Health Insurance Specialist

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare(CM), Division of Acute Care (DAC). As a Health Insurance Specialist, GS-0107-14, you will be a technical expert and principal advisor to the Director and Deputy Director, DAC, providing high-level technical and conceptual expertise on policy development and analysis, data management, quantitative analyses and policy implementation.

Serves as IPPS payment expert, analyzing policy and data to shape Medicare hospital payment rates, incentives, and legislation impacts, advising senior leadership on IPPS policy, strategic initiatives, and payment system refinements.

Oversees QA for data, modeling, and policy analysis on inpatient valuation; leads IPPS rulemaking coordination and teams; directs analysts; advises leadership; acts for Division Director/Deputy as needed.

Advises DAC payment teams on policy and technical issues, leading work structure and development. Presents policy options to senior leaders and may represent CMS in discussions with officials, Congress, and stakeholders.

Conducts impact analyses of proposed policies and payment rates, evaluating emerging and existing policies. Applies research and new concepts to long-range inpatient payment projects, supporting senior policy makers' decisions.

Coordinates implementation of inpatient payment policies, leading related projects. Serves as resource to CM, CMS, HHS, and congressional staff; advises leadership on legislative impacts; provides technical assistance and training.