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Health Insurance Jobs (NOW HIRING)

Aflac

Health Insurance Agent

Tuscola, IL · On-site

Sales Agent Opportunity At Aflac we will offer training to unlicensed individuals, enabling them to obtain an insurance license and enter one of the rapidly expanding industries. This role plays a ...

Computer Futures

Health Insurance Analyst

Dallas, TX · On-site

$19.75 - $27/hr

Qualifications Amysis Medicare, medicaid SQL (oracle) Demonstrated analytics Background in Analytics within healthcare insurance ( Data, Configuration, or Enrollment) Compliments the team and ...

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Health Insurance information

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$32K

$85.9K

$155.5K

How much do health insurance jobs pay per year?

As of Jun 3, 2026, the average yearly pay for health insurance 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 are the key skills and qualifications needed to thrive as a Health Insurance Specialist, and why are they important?

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 are health insurance professionals?

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 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.

More about Health Insurance jobs
What cities are hiring for Health Insurance jobs? Cities with the most 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 Health Insurance jobs? States with the most job openings for Health Insurance jobs include:
What job categories do people searching Health Insurance jobs look for? The top searched job categories for Health Insurance jobs are:
Health Insurance jobs near you
Health Insurance Specialist

Health Insurance Specialist

Centers for Medicare & Medicaid Services

Boston, MA • On-site, Remote

$108.17K - $158.32K/yr

Full-time

Posted 5 days ago

Job description

Summary
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services(CMCS).
As a Health Insurance Specialist, GS-0107-13, you will serve as an expert in the development, evaluation, and
implementation of policies related to Medicaid, CHIP, and Basic Health Program (BHP) policies to support Fraud, Waste, and Abuse (FWA) and Working Families Tax Credit (WFTC) initiatives.
Learn more about this agency
Duties
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  • Identifies and proposes modifications to Medicaid, CHIP, and BHP program measures, regulations, laws, and policies to reflect changes or trends in the health care industry, program objectives, and the needs of Medicaid, CHIP, and BHP beneficiaries.
  • Conducts analysis of policy issues and topics by researching background information, the origin of laws, and the intended impact to make effective policy recommendations.
  • Evaluates and analyzes the impact of new or revised changes to legislation before the Congress pertaining to mentioned programs.
  • Researches all program issues and develop the appropriate response that includes CMS regulations, or policy issuances.
  • Analyzes internal policies, processes, and procedures to assure increased efficiency in operations and implements them to resolve problems and improve internal operations.

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.
  • 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.
  • 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.

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 receiving further consideration.
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) Implementing program policies related to Medicaid, CHIP, or the Basic Health Program (BHP) to ensure compliance with federal regulations and program objectives; 2) Providing technical guidance on Medicaid, CHIP, or BHP program policies; and 3) Developing regulations, manuals, program guidelines, program memoranda, policy letters, or instructions to communicate health insurance program policies.
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.
Additional information
Bargaining Unit Position: Yes - American Federation of Government Employees, Local 2268
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.
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.
https://www.opm.gov/policy-data-oversight/pay-leave/salaries-wages/2026/general-schedule/
Locality-
Boston: $120,548 - $156,715
Dallas: $115,711 - $150,426
Kansas City: $108,173 - $140,627
Seattle: $119,630 - $155,521
Woodlawn: $121,785 - $158,322
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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.
Review our benefits
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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