Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer Service Our Vision SIHO Insurance Services will be the premier healthcare delivery system administration ...
Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer Service Our Vision SIHO Insurance Services will be the premier healthcare delivery system administration ...
Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer Service Our Vision SIHO Insurance Services will be the premier healthcare delivery system administration ...
Quick apply
Medicare Advantage Member Services Representative Reports To: Manager, MytruAdvantage Customer Service Our Vision SIHO Insurance Services will be the premier healthcare delivery system administration ...
Medicare Advantage Sales Agent (Remote) Pitch Health Solutions Pitch Health Solutions is a rapidly growing national agency specializing in Medicare Advantage, Hospital Indemnity, Final Expense, and ...
Quick apply
Medicare Advantage Sales Agent (Remote) Pitch Health Solutions Pitch Health Solutions is a rapidly growing national agency specializing in Medicare Advantage, Hospital Indemnity, Final Expense, and ...
Medicare Advantage Sales Agent (Remote) Pitch Health Solutions Pitch Health Solutions is a rapidly growing national agency specializing in Medicare Advantage, Hospital Indemnity, Final Expense, and ...
Quick apply
Medicare Advantage Sales Agent (Remote) Pitch Health Solutions Pitch Health Solutions is a rapidly growing national agency specializing in Medicare Advantage, Hospital Indemnity, Final Expense, and ...
Medicare Advantage Sales Agent (Remote) Pitch Health Solutions Pitch Health Solutions is a rapidly growing national agency specializing in Medicare Advantage, Hospital Indemnity, Final Expense, and ...
Quick apply
Medicare Advantage Sales Agent (Remote) Pitch Health Solutions Pitch Health Solutions is a rapidly growing national agency specializing in Medicare Advantage, Hospital Indemnity, Final Expense, and ...
Medicare Sales Agent
Yuma, AZ · Remote
Medicare Advantage Sales Agent (Remote) Pitch Health Solutions Pitch Health Solutions is a rapidly growing national agency specializing in Medicare Advantage, Hospital Indemnity, Final Expense, and ...
Quick apply
Medicare Sales Agent
Yuma, AZ · Remote
Medicare Advantage Sales Agent (Remote) Pitch Health Solutions Pitch Health Solutions is a rapidly growing national agency specializing in Medicare Advantage, Hospital Indemnity, Final Expense, and ...
Medicare Advantage Sales Agent (Remote) Pitch Health Solutions Pitch Health Solutions is a rapidly growing national agency specializing in Medicare Advantage, Hospital Indemnity, Final Expense, and ...
Quick apply
Medicare Advantage Sales Agent (Remote) Pitch Health Solutions Pitch Health Solutions is a rapidly growing national agency specializing in Medicare Advantage, Hospital Indemnity, Final Expense, and ...
COMPANY OVERVIEW Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the ...
COMPANY OVERVIEW Zing Health is a tech-enabled insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the ...
Associate Director, Medicare Advantage Bid Strategy & Analytics
Waltham, MA · On-site
$129 - $193/hr
Overview We are seeking a highly skilled and analytically driven Medicare Advantage Bid Strategy & Analytics Associate Director to join the team responsible for designing, pricing, and optimizing ...
Associate Director, Medicare Advantage Bid Strategy & Analytics
Waltham, MA · On-site
$129 - $193/hr
Overview We are seeking a highly skilled and analytically driven Medicare Advantage Bid Strategy & Analytics Associate Director to join the team responsible for designing, pricing, and optimizing ...
As the Medicare Advantage Quality and Risk Performance Officer, you will work closely with the leadership team to oversee all related activities for Star rating improvement functions. As an ...
As the Medicare Advantage Quality and Risk Performance Officer, you will work closely with the leadership team to oversee all related activities for Star rating improvement functions. As an ...
As the Medicare Advantage Quality and Risk Performance Officer, you will work closely with the leadership team to oversee all related activities for Star rating improvement functions. As an ...
As the Medicare Advantage Quality and Risk Performance Officer, you will work closely with the leadership team to oversee all related activities for Star rating improvement functions. As an ...
Licensed Insurance Agent - Life, Medicare Advantage & Medicare Supplement Sales
Sugar Land, TX · Remote
$55K - $275K/yr
Final Expense Life Insurance Mortgage Protection Medicare Advantage Plans Medicare Supplement Insurance Plans Additional Life and Health Insurance Solutions We also teach agents how to generate leads ...
Quick apply
Licensed Insurance Agent - Life, Medicare Advantage & Medicare Supplement Sales
Sugar Land, TX · Remote
$55K - $275K/yr
Final Expense Life Insurance Mortgage Protection Medicare Advantage Plans Medicare Supplement Insurance Plans Additional Life and Health Insurance Solutions We also teach agents how to generate leads ...
Medicare Sales Agent
Charlotte, NC · Remote
$50K - $150K/yr
Educate prospective clients on Medicare Advantage, Medicare Supplement, and Prescription Drug Plans * Conduct needs-based consultations and recommend appropriate coverage options * Generate leads ...
Quick apply
Medicare Sales Agent
Charlotte, NC · Remote
$50K - $150K/yr
Educate prospective clients on Medicare Advantage, Medicare Supplement, and Prescription Drug Plans * Conduct needs-based consultations and recommend appropriate coverage options * Generate leads ...
BI Developer - Medicare Advantage & Epic Tapestry Location: 5767 W Century Blvd Ste 400, Los Angeles, CA 90045 (100% Remote acceptable) Duration: 52 weeks contract w/ possibility of extensions Notes ...
BI Developer - Medicare Advantage & Epic Tapestry Location: 5767 W Century Blvd Ste 400, Los Angeles, CA 90045 (100% Remote acceptable) Duration: 52 weeks contract w/ possibility of extensions Notes ...
Licensed Insurance Agent - Life, Medicare Advantage & Medicare Supplement Sales
Sugar Land, TX · On-site +1
$55K - $275K/yr
Final Expense Life Insurance Mortgage Protection Medicare Advantage Plans Medicare Supplement Insurance Plans Additional Life and Health Insurance Solutions We also teach agents how to generate leads ...
Licensed Insurance Agent - Life, Medicare Advantage & Medicare Supplement Sales
Sugar Land, TX · On-site +1
$55K - $275K/yr
Final Expense Life Insurance Mortgage Protection Medicare Advantage Plans Medicare Supplement Insurance Plans Additional Life and Health Insurance Solutions We also teach agents how to generate leads ...
Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)
Los Angeles, CA · On-site
$95.40 - $208.30/hr
The Claims Manager of the Medicare Advantage Plan will: * Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to automate business ...
Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)
Los Angeles, CA · On-site
$95.40 - $208.30/hr
The Claims Manager of the Medicare Advantage Plan will: * Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to automate business ...
Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)
Los Angeles, CA · On-site
$95.40 - $208.30/hr
The Claims Manager of the Medicare Advantage Plan will: * Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to automate business ...
Claims Manager, Medicare Advantage Plan (Flexible-Hybrid)
Los Angeles, CA · On-site
$95.40 - $208.30/hr
The Claims Manager of the Medicare Advantage Plan will: * Implement and maintain efficient and streamlined claims adjudication processes that effectively utilize technology to automate business ...
Be Seen First
Licensed Call Center work from home medicare sales professionals
Houston, TX · Remote
$12 - $22/hr
Ideal candidates will have experience in Medicare Advantage sales and must a be licensed health insurance agents, released from previous agencies. This role involves handling very warm inbound calls ...
Quick apply
Be Seen First
Licensed Call Center work from home medicare sales professionals
Houston, TX · Remote
$12 - $22/hr
Ideal candidates will have experience in Medicare Advantage sales and must a be licensed health insurance agents, released from previous agencies. This role involves handling very warm inbound calls ...
We are seeking a highly skilled and analytically driven Medicare Advantage Bid Strategy & Analytics Associate Director to join the team responsible for designing, pricing, and optimizing Devoted ...
We are seeking a highly skilled and analytically driven Medicare Advantage Bid Strategy & Analytics Associate Director to join the team responsible for designing, pricing, and optimizing Devoted ...
Payment Integrity Nurse - Medicare Advantage
$31 - $41/hr
Summary We are currently hiring for a Payment Integrity Nurse - Medicare Advantage to join BlueCross BlueShield of South Carolina. In this role as an Payment Integrity Nurse, you will monitor ...
Payment Integrity Nurse - Medicare Advantage
$31 - $41/hr
Summary We are currently hiring for a Payment Integrity Nurse - Medicare Advantage to join BlueCross BlueShield of South Carolina. In this role as an Payment Integrity Nurse, you will monitor ...
Medicare Advantage information
See salary details
$14.66 - $17.64
4% of jobs
$20.30 is the 25th percentile. Wages below this are outliers.
$17.64 - $20.61
23% of jobs
$20.61 - $23.58
12% of jobs
The median wage is $25.22 / hr.
$23.58 - $26.55
20% of jobs
$28.29 is the 75th percentile. Wages above this are outliers.
$26.55 - $29.52
27% of jobs
$29.52 - $32.50
9% of jobs
$32.50 - $35.47
0% of jobs
$35.47 - $38.44
0% of jobs
$38.44 - $41.41
0% of jobs
$41.41 - $44.38
2% of jobs
$44.38 - $47.36
2% of jobs
$14
$26
$47
How much do medicare advantage jobs pay per hour?
What are the key skills and qualifications needed to thrive in the Medicare Advantage position?
To excel in a Medicare Advantage role, you typically need knowledge of health insurance products, regulatory compliance, and a background in healthcare administration, often supported by a bachelor’s degree or relevant certifications. Familiarity with CRM software, Medicare policy databases, and claims processing systems is commonly required. Strong interpersonal communication, problem-solving abilities, and attention to detail set successful candidates apart. These skills ensure effective customer support, accurate policy management, and adherence to industry regulations in a highly regulated and service-oriented field.
What is a Medicare Advantage?
A Medicare Advantage job typically involves working with Medicare Advantage plans, which are private health insurance plans approved by Medicare. Jobs in this field can include sales, customer service, claims processing, or plan coordination. Professionals in these roles help beneficiaries understand plan options, enroll in coverage, and navigate benefits. They may work for insurance companies, healthcare organizations, or government agencies. Strong knowledge of Medicare regulations and excellent communication skills are often required.
What are some common challenges faced by professionals working in Medicare Advantage roles?
Professionals in Medicare Advantage roles often encounter challenges such as staying up to date with frequently changing regulations and ensuring strict compliance with CMS guidelines. Navigating complex eligibility requirements and addressing a wide range of policyholder questions can also be demanding. Success in this field requires the ability to quickly adapt to new rules and processes, collaborate closely with internal teams, and maintain a high level of customer service while handling sensitive member information. With experience, many professionals gain opportunities to specialize further or move into leadership positions within the healthcare or insurance industries.

Full-time, Other
Posted 5 days ago
Job description
Job Title: Medicare Advantage Member Services Representative
Reports To: Manager, MytruAdvantage Customer Service
Our Vision
SIHO Insurance Services will be the premier healthcare delivery system administration company, known and respected for its Insurance high quality people, innovative products and outstanding services.
Location Requirement: This position is based in Columbus, IN and is not eligible for remote work or relocation. Candidates must reside in or be willing to commute to Columbus.
MTA Member Services
SIHO’s Member Services Representatives assist in creating an excellent experience for SIHO’s members and their providers. The primary responsibility of this position is to respond to member’s and providers inquiries. This position mainly responds to telephonic inquiries but may also be responsible for responding to written inquiries and assisting walk-in members. This is a non-exempt position.
Brief Description of Duties:
Assist members with navigating their healthcare needs by explaining benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate
Comply with regulatory requirements while addressing customer needs which may include complex benefit questions.
Record details of inquiries, comments, complaints, and transactions.
Escalate unresolved and pending customer grievances.
Support teammates as business needs require to ensure the organization is meeting the needs of our members and providers
Strive for first call resolution while demonstrating SIHO’s dedication to proactively work to resolve members questions and concerns.
Work with partners in other departments, or to Doctors’ offices to help resolve a customer concern.
Support your teammates as business needs require to ensure we are meeting the needs of our customers.
Performs other relevant duties deemed necessary to achieve department and company-wide goals.
Traits we are looking for:
Trustworthy Empathic Proactive
Compassionate Good Listener Problem Solver
Communicator Patient Personable & Collaborative
Schedule & Work Environment:
Full-time position with hybrid work arrangement (3 days in office, 2 days remote)
Annual schedule divided into two seasons:
Peak Season (October 1 - March 31)
Team coverage required 7 days/week, 8am-9pm
Available shifts: 8am-5pm, 9am-6pm, 12pm-9pm (remote), and 10am-7pm as needed
Weekend requirement: Minimum 2 weekends per month (remote shifts 12pm-9pm or 10am-7pm)
Schedules provided one month in advance with consideration for employee preferences
Off-Peak Season (April 1 - September 30)
Monday-Friday coverage between 8am-9pm
Available shifts: 8am-5pm, 9am-6pm, or 12pm-9pm (remote)
Must work one late shift per week (either 9am-6pm or 12pm-9pm)
Minimum Skills Requirement:
Possess a passion for customer service
Excellent communications (oral and written) and strong listening skills
General knowledge and understanding of health insurance
Knowledge of Medicare Advantage is preferred, but not required
This job calls for strong emotional intelligence to proactively provide solutions, ensuring the member's health and safety
Ability to maintain attendance to support required quality and quantity of work
Professional appearance and presence
Commitment to support and maintain confidentiality in conformance to HIPAA guidelines
Required Education:
High School Diploma and 2 years of Customer service experience
Working experience of Microsoft Office or other comparable software
Note: This position supports Medicare Advantage/MyTruAdvantage products, requiring weekend availability during peak season to ensure continuous member support.
*All positions are subject to change based on the needs of the business