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Health Insurance Specialist

Centers for Medicare & Medicaid Services, U.S. Department of Health and Human Services

in Bethesda MD / Telecommute

Centers for Medicare & Medicaid Services, U.S. Department of Health and Human Services

Open & closing dates: 05/08/2019 to 05/21/2019

Pay scale & grade: GS 14

Salary: $117,191 to $152,352 per year

1 vacancy in the following location: Bethesda, MD / Woodlawn, MD

Telework eligible? Yes as determined by agency policy



This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information and Insurance Oversight, Payment Policy and Financial Management Group.

As a Health Insurance Specialist, GS-0107-14, you will serve as the Technical Expert, who will provide authoritative analysis, evaluation, recommendations on key program issues affecting the operations of the Insurance Programs.


  • Identify, prioritize, and develop analyses to provide policy and operational insights on individual and small group market and other local and national health insurance markets.
  • Develop the mechanisms for monitoring and strengthening health insurance exchange and market performance.
  • Prepare program studies, position papers, and presentations regarding continuous improvement program issues, such as performance of federal- or state-based health insurance markets and Exchanges.
  • Work with staff on activities and issues related to Agency policies and operations concerning on and off-market individual and small group market trends.


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.
  • Time-in-Grade restrictions apply.



In order to qualify for the GS-14 , 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-13 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Analyzing private health insurance markets, including Federally Facilitated Exchange, State Based Exchanges, and off-Exchange markets; 2) Providing guidance and recommendations on the performance of federal- or state-based health insurance markets and Exchanges; and 3) Developing strategies for the improvement of programs and processes.

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:


This job does not have an education qualification requirement.

How to Apply

The text above consists of excerpts of a job ad currently online at Important information has not been included, including application instructions and complete qualification requirements. See the full text of the ad on this web page:

This ad has been viewed 944 times. It expires on 5/21/2019.

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