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Health Insurance Specialist
Centers for Medicare & Medicaid Services · Posted 53 days ago
Hybrid Woodlawn, MD $122K – $158K Apply by Jul 30, 2026 Health Insurance Administration ENTJESFJESTJISTJ Operations
Apply for this job → About the Role
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services(CMCS), Operations Services Group (OSG). As a Health Insurance Specialist, GS-0107-13, you will serve as a subject matter expert on executive, regulatory, and enterprise operational matters affecting Medicaid, the Children's Health Insurance Program (CHIP), the Basic Health Program (BHP), and related Federal health coverage programs.
What You'll Do
- →Serves as a central coordinator for CMCS correspondence and regulatory clearance activities, ensuring consistency with Medicaid, CHIP, and Federal health coverage requirements.
- →Coordinates regulatory reviews, SPAs, waivers, and program issuances; develops executive briefings and analytical materials; analyzes policies and operations to identify risks and recommend improvements.
- →Resolves complex issues from Congressional inquiries, GAO/OIG oversight, FOIA/Privacy Act requests, and PRA requirements, ensuring consistent Medicaid and CHIP policy interpretation and compliance.
- →Supports governance, oversight, and process improvements to strengthen program administration and implementation.
Personality Fit
Job ID: 0a9e17d3-9590-40ee-9dcb-dfcd7492672f
Posted via USAJobs