Health Insurance Specialist
$65.27k - $137.13kCenters for Medicare & Medicaid Services
Learn more about working at CMS. Visit our CMS LinkedIn Careers page to hear from leadership and explore our hiring priorities: About the Role READY TO LAUNCH OR GROW YOUR CAREER IN HEALTHCARE OVERSIGHT? Join the Office of Program Operations and Local Engagement as a Health Insurance Specialist developing the compliance, audit, and oversight processes that keep healthcare programs accountable. At CMS, you'll analyze policy, review provider applications, and support decisions that protect the integrity of programs serving 150+ million Americans—with room to grow from GS-9 to GS-12. Your work could strengthen oversight of American healthcare. Are you ready to get started? Responsibilities Analyze data, policies, or program requirements to support decision-making and improve operational outcomes Develop, implement, and evaluate programs, processes, or initiatives aligned with organizational goals Prepare reports, briefings, and documentation for leadership and stakeholders Collaborate with internal and external partners to ensure effective program execution and compliance Qualifications Education may substitute for experience at GS-9 and GS-11 (see announcement for details) Grade Levels: GS-0107-9/11/12 (4 vacancies) — career ladder to GS-12 Required Skills Experience researching and applying Medicare, Medicaid, CHIP, or ACA statutes, regulations, or guidance (particularly Medicare institutional payment policy) to support compliance determinations Background drafting technical documents to communicate findings to providers, contractors, or federal partners Experience reviewing provider applications, program data, or audit reports to identify compliance issues None specified. Pay range and compensation package Salary: $65,271 - $137,128/year (varies by location and grade) Locations: Atlanta, GA | Boston, MA | Woodlawn, MD | New York, NY | Dallas, TX (Telework eligible) Equal Opportunity Statement Resume required (2 page limit).
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- J-18808-Ljbffr Centers for Medicare & Medicaid Services
- ...Supervisory Health Insurance Specialist This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation (CMMI), Patient Care Models Group (PCMG). As a Supervisory...Health Insurance
- ...Health Insurance Specialist This position is with the Department of Health & Human Services, Centers for Medicare & Medicaid Services, Marketplace Plan Management Group, Division of Benefit and Marketplace Analysis and Policy (DBMAP). As a Health Insurance Specialist...Health Insurance
- ...improvement strategies, preparing complex provider agreements, and planning for operational readiness. Serve as the principal advisor to the PCMG Director on requirements and issues associated with prevention and population health, utilizing subject matter expertise....Health Insurance
- ...Lead strategic planning and day-to-day execution of essential health benefits (EHB) policy and programmatic work, in close coordination... ...written work products. Apply analysis of federal health insurance laws, regulations, and operational requirements to lead the development...Health Insurance
- ...Health Insurance Specialist (Program Oversight)This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). As a Health Insurance Specialist (Program Oversight), GS-0107-12, you will develop, evaluate, and...Health InsuranceContract work
- ...Health Insurance Specialist This position is located in the Department of Health & Human Services, Centers for Medicare & Medicaid Services, Center for Medicaid and Children's Health Insurance Program (CHIP) Services (CMCS). As a Health Insurance Specialist, GS-0107...Health Insurance
- ...interpreting, and evaluating national policies, regulations, legislation, procedures, and guidance governing Medicaid, CHIP, BHP, and related health programs. Reviewing state financing, reimbursement, eligibility, benefits, prescription drug, third-party liability, and other...Health Insurance
- ...Health Insurance Specialist (Program Policy) This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). As a Health Insurance Specialist (Program Policy), GS-0107-12, you will perform program policy work...Health Insurance
$121.79k - $158.32k
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center... ...of Supplier Claims Processing. About the Role As a Health Insurance Specialist (Claims Processing and Systems), GS-0107-13, you will...Health Insurance$40.04k
...Insurance Verification Specialist I The Insurance Verification Specialist I (IVS I) will obtain, clarify, and confirm outpatient benefits, ensuring... ...provide excellent customer service to patients/families, health insurance representatives, internal/external providers,...Health Insurance- John Majerowicz - State Farm Agent is seeking a qualified professional for the role of Life/Health Insurance Specialist. You will market Life and Health insurance services to help families secure their financial future and provide options during distress. This customer-...Health InsurancePart time
- ...Insurance Agent - Timonium (Baltimore), MDPerry Hall, MD; Baltimore, MDJoin Horace Mann and Unlock Your Financial PotentialReady to take... ...preferred)Resident State General Lines Insurance Licenses:Life and Health Insurance LicenseProperty and Casualty Insurance LicenseAbility...Health Insurance
- ...people’s lives and achieve financial success as an independent insurance agent, you’ve come to the right place. Becoming an independent... ...s lives. And who are we? HealthMarkets is a technology‑enabled health insurance agency delivering high‑touch, customized health and supplemental...Health InsuranceFor contractors
- ...The Insurance Representative is directly responsible for writing new quality business, conserving existing business, providing ongoing... ...his/her immediate supervisor for the number of submitted life & health applications, life and health placements, life & health annualized...Health InsuranceImmediate startWeekend workAfternoon shift
- ...people’s lives and achieve financial success as an independent insurance agent, you’ve come to the right place. Becoming an independent... ...s lives. And who are we? HealthMarkets is a technology-enabled health insurance agency delivering high-touch, customized health and supplemental...Health InsuranceFor contractorsSelf employment
- ...Inc. in Ellicott City, Maryland seeks an experienced independent insurance agent with 4-5 years of experience. The ideal candidate will... ...resources and leads to grow their business and deliver personalized health insurance solutions. This role allows you to collaborate with a...Health Insurance
- ...Benefits: 401(k) Paid time off Bonus based on performance Competitive salary Health insurance About the Role: David Rosario is looking for a motivated and driven Insurance Sales Representative to join our growing team in Baltimore, MD. This is an exciting...Health Insurance
- HealthMarkets, Inc. is seeking experienced independent insurance agents in Glen Burnie, Maryland. This role offers a unique opportunity for agents with 4-5 years of experience to join a leading health insurance agency. As an independent contractor, you will have access...Health InsuranceFor contractors
- ...Comparion Insurance Agency Sales Career Comparion Insurance Agency is hiring self-motivated, relationship-driven professionals for a... ...Full-time employment with benefits from day one, including health insurance, generous 401(k) match, and paid time off. Paid training...Health InsuranceFull timeWork at officeLocal areaRemote workFlexible hours
- ...what you have been looking for. GIA Legacy Planning is a life insurance distribution agency helping families protect what they have... ...who will follow a proven system You do not need a life and health insurance license to apply we walk you through licensing, carrier...Health InsuranceHourly payPermanent employmentFull timeFor contractorsRemote workWeekend workDay shiftAfternoon shift
- ...Competitive salary Paid time off Training & development ROLE DESCRIPTION The J Scott McGrew Insurance Agency is seeking a qualified and empathetic professional for the role of Life / Health Sales. As a customer-oriented expert, you will market the Life/Health insurance...Health Insurance
$45k - $75k
...Paid time off ~ Training & development ROLE DESCRIPTION: The J Scott McGrew Insurance Agency is seeking a qualified and empathetic professional for the role of Life / Health Sales. As a customer-oriented expert, you will market the Life/Health insurance services...Health InsuranceFor contractorsWork at office- ...Job Description At The Atlantic District, we believe that insurance is less about policies and more about the people behind them. We... ...Vision Insurance Flexible Schedule Life Insurance Health Insurance Disability Insurance Mon-Fri Schedule Retirement...Health InsuranceWork at officeLocal areaFlexible hours
$17 - $20 per hour
...Life Insurance Sales Professional Part-time opportunity for an exceptional life insurance sales professional. This expert will be experienced and knowledgeable in life and health sales with the ability to successfully market the Life/Health insurance services and products...Health InsuranceHourly payPart timeFor contractors$65k - $85k
...Life Insurance Position - State Farm Agent Team Member Eddie Bleiberg - State Farm Agent is seeking a qualified and empathetic professional... ...Member. As a customer-oriented expert, you will market Life/Health insurance services and products to benefit customers and their...Health InsuranceFor contractorsWork at officeFlexible hours- ...Benefits: 401(k) 401(k) matching Competitive salary Dental insurance Free food & snacks Health insurance Paid time off Vision insurance Benefits/Perks Competitive Pay Professional Development Job Stability in a growing industry Job Description...Health InsuranceWork from homeFlexible hours
- ...Insurance Specialist U.M. FDSP Associates is a non-profit affiliate of the University of Maryland School of Dentistry. U.M. FDSP Associates... ...winter break from Christmas Day through New Year's Day. Health Coverage: Medical, dental, and vision insurance, along with...Health InsuranceContract workTemporary workSecond jobWork at officeMonday to Friday
$40k - $125k
...Insurance And Financial Services Producer Aja Green Ins & Fin Svcs, Inc. is searching... ...lasting customer relationships. As one of our specialists, your knowledge of insurance products... ..., Life Insurance, Business Insurance, Health Insurance, and Renters Insurance. Our...Health InsuranceFor contractorsWork at office- ...Health Agents: Losing Clients to Rising Premiums? Build a Second Income Stream That Pays Bigger Per Client At The Griffin Agency, we partner with licensed health insurance agents who want to protect their income by adding Life Insurance and Annuity sales to their portfolio...Health InsuranceFull timeFlexible hours
$75k
...take charge of your earning potential? At Platinum Supplemental Insurance, we’re looking for motivated individuals ready to learn, grow,... ...supplemental coverage. By bridging the gaps left by traditional health plans, Platinum’s products offer peace of mind when unexpected...Health InsuranceFlexible hoursNight shift
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