Health Insurance Specialist (Medicare & Medicaid)

Also called: CMS Health Insurance Specialist, Medicaid Policy Specialist

Writes and manages the rules for Medicare and Medicaid, programs that cover more than 140 million Americans.

A day in the life

Specialists at the Centers for Medicare & Medicaid Services or state Medicaid agencies decide how payment rules work, review state plans, answer questions from hospitals, and analyze data on what care people get. It's a big, hidden world of health jobs that don't touch patients.

Pay over a career

Starting
$65k
Typical
$100k
High
$150k

Federal GS-9 to GS-14 pay. Estimate.

Approximate: anchored on Bureau of Labor Statistics data for a broader job group.

Training

Bachelor's degree (4-year), about 4 years after high school. Bachelor's in public health, policy, or business; many have a master's.

Ways in: 4-year college, Graduate school. Training cost: $15k – $60k.

Majors to look at: Public Health, Health Administration, Public Policy.

Outlook

Growing about average. Steady federal and state demand.

Will it last? Our AI estimate

Medium risk for 10 years. AI analyzes claims and drafts policy text; designing rules for millions and working with states stays human.

Start now, in high school

Classes: AP Statistics, AP Government, Health science class.

Official data: O*NET occupation 13-1199.

More Government Administration & Civil Service careers

Career Universe is an early version. Pay, training and AI-risk figures are estimates to start your own research, not verified facts. The research was written with AI research assistants, checked by validation scripts and spot-checked by hand. Check anything important with schools, employers and official sources. How the numbers work.