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Contract Health Insurance information

What is contract health insurance?

Contract health insurance refers to a type of health coverage provided based on a contractual agreement, often for a specific period or project. It is commonly used by independent contractors, freelancers, or temporary workers who do not receive employer-sponsored health benefits. These plans can be purchased individually and typically cover essential medical services, though coverage options and costs may vary. It's important to review the terms of the contract to ensure the plan meets your healthcare needs, including network providers and out-of-pocket expenses.

What are the key skills and qualifications needed to thrive as a contract health insurance specialist?

To thrive as a Contract Health Insurance Specialist, you need a thorough understanding of health insurance policies, regulatory compliance, and contract negotiation, often supported by a relevant degree or certification in health insurance or healthcare administration. Familiarity with claims management software, policy administration systems, and healthcare regulations like HIPAA is typically required. Attention to detail, strong communication, and problem-solving skills help professionals excel in client interactions and complex documentation. These skills ensure accurate policy management, regulatory compliance, and effective service delivery in the dynamic health insurance industry.

What are some common challenges faced by professionals working in contract health insurance roles, and how can they be managed?

Professionals in contract health insurance often face challenges such as adapting to rapidly changing regulations, managing a diverse client portfolio, and meeting tight deadlines for policy renewals or claims processing. To manage these challenges, staying updated on industry standards, utilizing robust organizational tools, and maintaining clear communication with clients and internal teams are crucial. Additionally, strong problem-solving skills and continuous professional development can help professionals excel and deliver quality service in this fast-paced environment.

What is the difference between Contract Health Insurance vs Contract Nurse?

AspectContract Health InsuranceContract Nurse
Required CredentialsHealth insurance licenses, certifications in insurance sales or administrationRN license, nursing certifications
Work EnvironmentOffice settings, insurance companies, remoteHospitals, clinics, healthcare facilities
Employer & IndustryInsurance providers, healthcare administrationHospitals, healthcare agencies
Common Search IntentInsurance policies, coverage options, job rolesNursing assignments, healthcare staffing

Contract Health Insurance professionals focus on insurance policies and administration, often working in office environments, while Contract Nurses provide direct patient care in healthcare settings. Both roles require specialized credentials and serve different functions within the healthcare industry.

More about Contract Health Insurance jobs

What cities are hiring for Contract Health Insurance jobs?

Cities with the most Contract Health Insurance job openings:

What are the most commonly searched types of Health Insurance jobs?

The most popular types of Health Insurance jobs are:

What states have the most Contract Health Insurance jobs?

States with the most job openings for Contract Health Insurance jobs include:

What job categories do people searching Contract Health Insurance jobs look for?

The top searched job categories for Contract Health Insurance jobs are:

Contract Health Insurance jobs near you
Infographic showing various Contract Health Insurance job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 77% Full Time, 16% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Health Insurance Specialist (Program Oversight)

San Francisco, CA • On-site, Remote

Centers for Medicare & Medicaid Services
Public Administration • 1 - 5K employees
Learn more about Centers for Medicare & Medicaid Servicesexternal

$90K - $145K/yr

Full-time

Posted 20 days ago

Job description

Summary
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS).
As a Health Insurance Specialist (Program Oversight), GS-0107-12, you will develop, evaluate, and implement compliance, audit and oversight requirements, policies, operating procedures related to monitoring and oversight of external CMS stakeholders who contract or provide services in support of CMS' lines of business.
Learn more about this agency
Duties
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  • Develop, implement, and maintain a comprehensive program oversight strategy and processes for overseeing entities that provide health care and prescription drug services.
  • Establish and maintain relationships with internal and external stakeholders to resolve problems pertaining to program oversight.
  • Gather and analyze information, conduct various reviews and studies to assess ongoing operations, program vulnerabilities, and initiate/recommend improvements or appropriate action.
  • Prepare a variety of written products, including position papers, manuals, reports, correspondence, briefing materials, etc. for the assigned program area.

Requirements
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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 BY 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-12, 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-11 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Modifying oversight processes of health care or prescription drug service providers; 2) Monitoring entities for compliance with health insurance program regulations and policies; and 3) Conducting reviews to assess health insurance program operations.
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.
Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/13043455
Education
This job does not have an education qualification requirement.
Additional information
Bargaining Unit Position: Yes - American Federation of Government Employees, Local 1923
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.
Salary Ranges by Location:
Atlanta, GA - $94,654 - $123,052
Boston, MA - $101,375 - $131,790
Chicago, IL - $100,059 - $130,080
Dallas, TX - $97,307 - $126,502
Denver, CO - $99,800 - $129,742
Kansas City, MO - $90,968 - $118,261
New York, NY - $105,481 - $137,128
San Francisco, CA - $111,896 - $145,468
Seattle, WA - $100,602 - $$130,786
Woodlawn, MD - $102,415 - $133,142
For more information about pay based on locality, please visit the Office of Personnel Management (OPM) Salaries & Wages Page.
The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit the required documentation and be rated well-qualified for this vacancy. Click here for a detailed description of the required supporting documents. A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at www.opm.gov/rif/employee_guides/career_transition.asp.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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