Job Information
Office of the Secretary of Health and Human Services Deputy Associate General Counsel for Program Integrity (CMSD) in United States
Summary HHS OGC seeks a Deputy Associate General Counsel (DAGC) for Program Integrity responsible for leading a team of attorneys advising on issues across Medicare, Medicaid, and the Affordable Care Act, and supports implementation of key initiatives such as the Inflation Reduction Act Drug Price Negotiation Program. The DAGC is a senior leadership position responsible for directing legal strategy and oversight on some of the government's most complex and high-stakes enforcement and compliance matters. Responsibilities The Deputy Associate General Counsel (DAGC) leads the Program Integrity Branch at the forefront of the government's efforts to combat fraud, waste, and abuse in federal healthcare programs. In this role, the DAGC directs a high-performing team of attorneys, setting legal strategy and ensuring the delivery of timely, high-quality, and impactful counsel on enforcement, compliance, and oversight across Medicare, Medicaid, and the Affordable Care Act (ACA). Serving as a principal advisor to CMS and OGC leadership, the DAGC shapes the legal framework for some of the most complex and consequential program integrity issues facing the Department. This includes guiding the interpretation and application of statutes and regulations, advising on sophisticated enforcement authorities and administrative remedies, and developing program safeguards that protect beneficiaries and taxpayer resources. The DAGC works closely with the Department of Justice on significant False Claims Act (FCA) matters and other enforcement actions, influencing case strategy, legal theories, and resolution approaches in high-stakes litigation. The incumbent also collaborates extensively with the HHS Office of Inspector General (OIG) on audits, investigations, and enforcement priorities, ensuring coordinated and effective oversight of federal healthcare programs. Requirements Conditions of Employment Qualifications Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Candidates will not be hired based on their race, sex, color, religion, or national origin. To meet the minimum qualification requirements for this position, you must show that you possess the Executive Core Qualifications (ECQ) and Technical Qualifications (TQ) related to this position within your resume - NOT TO EXCEED 2 PAGES. Resumes over the 2-page limit, will not be reviewed beyond page 2 or may be disqualified. Your resume should include examples of experience, education, and accomplishments applicable to the qualification(s). If your resume does not reflect demonstrated evidence of these qualifications, you may not receive consideration for the position. There is NO requirement to prepare a narrative statement specifically addressing the Executive Core Qualifications (ECQs) or the Technical Qualifications (TQs). TECHNICAL QUALIFICATIONS (TQs): Your resume should demonstrate accomplishments that would satisfy the technical qualifications. TQ 1: Substantial practice in healthcare enforcement and program integrity, including in Medicare, Medicaid, and ACA programs, including demonstrated expertise with False Claims Act matters. Requires strong background in administrative law, statutory and regulatory interpretation. Experience with emerging healthcare initiatives, including drug pricing or the IRA Drug Price Negotiation Program, is desirable. TQ 2: Proven leadership experience and excellence directing an effective cadre of regulatory attorneys and supporting personnel, setting appropriate priorities, and ensuring that the organization meets clients' needs for a high functioning group handling a large volume of extremely complex, high priority rulemakings, guidance documents, agency initiatives, and other assignments. Demonstrated exceptional judgment, communication skills, and commitment to public service is required. EXECUTIVE CORE QUALIFICATIONS (ECQs): In addition to the Technical Qualification Requirements listed above, all new entrants into the Senior Executive Service (SES) under a career appointment will be assessed for executive competency against the following five mandatory ECQs. If your 2-page resume does not reflect demonstrated evidence of the ECQs and TQs, you may not receive further consideration for the position. There are five ECQs: ECQ 1: Commitment to the Rule of Law and the Principles of the American Founding - This core qualification requires a demonstrated knowledge of the American system of government, commitment to uphold the Constitution and the rule of law, and commitment to serve the American people. ECQ 2: Driving Efficiency - This core qualification involves the demonstrated ability to strategically and efficiently manage resources, budget effectively, cut wasteful spending, and pursue efficiency through process and technological upgrades. ECQ 3: Merit and Competence - This core qualification involves the demonstrated knowledge, ability and technical competence to effectively and reliably produce work that is of exceptional quality. ECQ 4: Leading People - This core qualification involves the demonstrated ability to lead and inspire a group toward meeting the organization's vision, mission, and goals, and to drive a high-performance, high-accountability culture. This includes, when necessary, the ability to lead people through change and to hold individuals accountable. ECQ 5: Achieving Results - This core qualification involves the demonstrated ability to achieve both individual and organizational results, and to align results to stated goals from superiors. Note: If you are a member of the SES or have been certified through successful participation in an OPM approved SES Candidate Development Program (SESCDP), or have SES reinstatement eligibility, you do not need to respond to the ECQs. Instead, you should attach proof (e.g., SF-50, Certification by OPM's SES Qualifications Review Board (QRB)) of your eligibility for noncompetitive appointment to the SES. Education Must possess J.D. or LL.B degree. and Licensure Applicants must be licensed and authorized to practice law under the laws of a State, the District of Columbia, the Commonwealth of Puerto Rico, or any territorial court established under the United States Constitution. Judicial status is acceptable in lieu of "active" status in States that prohibit sitting judges from maintaining "active" status to practice law. Being in "good standing" is acceptable in lieu of "active" status in States where the licensing authority considers "good standing" as having a current license to practice law. Foreign Education: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show that the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: http://www.ed.gov. Additional Information HHS has a critical preparedness and response mission: HHS protects the American people from health threats, research emerging diseases, and mobilizes public health programs with domestic and international partners. In support of this mission, HHS offers its employees the opportunity to volunteer to become Federal Civilian Detailees and contribute their unique skills through voluntary temporary assignments to humanitarian emergencies or Departmental priorities countering new and emerging health, safety, and security threats. 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 Preferred Experience: Executive-level experience leading program integrity legal strategy, including fraud and abuse enforcement and complex healthcare litigation, advising senior officials and coordinating cross-agency legal initiatives. Salary: Salary for Senior Executive Service positions varies depending on qualifications. The annual salary range may be found at the top of this announcement. This position may be eligible for performance bonuses and performance-based pay adjustments. Standards of Conduct/Financial Disclosure HHS inspires public confidence by maintaining high ethical principles, and all Federal Government employees are subject to the conflict-of-interest statutes and regulations, including the Standards of Ethical Conduct, that govern activities with outside organizations and reporting financial holdings. The Ethics in Government Act, PL 95-521 also requires the applicant selected for this position to submit a Public Financial Disclosure Report, OGE-278, prior to assuming the SES position, annually, and upon termination of employment. Equal Employment Opportunity (EEO) Policy Statement: http://www.eeoc.gov/federal/index.cfm Employment Information Resources - Resource Center: https://help.usajobs.gov/how-to If applying online poses a hardship to you, you may submit your application by contacting: The agency point of contact in the agency contact section. Reasonable Accommodation Policy Statement Federal agencies must provide reasonable accommodation to applicants with disabilities where appropriate. Applicants requiring reasonable accommodation for any part of the application and hiring process should contact an agency representative in the agency contact section of this announcement. Requests for reasonable accommodation will be made on a case-by-case basis. Veteran's Preference Veteran's Preference does not apply to the SES. Selective Service Males born after 12/31/1959 must be registered or exempt from selective service see: https://www.sss.gov/RegVer/wfRegistration.aspx 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.