Category: MM Curator

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

Help

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

• Help
  

Location

• within local commuting area Washington, DC few vacancies
  
• Remote job
  

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

Videos

Help

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.
  

Help

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.

Read more

• 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.

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.

• 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.

• 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.
  

 
 

• Equal Employment Opportunity (EEO) Policy
  
• Reasonable accommodation policy
  
• Financial suitability
  
• Selective Service
  
• New employee probationary period
  
• Signature and false statements
  
• Privacy Act
  
• Social security number request
  

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

Clipped from: https://www.linkedin.com/jobs/view/health-insurance-specialist-program-policy-at-centers-for-medicare-medicaid-services-3382766213/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Duties

 
 

• Evaluate and analyze the impact of new or revised changes to legislation before the Congress pertaining to any CMS program.
  
• Conduct analysis of policy issues and topics by researching background information, the origin of laws, and the intended impact in order to make effective policy recommendations.
  
• Work with the CMS Office of Legislation and related Congressional committees and staff in performing an impact analysis or mark-up of various Congressional options before the committees.
  
• Provide technical assistance, consistent with program expertise and experience, other Federal agencies staff, State agencies and private sector organizations.
  
• Develop and review health care policies and legislation in order to draft related policy documents, regulations, procedures and guidance to states.
  
• Prepare all forms of written correspondence regarding program policy related activities and Medicaid issues to the public, Congressional staff, industry contacts, and State representatives.
  

 
 

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.
  
• Time-in-Grade restrictions apply.
  
• 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 WITHIN 30 DAYS OF 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) Conducting analysis of national health insurance program policy issues in order to propose policy modifications; (2) Developing regulations, manuals, program guidelines, program memoranda, policy letters, and/or instructions to communicate health insurance program policies; and (3) Presenting recommendations and conclusions based on analysis and evaluation of health insurance programs that describe feasible options and/or the consequences.


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 or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year 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


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-Out Positions at CMS: This is a remote position; however, the position reports to a CMS Office on a periodic basis (e.g. 1-2 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


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.

• 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.
  
  
  

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.

Clipped from: https://www.learn4good.com/jobs/springfield/missouri/healthcare/1826647876/e/

Position:  Communications Lead, Insurance Services (Medicare/Medicaid)
** Description*
* ** Responsibilities*
* Humana’s Marketing Organization is seeking a Communications Lead to join the Corporate Communications team. The Communications Lead, Insurance Services is responsible for developing and executing integrated internal communications strategies that enable Humana’s growing Insurance Services business.

The Communications Lead, Insurance Services is responsible for developing and executing integrated internal and executive communications strategies in support of Humana’s largest business – Insurance Services, including our growing Medicare and Medicaid businesses. The individual is a strong strategic advisor who creates end-to-end plans and creative campaigns, giving employees the knowledge and inspiration they need to navigate a complex industry. The Communications Lead helps employees successfully manage transformation and organizational change through engaging communications that create a positive culture and employee experience.

** Key Role Functions**   

+ Create integrated messaging for diverse audiences related to the Insurance Services business to create a positive employee experience

+ Develop messaging and content that advances business priorities within the Insurance Services segment and across the enterprise

+ Partner with cross-functional teams to drive cohesive, consistent communications activities

+ Bring Humana’s strategy to life on new and existing communications channels through impactful storytelling and high-impact messaging

+ Work closely with senior leaders and change sponsors to engage employees during organizational transformation, helping to position changes appropriately and reach segmented internal audiences with relevant information

+ Develop clear and consistent internal communications, creative multimedia content and compelling storytelling packages that promote associate understanding of Humana’s purpose, culture, employee value proposition, and insurance business

+ Build strong alignment with cross-functional colleagues, including other corporate communicators, on internal communications strategies and content prioritization

+ Leverage data, analytics and feedback from stakeholders to inform strategy and decision making

+ Work in close collaboration with external vendors and partners to deliver against communications plans and goals

This is a remote role working anywhere in the U.S. and may require quarterly travel.

** Required

Qualifications *
* + Bachelor’s degree in communications, public relations or related field

+ 8+ years of employee communications or public relations experience with proven expertise in change communications

+ Experience and knowledge of change management principles, methodologies and tools

+ Adept ytics, as well as emerging practices and technologies

+ Self-organized – can independently plan, lead and implement integrated communications projects

+

Ability to work under tight deadlines, multitask and deliver quality work under pressure

+ Exceptional written communications skills and deep experience as a content creator

+ Proactive, flexible and always seeking improvement and positive change

+

Ability to influence

+ Foster an open, inclusive and diverse community at Humana

+ Advanced skills using O365 suite, including Teams and Share Point

** Preferred

Qualifications *
* +

Education or Certification in Organizational Change Management

+ Experience at large, matrixed corporate organization with diverse stakeholder groups

+ Previous experience in project management

** Additional

Qualifications *
* ** Covid-19 Vaccine/Testing Requirement*
* 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 s while in a Humana facility or while working in the field.

** Work te

Requirements *
* + Must ensure designated work area is free from distractions during work hours and virtual meetings

+ Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10×1 (10mbs download x 1mbs upload) for optimal performance of is required

** Scheduled Weekly Hours*
* 40

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our

Clipped from: https://www.learn4good.com/jobs/dover/delaware/government/1806419911/e/

Overview

Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, technology, and human services agencies to improve lives. Founded in 1986 and headquartered in Boston, Massachusetts, PCG employs approximately 2,000 professionals worldwide all committed to delivering solutions that change lives for the better. The firm has extensive experience in all 50 states, Canada, and a growing practice in Europe.

PCG offers clients a multidisciplinary approach to meet challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit  .

Responsibilities

• Provides subject matter expertise in support of advising clients regarding health policy strategy, development and implementation.
  
• Conducts policy research on behalf of clients and the practice area and drafts formal written positions, policy briefs and recommendations on key policy issues identified.
  
• Analyzes relevant legislative and regulatory matters and keeps up-to-date with government policy discussions in related areas.
  
• Drafts technical documents including legislation, regulations, guidance, Medicaid State Plan Amendments and waivers.
  
• Identifies and supports client implementation of strategies for developing, advancing, communicating and operationalizing agreed-upon policy decisions.
  
• Liaises and consults with relevant colleagues and stakeholders in the conduct of policy work.
  
• Assists with planning and implementing stakeholder engagement on behalf of clients.
  
• Establishes good working relationship with local, state, federal and private service agencies.
  
• Uses existing client networks to provide a perspective on future business.
  
• As appropriate, assist project leads with coordination of strategic planning, project reporting, and technical activities.
  
• Writes articles and policy briefs to disseminate public health findings and evidence based best practices.
  
• Other tasks as to be determined by PCG management.
  

Qualifications

Education:

Bachelor’s degree required. Master’s degree or professional equivalent highly preferred

Experience:

5+ years’ experience in healthcare and policy advising with progressively increasing level of leadership responsibility. Experience in working for e government is preferred.

Required skills:

 

• Subject Matter expertise related to Health and Human Services; specific expertise in the Medicaid program, CHIP and related authorities preferred.
  
• Strong leadership, assertiveness and interpersonal skills.
  
• Outstanding verbal and written communication skills.
  
• Must be tactical in delivering project tasks under tight deadlines, with the ability to keep the big picture in mind  a strategic perspective.
  
• Demonstrated ability to manage multiple deliverables in a cross-functional capacity.
  
• Self-starter, assertive, enthusiastic and has the political savvy to get things done, yet maintain a likeable presence.
  
  Ability to deal with adversity and differing opinions.
  

#LI-remote

EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications.

We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, r status protected under federal, state, or local law.

PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

>

Job Location s
US

Posted Date
5 days ago
(11/17/2022 12:08 PM)

Job 2022-8827

# of Openings
1

Category
Other

Type
Regular Full-Time

Practice Area
Health Services

Public Consulting Group is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, protected veteran status, or status as a qualified individual with a disability. VEVRAA Federal Contractor.

Clipped from: https://www.recruit.net/job/manager-jobs/D7595B9E424403E1?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Description
Manager, Medicaid Plan Marketing
Territory: Bronx County and Manhattan County
Develops objectives, policies, and programs for marketing activity related membership growth, retention, acquisitions, and business initiatives.
Primary duties may include, but are not limited to:
– Develops short and long term marketing and retention strategies and objectives.
– Directs and coordinates activities of the business if Initiative to assure alignment with corporate goals.
– Researches and evaluates competitive activity.
– Develops and implements an effective tracking mechanism for daily, weekly, monthly, and yearly activities and productivity.
– Develops and conducts office and field rep training methods.
– Oversees the quality control process and procedures.
– Ensures compliance with state and municipal laws, rules, and guidelines for marketing and outreach.
– Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Qualifications
Requires a BA/BS degree in a related field and a minimum of 7 years of related experience, including at least 3 years of leadership experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications
MBA preferred
Familiarity and experience in working with providers and reviewing membership reports to increase growth
Experience with MS Office and SalesForce
Strong analytical skills
Strong written and presentation skills
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $104,544 to $156,816
Locations: Colorado; Nevada, Jersey City, NJ; New York City, NY; Ithica, NY and Westchester County, NY
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company’s sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
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.
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.

Clipped from: https://us.bebee.com/job/20221201-3e4faa8c751b7aa73e5b2e6794a4a215?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Found in: beBee S2 US – 19 hours ago

 
 

Description

Starting Date: 1/1/2023

Service Area:
Case Manager will be serving Jefferson and surrounding Indiana counties . This position requires working remotely from your home office and travel within your service area. This is NOT a fully remote position. You must live within the service area to be considered for this position.

Job Summary:
Case Managers support individuals participating in a Medicaid waiver program.

The CM will ensure they have access to services available on the waiver, other Medicaid state plan services as well as providing additional resources within their community.

A primary role in this position is one of advocacy for the individuals we serve.

Responsibilities and Duties:

Following a person-centered process; Annual Planning; Quarterly Monitoring face to face; Maintaining and managing all electronic records; Facilitating interdisciplinary team and other meetings; Completing/maintaining each individuals waiver budget; Monitoring service delivery and utilization; Ensuring individuals health and welfare; Maintaining/Building relationships with individuals, families, guardians, providers.

Skills:

Ability to plan, organize, manage time, and work productively in a virtual environment under minimal supervision to provide timely and quality service delivery for Individuals; intermediate level of technology skill; strong oral and written communication skills; team facilitation; critical thinking; quality orientation; attention to detail; and team collaboration.

Work

Schedule:
Monday- Friday 8-4:30 forty hour work week.

At times it will be necessary to flex schedule to accommodate a later afternoon meeting for working parents and school aged individuals.

Knowledge/

Experience:

Bachelor’s degree in Psychology, Social Work, Counseling, Nursing, Special Education, Rehabilitation, Gerontology, or another field of study with one year of direct work experience with persons with intellectual disabilities.

Plus, one year of experience working with individuals with intellectual disabilities.

Required:
Authorization to access State of Indiana’s operating systems. CPR certification, current and valid driver’s license. Ability to pass a thorough background screen. CM must have a dedicated home office space where Protected Health Information cannot be accessed by others. They are required to have all furnishings for a home office- internet, phone, computer, and ability to print. They will need reliable transportation. Ability to physically enter Individual’s homes and other community settings.

Preferred:
Previous case management experience; experience in team facilitation; and experience working from home. Experience with Aged & Disabled Waiver, Tramatic Brain Injury Waiver, Family Support Waiver or Community Integration Habilitation Waiver.

Benefits:
Medical, dental and vision; 401K; 15 days paid vacation plus paid holidays; iPad with a hot spot. Salary ranges are based on level of experience and ability to meet quality expectations for caseload.

Connections Case Management understands that our mission values and objectives will be best supported in your role as case manager by providing support to our case managers in the same manner.

Connections understands that employees are more than just case managers. They have families and lives outside of their professional careers. Our company values the health and well-being of our employees.

We understand that if we provide supports that allow our employees to have a quality life at work and home, via a good income and personal time away from work responsibilities, the return will be in quality supports for those they have on their caseload.

Everyone in the company has a caseload.

Each case manager is part of a smaller, regionally based team of 3-6 people which allows for direct quality support and monitoring by a supervisor.

Additionally, your role as case manager is supported with an open and accessible team concept.

Because Connections serves all 92 counties in Indiana, employees are encouraged to use all forums to connect with colleagues and utilize a team approach to case management.

For more information about Connections Case Management please visit us at where you can also download an application. Please also look us up on social media and check out our reviews on Glassdoor

Job Type:
Full-time

Pay:
$40,000.00 – $50,000.00 per year

Benefits:
401(k)
Dental insurance
Flexible schedule
Health insurance
Paid time off
Parental leave
Vision insurance

Schedule:
8 hour shift
Day shift
Monday to Friday

COVID-19 considerations:

To keep our individuals and case managers safe we follow all CDC and IDOH protocols as well as local health department guidelines.

Education:
Bachelor’s (Required)

Experience:
Case management: 1 year (Preferred)

License/Certification:
Driver’s License (Required)

Willingness to travel:
50% (Required)

Work Location:
On the road

Clipped from: https://www.adzuna.com/details/3734407813?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

Location: Company:

 
 

Description
Humana’s Oklahoma Medicaid BH Medical Director will oversee our behavioral health (BH) clinical program for Oklahoma Medicaid plan members. They will collaborate closely with the Chief Medical Officer (CMO) to integrate the day-to-day administration and strategic management of behavioral and physical health services, including utilization management (UM), quality improvement, and value-based payment programs. The BH Medical Director will be based in Oklahoma and will also lead the development of new products and services in Humana’s Medicaid BH delivery model
Responsibilities
Essential Functions and Responsibilities
– Lead major clinical and quality management components of Humana’s BH services
– Oversee, monitor, and assist with the management of the establishment of Prior Authorization, clinical appropriateness of use, and step therapy requirements for the use of stimulants and antipsychotics for all Enrollees under the age of eighteen (18); consultations and clinical guidance for contracted Primary Care Providers (PCPs) treating behavioral health-related concerns not requiring referral to behavioral health specialists;
– Develop comprehensive care programs for the management of youth and adult behavioral health concerns typically treated by PCPs, such as ADHD and depression;
– Develop targeted education and training for contracted PCPs to screen for mental health and substance use disorders using evidence-based tools (e.g., AUDIT-C, PHQ-9 and GAD-7), perform diagnostic assessments, provide counseling and prescribe pharmacotherapy when indicated, and build collaborative care models in their practices;
– Coordinate with the Medical Director to integrate the administration and management of behavioral and physical health services;
– Oversee, monitor and assist with effective implementation of the Quality Management (QM) program; and work closely with the Utilization Management (UM) of services and associated Appeals related to children and youth and adults with mental illness and/or substance use disorders (SUD)
– Lead BH policy development in Oklahoma, driving implementation, oversight, and accountability for both Humana internal and external stakeholders
– Adhere to and comply with federal and state laws and programmatic requirements
– Collaborate with provider relations personnel to ensure high-quality and appropriate care delivered through the BH provider network
– Establish and maintain relationships with providers, advocates, and other key Oklahoma stakeholders by maintaining open and ongoing communications; represent Humana at public forums and engagement opportunities
– Maintain compliance with BH-related contract requirements and attend oversight committee meetings to ensure appropriate procedures are adhered to within Humana and within care delivery
– Collaborate closely with corporate and local population health teams in developing programs and strategies to address BH needs at a population health level
Required Education, Certification, & Experience Qualifications
– Physician with a current, unencumbered Oklahoma-license as a physician
– Board-certified in psychiatry
– At least three (3) years of training in a medical specialty
– Knowledge of the managed care industry
– Possess analysis and interpretation skills with prior experience leading teams focusing on quality management, UM, discharge planning and/or home health or rehab
Preferred Experience Qualifications
– Five (5) years or more clinical experience working in BH
– Familiarity with Oklahoma-based BH organizations
– Medicaid Managed Care clinical or behavioral health leadership experience
Additional Information
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 in the field.
Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees.
#physiciancareers
Scheduled Weekly Hours
40
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.