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

Centers for Medicare & Medicaid Services [CMS]

(GA / MD / TX / WA / Hybrid)

Logo for Centers for Medicare & Medicaid Services [CMS]

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

The text above consists of excerpts of a job posting currently online at USAJOBS.gov, which is operated by the federal government. Much of the information that has been omitted is critically important to a candidate, such as the complete application instructions, qualification requirements, and required documents, so an interested candidate should see the full text of the USAJOBS.gov job posting for the remaining necessary information, by using the Apply Now button below.

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