USA remote
Program Manager
About this role
For the GS 15: You must have one full year (52 weeks) of specialized experience comparable in scope and responsibility to the GS-14 grade level or pay band in the Federal service (obtained in either the public or private sectors) performing ALL of the following: Analyzing or overseeing program integrity and compliance activities in health insurance programs to address potential fraud, waste, abuse, improper payments, program vulnerabilities or non-compliance; Coordinating program integrity, compliance, referral or corrective action activities with oversight organizations, legal counsel, contracting officials, health care organizations, carriers, or program offices; Preparing referral packages, corrective-action recommendations, recovery or disallowance analyses or contract-remedy options supported by program integrity findings; AND Developing policies, procedures, or performance measures that support the prevention, detection, and resolution of fraud, waste, abuse and payment integrity risks in health insurance programs.
You must meet all qualification and eligibility requirements by the closing date of this announcement. 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.
Source listing: usajobs