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Remote Health Insurance Jobs in Pasadena, MD (NOW HIRING)

Nexera

Entry Level Remote Insurance Sales

Baltimore, MD · Remote

$1.5K - $3.2K/wk

Full licensing support -- we walk you through getting your Life and Health Insurance License (most ... Raleigh/Triangle area preferred -- fully remote, open to all U.S. locations * Able to pass a ...

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All JobsHealth Insurance JobsRemote Health Insurance JobsRemote Health Insurance Jobs in Pasadena, MD

Remote Health Insurance information

See Pasadena, MD salary details

$63.4K

$83.3K

$105.6K

How much do remote health insurance jobs pay per year?

As of Aug 10, 2026, the average yearly pay for remote health insurance in Pasadena, MD is $83,343.00, according to ZipRecruiter salary data. Most workers in this role earn between $75,100.00 and $86,300.00 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, claims processing, and regulatory compliance, often supported by a relevant degree or insurance license. Familiarity with CRM software, claims management systems, and digital communication tools is typically required. Strong attention to detail, problem-solving skills, and effective virtual communication set top performers apart. These skills ensure accurate claim handling, regulatory adherence, and excellent customer service in a remote work environment.

What are some common challenges of working in a remote health insurance role, and how can they be managed?

A common challenge in remote health insurance roles is maintaining effective communication with both clients and team members, as much of the work relies on virtual interactions. To manage this, professionals often use secure digital platforms and regularly scheduled video meetings to stay connected. Another challenge is staying updated with changing regulations and insurance policies, which requires proactive participation in ongoing training and close collaboration with compliance teams. Time management and self-motivation are also crucial, as remote work requires balancing multiple tasks independently throughout the day.

What is the difference between Remote Health Insurance vs Remote Medical Claims Processor?

AspectRemote Health InsuranceRemote Medical Claims Processor
Required CredentialsInsurance licenses, knowledge of health policiesMedical billing certifications, claims processing knowledge
Work EnvironmentHome-based, insurance companies or brokersHome-based, healthcare providers or insurance companies
Industry UsageInsurance industry, health plansHealthcare providers, insurance companies
Common Search/ComparisonRemote health insurance vs remote medical claims processor

Remote Health Insurance professionals focus on selling, managing, or advising on health insurance policies, often requiring licensing and industry knowledge. Remote Medical Claims Processors handle the review and processing of medical claims, typically needing billing certifications. Both roles are home-based and serve the healthcare and insurance sectors, but they differ in responsibilities and credentials.

What are remote health insurance jobs?

Remote health insurance jobs involve working in sales or providing customer service to policy-holders. As a work-from-home insurance agent, you sell healthcare policies to customers. You communicate with each customer by phone or internet to define their coverage needs, then help them select an insurance plan that has the benefits to meet those needs. Your duties can include assisting clients as they complete paperwork to obtain coverage and answering questions from new or existing policy-holders.

More about Remote Health Insurance jobs
What job categories do people searching Remote Health Insurance jobs in Pasadena, MD look for? The top searched job categories for Remote Health Insurance jobs in Pasadena, MD are:
What cities near Pasadena, MD are hiring for Remote Health Insurance jobs? Cities near Pasadena, MD with the most Remote Health Insurance job openings:
Remote Health Insurance jobs near you
Infographic showing various Remote Health Insurance job openings in Pasadena, MD as of August 2026, with employment types broken down into 5% Internship, 85% Full Time, 5% Temporary, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $83,343 per year, or $40.1 per hour.

Health Insurance Specialist

Centers for Medicare & Medicaid Services

Woodlawn, MD • On-site, Remote

$169K - $197K/yr

Full-time

Re-posted 25 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 Program Integrity, Data Analytics and Systems Group.
As a Health Insurance Specialist, GS-0107-15, you will provide authoritative strategic direction, technical leadership, and operational oversight for all FDOC lead generation activities, analytic operations, and cross-agency program integrity initiatives.
Learn more about this agency
Duties
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  • Provide authoritative strategic direction, vision, and performance standards for all FDOC fraud detection lead generation activities across Medicare, Medicaid, and Marketplace programs.
  • Functions as the technical authority on the application of advanced data analytics, artificial intelligence, and machine learning technologies to detect and prevent Medicare fraud, waste, and abuse at scale.
  • Continuously evaluates the effectiveness of existing detection methodologies and leads the development of innovative, data-driven approaches to enhance FDOC performance and reduce improper payments at both the Federal and State levels.
  • Assesses new and revised laws, regulations, and policy directives to determine their potential effects on FDOC operations, resource needs, and risks to program integrity.
  • Delivers final, authoritative recommendations to CMS, HHS, OMB, and Congressional leaders regarding essential program changes, with these suggestions typically accepted as presented without significant alteration.
  • Represents CPI and CMS at the highest levels of Federal, State, Congressional, and industry engagement, navigating sensitive and often controversial program integrity issues through skilled negotiation, mediation, and conflict resolution.
  • Ensures that all relevant equities across CMS Centers, HHS, OMB, Federal law enforcement agencies, and the broader healthcare industry are considered in FDOC decision-making and national policy development.

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.
  • Time-in-Grade restrictions apply.

Qualifications
ALL QUALIFICATION REQUIREMENTS MUST BE MET WITHIN 30 DAYS OF 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-15, 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-14 grade level in the Federal government, obtained in either the private or public sector, to include:
1. Using AI, machine learning, statistical modeling, or large-scale data mining tools to detect fraud, waste and abuse.
2. Evaluating the effectiveness of existing fraud detection methodologies and leading the development of new fraud detection techniques.
3. Collaborating with leadership to assess new and revised laws, regulations, and policy directives effects on program integrity initiatives. AND
4. Developing a variety of written products briefing documents, such as, special reports, technical documentation, or issue papers to help senior management make informed program decisions.
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.
Time-in-Grade: To be eligible, current Federal employees must have served at least 52 weeks (one year) at the next lower grade level from the position/grade level(s) to which they are applying.
Click the following link to view the occupational questionnaire: https://apply.usastaffing.gov/ViewQuestionnaire/13022066
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
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 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 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.
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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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