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Overnight Remote Medicaid Jobs (NOW HIRING)

Humana

Records Retrieval Specialist

York, PA · Remote

$40K - $52K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Medicaid Services (CMS) and other government agencies. This is a remote role with field-based ... Overnight travel may be required within the Northeast region on occasion. * Collaborate with ...

Humana

Records Retrieval Specialist

Harrisburg, PA · Remote

$40K - $52K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Medicaid Services (CMS) and other government agencies. This is a remote role with field-based ... Overnight travel may be required within the Northeast region on occasion. * Collaborate with ...

Humana

Records Retrieval Specialist

Mechanicsburg, PA · Remote

$40K - $52K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Medicaid Services (CMS) and other government agencies. This is a remote role with field-based ... Overnight travel may be required within the Northeast region on occasion. * Collaborate with ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Overnight & Weekend shifts required. Must have pharmacy claims or adjudication background. What We ... Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines * Ensures ...

Humana

Records Retrieval Specialist

Carlisle, PA · Remote

$40K - $52K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Medicaid Services (CMS) and other government agencies. This is a remote role with field-based ... Overnight travel may be required within the Northeast region on occasion. * Collaborate with ...

Humana

Records Retrieval Specialist

Lancaster, PA · Remote

$40K - $52K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Medicaid Services (CMS) and other government agencies. This is a remote role with field-based ... Overnight travel may be required within the Northeast region on occasion. * Collaborate with ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Overnight & Weekend shifts required. Must have pharmacy claims or adjudication background. What We ... Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines * Ensures ...

BrightSpring

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Overnight & Weekend shifts required. Must have pharmacy claims or adjudication background. What We ... Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines * Ensures ...

HHAeXchange

Sr. Program Integrity Analyst

Charleston, WV · Remote

$118K - $119K/yr

... in Medicaid home and community-based care data and translating those findings into scalable ... This is a remote opportunity for candidates that are located within the EST or CST time zones ...

HHAeXchange

Sr. Program Integrity Analyst

$118K - $119K/yr

  • Medical

  • Retirement

  • PTO

... in Medicaid home and community-based care data and translating those findings into scalable ... This is a remote opportunity for candidates that are located within the EST or CST time zones ...

Humana

Community Engagement Professional

Miami, FL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is a combination remote work at home and field facing position that requires about 50 ... Maintain working knowledge of plan benefits and Medicaid landscape * Conduct presentations to ...

Humana

Community Engagement Professional

Miami, FL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is a combination remote work at home and field facing position that requires about 50 ... Maintain working knowledge of plan benefits and Medicaid landscape * Conduct presentations to ...

Humana

Community Engagement Professional

Miami, FL · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is a combination remote work at home and field facing position that requires about 50 ... Maintain working knowledge of plan benefits and Medicaid landscape * Conduct presentations to ...

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Showing results 1-20

All JobsMedicaid JobsOvernight Remote Medicaid Jobs

Overnight Remote Medicaid information

See salary details

$10

$19

$46

How much do overnight remote medicaid jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for overnight remote medicaid in the United States is $19.21, according to ZipRecruiter salary data. Most workers in this role earn between $14.42 and $19.23 per hour, depending on experience, location, and employer.

What is the difference between Overnight Remote Medicaid vs Overnight Remote Medicaid Case Manager?

AspectOvernight Remote MedicaidOvernight Remote Medicaid Case Manager
CertificationsMedicaid certification, state-specific licensesMedicaid certification, case management certification (e.g., CCM)
Work EnvironmentRemote, administrative or support rolesRemote, case management and client interaction
Employer & IndustryHealthcare insurers, Medicaid agenciesHealthcare providers, Medicaid managed care organizations

Overnight Remote Medicaid generally involves administrative or support roles related to Medicaid, focusing on processing and documentation. In contrast, Overnight Remote Medicaid Case Managers actively coordinate care, assess client needs, and manage cases remotely. While both roles require Medicaid knowledge, case managers typically need additional case management certifications and engage more directly with clients.

More about Overnight Remote Medicaid jobs

What cities are hiring for Overnight Remote Medicaid jobs?

Cities with the most Overnight Remote Medicaid job openings:

What are the most commonly searched types of Remote Medicaid jobs?

The most popular types of Remote Medicaid jobs are:

What states have the most Overnight Remote Medicaid jobs?

States with the most job openings for Overnight Remote Medicaid jobs include:

What job categories do people searching Overnight Remote Medicaid jobs look for?

The top searched job categories for Overnight Remote Medicaid jobs are:

Overnight Remote Medicaid jobs near you
Infographic showing various Overnight Remote Medicaid job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 21% Part Time, and 1% Contract. Highlights an 89% Physical, and 11% Remote job distribution, with an average salary of $39,947 per year, or $19.2 per hour.

Pharmacy Claims Processor / Remote

BrightSpring Health Services

Louisville, KY • Remote

$20 - $23/hr

Full-time

Re-posted 28 days ago

BrightSpring Health Services rating

5.1

Company rating: 5.1 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

209th of 240 rated social care providers

Job description

Overview

Step Into a Rewarding Role as an LTC Pharmacy Claims Specialist with PharMerica!

Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters—delivering exceptional care and service.

Why Join PharMerica?

  • Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
  • Career Growth: We’re in high growth mode, offering plenty of opportunities for those looking to advance their careers.
  • Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!

What You’ll Do: As a dynamic Claims Specialist, you will:

  • Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
  • Be a vital part of a team that’s dedicated to enhancing patient care through meticulous claims management and customer service.

Shift: Varying shifts available from 4:30am-12:00am. Overnight & Weekend shifts required.

Must have pharmacy claims or adjudication background.

What We Offer:

  • DailyPay
  • Flexible Schedules
  • Competitive Pay with Shift Differentials
  • Health, Dental, Vision, and Life Insurance
  • Company-Paid Disability Insurance
  • Tuition Assistance & Reimbursement
  • Employee Discount Program
  • 401k Plan
  • Paid Time Off
  • Non-Retail, Closed-Door Environment

Responsibilities

The Claims Specialist - 3rd Party:

  • Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
  • Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
  • Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
  • Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
  • Works as a team to identify, document, communicate and resolve payer/billing trends and issues
  • Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
  • Prepares and maintains reports and records for processing
  • Performs other tasks as assigned

Qualifications

Education/Learning Experience:

  • Required: High School Diploma or GED
  • Desired: Associate’s or Bachelor’s Degree

Work Experience:

  • Required: Customer Service
  • Desired: Up to one year of related experience. Pharmacy Technician experience

Skills/Knowledge:

  • Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
  • Desired: Knowledge of the insurance industry’s trends, directions, major issues, regulatory considerations and trendsetters

Licenses/Certifications:

  • Desired: Pharmacy technician, but not required

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

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