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Remote Health Insurance Specialist Jobs (NOW HIRING)

Pitch Health Solutions

Health Insurance Agent

Orlando, FL · Remote

$18 - $20/hr

Remote Health Insurance Agent About Pitch Health Solutions Pitch Health Solutions is a rapidly ... Step 2: Medicare & Senior Benefits Specialist After onboarding, you will step into a fully active ...

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Remote Health Insurance Specialist information

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$27K

$57.4K

$97.5K

How much do remote health insurance specialist jobs pay per year?

As of Jun 16, 2026, the average yearly pay for remote health insurance specialist in the United States is $57,372.00, according to ZipRecruiter salary data. Most workers in this role earn between $38,500.00 and $74,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Health Insurance Specialist, and why are they important?

To thrive as a Remote Health Insurance Specialist, you need a solid understanding of health insurance policies and regulations, strong analytical abilities, and often a relevant certification such as a health insurance license. Familiarity with industry-standard software like claims management systems, CRM platforms, and secure communication tools is typically required. Exceptional attention to detail, organizational skills, and clear communication are essential soft skills for efficiently handling client inquiries and resolving complex claims. These skills ensure accurate and timely service, regulatory compliance, and a positive customer experience in a remote work environment.

What is a Remote Health Insurance Specialist?

A Remote Health Insurance Specialist is a professional who assists clients with understanding, selecting, and managing their health insurance plans while working from a remote location, often from home. Their responsibilities typically include explaining policy details, processing claims, addressing customer inquiries, and ensuring compliance with insurance regulations. They may work for insurance companies, brokerages, or third-party administrators and use digital tools to communicate with clients and manage documents securely. This role requires strong communication skills, attention to detail, and up-to-date knowledge of health insurance laws and policies.

What is the difference between Remote Health Insurance Specialist vs Remote Health Insurance Agent?

AspectRemote Health Insurance SpecialistRemote Health Insurance Agent
CredentialsCertifications like AHIP, state licensingState licensing, insurance licenses
Work EnvironmentCustomer support, claims processing, policy managementSales, client consultations, policy selling
Employer & Industry UsageInsurance companies, healthcare providersInsurance agencies, brokerages
Search & Comparison IntentCustomer support, policy management rolesSales, client acquisition roles

While both roles involve working with health insurance, Remote Health Insurance Specialists focus on customer support and policy management, whereas Remote Health Insurance Agents primarily handle sales and client acquisition. Understanding these differences helps job seekers find the right position aligned with their skills and career goals.

How does a Remote Health Insurance Specialist effectively collaborate with team members and clients despite working from home?

As a Remote Health Insurance Specialist, collaboration is typically managed through digital communication platforms such as email, video conferencing, and secure client management systems. Daily responsibilities often include reviewing insurance applications, answering client inquiries, and coordinating with underwriters or claims processors, all of which require clear and timely virtual communication. Regular team meetings and ongoing training sessions help maintain strong connections with colleagues and ensure consistency in policy knowledge and customer service standards. Being proactive, organized, and responsive is key to thriving in this remote work environment.
More about Remote Health Insurance Specialist jobs
What cities are hiring for Remote Health Insurance Specialist jobs? Cities with the most Remote Health Insurance Specialist job openings:
What are the most commonly searched types of Health Insurance Specialist jobs? The most popular types of Health Insurance Specialist jobs are:
What states have the most Remote Health Insurance Specialist jobs? States with the most job openings for Remote Health Insurance Specialist jobs include:
What job categories do people searching Remote Health Insurance Specialist jobs look for? The top searched job categories for Remote Health Insurance Specialist jobs are:
Remote Health Insurance Specialist jobs near you
Infographic showing various Remote Health Insurance Specialist job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 98% Full Time, and 1% Part Time. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $57,372 per year, or $27.6 per hour.
Health Insurance Specialist

Health Insurance Specialist

Centers for Medicare & Medicaid Services

Denver, CO • On-site, Remote

$108K - $158K/yr

Full-time

Posted 27 days ago

Job description

Summary
This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS), Children and Adults Health Programs Group (CAHPG), Division of Tribal Affairs (DTA).
As a Health Insurance Specialist, GS-0107-13, you will serve as a lead policy advisor for Medicare, Medicaid, CHIP, and BHP programs impacting AI/AN populations and Indian health providers, supporting Tribal engagement.
Learn more about this agency
Duties
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  • Leading the development, evaluation, and implementation of Medicare, Medicaid, CHIP, and BHP policies affecting AI/AN beneficiaries and Indian health care providers, including IHS, Tribes, Tribal organizations, and urban Indian organizations.
  • Providing oversight of CMS Tribal Consultation requirements by identifying the need for Tribal consultation in the development of CMS policies and regulations having Tribal implications.
  • Developing and reviewing policy issues and drafts policy documents, regulations, procedures, Medicare contractor policy issuances, Medicaid State Agency policy, or private health insurance operating instructions and related documents.
  • Providing leadership and coordination across Medicare, Medicaid, CHIP, and BHP programs, collaborating with federal, state, local, Tribal, territorial, provider, consumer, and policy stakeholders to advance program goals and initiatives.

Requirements
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Conditions of employment
  • You must be a U.S. Citizen or National to apply for this position.
  • You will be subject to a background and suitability investigation.
  • Selective Service: Males born after December 31, 1959, must be registered or exempt from Selective Service - http://www.sss.gov.
  • One-year probationary period may be required.
  • If you are selected for this position, the documentation that you present for purposes of completing the Department of Homeland Security (DHS) Form I-9 will be verified through the DHS "E-Verify" System.
  • All Federal employees are required to have Federal salary payments made by direct deposit to a financial institution of their choice.

Qualifications
ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.
Your resume (limited to no more than 2 pages) must include detailed information as it relates to the responsibilities and specialized experience for this position. Evidence of copying and pasting directly from the vacancy announcement without clearly documenting supplemental information to describe your experience will result in an ineligible rating. This will prevent you from being considered further.
In order to qualify for the GS-13, you must meet the following: You must demonstrate in your resume at least one year (52 weeks) of qualifying specialized experience equivalent to the GS-12 grade level in the Federal government, obtained in either the private or public sector, to include: 1) Implementing Medicaid, CHIP, or the Basic Health Program policies affecting AI/AN (American Indian/Alaska Native) beneficiaries and the Indian Health Service IHS Indian Health Care delivery system; 2) Developing regulations, manuals, program guidelines, program memoranda, policy letters, or instructions to communicate health insurance program policies; AND 3) Presenting recommendations based on the evaluation of health insurance programs.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills, and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/12979902
Education
This job does not have an education qualification requirement.
Additional information
Bargaining Unit Position: Yes-American Federation of Government Employees, Local 1923
Tour of Duty: Flexible
Recruitment Incentive: Not Authorized
Relocation Incentive: Not Authorized
Financial Disclosure: Not Required
Dallas, TX Locality Pay: $115,711 to $150,426
Denver, CO, Locality Pay: $118,675 to $154,280
Kansas City, MO Locality Pay: $108,173 to $140,627
Seattle, WA Locality Pay: $119,630 to $155,521
Woodlawn, MD Locality Pay: $121,785 to $158,322
Workplace Flexibility at CMS: This position has a regular and recurring reporting requirement to the CMS office listed in this announcement. CMS offers flexible working arrangements and allows employees the opportunity to participate in alternative work schedules at the manager's discretion.
The Interagency Career Transition Assistance Plan (ICTAP) and Career Transition Assistance Plan (CTAP) provide eligible displaced federal employees with selection priority over other candidates for competitive service vacancies. To be qualified you must submit the required documentation and be rated well-qualified for this vacancy. Click here for a detailed description of the required supporting documents. A well-qualified applicant is one whose knowledge, skills and abilities clearly exceed the minimum qualification requirements of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at www.opm.gov/rif/employee_guides/career_transition.asp.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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