Health Insurance Specialist

Overview This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS). The role of Health Insurance Specialist (GS‑0107‑13) focuses on developing, evaluating, and implementing policies related to Medicaid, CHIP, and Basic Health Program (BHP) to support Fraud, Waste, and Abuse (FWA) and Working Families Tax Credit (WFTC) initiatives. Responsibilities Develop, evaluate, and implement policies for Medicaid, CHIP, and BHP related to FWA and WFTC initiatives. Support compliance with federal regulations and program objectives. Provide technical guidance and develop regulatory materials such as manuals and policy letters. Qualification Requirements ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT. Minimum one year (52 weeks) of specialized experience equivalent to GS‑12, obtained in either the private or public sector. Specialized experience must include implementing program policies related to Medicaid, CHIP, or BHP to ensure compliance. Providing technical guidance on Medicaid, CHIP, or BHP program policies. Developing regulations, manuals, program guidelines, program memoranda, policy letters, or instructions to communicate health insurance program policies. Experience includes paid and unpaid roles, including volunteer work through National Service programs. Application Guidance Your resume (limited to no more than 2 pages) must include detailed information related to the responsibilities and specialized experience for this position. Do not copy and paste directly from this announcement; supplement with your own experience details. #J-18808-Ljbffr Centers-For-Medicare-and-Medicaid-Services