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Health Insurance Specialist job opening at Centers For Medicare & Medicaid Services
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Health Insurance Specialist Job

Centers For Medicare & Medicaid Services

Key Skills:Policy DevelopmentHealthcare Regulatory ComplianceStrategic AdvisingProject ManagementStakeholder EngagementLegislative AnalysisTechnical Writing

Become a Health Insurance Specialist with the Centers for Medicare & Medicaid Services (CMS)

Are you looking to make a profound impact on the American healthcare system? The Department of Health & Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), is currently accepting applications for a Health Insurance Specialist (GS-14). This is a premier opportunity for policy experts and regulatory specialists to influence national healthcare pricing transparency.

Job Responsibilities

As a Health Insurance Specialist, you will be a key player in the Center for Medicare. Your daily responsibilities will include:

  • Policy Development: Leading the creation of Hospital Price Transparency regulations and guidance.
  • Regulatory Alignment: Coordinating with agencies like the Department of Labor and Treasury to ensure policies like the 'No Surprises Act' are effectively implemented.
  • Strategic Advising: Representing CMS in interagency meetings and providing high-level recommendations to senior officials.
  • Team Leadership: Directing analysts and contractors to ensure that policy, legal, and compliance teams are aligned on mission-critical objectives.

Requirements

To be considered for this high-level role, candidates must demonstrate significant professional expertise.

Requirement Description
Grade Level GS-14 (requires 52 weeks at the GS-13 level)
Experience Specialized knowledge in healthcare regulations and policy
Citizenship Must be a U.S. citizen
Resume Limit Maximum of 2 pages

Salary and Benefits

This position offers a competitive salary range of $143,913 to $187,093 per year. Beyond base pay, employees enjoy comprehensive federal benefits, including:

  • Federal health insurance plans.
  • Generous pension and retirement savings (TSP) plans.
  • Flexible work schedules and telework opportunities.
  • Paid federal holidays and leave accrual.

Application Tips

Applying for a federal position requires meticulous attention to detail. Ensure your resume is under two pages and clearly articulates your experience in healthcare policy. We highly recommend using the USAJOBS resume builder to ensure your work history includes the necessary start/end dates, hours per week, and salary information.

This role offers a unique intersection of regulatory policy, interagency collaboration, and healthcare advancement. If you are a seasoned policy professional ready to take the next step in your public service career, we encourage you to submit your application package before the November 4, 2026 deadline.

Why This Health Insurance Specialist Job Matters

Shape the future of healthcare transparency as a Health Insurance Specialist with CMS and influence national policy at the highest level.

Health Insurance Specialist Job Overview

The Centers for Medicare & Medicaid Services (CMS) is seeking a dedicated Health Insurance Specialist (GS-14) to lead critical initiatives regarding Hospital Price Transparency. In this high-impact role, you will develop regulatory guidance, manage interagency coordination, and advise senior leadership on policies that affect the national healthcare marketplace. This position is vital to ensuring that Americans have the transparency they need to navigate the healthcare system effectively.

Requirements for Health Insurance Specialist

  • One year of specialized experience equivalent to the GS-13 grade level.
  • Must be a U.S. citizen.
  • Resume must be two pages or less.
  • Ability to complete all required online assessments within 48 hours of invitation.
  • Must meet all qualification requirements within 30 days of the closing date.

Preferred Qualifications for Health Insurance Specialist

  • Proven experience leading the development of healthcare regulations and public comment adjudication.
  • Deep understanding of complex contracting methodologies for hospital services.
  • Experience coordinating interagency healthcare policies involving the Social Security Act or Public Health Service Act.
  • Strong ability to advise senior leaders on sensitive policy matters and manage technical teams.

Federal Benefits & Perks

  • βœ“Comprehensive federal health insurance options.
  • βœ“Flexible work arrangements and alternative schedules.
  • βœ“Generous paid leave and federal holidays.
  • βœ“Participation in the Federal Employees Retirement System (FERS).
  • βœ“Access to professional development and career advancement programs.

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

Application Steps for Health Insurance Specialist Job

  1. Review the full vacancy announcement thoroughly.
  2. Prepare a resume that is strictly two pages or less, including all required employment details.
  3. Submit your application, including your resume and required documentation (SF-50, transcripts), via the USAJOBS portal.
  4. Complete the required online assessments if invited to do so.
  5. Monitor your application status through your USAJOBS account.

πŸ’‘ General Tips

  • Use the USAJOBS Resume Builder to ensure all required information like dates and hours worked is captured.
  • Be specific with your duties; avoid copying and pasting directly from the job announcement.
  • Submit all required documents, including transcripts and SF-50s, to prevent being rated ineligible.
  • Check your email frequently, including spam folders, for assessment notifications.
  • Draft your resume to highlight experience directly related to price transparency and regulatory policy.

Frequently Asked Questions

What is the maximum resume length?

Per agency policy, your resume must be no more than two pages in length.

Are there remote work opportunities?

This position requires a recurring reporting presence at a CMS office, though flexible work arrangements and telework may be available at a manager's discretion.

What happens if I fail to submit my SF-50?

Current federal employees are required to submit their most recent SF-50. Failure to provide this and other required documentation will result in an ineligible rating.

Job from Centers For Medicare & Medicaid Services

The CMS is responsible for administering the Medicare program and working in partnership with state governments to administer Medicaid and the Children’s Health Insurance Program. CMS staff are at the forefront of the evolving healthcare marketplace, tasked with ensuring quality, efficiency, and transparency in health services. Working at CMS means being part of a fast-paced, mission-driven organization that values professional excellence.