Health Insurance Specialist

Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI). As a Health Insurance Specialist, GS-0107-13, you will analyze, develop, and implement integrity initiatives that support CMS' lines of business (e.g. Medicare, Medicaid and Children's Health Insurance Program (CHIP), Marketplace Exchange/Private Health Insurance, and Providers) through comprehensive program integrity reviews. Responsibilities Analyze, develop and implement program integrity initiatives across Medicare and Medicaid programs. Review payments and investigate fraud, waste and abuse allegations. Serve as an expert on program integrity policies and provide guidelines to internal and external stakeholders. Requirements Conditions of Employment 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 in...