Telework eligibleFederal

Health Insurance Specialist

Centers for Medicare & Medicaid Services · Department of Health and Human Services

Salary
$169,279–$197,200/year
Grade
15
Work location
Telework eligible (US)
Posted
Aug 14, 2026
Apply by
Aug 24, 2026
Category
Health Insurance Administration

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Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare(CM), Division of Chronic Care Management (DCCM) As a Health Insurance Specialist, GS-0107-15, you will serve as a senior operational and policy leader responsible for the strategic oversight, development, implementation, and continuous improvement of complex Medicare Fee-for-Service (FFS) payment systems.

Duties

Supervisory and Managerial Leadership Plan, assign, evaluate, and coordinate the work of a professional staff; manage performance, resolve grievances, approve training and leave requests, and foster a productive and inclusive workplace.

Serve as CMS’s National Expert in IPF/ESRD Payment Policy Lead development, analysis, and implementation of Medicare FFS payment policy; interpret regulations; propose modifications to address health care needs and system changes.

Policy Development and Regulatory Work Develop, evaluate, and oversee regulations, manuals, guidelines, program instructions, and policy communications for IRF payment systems.

Strategic Planning and Coordination Across CMS and HHS Advise senior leadership; coordinate clearance of policy materials; ensure alignment with CMS/HHS strategy; negotiate schedules, deliverables, and solutions to sensitive issues.

Lead Correspondence, Liaison, and External Communications, Prepare briefings, regulatory language, and talking points; engage with Congress, OGC, DOJ, OIG, GAO, state agencies, and industry associations; provide expert technical assistance.

How you will be evaluated

You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), the responses you provide on the application questionnaire, and the results of the online assessments required for this position. A Subject Matter Expert may assist in the resume review process to help determine whether you meet the minimum job qualifications. Please follow all instructions carefully. Errors or omissions may affect your rating. You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics): Accountability Customer Service Decisiveness Flexibility Interpersonal Skills Problem Solving Resilience In order to be considered for this position, you must complete all required steps in the process. In addition to the application and application questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job. Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on the online assessment may also result in your removal from consideration.

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