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Health Insurance Specialist

Centers for Medicare & Medicaid Services · Posted 46 days ago

Hybrid Chicago, IL $126K – $164K Apply by May 15, 2026 Health Insurance Administration ENFJINFJ
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About the Role

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare. As a Health Insurance Specialist, GS-0107-15, you will serve as the senior policy advisor and technical expert for the Director of MPPG and is a technical authority and program expert for Medicare managed care, prescription drug plan, and/or private health insurance policy.

What You'll Do

  • Responsible for providing expert guidance to senior leadership and staff regarding the development and implementation of policies related to the Medicare Advantage program, the Medicare prescription drug benefit, or drug pricing.
  • Represents the Staff and/or Center at briefings, hearings and other meetings throughout CMS and at other levels in government regarding the development and justification of payment policies for Medicare Advantage and Part D organizations.
  • Provides technical assistance to central office (CO), regional offices (ROs), contractors, etc., to solve problems by participating in meetings, answering inquiries, going onsite, doing special analyses, providing training, and refining instructions.
  • Prepares or directs the preparation of written communications/presentations to address complex and comprehensive correspondence, memoranda, briefing papers, option papers, speeches, and program proposals for senior leadership.
  • Provides project direction to lower-graded analysts, defines individual team members task assignments, reviews team members work for technical accuracy, and recommends employees’ technical training needs to the program manager.

Personality Fit

This role is commonly a great fit for these MBTI types:

Job ID: 9a6aa4bb-c782-4408-81d7-49626390d9ef

Posted via USAJobs

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