Security ClearanceNot Required
Duties
Supports the Division Director in staff oversight, including planning and assigning work, establishing priorities, evaluating employee performance, managing leave, and addressing and resolving staff complaints.,Promotes equitable workload and resource distribution across teams and provides strategic guidance on management, training, and administrative matters, including delegations of authority, organizational analysis, and internal controls.,Reviews and renders determinations on provider/supplier enrollment Corrective Action Plans (CAPs) and reconsiderations.,Tracks, reviews, and analyzes appeal decisions at the first level and identifies programmatic vulnerabilities in Medicare and Medicaid to mitigate fraud, waste, and abuse.,Communicates analytical results, recommendations, and solutions clearly, orally and in writing, and produces a range of deliverables including briefings, correspondence, evaluations, issue papers, and reports.
Qualifications
ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT. Your resume (limited to no more than 2 pages) 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 being considered further. In order to qualify for the GS-14 , you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include: Reviewing and adjudicating Medicare provider enrollment applications, corrective action plans (CAPs), and reconsideration requests to determine denial or revocation of billing privileges; Reviewing proposed changes to Medicare regulations and assessing their operational impact on provider qualification requirements; AND Developing and implementing provider enrollment policies and procedures across Medicare and Medicaid programs. 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 Federal employees 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/12954899
Other Information
Bargaining Unit Position: No Tour of Duty: Flexible Recruitment Incentive: No Relocation Incentive: No Financial Disclosure: Yes Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion. 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.