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Health Insurance Specialist

Job in Washington, District of Columbia, 20022, USA
Listing for: Centers for Medicare & Medicaid Services
Full Time position
Listed on 2026-02-07
Job specializations:
  • Healthcare
    Healthcare Compliance, Public Health
  • Government
    Public Health
Salary/Wage Range or Industry Benchmark: 102415 - 133142 USD Yearly USD 102415.00 133142.00 YEAR
Job Description & How to Apply Below

At CMS, we believe that at the core of our organization are the employees who carry out the Agency’s vision of expanding coverage and improving health outcomes.

About the role:

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Legislation (OL) in Washington, DC.

As a Health Insurance Specialist, you will perform reviewing, analyzing, and evaluating proposed legislation, regulations, and other administrative actions for CMS programs.

$102,415 to - $133,142 per year

What you’ll do:
  • Review and analyze regulations, sub-regulatory guidance, issue papers, Office of the Inspector General (OIG) reports, Government Accountability Office (GAO) reports, reports to Congress, congressional correspondence, and other reports.
  • Identify and achieve consensus on viable solutions in collaboration with others, including CMS program staff.
  • Present problems and recommend solutions to management and senior leadership, and ensure follow-through on the agreed-upon response.
  • Develop a thorough understanding of problems and bring them to the attention of management when appropriate.
  • Provide assistance to other Groups within the Office of Legislation and the organization to ensure consistent, coordinated analyses and responses.
Qualifications:

In order to qualify for the GS-12, you must meet the following:

  • Reviewing and analyzing legislation and policies regarding Medicare, Medicaid, Children's Health Insurance Program (CHIP), or private health insurance programs; AND
  • Producing written documents for management, including briefing documents, reports, issue papers, responses to the Government Accountability Office/Office of the Inspector General, or decision memoranda regarding the Medicare, Medicaid, CHIP, or private health insurance programs; AND
  • Briefing leadership for congressional meetings regarding Medicare, Medicaid, CHIP, or private health insurance programs.
  • Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from being considered further.

    You MUST apply through USAJOBS by 1/22/2026 to be considered.

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