πŸ‡ΊπŸ‡Έ An unofficial, enhanced portal for U.S. Federal Government Jobs.
Home β€ΊCategories β€ΊHealth Insurance Administration β€ΊHealth Insurance Specialist
Health Insurance Specialist job opening at Centers For Medicare & Medicaid Services
⚠️
This job announcement has closed.

This is a historical archive. The application window has ended.

Health Insurance Specialist Job

Centers For Medicare & Medicaid Services

Key Skills:Attention to DetailData AnalysisPolicy DevelopmentCustomer ServiceProject ManagementRegulatory ComplianceInterpersonal Communication

Launch Your Career as a Health Insurance Specialist with CMS

Are you looking for a career that combines public service with meaningful work in the healthcare industry? The Centers for Medicare & Medicaid Services (CMS) is seeking motivated professionals to serve as Health Insurance Specialists (GS-0107-7/9). This role is your chance to contribute to the high-level policy and oversight that shapes healthcare delivery for millions of Americans.

Job Responsibilities

As a Health Insurance Specialist, you will work within the Survey Operations Group to ensure that providers and suppliers meet national standards. Your key responsibilities will include:

  • Policy Development: Reviewing and suggesting updates to operating procedures to improve program efficacy.
  • Analytical Reporting: Conducting studies to interpret data and recommending fact-based improvements.
  • Regulatory Oversight: Ensuring healthcare facilities comply with mandatory safety and quality regulations.
  • Stakeholder Engagement: Responding to inquiries from both internal team members and external partners.
  • Project Planning: Managing short- and long-term project logistics to prevent bottlenecks and improve efficiency.

Requirements & Qualifications

To qualify for this position, applicants must be able to demonstrate at least one year of specialized experience at the equivalent GS level or possess the required graduate education.

Level Experience Required Education Substitution
GS-7 1 year at GS-5 level 1 year full-time graduate education
GS-9 1 year at GS-7 level Master's degree or equivalent

Salary Overview

Salary varies by the physical work location due to cost-of-living adjustments:

  • Atlanta, GA: $53,361 – $84,857
  • Boston, MA: $57,150 – $90,882
  • Woodlawn, MD: $57,736 – $91,815
  • Kansas City, MO: $51,283 – $81,553
  • Seattle, WA: $56,715 – $90,190

Benefits

CMS provides a comprehensive suite of benefits, including:

  • Health and Life insurance plans.
  • Flexible work schedules and telework options.
  • Robust retirement programs (FERS).
  • Generous annual and sick leave accrual.

Application Tips

Competition for federal roles is high. To increase your chances:

  1. Tailor your resume: Ensure every bullet point on your resume speaks directly to the responsibilities listed in the vacancy announcement.
  2. Format correctly: Limit your resume to exactly two pages.
  3. Use the Builder: Utilize the USAJOBS resume builder to minimize formatting errors.
  4. Be specific: For every job listed, include start/end dates (MM/YYYY) and the number of hours worked per week.

The role of a Health Insurance Specialist at CMS is more than just a job; it is an opportunity to defend and improve the healthcare system that millions rely on. If you meet the requirements, we encourage you to submit your application early to ensure all your documents are received before the closing date.

Why This Health Insurance Specialist Job Matters

Shape the future of American healthcare standards by joining the CMS team as a Health Insurance Specialistβ€”where your analytical expertise ensures quality and compliance across the nation.

Health Insurance Specialist Job Overview

The Centers for Medicare & Medicaid Services (CMS) is hiring Health Insurance Specialists to work within the Center for Clinical Standards and Quality. This role is pivotal in developing survey and certification policies, monitoring compliance for healthcare facilities, and interpreting complex data to improve operational efficiency. If you are passionate about public health policy and looking to make a meaningful impact, this role offers a dynamic environment with opportunities for professional growth in a mission-critical federal agency.

Requirements for Health Insurance Specialist

  • U.S. Citizenship.
  • Submission of a professional, detailed resume limited to 2 pages.
  • Must meet specialized experience requirements or educational substitution for GS-7/GS-9 grades.
  • Completion of required online assessments within 48 hours of closing.
  • Relevant transcripts, licenses, or certifications provided at time of application.
  • Registration with the Selective Service (if male born after December 31, 1959).

Preferred Qualifications for Health Insurance Specialist

  • Experience in analytical studies and data interpretation regarding program initiatives.
  • Demonstrated ability to develop project plans for logistical efficiency.
  • Strong interpersonal communication skills for stakeholder engagement.
  • Graduate-level education (Master's, JD, or LL.B) related to public health or administration.
  • Professional experience in federal or private sector healthcare policy.

Federal Benefits & Perks

  • βœ“Flexible work arrangements and alternative work schedules.
  • βœ“Comprehensive federal health insurance and retirement plans.
  • βœ“Opportunities for professional development and training.
  • βœ“Paid vacation, sick leave, and federal holidays.
  • βœ“Thorough onboarding and integration into a high-impact federal agency.

πŸ’‘ How to Apply Health Insurance Specialist Job & Insider Tips

Application Steps for Health Insurance Specialist Job

  1. Review the full job announcement on USAJOBS carefully.
  2. Draft a targeted 2-page resume highlighting specialized experience.
  3. Prepare necessary documentation, including transcripts and SF-50 if applicable.
  4. Submit your application through the online portal by the closing date.
  5. Complete the required online assessments via the provided link after submission.
  6. Monitor your status and notifications through the USAJOBS applicant dashboard.

πŸ’‘ General Tips

  • Use the USAJOBS resume builder to ensure all required information is included.
  • Ensure your resume explicitly lists dates (MM/YYYY) and hours worked per week for each role.
  • Do not copy and paste directly from the vacancy announcement into your resume.
  • Triple-check that you have attached all required documents, including transcripts.
  • Be ready to complete the online assessment promptly as requested via email.

Frequently Asked Questions

Can I apply if I don't have a master's degree?

Yes, you can qualify for the GS-7 level through a combination of specialized experience or a bachelor's degree with superior academic achievement, depending on your background.

Is this a remote position?

No, this position requires a regular and recurring reporting requirement to the office, though CMS offers flexible work arrangements at the manager's discretion.

What is the deadline for this position?

*A: Applications must be submitted no later than 11:59 PM (ET) on July 29, 2026.*

Do I need a security clearance?

*A: This position is designated as non-sensitive and does not require a formal security clearance, though background suitability will be checked.*

Job from Centers For Medicare & Medicaid Services

The Department of Health and Human Services (HHS) and its sub-agency, the Centers for Medicare & Medicaid Services (CMS), operate at the forefront of the American healthcare system. CMS is responsible for managing critical programs like Medicare, Medicaid, and the Health Insurance Marketplace. Working here means becoming part of a team dedicated to enhancing healthcare quality, accessibility, and transparency.