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Medicare Jobs in Appleton, WI (NOW HIRING)

Medicare Part D COB is responsible for accurate coordination to ensure our PBM has correct information, preventing members from prescription delays. Location : Candidates must reside in the state of ...

MDS Coordinator (BV)

Appleton, WI · On-site

$80K - $90K/yr

Be highly involved in determining skilled level of care for Medicare villagers and procuring required Medicare-specific documentation; be responsible for physician certification/recertification of a ...

MDS Coordinator (BV)

Appleton, WI · On-site

$80K - $90K/yr

The MDS Coordinator is responsible for attesting to the completion of the Minimum Data Set (MDS) which is the key driver of the care plan, quality measures, and used for Medicare payment and Medicaid ...

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Medicare information

See Appleton, WI salary details

$14

$26

$46

How much do medicare jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for medicare in Appleton, WI is $26.11, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $28.12 per hour, depending on experience, location, and employer.

What is a Medicare?

A Medicare job typically involves working with the federal health insurance program that provides coverage for seniors and certain individuals with disabilities. Roles in this field can include customer service representatives, claims processors, billing specialists, and Medicare advisors. Responsibilities often include helping beneficiaries understand their coverage, processing claims, ensuring compliance with regulations, and assisting with enrollment. Many Medicare jobs are found in healthcare companies, government agencies, or insurance providers.

What are the key skills and qualifications needed to thrive in the Medicare position, and why are they important?

To thrive in a Medicare Specialist role, a deep understanding of Medicare regulations, claims processing, and health insurance fundamentals is essential, often requiring a background in healthcare administration or a related field. Familiarity with billing software, claims adjudication systems, and relevant certifications such as Certified Medical Reimbursement Specialist (CMRS) are highly valuable. Strong attention to detail, analytical thinking, and effective communication skills help distinguish top performers. These competencies ensure accurate claim handling, regulatory compliance, and positive interactions with providers and beneficiaries.

What are common challenges faced by Medicare specialists, and how are they addressed on the job?

Medicare Specialists often encounter challenges related to keeping up with frequently changing regulations and managing complex claims issues. Staying current with updates requires ongoing training and close attention to industry bulletins. Handling denials or appeals can be demanding, but most teams provide collaborative support and access to resources for resolving difficult cases. Effective time management and clear communication with both beneficiaries and healthcare providers help streamline processes and ensure compliance. Many organizations also offer opportunities for skill development to help specialists adapt to evolving policies.

What are popular job titles related to Medicare jobs in Appleton, WI?

For Medicare jobs in Appleton, WI, the most frequently searched job titles are:

What job categories do people searching Medicare jobs in Appleton, WI look for?

The top searched job categories for Medicare jobs in Appleton, WI are:

What cities near Appleton, WI are hiring for Medicare jobs?

Cities near Appleton, WI with the most Medicare job openings:

Infographic showing various Medicare job openings in Appleton, WI as of August 2026, with employment types broken down into 4% As Needed, 77% Full Time, 15% Part Time, and 4% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $54,324 per year, or $26.1 per hour.

Medicare Community Sales Representative-Green Bay, WI

Molina Healthcare

Appleton, WI

$41K - $80K/yr

Full-time

Medical, Life

Re-posted 14 days ago


Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

170th of 315 rated insurance


Job description

JOB DESCRIPTION Job Summary

Provides support for Medicare growth and community engagement activities.  Responsible for increasing membership through marketing of Molina Medicare products to dual eligible, Medicare-Medicaid recipients within approved market areas to achieve stated revenue, profitability and retention goals.  Collaborates with key departments across the enterprise to improve product and brand awareness.  Utilizes market research and analysis, and current products and services to increase member and community engagement.

Essential Job Duties

Develops Medicare growth and community engagement strategies to procure referrals and other self-generated leads to meet sales and event targets through active participation in community events and targeted community outreach to group associations, community centers, senior centers, senior residences and other potential marketing sites.
Conducts business-to-business relationship building.
Generates member leads from referrals and local-tactical research and prospecting.
Schedules individual meetings and group presentations from assigned/self-generated leads.
Achieves/exceeds monthly enrollment or presentation/event targets.
Conducts presentations/events with potential customers, caregivers and/or decision makers on behalf of the beneficiary; customizes presentations and develops marketing and relationship building skills to increase rapport - assessing individual needs and communicating product features and differences.
Enrolls eligible individuals in Molina Medicare products; accurately and thoroughly completes and submits required enrollment documentation, consistent with Medicare requirements and enrollment guidelines, assists prospects in completion of the enrollment application, and forwards completed applications to appropriate administrative contact within 48 hours of sale.
Ensures Medicare beneficiaries accurately understand the product choices available to them, the enrollment process (eligibility requirements, Medicare review/approval of their enrollment application, timing of ID card receipt, etc.) and the service contacts and process.
Tracks all marketing and growth activities, updates and maintains prospects/leads and tracks daily, weekly and monthly results in Salesforce or other tracking systems.
Collaborates closely with local health plan leadership and applicable departments to identify and educate potential members, participate in provider promotional activities, and cultivate community partnerships.
 

Required Qualifications

At least 2 years of experience in managed care community engagement, marketing, operations, account services, and/or health care delivery, or equivalent combination of relevant education and experience.   
Knowledge/understanding of community resources.
Customer service/sales skills.   
Multi-tasking and organizational skills.
Experience working with senior citizens and low income individuals.
Ability to work cross-functionally across a highly matrixed organization. 
Effective verbal and written communication skills, and relationship building skills.
Microsoft Office suite and applicable software programs proficiency.

Preferred Qualifications

Active and unrestricted Life & Health insurance license.
 

#PJSales

#LI-AC1

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $41,264 - $80,464.96 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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