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Health Insurance Specialist (Program Oversight) job opening at Centers For Medicare & Medicaid Services

Health Insurance Specialist (Program Oversight) Job

Centers For Medicare & Medicaid Services

Key Skills:Program OversightCompliance MonitoringData AnalysisStakeholder RelationsTechnical WritingPolicy ImplementationAttention to DetailInterpersonal Communication

Launch Your Career: Health Insurance Specialist at CMS

The Centers for Medicare & Medicaid Services (CMS) is looking for talented, driven professionals to join their team as Health Insurance Specialists (Program Oversight). As a vital part of the Department of Health and Human Services, you will work on the front lines of American healthcare, ensuring that our programs are efficient, compliant, and serving the public good. This is a unique opportunity to shape the landscape of federal health initiatives while growing your professional expertise.

Job Responsibilities

In this role, you will be responsible for:

  • Developing and maintaining strategies for overseeing healthcare and prescription drug service providers.
  • Building and managing relationships with diverse internal and external stakeholders.
  • Conducting in-depth reviews and operational studies to identify vulnerabilities and suggest improvements.
  • Drafting high-level policy papers, briefing materials, and manuals to guide program implementation.

Requirements

To be considered, candidates must:

  • Demonstrate at least one year of specialized experience at the GS-11 level.
  • Submit a resume of no more than two pages.
  • Complete the mandatory online assessments within 48 hours of the announcement closing.
  • Be a U.S. citizen.

Salary Overview

The salary range for this GS-12 position varies by location due to locality pay. Below is a comparison of some available duty stations:

Location Salary Range
San Francisco, CA $111,896 - $145,468
New York, NY $105,481 - $137,128
Dallas, TX $97,307 - $126,502
Atlanta, GA $94,654 - $123,052

Benefits

CMS provides a comprehensive suite of benefits, including:

  • Competitive pay scales with locality adjustments.
  • Flexible work schedules and telework options.
  • Extensive health, dental, and vision insurance.
  • Robust retirement planning, including the Thrift Savings Plan (TSP).
  • Generous paid annual and sick leave.

Application Tips

  1. Tailor Your Resume: Ensure your resume clearly states your specific experience regarding compliance, oversight, and operational reviews.
  2. Check Your Dates: Ensure you provide start and end dates in MM/YYYY format for every role.
  3. Prepare for Assessments: Use the provided practice tools for the USA Hire assessments so you are comfortable with the format.

If you are ready to apply your skills toward a meaningful, high-impact career in the federal government, the CMS Health Insurance Specialist role is an excellent next step. With strong growth potential and a commitment to public health, this position offers both professional challenge and personal fulfillment. Apply before the September 18, 2026, deadline to be considered.

Why This Health Insurance Specialist (Program Oversight) Job Matters

Shape the future of American healthcare compliance and oversight as a Health Insurance Specialist with the CMS.

Health Insurance Specialist (Program Oversight) Job Overview

The Centers for Medicare & Medicaid Services (CMS) is seeking highly motivated professionals to serve as Health Insurance Specialists (Program Oversight). In this role, you will be instrumental in developing and implementing oversight strategies to monitor healthcare and prescription drug service providers. You will collaborate with internal and external stakeholders to ensure compliance with federal policies, manage program vulnerabilities, and drive meaningful improvements in healthcare operations across the nation.

Requirements for Health Insurance Specialist (Program Oversight)

  • Must be a U.S. citizen.
  • Must meet all qualification requirements by the closing date of the announcement.
  • Must possess at least one year of specialized experience equivalent to the GS-11 level.
  • Resume must be limited to a maximum of two pages.
  • Registration with the Selective Service for males born after December 31, 1959.
  • Must complete all required online assessments within 48 hours of closing.

Preferred Qualifications for Health Insurance Specialist (Program Oversight)

  • Experience modifying oversight processes for health insurance or prescription drug services.
  • Demonstrated ability to monitor entities for compliance with complex regulatory policies.
  • Background in conducting detailed operational reviews to assess program vulnerabilities.
  • Strong analytical skills with experience in preparing policy reports and briefing materials.

Federal Benefits & Perks

  • βœ“Comprehensive federal health insurance programs.
  • βœ“Flexible work arrangements and telework opportunities.
  • βœ“Generous paid annual and sick leave.
  • βœ“Federal retirement benefits including the Thrift Savings Plan.
  • βœ“Opportunities for professional development and career growth.
  • βœ“Participation in life and long-term care insurance programs.

πŸ’‘ How to Apply Health Insurance Specialist (Program Oversight) Job & Insider Tips

Application Steps for Health Insurance Specialist (Program Oversight) Job

  1. Prepare a resume that is two pages or less, including detailed duties and dates.
  2. Click the official application link to initiate your submission.
  3. Answer the online application questionnaire thoroughly.
  4. Upload all required documentation, including proof of previous federal service (if applicable).
  5. Submit your application before 11:59 PM ET on September 18, 2026.
  6. Monitor your email for a link to the mandatory online assessments.
  7. Complete assessments within 48 hours of the announcement closing.

πŸ’‘ General Tips

  • Use the USAJOBS Resume Builder to ensure all required information like hours worked and salary is included.
  • Review your resume to ensure it specifically addresses the three key areas of specialized experience requested.
  • Set aside at least 3 hours for the online assessments, even if you anticipate completing them faster.
  • Use the USA Hire Applicant Resource Center to practice ahead of the assessment.
  • Ensure all contact information for past supervisors is accurate and current.

Frequently Asked Questions

Is this position eligible for remote work?

This role is not fully remote; it carries a regular and recurring reporting requirement to the selected duty station. However, telework and flexible scheduling are available at the manager's discretion.

What happens if I forget to submit my documents?

Failure to submit all required documents will result in an ineligible rating. Please verify your document checklist before the final submission.

Job from Centers For Medicare & Medicaid Services

CMS is at the heart of the national healthcare system. Their mission is to improve quality and efficiency in healthcare through dedicated leadership and robust oversight. Working for CMS means joining an organization that values integrity, innovation, and service. Whether protecting the American people from health threats or managing complex prescription drug services, your work will have a tangible impact on the nation.