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Posted: April 8, 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

$164,956 - $197,200

per year

Closes

April 16, 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 that develops and oversees policies for reimbursing Medicaid services, ensuring states follow federal rules on payments and financing.

You'll guide staff, review proposals from states, and work with other groups to tackle big issues in Medicaid and CHIP programs.

It's a great fit for experienced managers with deep knowledge of health insurance policies who enjoy supervising teams and solving complex financial challenges in government healthcare.

Key Requirements

  • One year of specialized experience equivalent to GS-14, including providing technical policy guidance on Medicaid fee-for-service payments
  • Experience providing technical policy guidance on Medicaid state plan processes
  • Monitoring non-federal share financing mechanisms for state Medicaid programs
  • Overseeing team assignments and reviews of Medicaid fee-for-service proposals
  • Supervisory experience directing staff, assigning tasks, and evaluating performance
  • Knowledge of laws, regulations, and policies governing Medicaid fee-for-service payments and state interactions
  • Current federal employees must have 52 weeks at GS-14 or equivalent

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, Centers for Medicaid & CHIP Services (CMCS), Financial Management Group, Division of Reimbursement Policy.

As a Supervisory Health Insurance Specialist, GS-0107-15, you will serve as the Division Director of a staff with overall responsibility of direct support of CMS' reimbursement, finance policy and oversight activities.

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) Providing technical policy guidance on Medicaid fee for service payment policies; AND 2) Providing technical policy guidance on Medicaid and state plan processes; AND 3) Monitoring non-federal share financing mechanisms for State Medicaid programs; AND 4) Overseeing the work assignments of team members preforming reviews of Medicaid fee-for-service proposals.

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/12929008 Major Duties:

  • Supervise and directs subordinate staff as a first line manager and provides administrative, policy, and programs objectives, assigns tasks and evaluates the work directed.
  • Oversee the development, interpretation and application of specific laws, regulations, and policies that directly govern the fee-for-service payment and finance policies of the Medicaid program and the related interactions with States.
  • Coordinate the study of high priority program policies and issues confronting Division, Group, Center, and the Agency.
  • Collaborate with other work units to promote information sharing and environmental awareness of States’ Medicaid and CHIP programs.

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Posted on USAJOBS: 4/8/2026 | Added to FreshGovJobs: 4/8/2026

Source: USAJOBS | ID: CMS-CMCS-26-12929008-IMP