Become a part of the Department that touches the lives of every American! At the Department of Health and Human Services (HHS) you can give back to your community, state, and country by making a difference in the lives of Americans everywhere. It is the principal agency for protecting the health of citizens. Join HHS and help to make our world healthier, safer, and better for all Americans.
This position is located in the Office of Medicare Hearings and Appeals (OMHA), Office of the Secretary (OS), Department of Health and Human Services (HHS) located in Arlington, VA. This position is Term NTE 4 years. This is a full time TERM appointment. TERM appointments may be extended up to 4 years at the discretion of management and in accordance with applicable regulations.
This job opportunity announcement may be used to fill additional vacancies.
This vacancy is also being announced concurrently with vacancy announcement HHS-OMHA-MP-13-875663
under competitive procedures. Please review that announcement to see if you are eligible for consideration under competitive procedures. NOTE: Applicants must apply separately for each announcement in order to be considered.
U.S. Citizenship is required.
Background investigation required. DUTIES:If selected for this position, you will:
Maintain case files to record actions, events, exhibits, information and materials related to case hearing or case disposition.
Review case records for adherence to the Agency procedures; and exhibiting of case files as directed by Agency policy.
Identify and acquire additional information required to perfect a case previous to scheduled hearing or other disposition.
Prepare routine correspondence, notices and papers on case status, including notices of dismissal, extensions and other similar actions.
Identify deficiencies, track and acquire necessary materials, records information and verify adequacy of records before closing a case.
Continuously monitor hearing schedules and case management system. Track case development to verify that case milestones are progressing as planned.
Make all support arrangements necessary to carry out scheduled hearings including verifying scheduling arrangements with appellant, appellant's representative and other parties to the case as necessary.
Arrange for recording equipment, video teleconferencing technology, or other electronic equipment required for a particular hearing. QUALIFICATIONS REQUIRED:
For the GS-6 grade level, applicants must have 52 weeks in a non-temporary appointment at the GS-5 grade level in the Federal Service.
Specialized experience may be defined as knowledge of and skill in applying comprehensive rules, regulations and procedures applying to Medicare Part A, B C and D appeals; or comprehensive knowledge of formats, legal terminology, requirements and purposes. Excellent oral and writing skills in English and Spanish in order to provide procedural and scheduling information to appellants and there representatives.
Conditions of Employment:
1. Security and Background Requirements: If not previously completed, a background security investigation will be required for all appointees . Appointment will be subject to the applicant's successful completion of a background security investigation and favorable adjudication. Failure to successfully meet these requirements may be grounds for appropriate personnel action. In addition, if hired, a background security reinvestigation or supplemental investigation may be required at a later time. Applicants are also advised that all information concerning qualifications is subject to investigation. False representation may be grounds for non-consideration, non-selection and/or appropriate disciplinary action.
2. E-Verify: If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS "E-Verify" System. Federal law requires DHS to use the E-Verify System to verify employment eligibility of all new hires, and as a condition of continued employment obligates the new hire to take affirmative steps to resolve any discrepancies identified by the system. The U.S. Department of Health and Human Services is an E-Verify Participant.
3. Direct Deposit: All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choosing.
4. All qualification requirements must be met by the closing date of the announcement.
5. Financial disclosure statement may be required.
6. One-year probationary period may be required.
7. Travel, transportation, and relocation expenses may be paid: No
8. Bargaining Unit Position: Yes
9. Drug Screening Required: No
10. Recruitment incentives may be authorized: No
11. Student loan repayment incentive may be authorized: No
12. Annual leave for non-federal service may be authorized: No HOW YOU WILL BE EVALUATED:
Once the application process is complete, a review of the resume and supporting documentation will be made and compared against your responses to the assessment questionnaire to determine if you are qualified for this job. If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position. Please follow all instructions carefully. Errors or omissions may affect your eligibility. Category rating procedures will be used to rate and rank candidates. The category assignment is a measure of the degree in which your background matches the competencies required for this position. Qualified candidates will be ranked into one of three categories: Best Qualified, Well Qualified or Qualified.
The Category Rating Process does not add veterans preference points but protects the rights of veterans by placing them ahead of non-preference eligibles within each category. Preference eligibles who meet the minimum qualification requirements and who have a compensable service-connected disability of at least 10 percent must be listed in the highest quality category (except in the case of scientific or professional positions at the GS-9 level or higher). Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics):
Knowledge in applying rules, regulations, and procedures applicable to health insurance program appeals.
Knowledge of legal terminology and/or requirements for legal documents and exhibits to review case files.
Knowledge of medical terminology and/or requirements for legal documents and exhibits to review case files .
Abillity to speak,read, and write in English and Spanish.
Abillity to speak English and Spanish in a professional manner.
Ability to use automation software, equipment, and systems.
Ability to communicate clearly and concisely in writing.
Ability to communicate clearly and concisely orally.
Ability to use various online reference resources, (i.e., bilingual dictionaries of medical/legal terminology.
This is a bilingual position. Applicants will be required to demonstrate proficiency in English and Spanish. You must be able to speak, read and write in English and the selected language in order to be considered proficient in that language. Interviews will be conducted in Spanish to determine your level of proficiency orally and in writing.
The Federal Government offers a comprehensive benefits package. Explore the major benefits offered to most Federal employees at http://www.usajobs.gov/ResourceCenter/Index/Interactive/Benefits#icc . OTHER INFORMATION:
If you are a veteran with preference eligibility and you are claiming 5-points veterans' preference, you must submit a copy of your DD-214 or other proof of eligibility. If you are claiming 10-point veterans' preference, you must also submit an SF-15, "Application for 10-Point Veterans' Preference" plus the proof required by that form. For more information on veterans preference see http://www.usajobs.gov/Veterans .
Males born after December 31, 1959 must be registered or exempt from Selective Service (see http://www.sss.gov ).
For information on "People with Disabilities" please visit http://opm.gov/disability/PeopleWithDisabilities.asp
Interagency Career Transition Assistance Program (ICTAP): For information on how to apply as an ICTAP eligible see http://opm.gov/rif/employee_guides/career_transition.asp#ictap . To be well-qualified and exercise selection priority for this vacancy, displaced Federal employees must be rated at 85.0 or above on the rating criteria for this position.
usajobs.gov - 19 months ago
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