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Medicare Advantage Jobs (NOW HIRING)

$90 - $120/hr

Have at least 2-3 years' experience in the primary care/value-based care setting, working with Medicare Advantage, Medicare, and Medicaid patient populations * Must have an active and unrestrictive ...

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Medicare Advantage Member Services Representative (Columbus location) Reports To: Manager, MyTruAdvantage Customer Service Location Requirement: This position is based in Columbus, IN and is not ...

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Medicare Advantage Member Services Representative (Seymour location) Reports To: Manager, MyTruAdvantage Customer Service Location Requirement: This position is based in Seymour, IN and is not ...

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Medicare Advantage Member Services Representative (Columbus location) Reports To: Manager, MyTruAdvantage Customer Service Location Requirement: This position is based in Columbus, IN and is not ...

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Medicare Advantage information

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$26

$47

How much do medicare advantage jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for medicare advantage 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 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 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 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.

More about Medicare Advantage jobs

What cities are hiring for Medicare Advantage jobs?

Cities with the most Medicare Advantage job openings:

What are the most commonly searched types of Medicare Advantage jobs?

The most popular types of Medicare Advantage jobs are:

What states have the most Medicare Advantage jobs?

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

What job categories do people searching Medicare Advantage jobs look for?

The top searched job categories for Medicare Advantage jobs are:

Infographic showing various Medicare Advantage job openings in the United States as of August 2026, with employment types broken down into 76% Full Time, 21% Part Time, and 3% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $55,676 per year, or $26.8 per hour.

Sr. Director, Medicare Advantage Product or Benefits

UnitedHealth Group

Eden Prairie, MN • On-site

$129K - $170K/yr

Full-time

Medical, Retirement

Posted 9 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

191st of 898 rated healthcare providers


Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Position Summary:
The Optum Health Enterprise Payer Team is responsible for owning, driving, and optimizing Optum Health's payer portfolio to achieve sustainable value-based care relationships. The Senior Product and Benefits Director will play a critical role in developing strategies to successfully position Medicare Advantage products within Optum Health value-based care arrangements including benefit design and planning, sales distribution relationships, identifying best practices, and AEP/OEP/SEP payer performance.
This individual will be expected to:
  • Be the subject matter expert for Medicare Advantage benefits and products including product management, product definition, risk identification, standard benefit models, and financial and regulatory impacts
  • Own the Optum Health strategic analysis of Medicare Advantage benefit design and planning
  • Provide quantitative and qualitative interpretation of AEP payer performance to help advance Optum Health goals
  • Understand CMS required deadlines and quality requirements for Medicare Advantage products and programs
  • Understand the scope and strategy for bid submission, including defining standard benefit models and alignment to product strategy
  • Foster relationships with cross-functional partners to solve critical business initiatives
  • Proactively identify problems and develop recommended solutions

This individual will need to be able to function in a diverse environment with varying level stakeholders across internal and external stakeholder groups, abstract and fluid environments, and simultaneous deadlines. The position requires an ability to comprehend Medicare Advantage, local markets' strategies while demonstrating awareness of broader systems across the enterprise, both strategically and tactically. Organizational agility will be required - building meaningful relationships and facilitating decision-making to continue achieving Optum Health's value-based care agenda.
Primary Responsibilities:
  • Lead end to end benefit strategy for all payers across Medicare Advantage plans
  • Create solid relationships with payer product teams to align membership strategies with enterprise financial performance targets
  • Analyze benefit performance/ROI and develop investment recommendations
  • Partner with Health Care Economics and Actuarial teams to ensure MACVAT data is completed and correct prior to socialization with key regional partners
  • Conduct in-depth analysis and strategic summary of AEP results
  • Identify key benefit battleground states and areas of greatest risk and opportunity along with key market insights
  • Ensure cross functional collaboration with finance and HCE to quantify benefit decision impact
  • Partner with local growth and marketing teams on broker/partnership strategy and execution, to unify capabilities where possible and create a cohesive approach
  • Develop and socialize specific AEP strategies with leadership and provide market feedback
  • Develop executive materials for overall benefit strategies and approach
  • Collaborate with care delivery and Optum at Home to build risk programs that strengthen overall market positioning and advance Optum's value prop to further differentiate for consumers and partners
  • Synthesize market, competitor, regulatory, financial, and operational intelligence to inform priorities, decisions, and future innovation opportunities

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • 10+ years of experience in healthcare strategy, Medicare, product management, innovation, or consulting
  • 5+ years of health plan or Medicare Advantage experience
  • Expert knowledge of Medicare Advantage benefits and products including product management, product definition, risk identification, standard benefit models, and financial and regulatory impacts
  • Experience with Medicare Advantage bid filings
  • Demonstrated ability to achieve high performance by utilizing resources in a matrix environment
  • Demonstrated ability to work with and communicate with all levels of the organization
  • Proven solid analytical skills

Preferred Qualifications:
  • Knowledge of Medicare Stars, HEDIS, value-based care models, provider incentives, care gap closure, supplemental data exchange, pharmacy quality, affordability/utilization, and provider engagement operations
  • Experience working with Actuarial and Underwriting teams
  • Proven ability to achieve superior results in a performance-oriented environment
  • Proven ability to work with all levels of management across all functions and business partners
  • Demonstrated problem solving, analysis, and resolution at strategic and functional levels
  • Demonstrated ability to manage competing priorities and a rapidly changing business environment
  • Demonstrated excellent written and verbal communication skills
  • Willingness to travel up to 20%

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $159,300 - $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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