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$32K

$85.9K

$155.5K

How much do health insurance medicaid jobs pay per year?

As of Aug 7, 2026, the average yearly pay for health insurance medicaid in the United States is $85,888.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,500.00 and $100,000.00 per year, depending on experience, location, and employer.

What is the difference between Health Insurance Medicaid vs Health Insurance Underwriter?

AspectHealth Insurance MedicaidHealth Insurance Underwriter
Required CredentialsState-specific eligibility criteria, often no formal certificationCertification in insurance or finance, such as CPCU or FCAS
Work EnvironmentGovernment agencies, healthcare facilities, community programsInsurance companies, underwriting departments
Employer & Industry UsagePublic health programs, government-funded insurancePrivate insurance companies, risk assessment

Health Insurance Medicaid focuses on providing coverage to eligible low-income individuals through government programs, often with less emphasis on formal certifications. In contrast, Health Insurance Underwriters assess risk and determine policy terms for private insurers, requiring specialized certifications. While Medicaid roles are primarily within public health sectors, underwriters work in private insurance settings. Both roles are essential in the health insurance industry but serve different functions and environments.

What are some common challenges faced by professionals working in health insurance Medicaid roles?

Professionals in Health Insurance Medicaid roles often navigate complex and evolving regulations, which can make staying compliant a daily challenge. Additionally, they frequently interact with diverse populations, including individuals with varying levels of understanding about healthcare, requiring strong communication and empathy skills. Managing a high caseload while ensuring accuracy and confidentiality in processing applications or claims is another common challenge. Collaboration with healthcare providers, state agencies, and other team members is essential to deliver comprehensive support and resolve client issues efficiently.

What are the key skills and qualifications needed to thrive as a Medicaid health insurance specialist, and why are they important?

To thrive as a Medicaid Health Insurance Specialist, you need a thorough understanding of Medicaid regulations, healthcare policy, and eligibility criteria, often supported by a degree in health administration or a related field. Familiarity with Medicaid Management Information Systems (MMIS), claims processing software, and regulatory compliance tools is typically required. Strong analytical thinking, attention to detail, and effective communication skills help specialists navigate complex cases and assist beneficiaries. These skills are crucial for ensuring accurate program administration, regulatory compliance, and positive outcomes for clients.

What is health insurance Medicaid?

Medicaid is a government-funded health insurance program in the United States that provides free or low-cost medical coverage to eligible low-income individuals and families. It covers a wide range of healthcare services, including doctor visits, hospital stays, prescription drugs, and preventive care. Eligibility and covered services may vary by state, but Medicaid is designed to help those who might not otherwise afford health insurance. The program is jointly funded by federal and state governments and is administered at the state level.
More about Health Insurance Medicaid jobs
What states have the most Health Insurance Medicaid jobs? States with the most job openings for Health Insurance Medicaid jobs include:
What job categories do people searching Health Insurance Medicaid jobs look for? The top searched job categories for Health Insurance Medicaid jobs are:
Health Insurance Medicaid jobs near you

Health Insurance Specialist

Employment Opportunities for Veterans | CMS

Denver, CO

$108K/yr

Full-time

Re-posted 6 days ago

Job description

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.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-13, 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: (1) Developing oversight strategies of health care or prescription drug service providers; (2) Evaluating methods used to identify vulnerabilities in a national health insurance program; and (3) Analyzing research or data to propose improvements to a health insurance program..
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/13006139Education:This job does not have an education qualification requirement.Employment Type: OTHER

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