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Health Insurance Specialist
Centers for Medicare & Medicaid Services
πŸ“ San Francisco, California On-site Medical Billing & Coding Posted 2026-03-02
πŸ’° $51,283 – $100,315
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Job Description

PROGRAM REQUIREMENTS: You must be ELIGIBLE and QUALIFIED in order to be referred to Hiring Managers. ELIGIBILITY REQUIREMENTS: Am I considered a Recent Graduate? GPA Requirement: You must possess a cumulative GPA of 3.0 on the unweighted 4.0 scale upon completion of your academic degree or certificate program. (GPA 2.95 is rounded to 3.0 and 2.94 is rounded to 2.9.) To be eligible as a Recent Graduate: Individuals who, within the previous 2 years, completed a qualifying associate's, bachelor's, master's, professional, doctorate, vocational, or technical degree or certificate from a qualifying educational institution. Therefore, you must have completed your educational program no earlier than March 6, 2024. Veterans who were precluded from applying due to their military service obligation begin their 2-year eligibility period upon release or discharge from active duty. Eligibility for veterans cannot exceed 6 years from the date on which they completed their degrees (or certification). Therefore, veterans must have completed their educational program no earlier than March 6, 2020. To verify your eligibility as a Recent Graduate, you must submit the following at the time of application: A copy of your unofficial transcripts from the educational institution you attended attesting to your possession of the required education. Your unofficial transcripts must reflect: (1) your name; (2) overall grade point average (GPA); and (3) Degree Type (e.g., Bachelor's, Master's, etc.) and Degree Major; AND (4) the date your Degree was conferred. Failure to submit proof of degree/certificate completion at time of application will result in the withdrawal of your application from consideration for this position. To be eligible as a Degree Candidate for Spring 2026: Individuals who are degree candidates for this current semester/term, i.e., Spring 2026, scheduled to complete a qualifying Associate's, Bachelor's, Master's, Doctorate, professional, vocational, or technical degree or certificate program, AND the degree/certificate has not been conferred at the time of application. To verify your eligibility as a Degree Candidate for Spring 2026, you must submit the following at the time of application: A copy of your unofficial transcripts from the educational institution you attended attesting to your education completed to date. Your unofficial transcripts must reflect: (1) your name; (2) overall grade point average (GPA); (3) current enrollment; AND (4) Degree Type (e.g., Bachelor's, Master's, etc.) and Degree Major. If referred and selected, you must submit an additional unofficial transcript that confirms the date your degree was conferred before an Official Offer can be made. Degree must be conferred by June 30, 2026. Failure to submit proof of degree/certificate completion will result in the withdrawal of your application from consideration for this position. Note: For those applying as Degree Candidates for Spring 2026, you will be required to submit an additional transcript that confirms the above major or course requirements and the date your degree was conferred. Degree requirements must be completed during the Spring 2026 semester, and the degree must be conferred by June 30, 2026. Failure to submit proof of degree/certificate completion will result in the withdrawal of your application from consideration for this position. QUALIFICATION REQUIREMENTS: Do I qualify at the GS-09 Grade Level? In order to qualify for the GS-09, you must meet one of the following: Specialized Experience: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-07 grade level in the Federal government, obtained in either the private or public sector, to include: 1) performing routine analytical studies related to healthcare programs or policies; and 2) assisting with developing health insurance operational guidance policies, reports, or procedures. - OR - Substitution of Education for Experience: You may substitute education for specialized experience at the GS-09 grade level by possessing a Master's Degree or equivalent graduate degree or at least 2 full years of progressively higher level graduate education leading to such a degree or LL.B. or J.D. - OR - Combination of Experience and Education: Only graduate education in excess of the amount required for the GS-07 grade level may be used to qualify applicants for positions at the GS-09 grade level. Therefore, only education in excess of one full year of graduate-level education may be used to combine education and experience. ALL TRANSCRIPTS are required at the time of application to verify satisfactory completion of the educational requirement related to substitution of education for experience and combination of experience and education. Please see "Required Documents" section below on what documentation is required. NOTE: If you are using specialized experience to qualify for this position, your resume must include de
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