Duties

Summary

The Office of Medicare Hearings and Appeals (OMHA) administers the third level of appeals nationwide for the Medicare program, ensuring that beneficiaries, providers, and suppliers have access to an independent forum and an opportunity for a hearing. OMHA's mission is to be a responsible forum for fair, credible and timely decision-making through an accomplished, innovative and resilient workforce. Each employee makes a difference by contributing to shaping American health care.

Learn more about this agency

Responsibilities

Please note this announcement is for a temporary position, up to one year. The position is open to current federal employees who work in Arlington, VA (either for Headquarters or for the Arlington Field Office). Being outstationed is not an option.

The Hearing Office Director performs the following duties:

• Responsible for providing leadership and administrative oversight to the OMHA field office and ensuring the availability of administrative resources to aid the timely adjudication of appeals.
• Responsible for working with the Associate Chief Administrative Law Judge in the identification and correction of any problems, barriers, or deficiencies that negatively impact program or operational areas required for the efficient adjudication of Medicare appeals.
• Serves as the senior advisory resource for issues including: staffing, budget, human resources practices, labor and employee relations, information technology, contracts, benefits, physical and information security, facilities management and management information analysis.
• Participates in the development of the Agency's strategic planning, performance and results management, general management and program administration functions.
• Furthers Equal Opportunity Employment by demonstrating evidence of fairness in recommending selections, encouragement and recognition of employee achievements, fair treatment of all employees, and sensitivity to the developmental needs of all employees.

Travel Required

Occasional travel - You may be expected to travel for this position.

Supervisory status
Yes

Promotion Potential
15

Requirements

Conditions of Employment

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.

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.

Direct Deposit: All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice.

All qualification requirements must be met by the date the announcement closes.

Financial disclosure statement may be required: Yes

One-year supervisory probationary period may be required.

Travel, transportation, and relocation expenses may be paid: No

Bargaining Unit Position: No

Drug Screening Required: No

Recruitment incentives may be authorized: No

Student loan repayment incentive may be authorized: No

Annual leave for non-federal service may be authorized: No

One year probationary period may be required.

U.S. Citizenship Required: Yes

Males born after December 31, 1959 must be registered or exempt from Selective Service - http://www.sss.gov

Suitable for federal employment: Yes

THIS IS A TEMPORARY POSITION FOR UP TO ONE YEAR. IT WILL NOT BE MADE PERMANENT.

The individual selected needs to be able to report to the Arlington Field Office on a regular (weekly) basis. Being outstationed is not an option.

Qualifications

Specialized Experience: To qualify for the GS-15 position, the incumbent must have one year of specialized experience equivalent to at least the GS-14 grade level performing duties such as: serving as a senior advisory resource on issues related to office administrative issues (human resources management; financial management; facilities management, and information systems management); executing a budget according to organizational guidelines; maintaining systems and databases to support a paperless environment; coordinating an office's access to networks, including Internet and Intranet connections; administering administrative and information resources management policy; and providing oversight of departmental and individual performance accountability.

Documenting experience: In accordance with Office of Personnel Management policy, federal employees are assumed to have gained experience by performing duties and responsibilities appropriate for their official series and grade level as described in their position description. Experience that would not normally be part of the employee's position is creditable, however, when documented by satisfactory evidence, such as a signed memorandum from the employee's supervisor or an SF-50 or SF-52 documenting an official detail or other official assignment. The documentation must indicate whether the duties were performed full time or, if part time, the "percentage of times" the other duties were performed. It is expected that this documentation is included in the employee's official personnel record. In order to receive credit for experience in your resume that is not within the official series and grade level of your official position, you must provide a copy of the appropriate documentation of such experience as indicated above.

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; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to gain employment. You will receive credit for all qualifying experience, including volunteer experience. If such experience is on a part-time basis, you must provide the average number of hours worked per week as well as the beginning and ending dates of the experience so it can be fully credited.

Time-in-grade Current General Schedule (GS) federal employees, and those that have served in GS positions within the last 52 weeks, must have served 52 weeks at the next lower grade, or a combination of the next lower grade level and an equivalent band in the federal service. Provide a copy of your last or most recent SF-50, "Notification of Personnel Action" to indicate your current federal status. You must also submit additional SF-50(s) to clearly demonstrate one year time-in-grade as required in the announcement. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate that you possess one year time-in-grade. In this instance, you must provide an additional SF-50 that clearly demonstrates one year time-in-grade.

Education

This job does not have an education qualification requirement.

Additional information

Special Hiring Authorities for Veterans - http://www.fedshirevets.gov/job/shav/index.aspx

People With Disabilities (Schedule A) - https://www.usajobs.gov/Help/working-in-government/unique-hiring-paths/individuals-with-disabilities/

Military Spouses - https://www.usajobs.gov/Help/working-in-government/unique-hiring-paths/military-spouses/

Reasonable Accommodation: This agency provides reasonable accommodation to applicants with disabilities. If you need a reasonable accommodation for any part of the application and hiring process, please see Agency Contact Information for whom to contact for more info. The decision on granting reasonable accommodation will be made on a case-by-case basis. You must contact the HR contact on the vacancy announcement at least three business days before the closing date of this announcement to receive assistance.
For more information on disability employment, please visit https://www.opm.gov/policy-data-oversight/disability-employment/

Males born after December 31, 1959 must be registered or exempt from Selective Service - http://www.sss.gov

Career Transition Program: This program applies to Federal service employees whose positions have been deemed surplus or no longer needed, or employees who have been involuntarily separated from a Federal service position within the competitive service. To receive selection priority for this position, you must: 1) meet eligibility criteria for CTAP or ICTAP; 2) be rated well-qualified for the position; and 3) submit the appropriate documentation to support your CTAP or ICTAP eligibility. Well-Qualified includes those applicants whose knowledge, skills, and abilities clearly exceed the minimum qualification requirements for the position. Required documents: (1) Proof of Eligibility (Reduction-in-Force separation notice, Notice of proposed removal for failure to relocate, notice of injury compensation termination, OR notice of disability annuity termination); (2) Your latest performance rating showing a rating of at least "fully successful"; AND (3) Your most recent Notification of Personnel Action, Standard Form 50 (SF-50), or equivalent personnel action, showing your tenure, position occupied, and duty station. NOTE: Your proof of eligibility must be dated within a year of the date of your application in order to meet ICTAP eligibility. For information on eligibility criteria, go to: http://www.opm.gov/rif/employee_guides/career_transition.asp

Beginning January 1, 2010, agencies must seek prior approval from OPM before they can appoint a current or recent political appointee to a competitive or non-political excepted service position at any level under the provisions of title 5, United States Code. If you are currently or have been within the last 5 years, a political Schedule A, Schedule C, or Non-career SES employee in the executive branch, you MUST disclose that to the Human Resources Office.

If you are unable to apply online, please go to https://help.usastaffing.gov/Apply/index.php?title=Alternate_Application_Information for more information on our alternate application method.

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

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.

For Competitive Merit Promotion and Veterans Employment Opportunities Act (VEOA) Applicants: The highest rated candidates will be referred to the hiring agency.

For Noncompetitive Applicants: All qualified candidates will be referred to the hiring agency.

Your qualifications will be evaluated on the following competencies (knowledge, skills, abilities and other characteristics):

• Administration and Management
• Creative Thinking
• Leadership
• Managing Human Resources
• Planning and Evaluating

To preview the assessment questionnaire, click the following link: https://apply.usastaffing.gov/ViewQuestionnaire/11219632

Background checks and security clearance

Security clearance
Other

Drug test required
No

Position sensitivity and risk
Moderate Risk (MR)

Trust determination process
Suitability/Fitness

Required Documents

Submission of a resume alone IS NOT a complete application. You must provide a complete online Application Package which includes:

• Your Resume must clearly articulate how your skills and experiences align to the criteria defined in the qualifications section of this announcement and it must support your responses to the assessment questionnaire. For each position you must describe your duties, accomplishments, related skills, and responsibilities. Your resume must also include the day, month, and year that you began and ended for each position held. Full-time employment will be assumed unless otherwise stated on your resume. Part-time employment will be prorated in crediting experience. Not providing this information may result in the lowering of your assessment score or an ineligible rating. For resume writing guidance, please visit the USAJobs Resource Center or view their video tutorial .
• SF-50 "Notification of Personnel Action" - you must submit an SF-50 to clearly demonstrate one year time-in-grade as required in the announcement. If the most recent SF-50 has an effective date within the past year, it may not clearly demonstrate that you possess one year time-in-grade. In this instance, you must provide an additional SF-50 that clearly demonstrates one year time-in-grade.
• A complete Assessment Questionnaire ( https://apply.usastaffing.gov/ViewQuestionnaire/11219632 )

Other Supporting Documents: (Only Submit if applicable to you)

• Schedule A documentation (disability letter from you doctor or a licensed medical professional that proves your eligibility for Schedule A appointment.
Veterans & Military Spouses: You must submit a DD Form 214 (Certificate of Release or Discharge) that has the dates of service and discharge status.
Disabled Veterans: In addition to the DD-214 form, you must submit an official document dated 1991 or later, from the Department of Veterans Affairs or from a branch of the Armed Forces, certifying the service-connected disability rating.
CTAP documentation: you must submit the following documents at the time of application : (1) Proof of Eligibility (Reduction-in-Force separation notice, Notice of proposed removal for failure to relocate, notice of injury compensation termination, OR notice of disability annuity termination); (2) Your latest performance rating showing a rating of at least "fully successful" (level 3); AND (3) Your most recent Notification of Personnel Action, Standard Form 50 (SF-50), or equivalent personnel action, showing your tenure, position occupied, and duty station.

You are not required to submit official documents at this time; copies are sufficient.