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Actuary

Department of Health and Human Services
Centers for Medicare & Medicaid Services
Office of the Actuary (OACT)

Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of the Actuary (OACT), Medicare & Medicaid Cost Estimates Group (MMCEG).

As a Actuary, GS-1510-13, you will be responsible for the development of long-range and short-range financial programs for the national health care programs.

Overview

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Accepting applications
Open & closing dates
01/23/2026 to 02/02/2026
Salary
$121,785 to - $158,322 per year
Pay scale & grade
GS 13
Location
2 vacancies in the following location:
Woodlawn, MD
Remote job
No
Telework eligible
Yes—as determined by the agency policy.
Travel Required
Occasional travel - You may be expected to travel for this position.
Relocation expenses reimbursed
No
Appointment type
Permanent
Work schedule
Full-time
Service
Competitive
Promotion potential
13
Job family (Series)
Supervisory status
No
Security clearance
Not Required
Drug test
No
Position sensitivity and risk
Moderate Risk (MR)
Trust determination process
Financial disclosure
No
Bargaining unit status
Yes
Announcement number
CMS-OACT-26-12863157-DH
Control number
855258700

This job is open to

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Clarification from the agency

This announcement is advertised under Direct Hire Authority and is open to all United States Citizens or Nationals.

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Duties

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  • Develop actuarial estimation methodologies and models for historical and projected Medicaid, CHIP, Medicare-Medicaid dual eligibles, and BHP operation and for proposed program changes.
  • Analyze, evaluate, interpret, and communicates technical and actuarial data and information for publication in the Agency’s annual Actuarial Report on the Financial Outlook for Medicaid.
  • Provide actuarial and technical guidance in review of Medicaid or other health care program waivers, alternate payment models, and managed care programs within OACT and other CMS components.
  • Develop standards and processes for reviewing Medicaid managed actuarial certifications for capitation rates.

Requirements

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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.

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-13, 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-12 grade level in the Federal government, obtained in either the private or public sector, to include:

  1. Providing actuarial guidance in review of cost estimates, payment models, or managed care programs; AND
  2. Developing project plans or coordinating project tasks and deliverables; AND
  3. Analyzing, interpreting, or communicating actuarial data and information.

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.

Education

Education Requirement: In addition to meeting the qualification requirements, all candidates must have the following educational requirements:

A bachelor's degree that included courses in actuarial science, mathematics, relevant statistics, business, finance, economics, insurance, or computer science totaling at least 24 semester hours. This course work must have included a minimum of 12 semester hours of mathematics that included differential and integral calculus and one or more courses in mathematics for which these calculus courses were prerequisites. (TRANSCRIPTS REQUIRED AT TIME OF APPLICATION).

OR

Applicants for all grade levels must complete a minimum of 24 semester hours of courses in actuarial science, mathematics, relevant statistics, business, finance, economics, insurance, or computer science at a four-year college or university. This course work must have included a minimum of 12 semester hours of mathematics that included differential and integral calculus and one or more courses in mathematics for which these calculus courses were prerequisites. (TRANSCRIPTS REQUIRED AT TIME OF APPLICATION).

OR

Completion of a minimum of 24 semester hours of courses in actuarial science, mathematics, relevant statistics, business, finance, economics, insurance, or computer science at a four-year college or university. This course work must have included a minimum of 12 semester hours of mathematics that included differential and integral calculus and one or more courses in mathematics for which these calculus courses were prerequisites. (TRANSCRIPTS REQUIRED AT TIME OF APPLICATION).

AND

  • One year of professional actuarial experience equivalent to at least the GS-12 level; AND
  • Associateship in the Society of Actuaries or the Casualty Actuarial Society or being an Enrolled Actuary. (CERTIFICATIONS/LICENSURE/PROOF OF ENROLLMENT OR MEMBERSHIP REQUIRED AT TIME OF APPLICATION).

TRANSCRIPTS are required to verify satisfactory completion of the educational requirement listed above. Failure to submit a copy of your transcripts at the time of application WILL result in an ineligible rating. Please see "Required Documents" section below for what documentation is required at the time of application.

Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12863157

Additional information

Bargaining Unit Position: Yes - American Federation of Government Employees, Local 1923.
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.

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.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

Traditional rating and ranking of applications does not apply to this vacancy. Applications will be evaluated against the basic qualifications. Qualified candidates will be referred for consideration in accordance with the Office of Personnel Management direct hire guidelines. Veterans' Preference does not apply to direct hire recruitment procedures. Selections made under this vacancy announcement will be processed as new appointments to the civil service. Current civil service employees would, therefore, be given new appointments to the civil service; however, benefits, time served and all other Federal entitlements would remain the same.

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