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Posted: March 11, 2026 (2 days ago)

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Supervisory Health Insurance Specialist

Centers for Medicare & Medicaid Services

Department of Health and Human Services

Fresh

Location

Salary

$164,956 - $197,200

per year

Closes

March 17, 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 create and manage policies for Medicaid programs, focusing on areas like health homes, elderly care programs, and coordinating benefits with other insurance.

You'll supervise staff, guide policy implementation for states and partners, and review state proposals to ensure they fit federal rules.

It's a great fit for experienced policy experts in health insurance who enjoy leading teams and shaping public health programs.

Key Requirements

  • One year of specialized experience at GS-14 level or equivalent, including developing Medicaid policy in benefits/coverage, PACE, Health Homes, or COB/TPL
  • Experience providing technical direction to staff, states, or stakeholders on policy implementation
  • Proven ability to prepare briefing documents, analytical reports, or guidelines for program management
  • Current federal employees must have at least 52 weeks at GS-14 grade
  • Strong supervisory skills to lead and evaluate a team as a first-line manager
  • Ability to coordinate and direct activities for policy development and state plan reviews

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), Medicaid Benefits and Health Programs Group (MBHPG), Division of Benefits and Coverage (DBC) OR Division of Health Homes, PACE and COB/TPL.

As a Supervisory Health Insurance Specialist, GS-0107-15, you will lead, direct, plan, and coordinate division staff and activities related to the development of Medicaid program policy.

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 grade level, 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) Developing Medicaid policy in one or more of the following areas: Benefits & Coverage, the Program of All Inclusive Care for the Elderly (PACE), Health Homes, or Coordination of Benefits (COB) & Third Party Liability (TPL); AND (2) Providing technical direction to staff, states, or stakeholders implementing such policies; AND (3) Preparing briefing documents, analytical reports, or guidelines for program management.

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/12906664 Major Duties:

  • Serve as Division Director; coordinate division staff and activities related to the development of Medicaid program policy.
  • Supervise and direct subordinate staff as a first line manager and provide administrative, policy, and programs objectives, assign tasks and evaluate the work directed.
  • Lead and manage the development of Medicaid program policy related to Health Homes, Program of All Inclusive Care for the Elderly (PACE), and Coordination of Benefits, Third Party Liability, (COB/TPL) OR Benefits and Coverage.
  • Direct the review and approval of Medicaid related state plan amendments and waivers.

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Posted on USAJOBS: 3/11/2026 | Added to FreshGovJobs: 3/11/2026

Source: USAJOBS | ID: CMS-CMCS-26-12906664-IMP