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Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Financial Management (OFM), Accounting Management Group (AMG). As a Health Insurance Specialist, GS-0107-13, The incumbent serving as a project leader is responsible for developing, analyzing, implementing, and modifying operating policy/procedures and systems business requirements relating to collection of Medicare health insurance premiums. Responsibilities Responsible for developing, analyzing, implementing, and modifying operating policy/procedures and systems business requirements relating to collection of Medicare health insurance premiums. Reviews proposed legislation, health insurance developments, innovations in techniques, equipment and procedures, to assess possible impact on Medicare premium collection, and to adapt this knowledge to improving program operations. Directs, develops, analyzes operational needs and requirements, and recommends legislative and policy changes pertaining to Medicare premium billing and collections. Plans, conducts and evaluates studies relating to the modification and development of forms, notices, workflow charts and procedures. Acts as a liaison and negotiates with senior authorities from SSA, various CMS components, and other gov't organizations on Medicare premium billing issues to ensure that program needs are met. Requirements Conditions of Employment 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) Administering procedures and policies relating to the billing and collections of Medicare health insurance premiums, and 2) Developing operational policy, systems business requirements, systems access, procedures or instructional material to administer premium billing and collection programs and their related systems, i.e., the Third-Party System (TPS) and the Direct Bill System (DBS), as directed; and 3) Identifying operational or systems problems, recommends solutions and action negotiates modification of Third Party or Direct Billing Systems; and 4) Liaison for the department to brief Agency and outside Officials regarding Medicare premium billing. 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: https://apply.usastaffing.gov/ViewQuestionnaire/12619486 Education 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 Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement; however, CMS offers flexible working arrangements and allows employees the opportunity to participate in telework combined with alternative work schedules at the manager's discretion. This position may be authorized for telework. Telework eligibility will be discussed during the interview process. Supervisory positions must report a minimum 2 times per week and non-Supervisory positions must report a minimum of 2 times per pay period. 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/employeeguides/careertransition.asp.