Supervisory Health Insurance Specialist

ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF THE CLOSING DATE OF THIS ANNOUNCEMENT. Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from being considered further. 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) Leading, planning, or directing Marketplace program integrity operations; and 2) Analyzing Marketplace policies to assess the impact to program integrity operations; and 3) Providing program integrity-related technical analysis, guidance, or recommendations through verbal and written communication to leadership 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 or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year 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: https://apply.usastaffing.gov/ViewQuestionnaire/12959433 This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), Division of Marketplace Oversight (DMO). As a Supervisory Health Insurance Specialist, GS-0107-14, you will serve as a technical expert and advisor providing guidance and managing the Marketplace Program Integrity (PI) efforts for the Federally Facilitated Marketplace (FFM).

Position Details

• Job Title: Supervisory Health Insurance Specialist
• Company / Organisation: Centers for Medicare & Medicaid Services
• Location: Woodlawn, Maryland
• Employment Type: Full-time
• Field / Industry: Healthcare
• Work Arrangement: On-site or hybrid - Woodlawn, Maryland

About This Opportunity

This full-time opportunity at Centers for Medicare & Medicaid Services is an excellent opening for experienced professionals in the field of healthcare and medicine. The role is structured around an on-site or hybrid environment based in Woodlawn, Maryland and is designed for candidates who are ready to make a meaningful contribution from the moment they join.

Based in Woodlawn, Maryland, this role offers the opportunity to collaborate closely with a local team in a structured professional environment. Candidates currently based in the area or open to relocation are strongly encouraged to apply.

Whether you are an established practitioner in healthcare and medicine or a highly skilled professional looking for your next challenge, this Supervisory Health Insurance Specialist role offers the platform to apply your expertise in a real-world, results-oriented environment. Centers for Medicare & Medicaid Services is looking for a candidate who can hit the ground running and add genuine value to the team.

Who Should Apply

This role is ideal for candidates who have a solid background in healthcare and medicine and a demonstrable track record of delivering high-quality results. You should possess clinical competence, compassion, precision, and a commitment to patient safety and best-practice care. Experience working with electronic health record (EHR) systems, diagnostic tools, and clinical management platforms will be an advantage, though a commitment to continuous learning and professional development is equally valued.

Beyond technical or domain expertise, Centers for Medicare & Medicaid Services is looking for someone who communicates clearly, collaborates effectively with colleagues and stakeholders, and takes ownership of their work from start to finish. If you thrive in a professional environment and are passionate about the opportunity to improve patient outcomes and contribute to a healthier community, we encourage you to apply.

Key Competencies for This Role

Successful candidates for the Supervisory Health Insurance Specialist position at Centers for Medicare & Medicaid Services will typically demonstrate the following core competencies:

• Domain expertise - a strong foundation of knowledge and hands-on experience in healthcare and medicine
• Problem-solving ability - the capacity to identify challenges, think critically, and implement practical solutions efficiently
• Communication skills - clear and professional communication with colleagues, stakeholders, and partners at all levels
• Self-management - strong time management and the ability to prioritise a varied workload while meeting deadlines
• Team collaboration - a collaborative and supportive approach to working alongside colleagues across departments or locations
• Adaptability - the ability to respond positively to change and thrive in a dynamic, evolving work environment

How to Apply

To apply for this Supervisory Health Insurance Specialist position at Centers for Medicare & Medicaid Services, click the "Apply Now" button on this page. You will be taken directly to the official application page where you can complete and submit your application.

Before applying, please ensure that your CV or résumé is fully up to date and clearly highlights your experience and accomplishments in healthcare and medicine. If a cover letter is included or requested, tailor it specifically to this role and explain how your background, skills, and goals align with what Centers for Medicare & Medicaid Services is looking for in a Supervisory Health Insurance Specialist.

All applications for this role are processed directly by Centers for Medicare & Medicaid Services. Career Nest facilitates the job discovery process and does not pre-screen or forward applications on behalf of employers. There are no fees for job seekers at any stage of the application process.

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