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Cgs Medicare Jobs (NOW HIRING)

Auditor

Detroit, MI · On-site

$90K - $105K/yr

CGS brings motivated, highly skilled, and creative people together to solve the government's most ... Conduct comprehensive analyses of benefit claims involving SNAP, Medicaid, Medicare, VA programs ...

Auditor

Detroit, MI

$90K - $105K/yr

CGS brings motivated, highly skilled, and creative people together to solve the government's most ... Conduct comprehensive analyses of benefit claims involving SNAP, Medicaid, Medicare, VA programs ...

CGS brings motivated, highly skilled, and creative people together to solve the government's most ... Conduct comprehensive analyses of benefit claims involving SNAP, Medicaid, Medicare, VA programs ...

Auditor

Detroit, MI · On-site

$90 - $105/hr

CGS brings motivated, highly skilled, and creative people together to solve the government's most ... Conduct comprehensive analyses of benefit claims involving SNAP, Medicaid, Medicare, VA programs ...

Auditor

Knoxville, TN · On-site

$80K - $100K/yr

Financial CGS is seeking a highly skilled Senior Auditor to provide general auditing and accounting ... C. § 1395nn(a). • Review, analyze, and interpret complex data, including Centers for Medicare ...

Auditor

Knoxville, TN · On-site

$80K - $100K/yr

Financial CGS is seeking a highly skilled Senior Auditor to provide general auditing and accounting ... Review, analyze, and interpret complex data, including Centers for Medicare & Medicaid claims data ...

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Cgs Medicare information

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$14

$26

$47

How much do cgs medicare jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for cgs medicare in the United States is $26.77, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $28.85 per hour, depending on experience, location, and employer.

What is CGS Medicare?

CGS Medicare is a company that serves as a Medicare Administrative Contractor (MAC) for the Centers for Medicare & Medicaid Services (CMS). They process and pay Medicare claims, provide customer service, and offer education to healthcare providers and suppliers. CGS helps ensure that Medicare beneficiaries receive their benefits and that providers are reimbursed correctly and efficiently. Their services include claims processing, medical review, appeals, and outreach activities.

What are the key skills and qualifications needed to thrive as a CGS Medicare customer service representative?

To thrive as a CGS Medicare Customer Service Representative, you need a strong understanding of Medicare policies, healthcare regulations, and customer service best practices, often supported by a high school diploma or equivalent. Familiarity with call center systems, Medicare claims processing software, and CRM tools is typically required. Excellent verbal communication, problem-solving, and patience are crucial soft skills for effectively assisting beneficiaries and providers. These skills ensure accurate information delivery, efficient issue resolution, and high levels of customer satisfaction in a regulated healthcare environment.

What are some common challenges faced by professionals working at CGS Medicare, and how can new hires best prepare for them?

Professionals at CGS Medicare often navigate complex regulations and frequent updates in Medicare policies, which can be challenging, especially for those new to the healthcare industry. New hires should be prepared to learn quickly, stay current with federal guidelines, and adapt to evolving procedures. Strong attention to detail and effective communication skills are essential, as the role frequently involves collaborating with providers, beneficiaries, and team members to resolve claims and compliance issues. Leveraging available training resources and seeking mentorship from experienced colleagues can significantly ease the transition and help new employees thrive.

What is the difference between Cgs Medicare vs Cgs Medicare?

AspectCgs Medicare

Since the comparison is between the same job title, Cgs Medicare, there is no difference in roles, responsibilities, or credentials. Both refer to the same position within the healthcare industry, focusing on Medicare insurance plans, provider relations, and claims processing. Typically, Cgs Medicare professionals work in insurance companies, healthcare organizations, or government agencies, ensuring compliance and customer support related to Medicare services. The role requires knowledge of Medicare policies, certifications, and excellent communication skills. Overall, Cgs Medicare is a specialized role dedicated to Medicare insurance management, with no variation in job title or scope.

More about Cgs Medicare jobs

What cities are hiring for Cgs Medicare jobs?

Cities with the most Cgs Medicare job openings:

What states have the most Cgs Medicare jobs?

States with the most job openings for Cgs Medicare jobs include:

Infographic showing various Cgs Medicare job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 76% Full Time, 17% Part Time, and 3% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $55,676 per year, or $26.8 per hour.

IT Senior Project Manger- CGS Administrators, LLC

260 CGS Administrators, LLC

Nashville, TN • On-site

$126K - $127K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 2 days ago. Applications are no longer accepted.


Job description

Job Summary

CGS Administrators, LLC (CGS) is part of BCBSSCTM's Celerian Group of companies and provides a variety of services for Medicare beneficiaries, healthcare providers, and medical equipment suppliers in 38 states. This onsite full‐time position is located at 26 Century Blvd., Ste. ST610 Nashville, TN 37214-3685. The role is for an IT professional with experience in Medicare who has strong project‐management skills and leadership capabilities.

Responsibilities

Develop and monitor project plans, risk management plans, and project documentation from scope to post‐implementation. Ensure project documentation and deliverables are complete, on budget, within scope, and in accordance with standards. Identify items that impact scope, budget, risk, and resources of the work effort. Monitor resource requirements based on project specifications and ensure they are assigned appropriately. Maintain project hours within the budgeted limits.

Develop, execute, and maintain project communications, facilitating effective communication among all parties involved. Identify the impact of issues arising from the work effort and/or resource requirements. Manage project issues throughout the life cycle and communicate implications of changes to scope to senior management and other stakeholders. Ensure all project work has appropriate documentation for audit purposes using the ISSM project methodology standards.

Qualifications

Education:

Bachelor's degree (or equivalent) Work Experience: Minimum 5 years of IT leadership experience, including at least 2 years leading two or more concurrent project teams. Completion of the BCBSSC Training Program for Project Management may substitute for one year of work experience. Total required work experience ranges from 7 to 9 years. Skills and Abilities: Excellent verbal and written communication; assertive yet customer‐focused style.

Advanced leadership, problem‐solving, conflict resolution, analytical, and organizational skills. Strong understanding of project‐management principles, information systems, business processes, and key performance drivers. Advanced competency in resource management across multiple projects. Ability to negotiate scope and terms, prepare formal presentations, manage all project phases, think strategically, and analyze triple constraints. Software and Tools: Advanced knowledge of Microsoft Office and project‐management tools.

Preferred

Skills

Experience with Agile and Waterfall methodologies. Experience with CMMI‐DEV and EVM. Experience in IT project management for healthcare (Medicare/Medicaid). Active professional certification(s) such as PMP, CAPM, Scrum Master, or SAFe. Proficiency in Microsoft Project and schedule management.

Benefits

Subsidized health plans, dental and vision coverage 401(k) retirement savings plan with company match Life insurance Paid Time Off (PTO) Nine paid holidays On‐site cafeteria and fitness centers in major locations Wellness program and healthy‐lifestyle premium discount Tuition assistance Service recognition Employee assistance program Discounts to movies, theaters, zoos, theme parks, and more Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and its subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, sexual orientation, gender identity, genetic information, or any other legally protected status.

As a federal contractor, the company maintains affirmative‐action programs to promote employment opportunities for individuals with disabilities and protected veterans. The company provides reasonable accommodations to individuals with disabilities and other protected groups. The company participates in E‐Verify and complies with the Pay Transparency Nondiscrimination Provision.