Health Insurance Specialist

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). As a Health Insurance Specialist, GS-0107-13, you will develop, evaluate and implement compliance, audit and oversight requirements, policies, operating procedures related to activities and processes involved with the monitoring and oversight of external CMS stakeholders who contract or provide services in support of CMS' lines of business.

Leads tasks designed to develop, evaluate, and implement Medicare, Medicaid and Children's Health Insurance Program (CHIP), Marketplace Exchange, and private health insurance programs.

Develops, implements, and maintains operational requirements, including standard operating procedures for oversight of entities that provide health care and prescription drug services.

Develops and reviews health care policies and legislation in order to draft related policy documents, regulations, procedures and guidance to states.

Conducts analytical studies and evaluates the effectiveness of program initiatives by gathering, organizing, and interpreting data.

Attends meetings and conferences with CMS staff and serve as a source of background data on the basis of research performed in preparation for the meetings and conferences.