ZipRecruiter

Log In

1

Humana Medicaid Customer Service Jobs (NOW HIRING)

Humana

Compliance Lead, Mental Health Parity

$160K/yr

Make recommendations to Medicaid market leadership; * Exercise considerable latitude in determining ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana

Compliance Lead, Mental Health Parity

$160K/yr

Make recommendations to Medicaid market leadership; * Exercise considerable latitude in determining ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana

Compliance Lead, Mental Health Parity

$160K/yr

Make recommendations to Medicaid market leadership; * Exercise considerable latitude in determining ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana, Inc.

Compliance Lead, Mental Health Parity

$160K/yr

... and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. Equal Opportunity Employer It is the ...

Humana

Senior Accountant - Medicaid

Louisville, KY · Hybrid

$71K - $89K/yr

You will play an important part in the month-end close process for multiple Medicaid plans ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Senior Accountant - Medicaid

Louisville, KY · Hybrid

$71K - $89K/yr

You will play an important part in the month-end close process for multiple Medicaid plans ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Senior Accountant - Medicaid

Louisville, KY · Hybrid

$71K - $89K/yr

You will play an important part in the month-end close process for multiple Medicaid plans ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Senior Accountant - Medicaid

$75K - $95K/yr

You will play an important part in the month-end close process for multiple Medicaid plans ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Senior Accountant - Medicaid

$75K - $95K/yr

You will play an important part in the month-end close process for multiple Medicaid plans ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Lead, Medicaid Technology

Become a part of our caring community The Lead for Medicaid Technology is responsible for driving ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana

Lead, Medicaid Technology

Become a part of our caring community The Lead for Medicaid Technology is responsible for driving ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana

Lead, Medicaid Technology

Become a part of our caring community The Lead for Medicaid Technology is responsible for driving ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana

Value-Based Programs Lead (Medicaid)

You will lead the beginning-to-end operational support of specialty Medicaid value-based payment ... Humana reserves the right to require associates to upgrade their internet service if necessary.

Humana

Medical Director Behavioral Health, Medicaid

Learn Medicaid requirements and understand how to operationalize this knowledge in your daily work ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

Humana

Medical Director Behavioral Health, Medicaid

Learn Medicaid requirements and understand how to operationalize this knowledge in your daily work ... Through our Humana insurance services and our CenterWell healthcare services, we make it easier for ...

next page

Showing results 1-20

All JobsGovernment JobsFederal Government JobsMedicaid Specialist JobsHumana Medicaid Customer Service Jobs

Humana Medicaid Customer Service information

See salary details

$9

$18

$26

How much do humana medicaid customer service jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for humana medicaid customer service in the United States is $18.80, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.91 per hour, depending on experience, location, and employer.

What does a Humana Medicaid Customer Service representative do?

Humana Medicaid Customer Service representatives assist members with questions about their Medicaid health plans, benefits, and coverage. They help resolve issues related to claims, eligibility, finding providers, and accessing healthcare services. Representatives also guide members through enrollment processes, update personal information, and provide information about wellness programs. Their goal is to ensure members understand their benefits and can access necessary care efficiently.

What are some common challenges faced by a Humana Medicaid Customer Service representative, and how can they be managed?

Humana Medicaid Customer Service representatives often encounter challenges such as addressing complex member inquiries, staying updated on changing Medicaid regulations, and managing high call volumes. To manage these, representatives rely on comprehensive training, robust knowledge bases, and support from team leads or supervisors. Strong communication skills and empathy are also essential for helping members navigate their healthcare benefits effectively. Team collaboration and ongoing professional development further contribute to success in this dynamic environment.

What are the key skills and qualifications needed to thrive as a Humana Medicaid Customer Service representative, and why are they important?

A Humana Medicaid Customer Service Representative should possess strong communication skills, problem-solving abilities, and a high school diploma or equivalent. Familiarity with customer relationship management (CRM) software, call center systems, and Medicaid regulations is typically required. Patience, empathy, and professionalism help build trust and ensure positive interactions with members. These skills are crucial for resolving complex inquiries efficiently, maintaining compliance, and delivering high-quality service to vulnerable populations.

What is the difference between Humana Medicaid Customer Service vs Humana Medicare Customer Service?

AspectHumana Medicaid Customer ServiceHumana Medicare Customer Service
Required CredentialsHigh school diploma or equivalent; knowledge of Medicaid programsHigh school diploma or equivalent; knowledge of Medicare plans
Work EnvironmentCall centers, healthcare offices, remote optionsCall centers, healthcare offices, remote options
Employer & Industry UsageUsed by Medicaid managed care organizations, insurance providersUsed by Medicare Advantage plans, insurance providers

Humana Medicaid Customer Service representatives assist beneficiaries with Medicaid-related inquiries, while Humana Medicare Customer Service reps handle questions about Medicare plans. Both roles require similar credentials and work environments but focus on different healthcare programs, serving distinct client needs within the healthcare insurance industry.

More about Humana Medicaid Customer Service jobs

What job categories do people searching Humana Medicaid Customer Service jobs look for?

The top searched job categories for Humana Medicaid Customer Service jobs are:

Humana Medicaid Customer Service jobs near you
Infographic showing various Humana Medicaid Customer Service job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $39,098 per year, or $18.8 per hour.

Customer Service Representative

Tampa, FL • On-site

Leeds Professional Resources
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Leeds Professional Resourcesexternal

$14.50 - $19.75/hr

Other

Re-posted 28 days ago

Job description

Position Title: Medicare/Medicaid Customer Support Representative (Remote After Training)

Location: Tampa, Florida (Training Onsite; Fully Remote After Successful Completion of Training)

Department: Customer Service / Call Center

Reports To: Customer Service Supervisor


Position Summary

We are seeking an experienced Medicare/Medicaid Customer Support Representative to join our customer service team. This position requires a minimum of three (3) years of experience supporting Medicare and/or Medicaid members in a high-volume call center environment. During the first 2–3 months, employees will complete onsite training in Tampa, FL before transitioning to a fully remote work environment based on performance, attendance, and successful completion of training.

The ideal candidate is knowledgeable about Medicare and Medicaid benefits, enrollment processes, eligibility requirements, claims, and member services while delivering exceptional customer care in a fast-paced environment.

Key Responsibilities

  • Handle a high volume of inbound customer calls regarding Medicare and Medicaid plans.
  • Provide accurate information regarding benefits, eligibility, coverage, claims, authorizations, and provider networks.
  • Assist members with enrollment, plan changes, renewals, and general inquiries.
  • Research and resolve customer concerns while maintaining a high level of professionalism and empathy.
  • Document all customer interactions accurately within CRM and healthcare systems.
  • Meet or exceed established quality assurance, productivity, attendance, and customer satisfaction metrics.
  • Escalate complex member concerns following company procedures.
  • Maintain confidentiality of Protected Health Information (PHI) in compliance with HIPAA regulations.
  • Navigate multiple computer systems while speaking with members.
  • Stay current on Medicare, Medicaid, CMS guidelines, and company policies.
  • Participate in ongoing training and quality improvement initiatives.


Required Qualifications

  • Minimum 3 years of recent Medicare and/or Medicaid customer service experience in a call center environment.
  • High school diploma or GED required.
  • Strong understanding of:
  • Medicare Parts A, B, C, and D
  • Medicaid eligibility and benefits
  • Claims processing
  • Prior authorizations
  • Member enrollment
  • Provider networks
  • Excellent verbal and written communication skills.
  • Strong problem-solving and conflict resolution abilities.
  • Ability to manage multiple systems while maintaining call quality.
  • Proficiency with Microsoft Office and customer relationship management (CRM) software.
  • Ability to work independently in a remote environment after training.

Preferred Qualifications

  • Associate's or Bachelor's degree.
  • Experience supporting Medicare Advantage or Managed Medicaid plans.
  • Experience working for a health insurance carrier, managed care organization (MCO), or third-party administrator (TPA).
  • Bilingual (English/Spanish) preferred but not required.



Apply