Health Insurance Specialist
Department of Health and Human Services - Centers for Medicare & Medicaid Services
·
Woodlawn, Maryland
Company
Department of Health and Human Services - Centers for Medicare & Medicaid Services
Location
Woodlawn, Maryland
Type
Full Time
Job Description
Summary
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services, Data and Systems Group.
As a Health Insurance Specialist, GS-0107-14, you will provide healthcare policy and program expertise for IT projects in Medicaid, CHIP, and more specifically as it relates to the implementation of the Working Families Tax Cut legislation Community Engagement requirements.
Learn more about this agency
Duties
May serve as an ad hoc team/project leader or member involved in various activities to improve the efficiency
and effectiveness of the group.
Supporting the development of regulations, inform policy statements with IT impacts, and other program guidance.
Analyzing and evaluating the impact of Medicaid and CHIP policy for IT system and product delivery.
Developing and delivering reports, summary documents, technical assistance documents, procedures and such for various audience from staff to leadership level.
Providing senior level healthcare policy and program guidance to support the planning, design, development, implementation, and operations of healthcare IT projects supporting Medicaid and CHIP data products and services.
Contributing to analytical studies and special projects by gathering, organizing, and interpreting policy, program, and/or operational issues related to healthcare policy, DSG products and services.
Requirements
Conditions of employment
You must be a U.S. Citizen or National to apply for this position.
You will be subject to a background and suitability investigation.
Selective Service: Males born after December 31, 1959, must be registered or exempt from Selective Service - http://www.sss.gov
One-year probationary period may be required
If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS "E-Verify" System
All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice
COR II certification is preferred
Qualifications
ALL QUALIFICATION REQUIREMENTS MUST BE MET BY 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 receiving further consideration.
In order to qualify for the GS-14, 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-13 grade level in the Federal government, obtained in either the private or public sector, to include:
1. Providing Medicaid, Working Families Tax Cut (WFTC) legislation, healthcare policy and program guidance in support of the planning, design, development, implementation, and operations of health care IT projects;
2. Developing technical documents including policy, procedures, and operational guidance, data collection, and analysis documentation for states, internal stakeholders, and senior level leaders; AND
3. Conducting Medicaid healthcare analysis and special studies of program issues and related topics pertaining to IT data products, services and systems.
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.
Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12965403
Education
This job does not have an education qualification requirement.
Additional information
Bargaining Unit Position: Yes
Tour of Duty: Flexible
Recruitment Incentive: Not Authorized
Relocation Incentive: Not Authorized
Financial Disclosure: Not Required
Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion.
The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit the required documentation and be rated well-qualified for this vacancy. Click here for a detailed description of the required supporting documents. A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at www.opm.gov/rif/employee_guides/career_transition.asp.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
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Date Posted
05/21/2026
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