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Medicare Set Jobs (NOW HIRING)

Medivest

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Claims Administrator I

Oviedo, FL · On-site

$21/hr

Medivest Claims Administrators play a vital role in ensuring that fiduciary accounts are administered in full compliance with the standards set forth by the Medicare Secondary Payer (MSP) Statute and ...

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MSA Nurse Reviewer

Woburn, MA

We are seeking Medical Analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation ...

Verisk

MSA Nurse Reviewer

Woburn, MA · On-site

We are seeking Medical Analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation ...

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Medicare Set information

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How much do medicare set jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for medicare set 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 the difference between Medicare Set vs Medicare Claims Processor?

AspectMedicare SetMedicare Claims Processor
Required CredentialsCertification in Medicare policies, often a healthcare or insurance backgroundSimilar certifications, with focus on claims processing and insurance regulations
Work EnvironmentHealthcare facilities, insurance companies, or government agenciesInsurance companies, healthcare providers, or government offices
Employer & Industry UsageUsed in healthcare administration, insurance, and government programsPrimarily in insurance companies and healthcare organizations handling claims

Medicare Set roles focus on managing Medicare enrollment and eligibility, while Medicare Claims Processors handle the submission and processing of claims. Both roles require similar certifications and work within healthcare and insurance environments, but they serve different functions within the Medicare system.

What are the key skills and qualifications needed to thrive as a Medicare Set-Aside (MSA) Specialist, and why are they important?

To thrive as a Medicare Set-Aside (MSA) Specialist, you need a thorough understanding of Medicare regulations, workers’ compensation, and medical cost projection, often supported by a background in healthcare, case management, or legal fields. Familiarity with MSA software platforms, legal documentation systems, and certification such as Certified Medicare Set-Aside Consultant (MSCC) is highly beneficial. Strong analytical thinking, attention to detail, and effective communication are critical soft skills for coordinating with clients, attorneys, and medical providers. These skills and qualifications ensure compliance, accurate MSA allocations, and protection of Medicare’s interests in settlement cases.

What are some common challenges faced by professionals working in Medicare Set-Aside (MSA) roles?

Professionals in Medicare Set-Aside roles often encounter the challenge of staying current with frequently changing CMS guidelines and regulations. Accurately assessing future medical costs for injured individuals and ensuring compliance with federal requirements demands strong attention to detail and analytical skills. Additionally, collaborating with attorneys, claims adjusters, and medical providers can be complex, as it requires clear communication and negotiation to balance the interests of all parties while protecting Medicare's interests. Navigating these challenges successfully is essential to providing effective and compliant MSA services.

What are Medicare Set-Asides (MSAs)?

Medicare Set-Asides (MSAs) are financial arrangements used to allocate a portion of a settlement from a workers’ compensation or personal injury claim to cover future medical expenses that would otherwise be paid by Medicare. The purpose of an MSA is to ensure that Medicare does not pay for medical costs that should be covered by the settlement. MSAs are reviewed and approved by the Centers for Medicare & Medicaid Services (CMS) to ensure compliance with federal law. Properly establishing an MSA helps protect the beneficiary’s eligibility for Medicare and prevents legal complications.
More about Medicare Set jobs
What job categories do people searching Medicare Set jobs look for? The top searched job categories for Medicare Set jobs are:
Medicare Set jobs near you
Infographic showing various Medicare Set job openings in the United States as of May 2026, with employment types broken down into 73% Full Time, 20% Part Time, and 7% Temporary. Highlights an 100% In-person job distribution, with an average salary of $55,676 per year, or $26.8 per hour.

WCRC Attorney: Medicare Set-Aside Expert

CAPITOL BRIDGE, LLC

Virginia, MN • On-site

Full-time

Medical, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

A healthcare consulting firm is seeking a WCRC Attorney in Virginia to support a government project. Key responsibilities include evaluating Medicare Set-aside proposals and projecting future medical costs related to workers' compensation cases. The ideal candidate must have a Juris Doctor from an accredited law school and experience in reviewing medical records.

The role offers medical benefits, 401(k) options, and unlimited PTO, with a background screening required for application. #J-18808-Ljbffr

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