Launch Your Career as a Health Insurance Specialist with CMS

Are you ready to influence the landscape of American health care? The Centers for Medicare & Medicaid Services (CMS) is hiring a Health Insurance Specialist to join the Center for Program Integrity. This is a unique opportunity for experienced professionals to contribute to the nation’s health security.

Job Responsibilities

As a Health Insurance Specialist, your work will be diverse and highly visible. Your daily tasks will include:

Consultative Advisory: Providing expert guidance to management regarding health programs.
Policy Analysis: Evaluating the impact of proposed legislation and regulatory changes.
Stakeholder Engagement: Acting as an agency representative to build partnerships with consumer groups, providers, and congressional staff.
Project Leadership: Developing plans to ensure efficient project logistics and identifying potential bottlenecks.
Corrective Actions: Monitoring and coordinating responses to oversight bodies like the GAO and OIG.

Comparison: Standard vs. Specialized Federal Experience

Experience Type	Standard Role	Health Insurance Specialist (GS-13)
Outreach Focus	General Public	Complex Health Stakeholders
Policy Scope	Internal Procedures	National Legislation/Regulation
Problem Solving	Reactive	Proactive Risk/Fraud Mitigation

Requirements

To be considered for this GS-13 position, you must demonstrate a deep understanding of health insurance administration. You must provide evidence of one year of specialized experience at the GS-12 level, which includes:

Coordinating outreach and education campaigns for health programs.
Liaising with external stakeholders to address customer service needs.
Analyzing complex regulatory changes and preparing communications for leadership.

Note: Your resume must be two pages or less and include specific detail regarding your work history.

Benefits

CMS offers a competitive compensation package that includes health insurance, retirement planning, paid leave, and, most importantly, the ability to maintain work-life balance through flexible scheduling and telework opportunities.

This position is more than just a federal role; it is a chance to safeguard the integrity of programs that millions of Americans rely on daily. If you meet the qualifications and are eager to make an impact, follow the application steps carefully and apply today.

Why This Health Insurance Specialist Job Matters

Shape the future of public health as a Health Insurance Specialist at the Center for Program Integrity. Your expertise in outreach, policy analysis, and stakeholder engagement will directly support CMS's mission to protect the integrity of Medicare, Medicaid, and CHIP.

Health Insurance Specialist Job Overview

The Centers for Medicare & Medicaid Services (CMS) is seeking a motivated Health Insurance Specialist (GS-13) to join the Division of Stakeholder Engagement & Outreach. This role focuses on advancing CMS’s mission by coordinating complex outreach campaigns, fostering relationships with critical health care stakeholders, and analyzing policy changes to identify program vulnerabilities. You will play a vital role in communicating program updates, mitigating risks, and ensuring the efficiency of federal health insurance programs.

Requirements for Health Insurance Specialist

Must be a U.S. citizen.
Must complete all required application steps, including online questionnaires and assessments.
Must possess at least 52 weeks (one year) of specialized experience equivalent to the GS-12 level.
Resume must be limited to a maximum of two pages.
Must provide clear documentation of work history including hours per week and salary.
Must meet Time-in-Grade requirements if currently or previously employed as a permanent federal employee.

Preferred Qualifications for Health Insurance Specialist

Proven experience developing and executing information or education campaigns for health programs such as Medicare, Medicaid, or CHIP.
Demonstrated ability to serve as a primary liaison between government agencies and external stakeholders.
Strong analytical skills regarding legislative and regulatory health care policy changes.
Experience in identifying and addressing program vulnerabilities, fraud, waste, or abuse.

Federal Benefits & Perks

✓Comprehensive federal health insurance options.
✓Generous retirement plans including the Federal Employees Retirement System (FERS).
✓Flexible working arrangements and alternative work schedules.
✓Opportunities for professional development and training.
✓Paid vacation and sick leave.

💡 How to Apply Health Insurance Specialist Job & Insider Tips

Application Steps for Health Insurance Specialist Job

Prepare a resume that specifically highlights your federal or equivalent experience, limited to two pages.
Create a USAJOBS account and utilize the Resume Builder.
Complete the online application and all mandatory assessment questionnaires.
Submit your application and documentation before the deadline of October 6, 2026.
Monitor your email for a link to the USA Hire assessments and complete them within 48 hours of notification.

💡 General Tips

Focus on accomplishments rather than just duties; be specific about your impact.
Ensure your resume includes start/end dates in month/year format and hours worked per week.
Use the USAJOBS Resume Builder to ensure all required information is captured correctly.
Review the position description carefully and tailor your experience to match the stated duties.
Complete the assessments as soon as possible after submission to avoid technical delays.

Frequently Asked Questions

Can I work remotely?

This position is eligible for telework, but is not designated as a fully remote role. Specific work arrangements are at the manager's discretion.

What is the salary range for this role?

The salary for this GS-13 position ranges from $90,925 to $118,204 per year.

Is a security clearance required?

A security clearance is not required; however, the position is designated as Moderate Risk (MR) and requires credentialing and suitability/fitness adjudication.

Job from Centers For Medicare & Medicaid Services

The Department of Health & Human Services (HHS) and CMS are at the forefront of the American health care system. CMS partners with the healthcare community to improve quality, efficiency, and accessibility for millions of Americans. By working here, you aren't just taking a job; you are joining a dedicated team committed to protecting the public health, researching emerging diseases, and managing some of the world's largest insurance programs.