Health Insurance Administration

The 0107 series, Health Insurance Administration, is, on this site, the Centers for Medicare & Medicaid Services’ program workforce. Health Insurance Specialists develop, interpret and oversee the policies and operations of Medicare, Medicaid, the Children’s Health Insurance Program and the health insurance marketplaces: writing coverage and payment rules, overseeing the contractors that process claims, reviewing state Medicaid programs and analyzing program data. Every listing in this series comes from CMS, which is headquartered in Woodlawn, Maryland, with regional offices around the country.

Recent listings have included health insurance specialists, a health insurance specialist in data analysis and studies, a technical lead for Medicaid home and community-based services, supervisory health insurance specialists including a deputy group director, and a division director.

Applying tip: CMS announcements tend to name the program area the job sits in, such as Medicare Advantage, Part D, Medicaid or marketplace operations, and specialized experience is read against that program. Quote the specific programs, regulations and payment systems you have worked with. Our program management and analysis guide covers the analytical roles that sit alongside this series.