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 ...
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 ...
Orange, CA · On-site
$58.50 - $75.75/hr
About the role As an Enterprise Data Modeler (Medicare Advantage) , you will make an impact by designing and establishing enterprise-wide data models that serve as the foundation for a large-scale ...
Orange, CA · On-site
$58.50 - $75.75/hr
About the role As an Enterprise Data Modeler (Medicare Advantage) , you will make an impact by designing and establishing enterprise-wide data models that serve as the foundation for a large-scale ...
Minnetonka, MN · On-site +1
$87K - $110K/yr
The Medicare Advantage (MA) Product Capabilities team provides management, strategic oversight, subject matter expertise, data analytics, data delivery and stewardship, and production support for ...
New
Minnetonka, MN · On-site +1
$87K - $110K/yr
The Medicare Advantage (MA) Product Capabilities team provides management, strategic oversight, subject matter expertise, data analytics, data delivery and stewardship, and production support for ...
New
Seven (7) years of experience in the health insurance industry specific to sales and marketing roles (preferably related to Medicare Advantage or another government-related insurance line), including ...
Seven (7) years of experience in the health insurance industry specific to sales and marketing roles (preferably related to Medicare Advantage or another government-related insurance line), including ...
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 ...
Chicago, IL · On-site
$201 - $282/hr
Senior Director, Technology Business Partner (Medicare Advantage)Skip to main contentThis website stores cookies on your computer. These cookies are used to collect information about how you interact ...
Chicago, IL · On-site
$201 - $282/hr
Senior Director, Technology Business Partner (Medicare Advantage)Skip to main contentThis website stores cookies on your computer. These cookies are used to collect information about how you interact ...
Alma, GA · On-site
Also, filing late or corrected claims for Medicare Advantage. Meditech knowledge a plus. Education: High school diploma or GED A minimum of five years' experience billing Medicare and Medicare ...
New
Alma, GA · On-site
Also, filing late or corrected claims for Medicare Advantage. Meditech knowledge a plus. Education: High school diploma or GED A minimum of five years' experience billing Medicare and Medicare ...
New
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 ...
$201 - $282/hr
Senior Director, Technology Business Partner (Medicare Advantage)Skip to main contentThis website stores cookies on your computer. These cookies are used to collect information about how you interact ...
$201 - $282/hr
Senior Director, Technology Business Partner (Medicare Advantage)Skip to main contentThis website stores cookies on your computer. These cookies are used to collect information about how you interact ...
Seven (7) years of experience in the health insurance industry specific to sales and marketing roles (preferably related to Medicare Advantage or another government-related insurance line), including ...
Seven (7) years of experience in the health insurance industry specific to sales and marketing roles (preferably related to Medicare Advantage or another government-related insurance line), including ...
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
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 ...
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 ...
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 ...
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 ...
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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 ...
Murray, UT · On-site +1
$20.35 - $30.97/hr
Enrolls customers who are eligible in the SelectHealth Medicare Advantage plan. Two years of customer service related experience, as well as two years of insurance related experience is preferred. If ...
Murray, UT · On-site +1
$20.35 - $30.97/hr
Enrolls customers who are eligible in the SelectHealth Medicare Advantage plan. Two years of customer service related experience, as well as two years of insurance related experience is preferred. If ...
Seven (7) years of experience in the health insurance industry specific to sales and marketing roles (preferably related to Medicare Advantage or another government-related insurance line), including ...
Seven (7) years of experience in the health insurance industry specific to sales and marketing roles (preferably related to Medicare Advantage or another government-related insurance line), including ...
Monroe, LA · On-site
$65 - $90/hr
Medicare Enrollment Specialist, Medicare Enrollment Specialist II, Senior Medicare Enrollment SpecialistThis role reports to departmental leadershipNecessary Contacts: In order to effectively fulfill ...
Monroe, LA · On-site
$65 - $90/hr
Medicare Enrollment Specialist, Medicare Enrollment Specialist II, Senior Medicare Enrollment SpecialistThis role reports to departmental leadershipNecessary Contacts: In order to effectively fulfill ...
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 ...
Davenport, FL · On-site
$180 - $240/hr
PMC operates a network of 37 medical centers across five counties in Florida and 7 clinics in Texas with a focus on Medicare Advantage and Medicaid patients. Partnering with numerous managed care ...
Davenport, FL · On-site
$180 - $240/hr
PMC operates a network of 37 medical centers across five counties in Florida and 7 clinics in Texas with a focus on Medicare Advantage and Medicaid patients. Partnering with numerous managed care ...
Austin, TX · Remote
$20/hr
You will guide Medicare-eligible beneficiaries through plan options -- including Medicare Advantage, Medicare Supplement, and Part D -- while cross-selling ancillary products such as Hospital ...
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Austin, TX · Remote
$20/hr
You will guide Medicare-eligible beneficiaries through plan options -- including Medicare Advantage, Medicare Supplement, and Part D -- while cross-selling ancillary products such as Hospital ...
$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
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.
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.
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.
Cities with the most Medicare Advantage job openings:
The most popular types of Medicare Advantage jobs are:
States with the most job openings for Medicare Advantage jobs include:
The top searched job categories for Medicare Advantage jobs are:

Columbus, IN • On-site, Remote
Full-time
This job post has expired 1 day ago. Applications are no longer accepted.
Respond to member and provider inquiries via phone, written communication, or in person.
Assist members with understanding benefits, resolving claim issues, and locating healthcare providers.
Record inquiry details, escalate unresolved issues, and collaborate with other departments or providers to resolve concerns.
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
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
Sourced by ZipRecruiter
Insurance services
51 - 200 Employees
Columbus, IN, US
1987