insurance, short- and long-term disability, pre-tax flexible spending accounts, retirement plan, tax-deferred compensation, generous vacation and sick leave, and 12 paid holidays each year.

Public service with this office may qualify applicants to have part of their student loans forgiven under a federal student loan forgiveness program for state government employees.  (Visit www.studentaid.ed.gov/sa/repay-loans/forgiveness-cancellation/public-service for more information.)

Our differences make us stronger and leveraging them helps us create a workforce where everyone can thrive. The State of Minnesota is an equal opportunity employer. We are committed to embedding diversity, equity, inclusion, and accessibility at our workplace. We do this by developing strong leaders and advocates, increasing cultural competence, and understanding among all employees, and removing institutional barriers and attitudes that prevent employees from advancing as far as their talents will take them. We prohibit discrimination and harassment of any kind based on race, color, creed, religion, national origin, sex (including pregnancy, childbirth and related medical conditions), marital status, familial status, receipt of public assistance, membership or activity in a local human rights commission, disability, genetic information, sexual orientation, gender expression, gender identity, or age.

 
 

How to Apply

Interested applicants must apply online through the State of Minnesota Careers website, which is the State’s official application and hiring site. The deadline for applications is December 27, 2022.

  1. Go to www.mn.gov/careers;
  2. Apply for posting number 61220
  3. Direct Link

Contact

If you have any questions about the application process, please contact Jake Pleschourt at jake.pleschourt@ag.state.mn.us or (651) 757-1057.

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Process Improvement Consultant – NC Medicaid Healthy Blue | Elevance Health

Clipped from: https://www.linkedin.com/jobs/view/process-improvement-consultant-nc-medicaid-healthy-blue-at-elevance-health-3381332490/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Description

 
 

LOCATION: This is remote from home opportunity supporting NC Medicaid. Eastern or Central Time zone located candidates are preferred.

 
 

HOURS: General business hours, Monday through Friday.

 
 

Responsible for generating process improvements that bring about measurable improvement in quality and/or efficiency. Contributes to achieve department’s objectives by serving as key contact for researching and implementing solutions and tools for new systems and other key operational improvements, provide guidance to leads, operations experts, associates, and/or managers on process improvement issues.

 
 

Primary Duties May Include, But Are Not Limited To

 
 

  • Represents the department on process improvement teams, special projects and implementation of new technology.
  • Lead role in coordinating annual review/revision of procedures.
  • Leads the training of associates when new processes or procedures are implemented.
  • Communicates process information and facilitates workgroups to ensure accurate and consistent workload reporting.
  • Review /analyze monthly workload reports to ensure goals are on-target (timeliness, backlog) across all operational sites.
  • Identify areas of concern & implement corrective plans if necessary.
  • Uses reports and production statistics to represent unit(s) in departmental process improvement and system changes and provides specialized input on reports to management.

 
 

Required Qualifications

 
 

  • Requires a BA/BS in a related field and minimum of 5 years related experience; or any combination of education and experience, which would provide an equivalent background.
  • Ability to travel may be required.

 
 

Preferred Qualifications

 
 

  • Experience interacting confidently with senior management or state representatives, as a subject matter expert, is a must!
  • Must be comfortable influencing decision-making.
  • Previous experience in high-volume operations (Medical Review, Appeals, Claims, Customer Service) strongly preferred.
  • Demonstrated ability to analyze existing and potential workflows, processes, supporting systems, and procedures and identifying improvements strongly preferred.
  • Excellent oral, written, and interpersonal communication skills, strong analytical, organizational, planning, problem solving, and project/decision facilitation skills strongly preferred.

 
 

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

 
 

Be part of an Extraordinary Team

 
 

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

 
 

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

 
 

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

 
 

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

 
 

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

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AZ Medicaid- Title: Accountant 1

Clipped from: https://jobs.azahcccs.gov/title-accountant-1/job/20776155?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

AHCCCS

The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.

AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.


Come join our dynamic and dedicated team.

Accountant 1
 

Job Location:

Address:  801 E. Jefferson Street, Phoenix, Arizona 85034

Posting Details:

Salary: $47,850 – $51,394

Grade: 19
 

Closing Date: Open until filled

Job Summary:

The Division of Business and Finance (DBF) is looking for a highly motivated individual to join our team as an Accountant-1. The person in this position will be responsible to validate and reconcile system interface files from PMMIS to AFIS. This person will also handle the unit call center to research and answer providers’ concerns and requests. Major duties and responsibilities include but are not limited to:

* Validate and reconcile system interface files from PMMIS to AFIS for payments.

* Monitor processing of Medicaid provider creation and modification interface files into AFIS and identify issues for corrective action.


* Process and review providers electronic funds transfer (ACH/EFT) enrollment requests.


* Reconcile and report sub fund revenues/expenditures and cash balance to management on a monthly basis.


* Reconcile suspense account and research aged invoice status in AFIS on an annual basis.


* Run weekly Health Plans payment report for management.


* Run monthly, quarterly and annually report for Department of Insurance.


* Enter and process supplemental manual payments in accordance to appropriated funds and Federal rates.


* Review supplemental Manual Payments entered by other staff to make sure they are in accordance with appropriate funds and federal rates.


* Monitor providers’ tickets and warrant inquiries email for provider concerns and requests.


* Support unit call center for providers’ inquires and requests.

Knowledge, Skills & Abilities (KSAs):

* Generally Accepted Accounting Principles (GAAP); comprehensive knowledge of the principles, concepts, practices, methods, and techniques of governmental accounting.

* Demonstrate independence, strong analytical, organizational, and problem-solving skills, including the ability to maintain and reconcile complex multiple funding source payment methodologies.


* Good oral and written communication skills.


* Ability to adapt to changing priorities in an efficient and effective manner.

Qualifications:

Minimum:
* Bachelor’s Degree in accounting or a closely related field required.

Preferred:

* Knowledge and experience of robust automated accounting systems. Accounts Payable, Cash Receipt, General Ledger and Vendor Customer modules are a plus
* Proficient in Microsoft Office (Excel, Word, Power Point).

Pre-Employment Requirements:

* Successfully complete the Electronic Employment Eligibility Verification Program (E-Verify), applicable to all newly hired State employees.

* Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions.


* Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.

Benefits:

Among the many benefits of a career with the State of Arizona, there are:
10 paid holidays per year
Paid Vacation and Sick time off (12 and 13 days per year respectively) – start earning it your 1st day (prorated for part-time employees)
A top-ranked retirement program with lifetime pension benefits
A robust and affordable insurance plan, including medical, dental, life, and disability insurance
Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
RideShare and Public Transit Subsidy
A variety of learning and career development opportunities
Opportunity to work 100% virtually or remotely on an ad-hoc basis (home office)

By providing the option of a full-time or part-time virtual/remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.

For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement:

Lifetime Pension Benefit Program
Administered through the Arizona State Retirement System (ASRS)
Defined benefit plan that provides for life-long income upon retirement.
Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).

Deferred Retirement Compensation Program

Voluntary participation.
Program administered through Nationwide.
Tax-deferred retirement investments through payroll deductions.

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing careers@azahcccs.gov.
Requests should be made as early as possible to allow time to arrange the accommodation. Arizona State Government is an AA/EOE/ADA Reasonable Accommodation Employer.

Posted on

Medicaid Managed Care Ombudsman, Family Support and Health Care Program – Charlotte, NC

Clipped from: https://www.indeed.com/viewjob?jk=a402e9211a03ae3a&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Benefits

Pulled from the full job description

Dental insurance

Health insurance

Vision insurance

Indeed’s salary guide

  • Not provided by employer
  • $35.4K – $44.8K a year is Indeed’s estimated salary for this role in Charlotte, NC.

POSITION NOTICE


 

Medicaid Ombudsman
Family Support and Health Care Program


Charlotte Center for Legal Advocacy, non-profit agency that provides legal

assistance in civil matters to low-income person in Charlotte and Western North Carolina,
seeks an Ombudsman for the NC Medicaid Ombudsman program, working closely with
the Advocacy Center’s Family Support and Health Care Program. More information about
the Advocacy Center can be found on its website, www.charlottelegaladvocacy.org


Responsibilities



 

  • Assist low-income families by telephone and online to access and use health care

coverage under Medicaid and in resolving disputes with Medicaid health insurance
plans

  • Assist with outreach to educate families of available coverage choices and their

rights under Medicaid managed care

  • Provide referrals to appropriate agencies for applicants and enrollees with

grievances, complaints, questions, or need for other social services

  • Provide all information and services in a manner that is culturally and linguistically

appropriate and ensure accessibility for individuals with disabilities

  • Work with English and Spanish language media (including print, radio, and

television) to share information on the NC Medicaid Ombudsman program
 

Qualifications

  • Two-year or four-year college degree or equivalent training or experience
  • Paralegal, legal assistant, or social work training or experience preferred
  • Spanish language proficiency is preferred
  • Experience working with low-income communities preferably at a non-profit or

community-based organization within a multi-ethnic/multi-cultural environment
preferred

  • Experience with public benefits eligibility and/or work experience as a health

insurance service representative preferred

  • Proficiency in MS Office, including Word, Excel, Power Point and Adobe PDF

professional

  • Ability to work independently and in a team environment
  • Ability to effectively collaborate with co-workers and clients in virtual and in-person

meetings

General Requirements

  • Be free from conflicts of interests, including payments and incentives from health

insurance industry

  • Possess socio-economic and cultural sensitivity and ability to communicate with

persons in crisis or under stress

  • Ability to multi-task and interact well with colleagues, clients, and others.

Physical Requirements

  • Prolonged periods of sitting at a desk and working on a computer.
  • Must be able to lift 15 pounds at times.
  • Must be able to access and navigate each department at the organization’s

facilities.

Classification

This is a full-time, salary, non-exempt position with the starting salary scale beginning
at $38,350, may be adjusted for experience.

Charlotte Center for Legal Advocacy offers a generous leave and benefits package,
including medical, dental, and vision coverage at 100% for employees, 22 paid days of
General Leave, 12 paid holidays, and 100% employer-paid professional liability.

To Apply

Please send a resume and cover letter to careers@charlottelegaladvocacy.org and include
the position for which you are applying in the subject line of your email.

Charlotte Center for Legal Advocacy provides equal employment opportunities to all
employees and applicants for employment and prohibits discrimination and harassment of
any type without regard to race, color, religion, age, sex, national origin, disability status,
genetics, protected veteran status, sexual orientation, gender identity or expression, or any
other characteristic protected by federal, state, or local laws. This policy applies to all terms
and conditions of employment, including recruiting, hiring, placement, promotion,
termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Posted on

VP Regional Medicaid President – Humana

Clipped from: https://careers.humana.com/job/17311376/vp-regional-medicaid-president-multiple-locations-remote/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

If you are an existing CenterWell or Humana
associate, please apply through go/associatecareers using a Chrome or Edge browser.


 

 
 

About this job

Description

Humana is expanding its Medicaid footprint. We are seeking Medicaid State Leaders. The State Market Leader will be based in IN, TX, VA or GA and will be the primary contact for the local Department of Medicaid Services regarding all issues and will coordinate with other key personnel to fulfill programmatic requirements.

Responsibilities

Humana’s Medicaid State Market Leader will be responsible for the overall strategic direction, oversight, and administration of programs and services for our Medicaid program in one of the following states; IN, TX, VA or GA.  They will lead the Humana’s Medicaid executive team and report directly to Humana’s National Medicaid President. The

Read more about this job

Apply now

Share this job:

Humana is at the nexus of the innovation taking place within healthcare. Broadly speaking, we are one of the most active participants in the sector. This is an exciting company headquartered in a city with an excellent quality of life!

Oliver
Director, Corporate Development and Venture Capital

 
 

I looked for the opportunity for growth and stability and I found it here.

Barry
Manager, Software Engineering Strategic HR Systems

 
 

Humana has really helped my sense of belonging because I feel part of the team.

Rosemary
Senior Consumer Experience Professional

 
 

I chose to work at Humana because I heard a lot of great things about the company. It’s a very accommodating place and I enjoy working here.

Majenta
Inbound Contact Representative

The best part of this company is the commitment to associates, which naturally leads to commitment to members.

Abigail
Medical Director, Mid-South

 
 

Equal Opportunity Employer

It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact yourcareer@humana.com for assistance.

Humana Health and Safety Policy

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working outside of their homes. Learn how we are doing our part

Humana Security Notice

Humana will never ask, nor require a candidate to provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact yourcareer@humana.com to validate the request.

California Residents

If you are a California resident and would like to review our California Consumer Privacy Act (CCPA) Policy click here:

CA Resident Privacy Policy

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Medicaid Fraud Criminal Investigator at State of Montana

Clipped from: https://www.ziprecruiter.com/c/State-of-Montana/Job/Medicaid-Fraud-Criminal-Investigator/-in-Bozeman,MT?jid=43d3ed5b2eccb2e0&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Description:

Division Overview:



Montana’s Division of Criminal Investigation is a diverse public safety team of professionals who provide a full range of criminal investigative services to state, local, and tribal law enforcement. From homicide investigations to illegal narcotics, criminal records, cybercrime, human trafficking, missing persons, or through training and certifying public safety officers, DCI serves as the hub in providing critical law enforcement support. Our diverse customer base includes protecting our vulnerable population, managing the sexual and violent offender registry, serving as the hub of communication for criminal justice information networks and the storage of criminal records, conducting arson investigations, as well as providing intelligence analysis support for local law enforcement. Many of our positions within DCI go without public recognition but remain the lifeline of support for public safety. With a doctrine of service, honor, and justice, this statewide organization provides the best in critical, accurate, and timely service to protect our citizens.


Job Overview:


This is a Criminal Investigator position in the Medicaid Fraud Control Section (MFCU) and is responsible for coordinating and conducting investigations of crimes involving fraud to the Montana Medicaid program by providers, abuse or neglect of patients or residents in health care or board and care facilities receiving payments under Medicaid, and misappropriation of funds or property of patients or residents of health care facilities receiving payments under Montana Medicaid. Criminal investigations involve allegations of fraud, drug diversion, abuse, neglect, assault, sexual assault and homicide.

Knowledge, Skills, and Abilities:



  • The position requires extensive knowledge of law enforcement; investigative procedures; planning; report writing, coordinating the activities of multiple agencies and jurisdictions; developing, conducting, and presenting complex long-term cases; criminal procedures, collection and rules of evidence, criminal justice information and privacy/security regulations, family services, Social Services and Institutions and law enforcement and investigation including criminal justice information. Knowledgeable, proficient, and skilled in the use of firearms. Knowledgeable regarding proper procedures for writing and executing search warrants, investigative subpoenas, and forfeiture documents.
  • Skill in using all types of complicated equipment necessary to conduct criminal investigations; conducting undercover investigations; making correct/legal and appropriate decisions in highly stressful situations; establishing and maintaining effective working relationships with employees; communicating effectively verbally and in writing; and in reviewing case plans and information. Skilled in drafting and presenting search warrants, investigative subpoenas and forfeiture documents to prosecutors and judges for review and issuance.
  • Skill in examining all types of evidence to determine its relevance to the prosecution of the case and to properly document its relationship to the case and criminals. Procedures followed include standards of law enforcement and criminal investigation profession, best practices in investigation, and federal, state, and local regulations.
  • Knowledge of Montana Codes Annotated (MCA) dealing with crimes (MCA, Title 45, “Crimes”), criminal procedure (MCA, Title 46, “Criminal Procedure”), rules of evidence (MCA, Title 26, Chapter 10, “Montana Rules of Evidence”), seizures related to contraband, criminal justice information and privacy/security regulations (MCA, Title 44, Chapter 5, “Criminal Justice Information”); family services (MCA, Title 52); Social Services and Institutions (MCA, Title 53); CFR 18 and 42; ARMs; and law enforcement and investigation including criminal justice information and rules of evidence.

Qualifications

If another department vacancy occurs in this job title within six months, the same applicant pool may be used for the selection.

Posted on

Revecore Medicaid Analyst Job in Crescent Springs, Kenton, KY

Clipped from: https://www.recruit.net/job/medicaid-analyst-jobs/F4AD7B736B60707C?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Duties and Responsibilities
Skills and Experience
* Minimum 3-years Medicaid experience working with claims and/or billing
* Accounts receivable/follow-up experience
* Moderate computer proficiency including working knowledge of Microsoft Word and Excel
* High school diploma or equivalent
* Mathematical skills: ability to calculate rates using addition, subtraction, multiplication and division
* Ability to read and interpret an extensive variety of documents such as contracts, claims, instructions, policies and procedures in written (in English) and diagram form
* Ability to write routine correspondence (in English)
* Ability to define problems, collect data, establish facts and draw valid conclusions
* Strong customer service orientation
* Excellent interpersonal and communication skills
* Strong team player
* Commitment to company values
* Associate or Bachelors Degree preferred but not required
Disclaimer: BLS salaries are intentionally not posted and are based on level of experience. Some sites arbitrarily post salaries but are not an accurate representation.
Candidates must be currently and in the future authorized to work in the United States on a full-time basis. BLS does not sponsor candidates for permanent residency.

Posted on

Job Care Navigator – WellSense Health Plan

Clipped from: https://uk.talent.com/view?id=c6f1d25bc268&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.

The Care Navigator is a non-clinical member of the Care Team whose role is to engage members in care management, ensure member’s care is coordinated, issues are resolved and support the Care Management team.

The Care Navigator collaborates with their clinical team members, the Customer Care department and other internal departments to support member needs.

Our Investment in You :

  • Full-time remote work
  • Competitive salaries
  • Excellent benefits

Key Functions / Responsibilities :

  • Uses motivational interviewing skills to engage members into care management via telephonic outreach
  • Provides information to members with the goal of increasing Member knowledge and participation in their own healthcare management including but not limited to information on how to obtain resources;

basic health information; information packets containing health information relative to the Member’s identified condition

  • Advocates for the Member by sharing information with community-based providers to include follow-up on closed loop referrals
  • Answers and triages calls from the department’s toll-free line
  • Triages cases to clinical staff, other departments, contracted vendors and providers as appropriate
  • Manages referrals, performs telephonic screening assessments, arranges wellness visits and provides appointment and preventative care reminders, as needed
  • Coordinates and facilitates access to services, resolves issues or benefit questions, and transfers to the appropriate Care Manager as needed
  • Performs Care Management Case Closure Satisfaction Assessments with Members
  • Acts as the primary point of contact for Coordinated Transportation Solutions (CTS), responsible for managing the internal CTS mailbox, provides initial triage for issues, and escalates as appropriate
  • Partners with department leadership and team members to organize staff assignments, prioritize and triage activities and calls
  • Provide administrative support to Well Sense high risk / high needs and Transitional care management programs
  • Programs member cell phones as needed to support care management team
  • Responsible for preparing department data / reports assigned by Management
  • Provides administrative support for meetings
  • Identifies opportunities for improvement in administrative workflows and processes
  • Performs other associated tasks as assigned by Manager
  • Maintains accurate and timely documentation in the medical management information system CCMS / JIVA in keeping with contractual requirements, internal policy and accreditation standards.

Qualifications : Education :

Education :

Associate’s degree required in health care or a related area or equivalent relevant work experience

Experience :

  • Two years of office experience, specifically in either a high-volume customer service call center, data entry office, or health care office administration department
  • Prior customer service / call center experience preferred
  • Prior work with Medicaid population preferred
  • Bilingual preferred

Competencies, Skills, and Attributes :

  • Strong motivational interviewing skills
  • Ability to engage members
  • Strong oral and written communication skills
  • Detail oriented
  • Ability to work independently but also in a team setting
  • Demonstrated strong organizational and time management skills
  • Demonstrated ability to successfully prioritize, plan, organize and manage multiple tasks in a face-paced environment
  • Intermediate skill level with Microsoft Office products Outlook, Word, Excel
  • Ability to effectively collaborate with health care providers and all members of the interdisciplinary team
  • Knowledge of medical terminology strongly preferred

About WellSense

WellSense Health Plan is a nonprofit health insurance company serving more than 440,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans.

Founded 25 years ago, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances.

WellSense will require proof of COVID-19 vaccination(s) as a term of employment for all employees. The company may make exceptions to this requirement in certain limited circumstances for religious or medical purposes.

Required Experience

Posted on

Health Insurance Specialist- CMS

Clipped from: https://www.usajobs.gov/job/689981300?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Department of Health And Human Services
Office of Legislation (OL)

COVID-19 Vaccination Requirement

The COVID-19 vaccination requirement for federal employees pursuant to Executive Order 14043 does not currently apply. Some jobs, however, may be subject to agency- or job-specific vaccination requirements, so please review the job announcement for details. Click here for more information.

Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Legislation (OL), Medicare Parts A and B Analysis Group.

As a Health Insurance Specialist, GS-0107-13, you will review, analyze, and evaluate proposed legislation, regulations and other administrative actions for CMS programs.

Learn more about this agency

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Overview

  • Accepting applications

 
 

  • Open & closing dates

11/30/2022 to 12/04/2022

  • Salary

$81,216 – $105,579 per year

This is the BASE salary for this position. Please see “Additional Information” for locality pay rates.

  • Pay scale & grade

GS 13

Location

No

  • Telework eligible

Yes—as determined by the agency policy.

  • Travel Required

Not required

  • Relocation expenses reimbursed

No

  • Appointment type

Permanent –

  • Work schedule

Full-time –

  • Service

Competitive

  • Promotion potential

13

  • Job family (Series)

0107 Health Insurance Administration

  • Supervisory status

No

  • Security clearance

Not Required

  • Drug test

No

  • Position sensitivity and risk

Moderate Risk (MR)

  • Trust determination process

Credentialing

Suitability/Fitness

  • Announcement number

CMS-OL-23-11735368-DE

  • Control number

689981300

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Duties

  • Develop, recommend, and prepare legislative policies and proposals for consideration by senior policy officials.
  • Conduct legislative, economic, and policy analyses related issues under Parts A and B of the Medicare Program.
  • Anticipate and address congressional inquiries on complex policies and issues.
  • Review and prepare responses to press articles, external reports and studies, congressional statements, and proposed legislation to identify potential policy and technical issues and other concerns.

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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.
  • This is a remote position; however, the position reports to a CMS Office on a periodic basis. Requirements to report to the office will vary and can be discussed at the time of interview.

Qualifications

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


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-13 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-12 grade level in the Federal government, obtained in either the private or public sector, to include:
(1) Working with Members of Congress or their staff on legislative interests or concerns; (2) Producing written documents, such as briefing documents, reports, issue papers, or decision memoranda regarding the Medicare program AND (3) Conducting analysis of Medicare legislation.


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: https://apply.usastaffing.gov/ViewQuestionnaire/11735368

Education

This job does not have an education qualification requirement.

Additional information

Bargaining Unit Position: Yes–American Federation of Government Employees, Local 1923

Tour of Duty: Flexible


Recruitment/Relocation Incentive: Not Authorized


Financial Disclosure: Not Required



To ensure compliance with an applicable preliminary nationwide injunction, which may be supplemented, modified, or vacated, depending on the course of ongoing litigation, the Federal Government will take no action to implement or enforce Executive Order 14043 Requiring Coronavirus Disease 2019 Vaccination for Federal Employees. Therefore, to the extent a federal job announcement includes the requirement to be fully vaccinated against COVID-19 pursuant to Executive Order 14043, that requirement does not currently apply. Positions with vaccination requirements under authority(ies) separate and distinct from Executive Order 14043 will be clearly identified. HHS may continue to require documentation of proof of vaccination to ensure compliance with those policies. Health and safety protocols remain in effect, in accordance with CDC guidance and the Safer Federal Workforce Task force. Consistent with current guidance, workplace safety protocols will no longer vary based on vaccination status or otherwise depend on the availability of vaccination information. Therefore, to the extent a job announcement states that HHS may request information regarding the vaccination status of selected applicants for the purposes of implementing workplace safety protocols, this statement does not currently apply.


Remote-In Positions at CMS: This is a remote position; however, the position reports to a CMS Office on a periodic basis (e.g. 8-12 times per year). Requirements to report to the office will vary and can be discussed at the time of interview. As such, your pay will be based on your home address. For more information on locality and pay scales, please visit here. Your worksite must be within the United States and you must adhere to all regulations and policies regarding remote work at CMS and in the federal government, including the signing of a remote work agreement.


Full-Time Telework Program for CMS Employees: CMS employees currently participating in 100% Full-Time Telework Program may be eligible to remain in the program. If an employee in this program is selected, the pay will be set in accordance with the locality pay for the applicable duty station. The listed salary range reflects the locality pay assigned to the duty location(s) listed in the vacancy announcement. For more information about pay based on locality, please visit the Office of Personnel Management (OPM) Salaries & Wages Page.


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.

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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.

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), the responses you provide on the application questionnaire, and the result of the online assessments required for this position. Please follow all instructions carefully. Errors or omissions may affect your rating.


You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics):


  • Analysis
  • Attention to Detail
  • Customer Service
  • Decision Making
  • Flexibility
  • Health Insurance
  • Integrity/Honesty
  • Interpersonal Skills
  • Learning
  • Oral Communication
  • Reading Comprehension
  • Self-Management
  • Stress Tolerance
  • Teamwork
  • Written Communication

In order to be considered for this position, you must complete all required steps in the process. In addition to the application and application questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job.


Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on the online assessment may also result in your removal from consideration.


You will be placed in one of the following categories based on category rating and selection procedures if you meet all of the requirements outlined in this job opportunity announcement:

  • Best Qualified – for those who are superior in the evaluation criteria
  • Well Qualified – for those who excel in the evaluation criteria
  • Qualified – for those who only meet the minimum qualification requirements

If you are found to be among the top qualified candidates, you will be referred to the selecting official for employment consideration.


This is a competitive vacancy announcement advertised under Delegated Examining Authority. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would therefore be given new appointments to the civil service; however, benefits, time served and all other Federal entitlements would remain the same.


The category rating process does not add veterans’ preference points or apply the “rule of three” but protects the rights of veterans by placing them ahead of non-preference eligibles within each category. Veterans’ preference eligibles who meet the minimum qualification requirements and who have a compensable service-connected disability of at least 10 percent will be listed in the highest quality category (except in the case of professional or scientific positions at the GS-09 level or higher).


Additional selections may be made from this announcement for similar positions within CMS with the same remote/telework designation and same geographical location, if applicable. For example, for Woodlawn, MD vacancies the “same geographical location” includes Baltimore, Maryland; Bethesda, Maryland; and Washington, D.C.

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.

  • As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have – whether you’re a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you’re eligible under their policies.

To apply for this position, you must submit a complete Application Package which includes:


1. Resume showing relevant experience; cover letter optional. Your resume must indicate your citizenship and if you are registered for Selective Service if you are a male born after 12/31/59. Your resume must also list your work experience and education (if applicable) including the start and end dates. For work in the Federal service, you must include the series and grade level for the position(s). For resume and application tips visit: https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/.


Your resume will be used to validate your responses to the assessment tool(s). We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Determining length of general or specialized experience is dependent on the information provided in the resume. Failure to include ALL of the information listed below on your resume WILL result in a finding of ineligible.

  • Official Position Title (include series and grade if Federal job)
  • Duties (be specific in describing your duties)
  • Employer’s name and address
  • Supervisor name and phone number
  • Start and end dates in the month and year format (e.g. June 2007 to April 2008)
  • Full-time or part-time status (include hours worked per week)
  • Salary

2. CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.). Required documents may be necessary to be considered for this vacancy announcement. Click here for a detailed description of the required documents. Failure to provide the required documentation WILL result in an ineligible rating OR non-consideration.


3. Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments, if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments here: https://help.usastaffing.gov/Apply/index.php?title=Reasonable_Accommodations_for_USA_Hire

  • Please read the entire announcement and all the instructions before you begin an application. To apply for this position, you must complete the initial online application, to include the initial online assessment and submission of the required documentation specified in the Required Documents section. The complete application package must be submitted by 11:59 PM (ET) on 12/04/2022 of the announcement to receive consideration. The application process is as follows:

 
 

  1. To begin the application process, click the Apply button. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application.
  2. Follow the system prompts in USAJOBS to select your resume and supporting documents; review your application package; include personal information; and continue the application process in the USA Staffing agency site.
  3. Answer the questions presented in the online application and attach all necessary supporting documentation in USA Staffing.
  4. Click the Submit Application button prior to 11:59PM (ET) on 12/04/2022.
  5. After submitting an online application, you will be notified whether or not you are required to take additional online assessments through the USA Hire Competency Based Assessment system. This message will be delivered to you via email notification. The email may be routed to your “Spam” or “Junk” folder.
  6. If you are asked to take the USA Hire Competency Based Assessments, you will be presented with a unique URL to access the USA Hire system. Access to USA Hire is granted through your USAJOBS login credentials. Be sure to review all instructions prior to beginning your USA Hire Assessments. Click here for Computer System Requirements.
  7. Note, set aside at least 3 hours to take these assessments; however, most applicants complete the assessments in less time. If you need to stop the assessments and continue at a later time, you can re-use the URL sent to you via email and also found by clicking the Track This Application link located in the application record in your USAJOBS account.

To update your application, including supporting documentation, at any time during the announcement open period, return to your USAJOBS account (https://my.usajobs.gov/Account/Login). There you will find a record of your application, the application status, and an option to Edit My Application. This option will no longer be available once the announcement has closed.


To verify the status of your application both during and after the announcement open period, log into your USAJOBS account: https://my.usajobs.gov/Account/Login. All of your applications will appear on the Welcome page. The application record in your USAJOBS account contains a Track This Application link that provides information regarding the documentation you submitted and any correspondence we have sent related to this application, including the invitation to take the USA Hire assessment. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: https://www.usajobs.gov/Help/how-to/application/status/.


Commissioned Corps Officers (including Commissioned Corps applicants that are professionally boarded) who are interested in applying for this position must send their professional resume (not PHS Curriculum Vitae) and cover letter to CMSCorpsJobs@cms.hhs.gov in lieu of applying through this announcement. The cover letter should specifically explain how you are qualified for this position and draw specific attention to your resume that demonstrates these qualifications. Also send any transcripts, licenses or certifications as requested in this announcement. In the subject line of your e-mail please include only the Job Announcement Number. In the body of your e-mail please include your current rank name and serial number. Failure to provide this information may impact your consideration for this position.
 

Agency contact information

CMS TABG DCO A2

Email

TABG_DCOATeam2@cms.hhs.gov

Address

Office of Legislation
7500 Security Blvd
Woodlawn, MD 21244
US

Learn more about this agency

Next steps

Based on your application and your responses to the application questionnaire, you may be presented with instructions on how to access the USA Hire system to complete the online assessments. The online assessments must be completed within 48 hours following the close of this announcement. You will have the opportunity to request a testing accommodation for the assessment should you have a disability covered under the Americans with Disabilities Act (ADA).


Your assessment results will be kept on record for one year and used toward future positions for which you might apply that require the same assessments.


  • The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

 
 

Help

Required Documents

To apply for this position, you must submit a complete Application Package which includes:


1. Resume showing relevant experience; cover letter optional. Your resume must indicate your citizenship and if you are registered for Selective Service if you are a male born after 12/31/59. Your resume must also list your work experience and education (if applicable) including the start and end dates. For work in the Federal service, you must include the series and grade level for the position(s). For resume and application tips visit: https://www.usajobs.gov/Help/faq/application/documents/resume/what-to-include/.


Your resume will be used to validate your responses to the assessment tool(s). We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Determining length of general or specialized experience is dependent on the information provided in the resume. Failure to include ALL of the information listed below on your resume WILL result in a finding of ineligible.

  • Official Position Title (include series and grade if Federal job)
  • Duties (be specific in describing your duties)
  • Employer’s name and address
  • Supervisor name and phone number
  • Start and end dates in the month and year format (e.g. June 2007 to April 2008)
  • Full-time or part-time status (include hours worked per week)
  • Salary

2. CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.). Required documents may be necessary to be considered for this vacancy announcement. Click here for a detailed description of the required documents. Failure to provide the required documentation WILL result in an ineligible rating OR non-consideration.


3. Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended that would interfere with completing the USA Hire Competency Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency Based Assessments and appropriate supporting documentation for RA must be received prior to starting the USA Hire Competency Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments, if you received the link after the close of the announcement. To determine if you need a RA, please review the Procedures for Requesting a Reasonable Accommodation for Online Assessments here: https://help.usastaffing.gov/Apply/index.php?title=Reasonable_Accommodations_for_USA_Hire

Help

How to Apply

Please read the entire announcement and all the instructions before you begin an application. To apply for this position, you must complete the initial online application, to include the initial online assessment and submission of the required documentation specified in the Required Documents section. The complete application package must be submitted by 11:59 PM (ET) on 12/04/2022 of the announcement to receive consideration. The application process is as follows:

  1. To begin the application process, click the Apply button. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application.
  2. Follow the system prompts in USAJOBS to select your resume and supporting documents; review your application package; include personal information; and continue the application process in the USA Staffing agency site.
  3. Answer the questions presented in the online application and attach all necessary supporting documentation in USA Staffing.
  4. Click the Submit Application button prior to 11:59PM (ET) on 12/04/2022.
  5. After submitting an online application, you will be notified whether or not you are required to take additional online assessments through the USA Hire Competency Based Assessment system. This message will be delivered to you via email notification. The email may be routed to your “Spam” or “Junk” folder.
  6. If you are asked to take the USA Hire Competency Based Assessments, you will be presented with a unique URL to access the USA Hire system. Access to USA Hire is granted through your USAJOBS login credentials. Be sure to review all instructions prior to beginning your USA Hire Assessments. Click here for Computer System Requirements.
  7. Note, set aside at least 3 hours to take these assessments; however, most applicants complete the assessments in less time. If you need to stop the assessments and continue at a later time, you can re-use the URL sent to you via email and also found by clicking the Track This Application link located in the application record in your USAJOBS account.

To update your application, including supporting documentation, at any time during the announcement open period, return to your USAJOBS account (https://my.usajobs.gov/Account/Login). There you will find a record of your application, the application status, and an option to Edit My Application. This option will no longer be available once the announcement has closed.


To verify the status of your application both during and after the announcement open period, log into your USAJOBS account: https://my.usajobs.gov/Account/Login. All of your applications will appear on the Welcome page. The application record in your USAJOBS account contains a Track This Application link that provides information regarding the documentation you submitted and any correspondence we have sent related to this application, including the invitation to take the USA Hire assessment. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: https://www.usajobs.gov/Help/how-to/application/status/.


Commissioned Corps Officers (including Commissioned Corps applicants that are professionally boarded) who are interested in applying for this position must send their professional resume (not PHS Curriculum Vitae) and cover letter to CMSCorpsJobs@cms.hhs.gov in lieu of applying through this announcement. The cover letter should specifically explain how you are qualified for this position and draw specific attention to your resume that demonstrates these qualifications. Also send any transcripts, licenses or certifications as requested in this announcement. In the subject line of your e-mail please include only the Job Announcement Number. In the body of your e-mail please include your current rank name and serial number. Failure to provide this information may impact your consideration for this position.
 

Read more

Agency contact information

CMS TABG DCO A2

Email

TABG_DCOATeam2@cms.hhs.gov

Address

Office of Legislation
7500 Security Blvd
Woodlawn, MD 21244
US

Learn more about this agency

Next steps

Based on your application and your responses to the application questionnaire, you may be presented with instructions on how to access the USA Hire system to complete the online assessments. The online assessments must be completed within 48 hours following the close of this announcement. You will have the opportunity to request a testing accommodation for the assessment should you have a disability covered under the Americans with Disabilities Act (ADA).


Your assessment results will be kept on record for one year and used toward future positions for which you might apply that require the same assessments.


Read more