Telework eligibleFederal

Health Insurance Specialist

Centers for Medicare & Medicaid Services · Department of Health and Human Services

Health Insurance Administration

Salary
$102,415–$133,142/year
Grade
12
Work location
Telework eligible · Woodlawn, Maryland
Schedule
Full-time
Posted
Oct 16, 2026
Apply by
Oct 23, 2026
Category
Health Insurance Administration

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Source: USAJOBS. Applications happen on the original posting, not on this site.

Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Financial Management,. Payment Accuracy and Reporting Group, Division of Medicare Advantage and Drug Error Rate As a Health Insurance Specialist, GS-0107-12, you will develop, evaluate and implement compliance, audit and oversight requirements, policies and operating procedures.

Duties

Researching Part C and D program issues and developing responses. Assisting in preparing briefing materials and reports. Overseeing the operation of contractors to ensure the timely production of annual Medicare Part C and D improper payment rates. Providing subject matter expertise in reviewing contractor issues, evaluating budget issues, and addressing other contractual issues, such as reviewing contractor statements of work, proposals, and independent government cost estimates. Responding to inquiries regarding program oversight activities from a variety of internal and external stakeholders (e.g., beneficiaries, providers, representatives of public and private organizations, congressional staff, and other government organizations).

How you will be evaluated

You will be evaluated based on how well you meet the qualifications listed in this vacancy announcement. Your qualifications will be evaluated based on your application materials (e.g., resume, supporting documents), the responses you provide on the application questionnaire, and the results of the online assessments required for this position. A Subject Matter Expert will assist in the resume review process to help determine whether you meet the minimum job qualifications. Please follow all instructions carefully. Errors or omissions may affect your rating. You will be assessed on the following competencies (knowledge, skills, abilities, and other characteristics): Attention to Detail Customer Service Decision Making Flexibility Integrity/Honesty Interpersonal Skills Reading Comprehension Stress Tolerance Teamwork In order to be considered for this position, you must complete all required steps in the process. In addition to the application and application questionnaire, this position requires an online assessment. The online assessment measures critical general competencies required to perform the job. Overstating your qualifications and/or experience in your application materials or application questionnaire may result in your removal from consideration. Cheating on the online assessment may also result in your removal from consideration.

About this listing

Centers for Medicare & Medicaid Services has 15 open listings on the site: all telework eligible. This one is telework eligible, based in Woodlawn, Maryland. See all Centers for Medicare & Medicaid Services listings, or read what fully remote and telework eligible mean.

Advertised pay is $102,415 to $133,142 a year. That covers GS-12 on the General Schedule, where pay also depends on step and locality; how GS pay works.

This announcement is open for 7 days, from Oct 16, 2026 to Oct 23, 2026. Among currently open federal postings, the typical advertised window is about 14 days. As of Oct 17, 2026, it closes in 6 days.

Who can apply: current competitive-service federal employees, federal employees eligible for career transition programs, veterans and 6 other groups. This announcement is not open to the general public. The announcement's "This job is open to" section has the exact eligibility rules.

Context computed from the GovRemoteJobs inventory as of Oct 17, 2026, refreshed daily.

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