Health System Specialist federal salary series 0671
Full-time federal employees in the Health System Specialist series earned a median of $108,997 in annualized adjusted basic pay in September 2026, about the same as the all-federal median of $109,641. The middle half earned between $89,310 and $129,460.
What shapes health system specialist pay
The most common grade with published pay is GS-12 (1,989 employees, median $103,558). The largest employer of this series with published pay is the Department of Veterans Affairs (4,998 employees). Among states with at least 30 full-time employees with published pay, the median is highest in District of Columbia ($154,263) and lowest in Maine ($92,107), a gap that partly reflects locality pay differences. Federal pay depends mostly on grade and step, plus a locality adjustment for where the job is located; see the GS pay scale explainer.
OPM withheld pay for 33% of employees in this series. The figures here describe only employees with published pay; withholding is concentrated in certain agencies (see data coverage).
Health System Specialist pay by grade
Grades with at least 30 full-time employees with published pay. GS grades are listed first; other pay plans follow.
| Pay plan–grade | Employees | Median pay |
|---|---|---|
| GS-7 | 58 | $61,541 |
| GS-9 | 1,758 | $70,982 |
| GS-11 | 1,418 | $84,752 |
| GS-12 | 1,989 | $103,558 |
| GS-13 | 1,895 | $127,725 |
| GS-14 | 585 | $155,342 |
| GS-15 | 110 | $187,742 |
middle 50% (25th–75th percentile) 10th–90th percentile median all-federal median ($109,641)
Health System Specialist pay by agency
| Agency | Employees | Median pay |
|---|---|---|
| Department of Veterans Affairs | 4,998 | $109,959 |
| Department of Health and Human Services | 219 | $92,299 |
| Department of Justice | 36 | $115,716 |
middle 50% (25th–75th percentile) 10th–90th percentile median all-federal median ($109,641)
Health System Specialist pay by state
The 10 states with the most employees in this series and published pay.
| State | Employees | Median pay |
|---|---|---|
| California | 413 | $126,334 |
| Texas | 375 | $103,795 |
| Florida | 326 | $113,356 |
| New York | 246 | $111,058 |
| Ohio | 205 | $112,081 |
| Illinois | 185 | $110,066 |
| North Carolina | 176 | $105,180 |
| Arizona | 160 | $97,286 |
| Massachusetts | 150 | $108,134 |
| Tennessee | 150 | $98,459 |
middle 50% (25th–75th percentile) 10th–90th percentile median all-federal median ($109,641)
Compare health system specialist pay across all states and agencies →
Change since September 2025
The median moved +0.1% from $108,896 in September 2025 to $108,997 in September 2026. Headcount went from 8,437 to 7,874 (−6.7%). A change in the median reflects both pay adjustments and who joined or left the workforce, so it is not the same as a pay raise.
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