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Health Insurance Jobs in Philadelphia, PA (NOW HIRING)

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All JobsHealth Insurance JobsHealth Insurance Jobs in Philadelphia, PA

Health Insurance information

See Philadelphia, PA salary details

$32.3K

$86.7K

$156.9K

How much do health insurance jobs pay per year?

As of Aug 21, 2026, the average yearly pay for health insurance in Philadelphia, PA is $86,669.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,000.00 and $100,900.00 per year, depending on experience, location, and employer.

What is a health insurance professional?

Health insurance professionals are individuals who work in the health insurance industry, helping people and organizations understand, purchase, and manage health insurance policies. Their roles can include explaining different health plans, assisting with claims, ensuring compliance with regulations, and providing customer support. They may work for insurance companies, as brokers, or for healthcare providers, and play a key role in making sure clients receive the coverage and benefits they need.

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

To thrive as a Health Insurance Specialist, you need a solid understanding of medical billing, coding procedures, and insurance regulations, often supported by a relevant certification such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Familiarity with claims processing software, electronic health records (EHR) systems, and industry-specific databases is essential. Attention to detail, problem-solving, and strong communication skills help specialists resolve discrepancies and assist clients effectively. These skills ensure accurate claim management, regulatory compliance, and excellent customer service in a complex, fast-paced industry.

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

Professionals in health insurance often encounter challenges such as navigating complex regulations, addressing customer concerns about coverage, and keeping up with frequent policy updates. Managing these challenges requires strong attention to detail, effective communication skills, and ongoing training on industry changes. Working collaboratively with underwriters, claims specialists, and regulatory teams helps ensure accurate policy administration and responsive customer service.

What is the difference between Health Insurance vs Claims Adjuster?

AspectHealth InsuranceClaims Adjuster
Required CredentialsLicenses, certifications (e.g., health insurance licenses)Licenses, insurance adjuster certifications
Work EnvironmentOffice, healthcare settings, remoteInsurance companies, fieldwork, office
Industry UsageHealthcare, insurance providersInsurance claims processing, property & casualty
Common Search/ComparisonUnderstanding health coverage optionsEvaluating insurance claims and settlements

Health Insurance professionals focus on providing and managing health coverage plans, while Claims Adjusters evaluate insurance claims to determine coverage and settlement amounts. Both roles require insurance-related certifications and work within the insurance industry, but their daily tasks and environments differ significantly.

What are the most commonly searched types of Health Insurance jobs in Philadelphia, PA?

The most popular types of Health Insurance jobs in Philadelphia, PA are:

What are popular job titles related to Health Insurance jobs in Philadelphia, PA?

For Health Insurance jobs in Philadelphia, PA, the most frequently searched job titles are:

What job categories do people searching Health Insurance jobs in Philadelphia, PA look for?

The top searched job categories for Health Insurance jobs in Philadelphia, PA are:

What cities near Philadelphia, PA are hiring for Health Insurance jobs?

Cities near Philadelphia, PA with the most Health Insurance job openings:

Health Insurance jobs near you
Infographic showing various Health Insurance job openings in Philadelphia, PA as of August 2026, with employment types broken down into 83% Full Time, and 17% Temporary. Highlights an 50% In-person, and 50% Remote job distribution, with an average salary of $86,669 per year, or $41.7 per hour.

Health Insurance Specialist (Statute & Legislation Oversight)

Employment Opportunities for Veterans | CMS

Philadelphia, PA • On-site

$108K/yr

Full-time

Medical

This job post has expired today. Applications are no longer accepted.

Job description

This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare.
As a Health Insurance Specialist, referred here as a HIS (Statue & Legislation Oversight), GS-0107-13, you will serve as a Legal Analyst & subject-matter expert supporting development/analysis/implementation and maintenance of Medicare policies/programs and operational initiatives and focus on legal/regulatory issues affecting the Medicare program.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:
1) Interpreting and applying Federal Statutes, regulations and health plan policy requirements;
2) Conducting legal analyses of proposed legislation affecting health plan coverage, benefits, and program operations;
3) Assessing the impact of legislative and administrative changes on healthcare programs; and
4) Coordinating policy initiatives and clearance activities for proposed regulations and policy documents.
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.
Time-in-Grade: To be eligible, current or former Federal employees and current or former Federal employees applying under the VEOA eligibility who hold or have held a permanent General Schedule position in the previous year must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying.
Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/13024516Education:This job does not have an education qualification requirement.Employment Type: OTHER

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