ZipRecruiter

Log In

2

Remote Manager Medicare Advantage Jobs (NOW HIRING)

Conflux Systems

Medicare Domain SME

Jefferson City MO, USA - Remote MUST HAVE: * Medicare SME * Medicare Advantage * Enrolment ... Medicare operations workflow This Expert must be able to play a leadership role in managing and ...

Keystone Advisors

Remote Medicare Sales Representative

$23 - $25/hr

  • Medical

  • Dental

  • Vision

  • PTO

Educate beneficiaries on Medicare Advantage, Medicare Supplement, and PDP plans * Build rapport ... Maintain accurate CRM notes and follow-up activity * Meet daily dialing, talk-time, sales ...

PeopleShare

Licensed Medicare Agent

San Antonio, TX · Remote

$20/hr

This is a fully remote position with growth opportunities. Licensed Medicare Agent Details: Remote ... Previous Medicare Advantage insurance sales experience required including with d-snp and an active ...

Zing Health

Medicare Actuary

IL · Remote

$120K - $150K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... management responsibilities. Requirements JOB REQUIREMENTS: Required Qualifications * 4+ years of actuarial experience in a healthcare environment. Medicare Advantage experience required, including ...

Imh

$59.50 - $91.84/hr

Lead and oversee daily market operations of the Medicare Advantage program, ensuring compliance ... Project Management * Data analytics * Strategic planning * Communication * Analytical skills

Imh

Medicare Market Operations Partner

Murray, UT · On-site +1

$59.50 - $91.84/hr

Lead and oversee daily market operations of the Medicare Advantage program, ensuring compliance ... Project Management * Data analytics * Strategic planning * Communication * Analytical skills

Imh

Medicare Market Operations Partner

Lone Tree, CO · On-site +1

$59.50 - $91.84/hr

Lead and oversee daily market operations of the Medicare Advantage program, ensuring compliance ... Project Management * Data analytics * Strategic planning * Communication * Analytical skills

previous pagenext page

Showing results 21-40

All JobsMedicare Advantage JobsRemote Manager Medicare Advantage Jobs

Remote Manager Medicare Advantage information

See salary details

$24.5K

$59.5K

$116K

How much do remote manager medicare advantage jobs pay per year?

As of Aug 13, 2026, the average yearly pay for remote manager medicare advantage in the United States is $59,525.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $68,500.00 per year, depending on experience, location, and employer.

What is the difference between Remote Manager Medicare Advantage vs Remote Medicare Coordinator?

AspectRemote Manager Medicare AdvantageRemote Medicare Coordinator
CertificationsMedicare Advantage certification, health plan licensesMedicare certification, health insurance licenses
Work EnvironmentOversees teams, manages plan operationsAssists beneficiaries, processes enrollments
Employer & IndustryHealth insurance companies, managed care organizationsInsurance providers, healthcare organizations

Remote Manager Medicare Advantage typically involves overseeing plan operations and managing teams within health insurance companies, requiring managerial skills and certifications. In contrast, Remote Medicare Coordinator focuses on assisting beneficiaries and processing enrollments, often with customer service skills. Both roles are essential in the Medicare industry but differ in responsibilities and scope.

What does a remote manager Medicare Advantage do?

A Remote Manager for Medicare Advantage oversees the operations and administration of Medicare Advantage plans while working remotely. Their responsibilities include ensuring compliance with government regulations, managing team performance, coordinating with healthcare providers, and optimizing member services. They play a critical role in maintaining plan quality, improving member satisfaction, and implementing strategic initiatives from a distance. Strong communication, leadership, and analytical skills are essential for this role.

How does a remote manager Medicare Advantage ensure effective team collaboration and communication across different locations?

As a Remote Manager for Medicare Advantage, fostering strong collaboration among geographically dispersed team members is essential. This is typically achieved through regular video conferences, clear documentation of processes, and the use of collaborative platforms such as Slack, Microsoft Teams, or project management tools. Managers also establish structured check-ins, set clear expectations, and encourage open communication to address challenges promptly. Building a team culture that values transparency and accountability helps maintain productivity and ensures that everyone remains aligned with the organization's goals.

What are the key skills and qualifications needed to thrive as a remote manager Medicare Advantage, and why are they important?

To thrive as a Remote Manager Medicare Advantage, you need strong knowledge of Medicare Advantage regulations, healthcare management experience, and typically a bachelor’s degree in health administration or a related field. Familiarity with healthcare management systems, data analytics tools, and regulatory compliance platforms is essential. Outstanding leadership, communication, and problem-solving abilities help in managing remote teams and ensuring operational excellence. These skills and qualities are critical for maintaining regulatory compliance, optimizing plan performance, and leading distributed teams effectively in a competitive healthcare market.
More about Remote Manager Medicare Advantage jobs
What cities are hiring for Remote Manager Medicare Advantage jobs? Cities with the most Remote Manager Medicare Advantage job openings:
What are the most commonly searched types of Remote Medicare Advantage jobs? The most popular types of Remote Medicare Advantage jobs are:
What states have the most Remote Manager Medicare Advantage jobs? States with the most job openings for Remote Manager Medicare Advantage jobs include:
What job categories do people searching Remote Manager Medicare Advantage jobs look for? The top searched job categories for Remote Manager Medicare Advantage jobs are:
Remote Manager Medicare Advantage jobs near you
Infographic showing various Remote Manager Medicare Advantage job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 12% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $59,525 per year, or $28.6 per hour.

Payment Integrity Nurse - Medicare Advantage

BlueCross BlueShield of South Carolina

Remote

$31 - $41/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

BlueCross BlueShield of South Carolina rating

7.5

Company rating: 7.5 out of 10

Based on 69 frontline employees who took The Breakroom Quiz

220th of 306 rated insurance

Job description

Summary
We are currently hiring for a Payment Integrity Nurse - Medicare Advantage to join BlueCross BlueShield of South Carolina. In this role as an Payment Integrity Nurse, you will monitor/implement quality improvement/management activities, conduct specific medical reviews as necessary, analyzes findings, makes recommendations for corrective actions, and prepares formal documentation for compliance with applicable standards/regulations, perform Health Plan Employer Data Information Set data collection (HEDIS), and National Committee for Quality Assurance (NCQA) accreditation activities.
Description
Location:
This position is full-time (40 hours/week) Monday-Friday from 8:00am-4:30pm and will be fully remote after 4-8 weeks of on-site training. The candidate will be required to be on an on-call rotation with other nursing colleagues to cover weekends.
What You'll Do:
  • Performs quality improvement activities to monitor/maintain compliance with applicable standards/regulations.
  • Analyzes/documents/presents findings of quality improvement activities. Recommends corrective action and improvement when necessary.
  • Conducts quality medical record reviews to monitor quality of care and service provided. Tracks/trends/investigates quality concerns and complaints.
  • Coordinates HEDIS data collection.
To Qualify for This Position, You'll Need the Following:
  • Required Education: Associates in a job-related field
  • Required Work Experience: 4 years clinical or behavioral health to include 2 years quality management experience.
  • Required Skills and Abilities: Excellent verbal and written communication, customer service, organizational, presentation, problem solving, and analytical or critical thinking skills.
  • Proficient spelling, grammar, punctuation, and basic business math.
  • Ability to handle confidential or sensitive information with discretion.
  • Demonstrated ability to identify the need for and implement corrective actions. Strong understanding of managed care.
  • Required Software and Other Tools: Microsoft Office.
  • Required Licenses and Certificates: Active, unrestricted licensure in Behavioral Health from the United States and in the state of hire, OR, active, unrestricted RN licensure from the United States and in the state of hire OR active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR, Registered Health Information Administrator (RHIA). (For DIV 4B ONLY, Active unrestricted LPN in state of hire.)
We Prefer That You Have the Following:
  • Ability to understand CMS guidance.
  • Ability to persuade, negotiate, or influence others.
  • Knowledge of mathematical or statistical concepts.
Our Comprehensive Benefits Package Includes the Following:
We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment.
  • Subsidized health plans, dental and vision coverage
  • 401k retirement savings plan with company match
  • Life Insurance
  • Paid Time Off (PTO)
  • On-site cafeterias and fitness centers in major locations
  • Education Assistance
  • Service Recognition
  • National discounts to movies, theaters, zoos, theme parks and more

What We Can Do for You:
We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company.
What To Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information.
Some states have required notifications. Here's more information.

What BlueCross BlueShield of South Carolina employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

BlueCross BlueShield of South Carolina logo

About BlueCross BlueShield of South Carolina

Sourced by ZipRecruiter

BlueCross BlueShield of South Carolina, headquartered in Columbia, SC, USA, is a major stakeholder in the country's healthcare sector. The company holds the distinction of being one of the largest health insurers in South Carolina. As an independent licensee of the BlueCross BlueShield Association, it offers an extensive range of health insurance products and services, focusing not just on medical coverage, but also on dental, vision, and other supplementary health options. The company was founded in 1946 and has since established itself as a trusted leader in the health sector, committed to affordability, accessibility, and customer service. Their mission is to ensure that all South Carolinians have access to high-quality healthcare and exemplify the core values of accountability, transparency, and commitment to customer satisfaction.

Industry

Insurance services

Company size

10,000+ Employees

Headquarters location

Columbia, SC, US

Year founded

1946

Social media

FacebookTwitter

View All BlueCross BlueShield of South Carolina Jobs

Apply