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Medicare Jobs in Springfield, MA (NOW HIRING)

Cigna

Product Management Senior Director

Bloomfield, CT · Remote

$232K - $243K/yr

As the Senior Director, Regulated Markets Client & Market Strategy , you will lead the vision, strategy, and execution for key Medicare-related product lines, including Employer Group Waiver Plans ...

The Atlas Healthcare Group

MDS Coordinator

Suffield, CT · On-site

$40 - $45/hr

... Medicare Meeting and communicates pertinent MDS information. 10. Reviews each Medicare resident for appropriateness of Medicare coverage. 11. Obtains monthly Quality Indicator Reports and provides ...

The Atlas Healthcare Group

MDS Coordinator

Suffield, CT · On-site

$40 - $45/hr

... Medicare Meeting and communicates pertinent MDS information. 10. Reviews each Medicare resident for appropriateness of Medicare coverage. 11. Obtains monthly Quality Indicator Reports and provides ...

Woodlake at Tolland

Business Office Assistant

Tolland, CT

$15.25 - $19.75/hr

Support the Medicaid and Medicare application and billing processes. * Assist with resident trust funds and petty cash management. * Maintain accurate resident financial files and documentation.

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$26

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How much do medicare jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for medicare in Springfield, MA is $26.67, according to ZipRecruiter salary data. Most workers in this role earn between $20.14 and $28.75 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 Springfield, MA?

For Medicare jobs in Springfield, MA, the most frequently searched job titles are:

What job categories do people searching Medicare jobs in Springfield, MA look for?

The top searched job categories for Medicare jobs in Springfield, MA are:

What cities near Springfield, MA are hiring for Medicare jobs?

Cities near Springfield, MA with the most Medicare job openings:

Medicare jobs near you
Infographic showing various Medicare job openings in Springfield, MA as of August 2026, with employment types broken down into 4% As Needed, 76% Full Time, 15% Part Time, and 5% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $55,481 per year, or $26.7 per hour.

Product Management Senior Director

Cigna

Bloomfield, CT • Remote

$232K - $243K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Cigna Healthcare rating

8.3

Company rating: 8.3 out of 10

Based on 239 frontline employees who took The Breakroom Quiz

41st of 891 rated healthcare providers

Job description

Senior Director, Regulated Markets Client & Market Strategy (EGWP, M3P & RDS)

Are you a strategic leader who thrives in complex environments and enjoys turning challenges into opportunities? As the Senior Director, Regulated Markets Client & Market Strategy, you will lead the vision, strategy, and execution for key Medicare-related product lines, including Employer Group Waiver Plans (EGWP), the Medicare Prescription Payment Plan (M3P), and the Retiree Drug Subsidy (RDS) program.

In this role, you will shape the future of regulated market solutions by partnering with clients, vendors, and internal teams to deliver exceptional service, drive business growth, ensure regulatory compliance, and create meaningful value for customers. You will lead high-performing teams, influence enterprise strategy, and help advance innovative solutions that improve operational performance and client outcomes.

Responsibilities
  • Develop and execute the long-term strategy for EGWP, M3P, and RDS products, ensuring alignment with enterprise growth, client retention, and profitability goals.
  • Lead end-to-end product and operational execution, delivering compliant, efficient, and scalable solutions for clients and members.
  • Drive business performance by owning financial results, including revenue, margin, expense management, and overall product sustainability.
  • Build strong partnerships with internal stakeholders, clients, and external vendors to deliver seamless service and a consistent customer experience.
  • Establish vendor strategies and performance expectations that support operational excellence, compliance, and business objectives.
  • Guide large-scale initiatives that require coordination across multiple functions, systems, and stakeholders.
  • Ensure successful execution of critical operational activities, including enrollment, billing, implementations, audits, reporting, member support, and technology enhancements.
  • Provide strategic oversight of regulated market operations while anticipating industry, regulatory, and client needs.
  • Identify opportunities to improve processes, enhance efficiency, and leverage emerging technologies, including AI-enabled solutions.
  • Shape the future direction and market positioning of EGWP offerings through multi-year planning and innovation.
  • Lead efforts that support STAR Ratings performance, quality outcomes, adherence initiatives, and CMS performance measures for EGWP PDP products.
  • Develop and inspire Directors and their teams, fostering accountability, collaboration, operational excellence, and continuous growth.
  • Serve as a trusted advisor to senior leaders by providing insights, recommendations, and solutions that support strategic decision-making.
Required Qualifications
  • 10+ years of experience in regulated healthcare, Medicare, pharmacy benefit management (PBM), health plans, insurance operations, or a related field.
  • Deep knowledge of Medicare programs, EGWP, PDP, M3P, RDS, and other regulated healthcare environments.
  • Proven experience leading complex operational, product, or client-facing functions with significant business impact.
  • Strong understanding of regulatory requirements and the ability to translate them into effective business strategies and operational practices.
  • Demonstrated success leading large, cross-functional initiatives involving multiple stakeholders and competing priorities.
  • Experience managing financial performance, business results, and operational budgets.
  • Outstanding communication, relationship-building, and influencing skills with the ability to engage senior executives, clients, and partners.
  • Experience leading, developing, and motivating high-performing teams.
  • Strong organizational, analytical, and problem-solving skills with a focus on delivering quality outcomes.
Preferred Qualifications
  • Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field.
  • Master's degree in Business Administration, Healthcare Administration, or a related field.
  • Experience overseeing vendor relationships and complex service delivery models.
  • Knowledge of Medicare STAR Ratings programs and quality performance initiatives.
  • Experience identifying and implementing technology, automation, or AI-driven process improvements.
  • Executive presence with experience presenting business strategies and recommendations to senior leadership.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 177,800 - 296,300 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.


At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.


About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

What Cigna Healthcare employees say

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About Cigna

Sourced by ZipRecruiter

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Bloomfield, CT, US

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