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Health Insurance Specialist

$167,603 a year
Centers for Medicare & Medicaid Services
Woodlawn Full-day Full-time

Description:

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare, Performance-Based Payment Policy Group (P3).

As a Health Insurance Specialist, GS-0107-15, you will serve as senior advisor on a range of technical and legal value-based payment and compliance issues along with providing analysis, advice, and coordinating policy development on a wide range of value-based payment topics across 3 diverse divisions.

Requirements:

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 meet the following: 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, to include:

(1) Analyzing current Medicare Shared Savings Program policy and operations to provide technical direction and develop regulations and policy guidance that support the effective implementation of the Medicare Shared Savings Program and related value-based care initiatives;
(2) Providing expert policy and operational guidance to senior CMS agency officials, HHS Department leadership, and internal and external stakeholders on the Medicare Shared Savings Program, including its interaction with Medicare Fee-for-Service and broader value-based care models;
(3) Providing technical direction and assistance to analysts and contractors to ensure the accuracy, consistency, and regulatory alignment of work products that support the agency's operational priorities for the Medicare Shared Savings Program.

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.

Time-in-Grade: To be eligible, current Federal employees must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying.

Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12854641

Dec 19, 2025;   from: usajobs.gov

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