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Health Insurance Specialist

Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare and CHIP Services (CMCS)

Summary

This announcement serves as a repository of resumes for those interested in Health Insurance Specialist positions under the CMS Fellows Program located in the Centers for Medicare & Medicaid Services (CMS), Centers for Medicaid and CHIP Services (CMCS). Please ensure you provide all documentation requested and answer all questions as to your preferences. Submission of your information to this file is voluntary and does not guarantee an interview, selection or employment.

Overview

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Accepting applications
Open & closing dates
05/08/2026 to 05/21/2026
Salary
$174,347 - $197,200 per year

Refer to the "Additional Information" for total salary by location.

Pay scale & grade
GS 15
Locations
1 vacancy in the following locations:
Woodlawn, MD
Kansas City, MO
Remote job
No
Telework eligible
Yes—You may be required to travel up to 10%
Travel Required
Occasional travel - You may be expected to travel for this position.
Relocation expenses reimbursed
No
Appointment type
Temporary - Up to 13 months and may be extended up to 4 years.
Work schedule
Full-time
Service
Competitive
Promotion potential
15
Supervisory status
No
Security clearance
Not Required
Drug test
No
Position sensitivity and risk
Moderate Risk (MR)
Trust determination process
Financial disclosure
Yes
Bargaining unit status
Yes
Announcement number
CMS-CMCS-26-12954862-CFA
Control number
868453700

This job is open to

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Clarification from the agency

Exclusive posting for CMS Fellowship Program. Please see the "Next Steps" section below for more information.

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Duties

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  • Serve as an advisor developing and executing enterprise-wide Medicaid and CHIP program integrity strategy and operations.
  • Lead Medicaid and CHIP services integrity initiatives enhancing state oversight using advanced analytics to reduce improper payments.
  • Shape national Medicaid and CHIP services policy and oversight expertise in statutes and financing to strengthen state compliance and protect public resources.
  • Direct data-driven studies and initiatives to identify and mitigate fraud, waste, and abuse, enhancing program integrity across Medicaid and CHIP services.

Requirements

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Conditions of employment

  • All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice.
  • 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
  • Selective Service: Males born after December 31, 1959, must be registered or exempt from Selective Service - http://www.sss.gov
  • You will be subject to a background and suitability investigation.
  • You must be a U.S. Citizen or National to apply for this position.

Qualifications

ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF 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 being considered further.


In order to qualify for the GS-15, you must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-14 grade level in the Federal government, obtained in either the private or public sector.

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.

Additional information

Salary per Location

Woodlawn, Maryland - $169,279 to $197,200
Kansas City, MO - $150,359 to $195,469

Bargaining Unit Position:
No
Tour of Duty: Flexible
Recruitment Incentive: Not Authorized
Relocation Incentive: Not Authorized
Financial Disclosure: Required - OGE-450

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.

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.

The intent of this announcement is to establish an inventory of candidates to refer for consideration.

Centers for Medicare & Medicaid Services

The Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS) works in partnership with the entire health care community to improve quality and efficiency in an evolving health care system and provides leadership in the broader health care marketplace.

CMS' effectiveness depends on the capabilities of a dedicated, professional staff that is committed to supporting these objectives. A career with CMS offers the opportunity to get involved in important national health care issues and be part of a dynamic, fast-paced, and highly visible organization. For more information on CMS, please visit: http://www.cms.gov/.HHS has a critical preparedness and response mission:

HHS protects the American people from health threats, researches emerging diseases, and mobilizes public health programs with domestic and international partners. In support of this mission, HHS offers its employees the opportunity to contribute their unique skills through voluntary temporary assignments to humanitarian emergencies or Departmental priorities countering new and emerging health, safety, and security threats.

Agency contact information

CMS HR Inquiries
Email
hrinquiries@cms.hhs.gov
Address
Center for Medicaid and CHIP Services
7500 Security Blvd
Woodlawn, MD 21244
US

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