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Posted: March 30, 2026 (0 days ago)

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Supervisory Health Insurance Specialist

Centers for Medicare & Medicaid Services

Department of Health and Human Services

Fresh

Location

Salary

$169,279 - $197,200

per year

Closes

April 3, 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 leading a team to manage health insurance operations under the Affordable Care Act, including overseeing policy implementation, contractor relations, IT systems, and guidance for insurance issuers on plan certifications.

It requires translating complex rules into practical steps for marketplaces that help people get coverage.

A good fit would be someone with senior-level experience in healthcare policy, strong leadership skills, and a background in government or insurance operations who enjoys directing teams and improving processes.

Key Requirements

  • At least one year of specialized experience equivalent to GS-14 level, including serving as a liaison to state, federal, or healthcare executives
  • Experience developing or analyzing policy guidelines, programs, or operations related to issuer certification or participation under the Affordable Care Act (ACA)
  • Demonstrated ability to plan, organize, and direct the work of subordinate employees
  • Time-in-Grade requirement: 52 weeks at GS-14 for current or former federal employees
  • Strong skills in analyzing system processes for operational efficiencies and reducing manual work
  • Experience leading development of standard operating procedures and sub-regulatory guidance for Qualified Health Plans (QHP) in Federally Facilitated Marketplaces (FFMs)

Full Job Description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight (CCIIO), Marketplace Plan Management Group (MPMG).

As a Supervisory Health Insurance Specialist, GS-0107-15, you will translate program policy to operations needs for health insurance marketplaces, contractor management, IT systems, consumer assistance, data and legislative analysis, and stakeholder engagement.

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-15, 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-14 grade level in the Federal government, obtained in either the private or public sector, to include: 1.

Serving as liaison to state officials, federal officials, or executives of other healthcare organizations; AND 2.

Developing or analyzing policy guidelines, program, or operational activities related to issuer certification or participation within the Affordable Care Act (ACA); AND 3.

Planning, organizing, or directing the work activities of subordinate employees.

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 or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year 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/12917333 Major Duties:

  • Plans and assigns work, delegating authority as appropriate; sets and adjusts priorities as necessary; develops performance standards and appraises work, giving advice and/or instructions as required.
  • Directs analysis of system processes to develop operational efficiencies to reduce manual steps and duplication.
  • Leads the teams that develop and update standard operating procedures and other sub-regulatory guidance that instruct Issuers on conducting QHP certification reviews for plans offered in the market under the FFMs.

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Posted on USAJOBS: 3/30/2026 | Added to FreshGovJobs: 3/30/2026

Source: USAJOBS | ID: CMS-CCIIO-26-12917333-IMP