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Medicare Retention Jobs (NOW HIRING)

Solis Health Plans

Medicare Retention Specialist

Miami, FL · On-site

$20 - $21/hr

POSITION SUMMARY The Medicare Retention Specialist is responsible for supporting member retention efforts by providing exceptional customer service to Medicare Advantage members. This role focuses on ...

Triumph

Medicare Supplement Specialists

Boca Raton, FL · On-site

$52K - $75K/yr

Responsibilities: • Build and maintain relationships with clients to ensure satisfaction and retention • Educate clients on Medicare Supplements • Conduct sales presentations and enroll clients ...

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Medicare Retention information

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$30K

$60.4K

$76K

How much do medicare retention jobs pay per year?

As of Jun 17, 2026, the average yearly pay for medicare retention in the United States is $60,428.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,500.00 and $73,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medicare Retention Specialist, and why are they important?

To thrive as a Medicare Retention Specialist, you need in-depth knowledge of Medicare plans, strong customer service skills, and preferably a health insurance license. Familiarity with CRM software, call center platforms, and regulatory compliance tools is typically required. Excellent communication, active listening, and problem-solving abilities are vital for building trust and addressing member concerns. These skills are crucial for retaining clients, ensuring compliance, and maintaining customer satisfaction in a highly regulated industry.

What is Medicare retention?

Medicare retention refers to the efforts and strategies used by health insurance companies or agencies to keep their existing Medicare members enrolled year after year. This involves providing excellent customer service, educating members about their benefits, and addressing any concerns or issues that may cause members to switch plans or providers. Retention specialists may also help members understand changes in their coverage and guide them through the annual enrollment process to ensure their health care needs continue to be met.

What is the difference between Medicare Retention vs Medicare Customer Service Representative?

AspectMedicare RetentionMedicare Customer Service Representative
Primary RoleRetaining existing Medicare members, addressing concerns, and reducing cancellationsAssisting beneficiaries with inquiries, enrollment, and plan options
Required SkillsCommunication, problem-solving, knowledge of Medicare plansCustomer service, communication, Medicare plan knowledge
Work EnvironmentCall centers, insurance offices, remote workCall centers, insurance companies, remote work
CertificationsMedicare knowledge, customer service skillsMedicare knowledge, customer service skills

While both roles involve working with Medicare beneficiaries, Medicare Retention focuses on maintaining existing members and reducing cancellations, whereas Medicare Customer Service Representatives primarily assist with inquiries and enrollment. Both positions require strong communication skills and Medicare knowledge, often working in similar environments.

What are some common challenges faced in a Medicare Retention role, and how can they be effectively managed?

Professionals in Medicare Retention often encounter challenges such as addressing members' concerns about plan changes, navigating complex healthcare regulations, and ensuring clear communication with a diverse client base. Effectively managing these challenges involves staying updated on Medicare policies, developing strong problem-solving skills, and building trust with clients through empathetic and proactive service. Success in this role also depends on collaborating closely with enrollment, customer service, and compliance teams to provide seamless support and retain members.
More about Medicare Retention jobs
What cities are hiring for Medicare Retention jobs? Cities with the most Medicare Retention job openings:
What states have the most Medicare Retention jobs? States with the most job openings for Medicare Retention jobs include:
What job categories do people searching Medicare Retention jobs look for? The top searched job categories for Medicare Retention jobs are:
Medicare Retention jobs near you
Infographic showing various Medicare Retention job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $60,428 per year, or $29.1 per hour.
Medicare Retention Specialist

Medicare Retention Specialist

SOLIS Health Plans

Miami, FL

Other

Posted 20 hours ago

Job description

POSITION SUMMARY
The Medicare Retention Specialist is responsible for supporting member retention efforts by providing exceptional customer service to Medicare Advantage members. This role focuses on addressing member concerns, resolving issues, and educating members on plan benefits to improve satisfaction and reduce voluntary disenrollment.
This is an entry-level position ideal for candidates interested in healthcare, insurance, or customer service careers.
Position is fully onsite. Schedule is Monday - Friday from 8:00 AM - 5:00 PM
ESSENTIAL DUTIES AND RESPONSIBILITIES
To perform this job, an individual must perform each essential function satisfactorily, with or without reasonable accommodation, including, but not limited to:
  • Respond to inbound and outbound calls from Medicare members regarding plan questions, concerns, and potential disenrollment requests
  • Identify at-risk members and take proactive steps to improve retention
  • Educate members on plan benefits, coverage, and available resources
  • Resolve member issues related to claims, billing, pharmacy, and provider access
  • Document all interactions accurately in the system in compliance with CMS guidelines
  • Collaborate with internal departments (claims, enrollment, provider relations) to resolve escalated member issues
  • Follow all compliance and regulatory requirements related to Medicare Advantage plans
  • Meet performance metrics such as call quality, productivity, and retention goals
SUPERVISORY RESPONSIBILITY
  • None
QUALIFICATIONS AND EDUCATION
Required Qualifications
  • High school diploma or equivalent required
  • 1-2 years of experience in customer service, call center, or healthcare environment required
  • Bilingual (English/Spanish) required
  • Strong verbal and written communication and problem-solving skills
  • Basic computer proficiency (Microsoft Office, Excel, Outlook, CRM systems and ability to learn new systems quickly.
  • Ability to handle sensitive situations with empathy and professionalism
  • High level of professionalism and ability to handle confidential information
Preferred Qualifications
  • Experience working with Medicare or health insurance plans
  • Knowledge of CMS regulations (a plus, not required)
  • Prior experience in retention efforts
Core Competencies
  • Empathy and emotional intelligence
  • Customer focus and service excellence
  • Problem solving and critical thinking
  • Communication skills (verbal and written)
  • Team collaboration, works efficiently with internal depts.
WORKING CONDITIONS
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
  • The noise level in the work environment is usually moderate.
  • Works in the field
  • Interacts with patients, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances.
This work requires the following physical activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lifts, and moves intermittently during working hours. May be sitting for a prolonged period.
The work schedule is approximate, and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including weekends and holidays as needed. May require some OT during varying seasons of the year.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
PERFORMANCE MEASUREMENTS
  • Duties accomplished at the end of the day/month.
  • Attendance/punctuality.
  • Compliance with Company regulations.
  • Safety and Security.
  • Quality of work.

This Job Description may be modified at any time at the discretion of the employer as business operations may deem necessary. This does not constitute an employment agreement and may not include all duties.
The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate.
Employee Acknowledgement:
I have read this job description and understand what is expected of me while I occupy this role.

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