Health Insurance Specialist

Summary

We are looking to fill Health Insurance Specialist, GS-0107-7/9, positions in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). Click on "Learn more about this agency" for more details! What is a Health Insurance Specialist (HIS)? At CMS, an HIS can wear many hats. This series typically works with health insurance policy development, research, analysis, and program development. NOTE: The announcement closing date has changed to 11/6/26.

Duties

• Resolve health insurance program issues by conducting research on the problem area, analyzing the results, and making recommendations to management to resolve any problem areas.
• Engage with senior analysts and management in reviewing, analyzing, and developing program documents.
• Review, evaluate, and analyze health insurance programs for efficiency and effectiveness.
• Review draft regulations and responses to CMS' proposed regulations.
• Assist with the administration of health insurance program audits.

Qualifications

PROGRAM REQUIREMENTS: You must be ELIGIBLE and QUALIFIED in order to be referred to Hiring Managers. ELIGIBILITY REQUIREMENTS: Am I considered a Recent Graduate? GPA Requirement: You must possess a cumulative GPA of 3.0 on the unweighted 4.0 scale upon completion of your academic degree or certificate program. (GPA 2.95 is rounded to 3.0, and 2.94 is rounded to 2.9.) To be eligible as a Recent Graduate: Individuals who, within the previous 2 years, completed a qualifying associate's, bachelor's, master's, professional, doctorate, vocational, or technical degree or certificate from a qualifying educational institution. Therefore, you must have completed your educational program no earlier than November 5, 2024. Veterans who were precluded from applying due to their military service obligation, begin their 2-year eligibility period upon release or discharge from active duty. Eligibility for veterans cannot exceed 6 years from the date on which they completed their degrees (or certification). Therefore, veterans must have completed your educational program no earlier than November 5, 2020. To verify your eligibility as a Recent Graduate, you must submit the following at the time of application: A copy of your unofficial transcripts from the educational institution you attended attesting to your possession of the required education. Your unofficial transcripts must reflect: (1) your name; (2) overall grade point average (GPA); and (3) Degree Type (e.g., Bachelor's, Master's, etc.) and Degree Major; AND (4) the date your Degree was conferred. Failure to submit proof of degree/certificate completion at the time of application will result in the withdrawal of your application from consideration for this position. To be eligible as a Degree Candidate for Fall 2026: Individuals who are degree candidates for this current semester/term, i.e., Fall 2026, scheduled to complete a qualifying Associate's, Bachelor's, Master's, Doctorate, professional, vocational, or technical degree or certificate program, AND the degree/certificate has not been conferred at the time of application. To verify your eligibility as a Degree Candidate for Fall 2026, you must submit the following at the time of application: A copy of your unofficial transcripts from the educational institution you attended attesting to your education completed to date. Your unofficial transcripts must reflect: (1) your name; (2) overall grade point average (GPA); (3) current enrollment; AND (4) Degree Type (e.g., Bachelor's, Master's, etc.) and Degree Major. If referred and selected, you must submit an additional unofficial transcript that confirms the date your degree was conferred before an Official Offer can be made. Degree must be conferred by January 31, 2027. Failure to submit proof of degree/certificate completion will result in the withdrawal of your application from consideration for this position. Note: For those applying as Degree Candidates for Fall 2026, you will be required to submit an additional transcript that confirms the above major or course requirements and the date your degree was conferred. Degree requirements must be completed during the Fall 2026 semester, and the degree must be conferred by January 31, 2027. Failure to submit proof of degree/certificate completion will result in the withdrawal of your application from consideration for this position. QUALIFICATION REQUIREMENTS: Do I qualify for the GS-07 or GS-09 Grade Level? In order to qualify for the GS-07, you must meet one of the following: Specialized Experience: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-05 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Assisting in performing routine analytical studies; and 2)Preparing written materials (e.g., position papers, briefing materials, procedures) for senior staff. - OR - Substitution of Education for Experience: You m…

Education

Qualifications, continued: NOTE: If you are using specialized experience to qualify for this position, your resume 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 receiving further consideration. NOTE: A certificate program is defined as post-secondary education, in a qualifying educational institution, equivalent to at least one academic year of full-time study (30 undergrad credits/18 grad school credits) that is part of an accredited college-level, technical, trade, vocational, or business school curriculum.