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Posted: April 2, 2026 (2 days ago)

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Health Insurance Specialist (Technical Director)

Centers for Medicare & Medicaid Services

Department of Health and Human Services

Fresh

Location

Salary

$143,913 - $187,093

per year

Closes

April 9, 2026More HHS jobs →

GS-1 Pay Grade

Base salary range: $21,996 - $27,534

Typical requirements: No experience required. High school diploma or equivalent.

Note: Actual salary includes locality pay (15-40%+ depending on location).

Job Description

Summary

This job involves guiding the creation and evaluation of innovative Medicaid programs through special federal demonstrations, analyzing policies, and leading teams to advance health coverage initiatives.

A good fit would be someone with extensive experience in health policy, project management, and writing technical reports, ideally from government or nonprofit work in Medicaid or similar areas.

It's a senior-level role focused on providing expert advice to improve public health insurance systems.

Key Requirements

  • At least one year of specialized experience equivalent to GS-13, including technical guidance on Medicaid Section 1115 demonstrations or their evaluations
  • Experience overseeing projects and resources to support organizational missions in health policy
  • Proven ability to create technical written documents like policy statements, evaluation summaries, and special terms and conditions
  • Time-in-grade requirement: 52 weeks at GS-13 for current federal employees
  • Strong analytical skills for conducting studies on Medicaid policy issues
  • Leadership in guiding teams on demonstration-related matters
  • Ability to prepare briefing documents, reports, and issue papers

Full Job Description

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), State Demonstrations Group (SDG).

As a Health Insurance Specialist, referred to here as Health Insurance Specialist (Technical Director), GS-0107-14, you will provide complex technical and analytical capabilities to support development of Medicaid section 1115 demonstrations concerning innovation in eligibility and coverage ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT.

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.

In order to qualify for the GS-14 , you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-13 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Providing technical guidance on policies pertaining to Medicaid Section 1115 demonstrations; OR the conduct of evaluations of Section 1115 Demonstrations AND 2) Overseeing projects and associated resources to enhance program advancements in support of the organization's mission; AND 3) Creating technical written documents (i.e.

health policy statements, special terms and conditions, evaluation summaries) to inform decision making about policy design, implementation, or compliance.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social).

Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment.

You will receive credit for all qualifying experience, including volunteer experience.

Time-in-Grade: To be eligible, current Federal employees must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying.

Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12923906 Major Duties:

  • Serve as a Technical Director providing complex technical and analytical capabilities to support development of Medicaid section 1115 demonstrations.
  • Lead or conduct analyses and special studies of policy issues and topics related to Medicaid section 1115 agreements and/or other policy areas of responsibility that are located within the division.
  • Serve as a resource person and technical authority and coordinate cross-cutting projects and conducts special assignments on a wide range of significant management, operational, and policy issues.
  • Provide guidance and direction to the team members, individually and collectively, on matters related to section 1115 demonstrations.
  • Prepare a variety of written products, including briefing documents, talking points, evaluations, reports, and issue papers.

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Posted on USAJOBS: 4/2/2026 | Added to FreshGovJobs: 4/4/2026

Source: USAJOBS | ID: CMS-CMCS-26-12923906-IMP