Clarification from the agency

This announcement is advertised under Direct Hire Authority and is open to all United States Citizens or Nationals.

• Analyze recent experience and prepares estimates of future experience for the health care programs.
• Provide actuarial review of capitation rates and payment arrangements.
• Produce estimates for proposed legislative and regulatory changes to the health care program.
• Perform actuarial analysis on the development of projections related to the testing of new payment models.

Conditions of employment

• You must be a U.S. Citizen or National to apply for this position.
• You will be subject to a background and suitability investigation.

Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.

In order to qualify for the GS-11, you must meet one of the following:

A. PhD or equivalent doctoral degree or 3 years of progressively higher level graduate education leading to a PhD degree in actuarial science, mathematics, statistics, business, finance, economics, insurance, or computer science AND a course of educational study as described in the Education paragraph (A) below. (TRANSCRIPT WITH APPLICABLE COURSES REQUIRED AT TIME OF APPLICATION)

B. A combination of education and experience that includes both of the following requirements: One year (52 weeks) of specialized experience equivalent to the GS-09 level within the public or private sector to include: 1.Researching, coordinating, and providing input for reports utilizing actuarial techniques AND 2.Analyzing, interpreting, or communicating actuarial data and information AND 3.Providing actuarial assistance in review of cost estimates, payment models, or managed care programs; AND 2) a course of educational study as described in the Education paragraph (A) or (B) below. (TRANSCRIPT WITH APPLICABLE COURSES REQUIRED AT TIME OF APPLICATION)

C. Successfully completed three of the Society of Actuaries (SOA) or Casualty Actuarial Society (CAS) examinations, or received credit for three of the Joint Board for the Enrollment of Actuaries (JBEA) examinations AND have one year of professional actuarial experience equivalent to at least the GS-09 level within the public or private sector to include: Researching, coordinating, and providing input for reports utilizing actuarial techniques AND Analyzing, interpreting, or communicating actuarial data and information AND Providing actuarial assistance in review of cost estimates, payment models, or managed care programs; AND a course of educational study as described in the Education paragraph (B) below. (EDUCATIONAL & SOA/CAS/JBEA TRANSCRIPTS REQUIRED AT TIME OF APPLICATION)

TRANSCRIPTS are required to verify satisfactory completion of the educational requirement related to substitution of education for experience and combination of experience and education. Please see "Required Documents" section below for what documentation is required at the time of application.

In order to qualify for the GS-12, you must meet one of the following:

A. One year of actuarial experience, equivalent to the GS-11 level within the public or private sector to include: 1.Constructing and manipulating data files for actuarial analysis AND 2.Applying actuarial theories, principles, and methodology to analyze and evaluate financing issues AND 3.Preparing technical reports, presenting findings to management and stakeholders, and working collaboratively with other actuaries, analysts, and program officials; AND a course of educational study as described in the Education paragraph (A) or (B) below. (TRANSCRIPT WITH APPLICABLE COURSES REQUIRED AT TIME OF APPLICATION)

B. Successfully completed four of the SOA or CAS examinations, or received credit for three of the JBEA examinations AND have one year of actuarial experience, equivalent to the GS-11 level within the public or private sector to include: 1. Developing, operating, and maintaining programs that construct and manipulate data files for actuarial analysis. AND 2. Applying actuarial theories, principles, and methodology to analyze and evaluate financing issues AND 3. Preparing technical reports, presenting findings to management and stakeholders, and working collaboratively with other actuaries, analysts, and program officials; AND a course of educational study as described in the Education paragraph (B) below. (EDUCATIONAL & SOA/CAS/JBEA TRANSCRIPTS REQUIRED AT TIME OF APPLICATION)

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.

How you will be evaluated

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

Traditional rating and ranking of applications does not apply to this vacancy. Applications will be evaluated against the basic qualifications. Qualified candidates will be referred for consideration in accordance with the Office of Personnel Management direct hire guidelines. Veterans' Preference does not apply to direct hire recruitment procedures. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would, therefore, be given new appointments to the civil service; however, benefits, time served and all other Federal entitlements would remain the same.

The following documents are REQUIRED:

1. Resume showing relevant experience; cover letter optional. NOTE: As of September 27, 2025, federal agencies will only accept resumes that are two pages or less in length. Your resume must indicate your citizenship and whether you are registered with the Selective Service if you are a male born after 12/31/59. Your resume must also list your work experience and education (if applicable), including the start and end dates (mm/yyyy) of each employment, along with the number of hours worked per week. For work in the Federal service, you must include the series and grade level for the position(s). Your resume will be used to validate your responses to the assessment tool(s). For resume and application tips, visit: https://help.usajobs.gov/faq/application/documents/resume/what-to-include.

2. CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.). Required documents may be necessary to be considered for this vacancy announcement. Click here for a detailed description of the required documents. Failure to provide the required documentation WILL result in an ineligible rating OR non-consideration.

3. College Transcripts. Since this position requires specific education, you must submit a transcript attesting to your possession of the required education. You may submit an unofficial transcript or a list of college courses completed, indicating course titles, credit hours, and grades received. An official transcript is required if you are selected for the position. If selected, you must provide an original document before the final job offer may be extended. If you do not submit a transcript indicating your possession of the required education, you will not be considered for this position.

College Transcripts and Foreign Education: Applicants who have completed part or all of their education outside the U.S. must have their foreign education evaluated by an accredited organization to ensure that it is comparable to the education received in accredited educational institutions in the U.S. For a listing of services that can perform this evaluation, visit the National Association of Credential Evaluation Services website. This list, which may not be all-inclusive, is for informational purposes only and does not imply any endorsement of any specific agency.

If you are applying for a position for which a state license is issued (e.g., physician, engineer, attorney), possession of a valid and current U.S. professional license by a graduate of a foreign professional school or program is sufficient proof that the foreign education has been determined to be equivalent to the requisite U.S. professional education in that occupational field.

PLEASE NOTE: A complete application package includes the online application, resume, transcripts, and CMS required documents. Please carefully review the full job announcement, which includes the "Required Documents" and "How to Apply" sections. Failure to submit the online application, resume, transcripts, and CMS required documents will result in your not being considered for employment.

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