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Health Insurance Specialist (Marketplace Program Policy/Private Health Insurance)

Centers for Medicare & Medicaid Services [CMS]

(GA / MD / TX / WA / Hybrid)

Open date: May 1, 2026

Closing date: May 7, 2026

Pay scale & grade: GS 13

Salary: $90,925 - $118,204 per year

15 vacancies in:

• Atlanta, GA
• Bethesda, MD
• Woodlawn, MD
• Dallas, TX
• Seattle, WA

Telework eligible? Yes, as determined by agency policy

Duties

• Conduct analysis of policy issues and topics by researching background information, the origin of laws, and the intended impact in order to make effective policy recommendations.
• Respond to routine inquiries regarding program policies to a variety of internal and external stakeholders (e.g., beneficiaries, providers, and representatives of public and private organizations.).
• Analyze internal policies, processes, and procedures to assure increased efficiency in operations and implements them to resolve problems and improve internal operations.
• Evaluate and analyze the impact of new or revised changes to legislation before the Congress pertaining to any CMS program.

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. Conducting analysis of national or state health insurance program policy issues in order to propose policy modifications; AND
2. Coordinating with federal and state officials to implement projects related to health insurance; AND
3. Presenting recommendations and conclusions based on analysis and evaluation of health insurance programs that describe feasible options or the consequences.

How to Apply

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