Director, Hospital and Ambulatory Policy Group (HAPG)

About the role

This position is located in the Center for Medicare, Centers for Medicare and Medicaid Services (CMS).

As the Director, Hospital and Ambulatory Policy Group (HAPG), within the Center for Medicare (CM), you will provide leadership and executive direction for a comprehensive program to establish, evaluate and maintain policies, regulations, and instructions to define the scope of benefits and payment amounts for the acute care side of the Medicare fee-for-service program.

What you will do

• Develops and maintains policies, regulations, and instructions that define the scope of benefits under prospective payment systems for hospital and other healthcare services.
• Evaluates and establishes payment amounts for inpatient, outpatient, long-term care, ambulatory surgical center, physician, rural health clinic, federally qualified health center, blood, and opioid treatment services.
• Oversee the activities of the Advisory Panel on Hospital Outpatient Payment and the Advisory Panel on Clinical Diagnostic Laboratory tests, including hosting the Annual Lab Meeting.
• Maintains continuing liaison with provider groups, industry associations, patient organizations, medical associations, and other stakeholders that relate to Medicare benefits.
• Provides interpretations of established policies and technical assistance to other agency components and regional offices, State agencies, Medicare administrative contractors, congressional staff, and other departmental offices.
• Develops, evaluates, and maintains national Medicare scope of benefits and payment methodologies for payment systems under HAPG's purview.

How you will be evaluated

You will be evaluated on the quality and extent of your total accomplishments, experience, and education (if applicable). Your application will be rated and ranked by a Senior Executive Service (SES) Panel, comprised of at least three SES members, using only the information required within the application package.

Applicants who do not demonstrate in their application sufficient possession of the ECQs and TQs will be determined ineligible for further consideration. Once the application process is complete, a review of your resume and supporting documentation will be conducted.

If you meet minimum qualifications, your Application Package will be further reviewed to determine if you possess the Executive Core Qualifications (ECQ) and Technical Qualifications (MTQ) listed above. ECQs and TQs must be thoroughly addressed within your two (2) page resume. Separate narratives will not be accepted or reviewed.

Highly Qualified applicants may undergo one or more interviews and may be referred to the selecting official for further consideration.

Upon selection, if not already a member of the SES serving under a career appointment, the individual selected must have his/her executive qualifications certified by the U.S. Office of Personnel Management's SES Qualifications Review Board (QRB) before appointment to this position.

The selected individual's application will be forwarded to the OPM for review and certification by the QRB, unless the selectee provides evidence of their noncompetitive status (i.e., a current SES, OPM QRB certified SESCDP graduate, or SES reinstatement eligible). Upon QRB certification, the selected individual will be required to serve a one-year probationary period.

For more information regarding the SES, go to ***

Documents you must provide

• A complete application includes items described below.
• Please note that if you do not provide all required information, as specified in this announcement, you may not be considered for this position (or may not receive the special consideration for which you may be eligible).
• Please carefully review the following list to determine what documentation you need to submit.
• Some documents may not apply to all applicants.
• RESUME: All applicants are required to submit a resume limited to two (2) pages (i.e., 1 page that is double-sided or 2 pages that are one-sided each) showing all relevant experience.
• Applicants seeking initial career appointment to the Senior Executive Service (SES) must include evidence of the ECQs and TQs.
• PLEASE DO NOT USE USAJOBS RESUME BUILDER.
• VACANCY QUESTION/ASSESSMENT QUESTIONNAIRE RESPONSES: Responses are automatically submitted through USA Jobs when you apply to this vacancy.
• Click the following link to preview the assessment: ***
• ADDITIONAL REQUIRED DOCUMENTS: Applicants are required to submit the following supporting documentation if applicable: CURRENT OR FORMER SES MEMBERS: Must provide your SES appointment SF-50 (Notification of Personnel Action), and an SF-50 showing current career SES status or career SES reinstatement eligibility.
• SES CANDIDATE DEVELOPMENT PROGRAM (SESCDP) GRADUATES: Verification of successful completion of an OPM-approved SESCDP and OPM SES QRB certification.
• CURRENT FEDERAL CIVIL SERVICE EMPLOYEE: Must provide a copy of your Notification of Personnel Action, Standard Form 50 (SF-50) or equivalent personnel action form reflecting you are a current Federal Civil Service employee.
• STRONGLY RECOMMENDED: Most recent performance evaluation.
• There are three key documents that contain important information about your rights and obligations.
• Please read and retain these documents: Noncriminal Justice Applicant's Privacy Rights, for those who undergo an FBI fingerprint-based criminal history record check for personnel vetting, which includes Rap Back, FD-258 Privacy Act Statement - FBI (this is the same statement used when your fingerprints are submitted as part of your background investigation), and SEAD-3-Reporting-U.pdf (dni.gov), (applicable to those who hold a sensitive position or have eligibility for access to classified information)" Applicants must complete a Declaration for Federal Employment when requested by the agency to assess suitability for Federal employment.

What to expect next

To verify the status of your application, sign in to your USAJOBS account (***), all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: ***

Once your online application is submitted you will receive a confirmation notification by email. Your application will be evaluated by the Human Resources Office to determine your eligibility for the position. After the evaluation is complete, you will receive another notification regarding the status of your application.

Additional information

Veterans Preference: Veterans' preference is not applicable to the SES. Mobility: Organizational and geographical mobility is essential in developing and managing SES leaders.

Individuals selected for SES positions members may be subject to reassignment across geographical, organizational, and functional lines, and may be required to sign a Reassignment Rights and Obligation Agreement.

Equal Employment Opportunity (EEO) Policy Statement: *** Employment Information Resources - Resource Center: *** Males born after 12-31-1959 must be registered or exempt from Selective Service (see ***) OPM must authorize any employment offers made to current or former (within the last 5 years) political Schedule A, Schedule C, or Non-career SES employees in the executive branch.

If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, or Noncareer SES employee in the executive branch, you must disclose that to the Human Resources Office. Salary for SES positions varies depending on qualifications. The annual salary range is found at the top of this announcement.

The selectee for this position may be eligible for annual performance bonuses and performance-based pay adjustments.