Health Insurance Specialist (Data Analysis and Studies)

Health Insurance Specialist (Data Analysis and Studies)

Department of Health and Human Services

Centers for Medicare & Medicaid Services

Summary

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM).

As a Health Insurance Specialist, referred here as a Health Insurance Specialist (Data Analysis and Studies), GS-0107-13, you will perform data analysis and lead studies and projects related to Medicare programs.

Overview

Help

Accepting applications

Posted today · Apply by 07/24/26

Due by 11:59 p.m. ET on July 24, 2026

Location

10 vacancies in the following locations:

• San Francisco, CA
• Denver, CO
• Washington, DC
• Atlanta, GA
• Chicago, IL
• Boston, MA
• Bethesda, MD
• Woodlawn, MD
• Kansas City, MO
• New York, NY
• Philadelphia, PA
• Dallas, TX
• Seattle, WA

Work site options

Telework eligible: Yes-as determined by the agency policy.

Remote job: No

Relocation expenses reimbursed: No

Salary: $108,173 - $172,980 per year

Pay scale & grade: GS 13

Promotion potential: 13

Occupations and job series

• 0107 Health Insurance Administration

Your Responsibilities

• Design, plan, and conduct research studies concerning the trends and impact of Medicare programs.
• Conduct analysis of policy issues, topics, research background information, the origin of laws to make effective policy recommendations.
• Serve as an expert interpreting statute and developing Federal regulations, policy statements, and other guidance relating to national health insurance programs.
• Identify and propose modifications to policies to reflect changes or trends in the health care industry, program objectives, and the needs of beneficiaries.
• Develop, implement and maintain operational requirements to manage and analyze programmatic information.

Requirements

Conditions of employment:

• You must be a U.S. Citizen or National to apply for this position.
• You will be subject to a background and suitability investigation.
• Time-in-Grade restrictions apply.
• Selective Service: Males born after December 31, 1959, must be registered or exempt from Selective Service - http://www.sss.gov
• One-year probationary period may be required
• If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS "E-Verify" System
• All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice

Qualifications

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-13 position, 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-12 grade level in the Federal government, obtained in either the private or public sector, to include:

• Designing data studies to evaluate the impact of programs and policies on health insurance programs;
• Using qualitative and quantitative techniques to identify trends, root causes, and contributing factors, to provide policy recommendations related to health insurance programs and/or healthcare administration;
• Interpreting statute and federal regulations relating to national health insurance programs; and
• Develop summary reports, briefings, or policy statements to explain qualitative and quantitative data from studies.

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.

Education

This job does not have an education qualification requirement.

Additional information

Bargaining Unit Position: Yes

Tour of Duty: Flexible

Recruitment Incentive: Not Authorized

Relocation Incentive: Not Authorized

Financial Disclosure: Not Required

Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion.

How You Will Be Evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

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 may 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
• Learning
• Reading
• Self-Management
• 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.

The assessment includes a cut score based on the minimum level of required proficiency in these critical general competencies. You must meet or exceed the cut score to be considered. You will not be considered for the position if you score below the cut score or fail to complete the assessment.

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.

Required Documents

To apply for this position, you must submit a complete Application Package which includes:

• Resume showing relevant experience; cover letter optional. NOTE: As of September 27, 2025, federal agencies will only accept resumes that are two pages or less in length. Your resume must indicate your citizenship and whether you are registered with the Selective Service if you are a male born after December 31, 1959. Your resume must also list your work experience and education (if applicable), including the start and end dates (mm/yyyy) of each employment, along with the number of hours worked per week. For work in the Federal service, you must include the series and grade level for the position(s). For resume and application tips, visit: https://help.usajobs.gov/faq/application/documents/resume/what-to-include.
• IN DESCRIBING YOUR WORK EXPERIENCE AND/OR EDUCATION, PLEASE BE CLEAR AND SPECIFIC REGARDING YOUR EXPERIENCE OR EDUCATION. We strongly encourage applicants to utilize the USAJOBS resume builder in the creation of resumes. Determining length of general or specialized experience is dependent on the below information and failure to provide ALL information WILL result in a finding of ineligible.
• Official Position Title (include series and grade if Federal job)
• Duties (be specific in describing your duties)
• Employers name and address
• Supervisor name and phone number
• Start and end dates in the month and year format (e.g. June 2007 to April 2008)
• Full-time or part-time status (include hours worked per week)
• Salary
• CMS Required Documents (e.g., SF-50, DD-214, SF-15, etc.). Required documents may be necessary to be considered for this vacancy announcement. Click here for a detailed description of the required documents. Failure to provide the required documentation WILL result in an ineligible rating OR non-consideration.
• Reasonable Accommodation (RA) Requests: If you believe you have a disability (i.e., physical or mental), covered by the Rehabilitation Act of 1973 as amended, that would interfere with completing the USA Hire Competency-Based Assessments, you will be granted the opportunity to request a RA in your online application. Requests for RA for the USA Hire Competency-Based Assessments and appropriate supporting documentation for RA must be received prior to commencing the USA Hire Competency-Based Assessments. Decisions on requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency-Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency-Based Assessments if you received the link after the close of the announcement. To determine if you need a RA, please click here to review the Procedures for Requesting a Reasonable Accommodation for Online Assessments.

How to Apply

Help

Please read the entire announcement and all the instructions before you begin an application. To apply and be considered for this position, you must complete all required questionnaires, assessments and submit all required documentation as specified in the How to Apply and Required Documents sections. The complete application package must be submitted by 11:59 PM (ET) on 07/24/2026. The application process is as follows:

• Click the Apply button.
• Answer the questions presented in the application and attach all necessary supporting documentation.
• Click the Submit Application button prior to 11:59 PM (ET) on 07/24/2026.
• If you are required to complete any USA Hire Assessments, you will be notified after submitting your application. The notification will be provided in your application submission screen and via email. The notification will include your unique assessment access link to the USA Hire system and the completion deadline. Additionally, in USAJOBS you can click "Track this application" to return to your assessment completion notice.
• Access USA Hire using your unique assessment link. Access is granted through your USAJOBS login credentials.
• Review all instructions prior to beginning your assessments. You will have the opportunity to request a testing accommodation before beginning the assessments should you have a disability covered under the Rehabilitation Act of 1973 as amended.
• Set aside at least 3 hours to take the USA Hire Assessments; however, most applicants complete the assessments in less time. If you need to stop the assessments and continue later, you can re-use your unique assessment link.
• Your responses to the USA Hire Assessments will be reused for one year (in most cases) from the date you complete an assessment. If future applications you submit require completion of the same assessments, your responses will be automatically reused.

Visit the USA Hire Applicant Resource Center for practice assessments and assessment preparation resources at https://support-usahire.opm.gov/hc/en-us.

To update your application, including supporting documentation: During the announcement open period, return to your USAJOBS account, find your application record, and click Edit my application. This option will no longer be available once the announcement has closed.

To view the announcement status or your application status: Visit https://help.usajobs.gov/how-to/application/status. Your application status page is where you can view your application status, USA Hire assessment completion status, and review your notifications sent by the hiring agency regarding your application.

Agency contact information

CMS HR Inquiries

Email: hrinquiries@cms.hhs.gov

Address: Center for Medicare

7500 Security Blvd

Woodlawn, MD 21244

US