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Medicare Advisor Remote Jobs (NOW HIRING)

Hurc LLC

Physician Advisor

Short Hills, NJ · Remote

Ensure adherence to CMS Conditions of Participation, Medicare regulations, and payer policies ... Experience in a remote or consulting healthcare environment Skills & Competencies * Physician-to ...

Hurc LLC

Physician Advisor

Short Hills, NJ · Remote

Ensure adherence to CMS Conditions of Participation, Medicare regulations, and payer policies ... Experience in a remote or consulting healthcare environment Skills & Competencies * Physician-to ...

HURC

Physician Advisor

Short Hills, NJ · Remote

Ensure adherence to CMS Conditions of Participation, Medicare regulations, and payer policies ... Experience in a remote or consulting healthcare environment Skills & Competencies * Physician-to ...

Integrated Tax Advisors

Roth conversion strategies * Medicare IRMAA planning * Tax-loss harvesting coordination ... Integrated Tax Advisors offers an excellent benefit package and a hybrid, remote working ...

Integrated Tax Advisors

Roth conversion strategies * Medicare IRMAA planning * Tax-loss harvesting coordination ... Integrated Tax Advisors offers an excellent benefit package and a hybrid, remote working ...

Adobe Care And Wellness LLC

Strategic Advisor - Contractor

AZ · Remote

$103K - $137K/yr

... Remote Patient Monitoring Respiratory Care Management Value-Based Care Programs Delegated Clinical ... Demonstrated success developing strategic partnerships with Medicare Advantage, Medicaid ...

Centene

Vice President, Associate General Counsel

$171K - $326K/yr

Serves as lead legal counsel for Wellcare, Centene's Medicare brand. * Advise business and ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

HSA Bank

Insurance Sales Agent

Milwaukee, WI · Remote

$24 - $26/hr

... advisement, and enrollment of Webster consumers in plans such as Medicare Supplement, Medicare ... In addition, this position is eligible for incentive compensation. #LI-BY1 #LI-REMOTE HSA Bank, a ...

US Tech Solutions

Pharmacist - Prior Authorization #

$59.50 - $71.75/hr

Remote Duration: 12+ Months As a Clinical Pharmacist Advisor Medicare, you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You will ...

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Medicare Advisor Remote information

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How much do medicare advisor remote jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for medicare advisor remote in the United States is $24.67, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $26.92 per hour, depending on experience, location, and employer.

What is a Medicare advisor remote?

Medicare Advisors who work remotely are professionals who assist clients in understanding, selecting, and enrolling in Medicare health plans from a virtual or home office setting. They provide guidance on Original Medicare, Medicare Advantage, Part D prescription plans, and supplemental coverage, often answering questions via phone, email, or video calls. Their role includes explaining benefits, eligibility, costs, and helping clients navigate complex Medicare options to find the best fit for their needs. Remote Medicare Advisors may work for insurance companies, brokers, or independent advisory firms. They must stay updated on Medicare regulations and often hold relevant state insurance licenses.

What are the key skills and qualifications needed to thrive as a Medicare advisor remote?

To thrive as a Medicare Advisor (Remote), you need comprehensive knowledge of Medicare plans, strong sales acumen, and typically a valid health insurance license. Familiarity with CRM systems, quoting tools, and Medicare-specific enrollment platforms is often required. Excellent communication, active listening, and problem-solving abilities distinguish top performers in this role. These skills ensure accurate guidance for clients, compliance with regulations, and effective remote customer engagement.

What are some common challenges faced by remote Medicare advisors, and how can they be effectively addressed?

Remote Medicare Advisors often encounter challenges such as staying updated on frequently changing Medicare regulations, managing complex client questions over phone or video, and maintaining clear communication with their team. To address these, it’s important to leverage robust training resources, participate in regular team meetings, and use secure digital platforms for collaboration. Additionally, strong organizational skills and proactive communication can help ensure clients receive accurate and timely guidance, while also fostering a supportive remote team environment.

What is the difference between Medicare Advisor Remote vs Medicare Agent?

AspectMedicare Advisor RemoteMedicare Agent
CredentialsTypically requires licensing, certification in Medicare plansRequires licensing, certification in Medicare plans
Work EnvironmentRemote, home-basedRemote or in-office, depending on employer
Employer & Industry UsageInsurance companies, brokerages, health plansInsurance agencies, brokerages, health plans
Common Search & ComparisonYesYes

Medicare Advisor Remote and Medicare Agent roles both require licensing and certification in Medicare plans. The main difference is that Medicare Advisors typically work remotely, providing personalized guidance, while Medicare Agents may work remotely or in-office, often focusing on selling plans. Both roles are integral in the health insurance industry, serving clients seeking Medicare coverage options.

Do Medicare advisors get paid?

Medicare advisors typically earn compensation through commissions or fees based on the insurance plans they sell or recommend. Compensation structures can vary, and some advisors may work on a salary basis or receive bonuses for meeting sales targets. It is important for advisors to disclose their compensation methods to clients.

How do I become a Medicare advisor?

To become a Medicare advisor, you typically need to obtain a health insurance license by completing pre-licensing education and passing a licensing exam. Many advisors also pursue certifications such as the Certified Medicare Advisor (CMA) or Certified Senior Advisor (CSA) to enhance credibility. Strong knowledge of Medicare plans, regulations, and customer service skills are essential for success in this role.
More about Medicare Advisor Remote jobs

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Cities with the most Medicare Advisor Remote job openings:

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

The most popular types of Medicare Advisor jobs are:

What states have the most Medicare Advisor Remote jobs?

States with the most job openings for Medicare Advisor Remote jobs include:

What job categories do people searching Medicare Advisor Remote jobs look for?

The top searched job categories for Medicare Advisor Remote jobs are:

Medicare Advisor Remote jobs near you
Infographic showing various Medicare Advisor Remote job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $51,320 per year, or $24.7 per hour.

Physician Advisor

Hurc LLC

Short Hills, NJ • Remote

Contractor

Re-posted 9 days ago

Job description

***WE ARE CURRENTLY FULLY STAFFED, BUT OUR NEEDS CAN CHANGE AT ANY TIME,

AND WE ARE STILL ACCEPTING APPLICATIONS***


The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and escalation support while promoting evidence-based practices and appropriate resource utilization.

Key Responsibilities

  • Conduct physician-to-physician reviews for medical necessity, level of care, and denial prevention/appeals
  • Support utilization review and case management teams with complex clinical decision-making
  • Ensure appropriate admission status determinations (inpatient vs. observation) in alignment with CMS and payer guidelines
  • Provide clinical oversight related to length of stay, care progression, and discharge planning
  • Ensure adherence to CMS Conditions of Participation, Medicare regulations, and payer policies
  • Support compliance with medical necessity criteria (InterQual, MCG, or equivalent)
  • Assist with audit preparedness and response, including RAC, MAC, and commercial payer audits
  • Partner with HIM/CDI teams to improve documentation quality and clinical accuracy


Education & Physician Engagement

  • Serve as a trusted peer resource to attending physicians and advanced practice providers
  • Educate medical staff on regulatory requirements, utilization best practices, and documentation standards
  • Support change management initiatives related to clinical operations and compliance

Qualifications


Required

  • MD or DO with an active, unrestricted medical license
  • Board-certified or board-eligible in a recognized specialty
  • Clinical practice experience in an acute care or relevant healthcare setting
  • Strong knowledge of utilization management, medical necessity, and payer regulations
  • Excellent communication skills with the ability to conduct peer-to-peer discussions


Preferred

  • Prior experience as a Physician Advisor, Medical Director, or in Utilization Review
  • Familiarity with CMS guidelines, InterQual, MCG, and denial management processes
  • Experience working with case management, CDI, HIM, or revenue cycle teams
  • Experience in a remote or consulting healthcare environment

Skills & Competencies

  • Physician-to-physician negotiation and collaboration
  • Clinical judgment balanced with regulatory and financial awareness
  • Data-driven decision-making
  • Ability to influence without authority
  • Strong written and verbal communication

Apply