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Remote Medicaid Jobs in Springfield, MA (NOW HIRING)

Headway

LMHT (Remote)

Springfield, MA · On-site +1

$131/hr

Work with the plans that most clients use, including Medicare Advantage and Medicaid. - Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance ...

Elara Caring

Medical Insurance Specialist Homecare

Enfield, CT · Remote

$17.25 - $21.25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

ID# JR-137182 Medical Insurance Specialist - Homecare experience preferred Remote- living in CT, MA or New England states Knowledge of CT, MA and IL Medicaid, Medicare experience Full-time with lots ...

Elara Caring

Medical Insurance Specialist Homecare

Enfield, CT · Remote

$17.25 - $21.25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

ID# JR-137182 Medical Insurance Specialist - Homecare experience preferred Remote- living in CT, MA or New England states Knowledge of CT, MA and IL Medicaid, Medicare experience Full-time with lots ...

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All JobsMedicaid JobsRemote Medicaid JobsRemote Medicaid Jobs in Springfield, MA

Remote Medicaid information

See Springfield, MA salary details

$15

$27

$42

How much do remote medicaid jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for remote medicaid in Springfield, MA is $27.75, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $32.60 per hour, depending on experience, location, and employer.

What is a remote Medicaid?

A Remote Medicaid job involves working from home to assist with Medicaid-related tasks such as processing applications, verifying eligibility, providing customer support, or managing claims. These roles can be in healthcare organizations, government agencies, or insurance companies. Responsibilities may include data entry, policy compliance, and assisting beneficiaries with their Medicaid coverage.

What are the typical daily responsibilities of a remote Medicaid?

In a Remote Medicaid position, you can expect to review and process Medicaid applications, verify eligibility, and communicate with clients or healthcare providers to gather necessary documentation. The role often involves handling sensitive client information, conducting case management tasks, and ensuring compliance with federal and state Medicaid guidelines. You may also coordinate with other team members, such as social workers, nurses, or billing specialists, using virtual collaboration tools. This remote setup allows you to manage caseloads efficiently while maintaining ongoing communication with both clients and your support team.

What are the key skills and qualifications needed to thrive in remote Medicaid, and why are they important?

To thrive in a Remote Medicaid role, you typically need knowledge of Medicaid eligibility and policy, strong organizational skills, and relevant experience in healthcare administration or case management. Familiarity with Medicaid Management Information Systems (MMIS), electronic health records (EHR), and secure telehealth platforms is highly valuable, and some positions may require certification in medical billing or coding. Outstanding attention to detail, excellent verbal and written communication, and the ability to work independently in a remote environment are crucial soft skills. These abilities ensure accurate case handling, regulatory compliance, and efficient service delivery to vulnerable populations from a distance.

What are the most commonly searched types of Medicaid jobs in Springfield, MA?

The most popular types of Medicaid jobs in Springfield, MA are:

What are popular job titles related to Remote Medicaid jobs in Springfield, MA?

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

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

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

What cities near Springfield, MA are hiring for Remote Medicaid jobs?

Cities near Springfield, MA with the most Remote Medicaid job openings:

Remote Medicaid jobs near you
Infographic showing various Remote Medicaid job openings in Springfield, MA as of August 2026, with employment types broken down into 86% Full Time, and 14% Part Time. Highlights an 100% Remote job distribution, with an average salary of $57,719 per year, or $27.7 per hour.

Director, Health Plan Dental Solutions, DentaQuest

Sun Life Financial

Hartford, CT • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Sun Life Assurance Company of Canada rating

8.6

Company rating: 8.6 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

91st of 309 rated insurance

Job description

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide.

Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities.

DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all.


Job Description:

Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work in the contiguous states plus AK.

The opportunity:

The Director, Health Plan Dental Solutions leads DentaQuest's efforts to identify and build new Health Plan relationships. In conjunction with the VP, Business Development, this position will independently engage senior decision makers across regional and national health plans and demonstrate the value of DentaQuest's Medicaid, Medicare Advantage, and commercial "white label" offerings.

How You will Contribute:

  • Develop and refine a comprehensive business development plan to reinforce DentaQuest's competitive positioning

  • Articulate and deliver the DentaQuest story to Health Plans, championing our Medicaid, Medicare Advantage and commercial "white label" dental solutions

  • Proactively identify, qualify, and pursue new health plan partnerships independent of formal RFP cycles through targeted outreach campaigns

  • Develop and present persuasive business cases, ROI analyses, and value propositions to health plan executives to support decision-making and advance sales opportunities

  • Continually assess emerging market trends and regulatory developments; communicates findings to leadership for strategic assessment

  • Create and manage a robust opportunity pipeline, providing accurate forecasting and strategic analysis to leadership with recommendations on overall planning and resource allocation

  • Identify cross-sell and upsell opportunities within existing health plan accounts, driving incremental revenue and deepening partnerships.

  • Own inbound health plan leads, quickly qualifying and advancing promising opportunities.

  • Achieve new business revenue, pipeline and activity objectives

  • Position DentaQuest as a strategic partner aligned to health plan objectives related to quality, affordability, growth, and member experience

  • Lead cross-functional collaboration with internal partners to develop compliant, differentiated solutions

  • Guide prospective partners through complex contracting, approval, and onboarding processes

  • Serve as the primary liaison for new health plan partners during the pre-launch phase, clearly communicating client expectations and success criteria to ensure a seamless transition from sales to implementation.

  • Maintain detailed records of prospecting activities, pipeline status, and sales outcomes in CRM systems, regularly reporting progress to leadership.

  • Represent DentaQuest at industry conferences, health plan association meetings, and key stakeholder forums as a key subject matter expert

What you will bring with you:

  • Bachelor's degree in business, healthcare administration, or a related field, or equivalent experience

  • 10 or more years of progressive health planfocused business development or sales experience

  • Demonstrated success working with Medicaid and Medicare Advantage health plans

  • Strong understanding of health plan decisionmaking structures, procurement processes, and regulatory considerations

  • Proven ability to create and advance opportunities outside of formal RFP processes

  • Established relationships with health plan executives or senior leaders strongly preferred

  • Experience positioning delegated models, administrative services, or whitelabel solutions is a plus

  • Ability to operate independently in a remote environment while managing multiple complex opportunities

  • Willingness and ability to travel regularly within assigned region

  • Exceptional written, verbal, and executivelevel presentation skills

  • Strong organizational skills and proficiency with CRM systems and standard business software

Key Attributes for Success

  • Entrepreneurial drive and the ability to self-generate activity without relying on formal RFPs or state procurement processes.

  • Strong relationship-building and networking skills, particularly with health plan executives and decision-makers.

  • Proven track record of closing complex, consultative sales in the health plan sector.

  • Excellent communication, negotiation, and presentation abilities tailored to sophisticated health plan audience

Salary:

Salary Range: $141,600 - $212,400
At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions.

Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you!

We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds.

Life is brighter when you work at Sun Life

At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities.

We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.comto request an accommodation.

For applicants residing in California, please read our employee California Privacy Policy and Notice.

We do not require or administer lie detector tests as a condition of employment or continued employment.

Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Category:

Business Development - Non Actuarial

Posting End Date:

27/08/2026

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