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Remote Medicare Jobs in Raleigh, NC (NOW HIRING)

Atlantic Medical Management

RCM Coder

Cary, NC · Remote

$17.25 - $23.25/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Experience Medicare, Medicaid and other commercial and private payers. * Demonstrated well ...

AMM Healthcare

RCM Coder

Cary, NC · Remote

$17.25 - $23.25/hr

This is a remote position and candidates must be located in North Carolina. Essential Functions ... Experience Medicare, Medicaid and other commercial and private payers. * Demonstrated well ...

Amerihealth Caritas

Quality Perform Spec Clinical

Raleigh, NC · On-site +1

$31.25 - $41.75/hr

... Medicare preferred. * Proficient with Microsoft Office applications including Word, PowerPoint, Excel required. Our Comprehensive Benefits Package Flexible work solutions including remote options ...

Headway

LMHT (Remote)

Raleigh, NC · On-site +1

$120/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 ...

InsuraTec

Sales Representative (Remote)

Clayton, NC · Remote

Location: 100% Remote (Work From Home) About InsuraTec: InsuraTec is a leading provider in financial planning and insurance services. We're looking for driven individuals to join our team as Sales ...

InsuraTec

Sales Representative (Remote)

Raleigh, NC · Remote

Location: 100% Remote (Work From Home) About InsuraTec: InsuraTec is a leading provider in financial planning and insurance services. We're looking for driven individuals to join our team as Sales ...

InsuraTec

Sales Representative (Remote)

Durham, NC · Remote

Location: 100% Remote (Work From Home) About InsuraTec: InsuraTec is a leading provider in financial planning and insurance services. We're looking for driven individuals to join our team as Sales ...

InsuraTec

Sales Representative (Remote)

Carrboro, NC · Remote

Location: 100% Remote (Work From Home) About InsuraTec: InsuraTec is a leading provider in financial planning and insurance services. We're looking for driven individuals to join our team as Sales ...

InsuraTec

Sales Representative (Remote)

Cary, NC · Remote

Location: 100% Remote (Work From Home) About InsuraTec: InsuraTec is a leading provider in financial planning and insurance services. We're looking for driven individuals to join our team as Sales ...

InsuraTec

Sales Representative (Remote)

Apex, NC · Remote

Location: 100% Remote (Work From Home) About InsuraTec: InsuraTec is a leading provider in financial planning and insurance services. We're looking for driven individuals to join our team as Sales ...

InsuraTec

Sales Representative (Remote)

Garner, NC · Remote

Location: 100% Remote (Work From Home) About InsuraTec: InsuraTec is a leading provider in financial planning and insurance services. We're looking for driven individuals to join our team as Sales ...

InsuraTec

Sales Representative (Remote)

Wendell, NC · Remote

Location: 100% Remote (Work From Home) About InsuraTec: InsuraTec is a leading provider in financial planning and insurance services. We're looking for driven individuals to join our team as Sales ...

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Showing results 21-40

All JobsMedicare JobsRemote Medicare JobsRemote Medicare Jobs in Raleigh, NC

Remote Medicare information

See Raleigh, NC salary details

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How much do remote medicare jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote medicare in Raleigh, NC is $20.90, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.21 per hour, depending on experience, location, and employer.

What are remote Medicare jobs?

Remote Medicare jobs are positions that involve working with Medicare-related services or support, but can be performed from home or another remote location. These roles can include customer service representatives, claims processors, billing specialists, and case managers who assist Medicare beneficiaries, process claims, answer inquiries, and ensure compliance with Medicare regulations. Remote Medicare jobs are often offered by insurance companies, healthcare providers, or third-party administrators who serve the Medicare population. They typically require strong communication skills, knowledge of Medicare policies, and proficiency with digital tools to manage tasks and communicate with clients or team members. These jobs provide flexibility and the opportunity to help individuals navigate the Medicare system.

What are some common challenges faced by professionals working in remote Medicare roles, and how can they be addressed?

Professionals in remote Medicare positions often face challenges such as staying updated with frequent policy changes, ensuring HIPAA-compliant communication, and maintaining effective collaboration with team members and clients across different locations. To address these challenges, it's important to actively participate in ongoing training, use secure and reliable technology platforms, and establish regular check-ins with colleagues. Building strong communication habits and leveraging available digital tools can help remote employees stay connected and efficient in their roles.

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

To thrive as a Remote Medicare Specialist, you need a solid understanding of Medicare regulations, claims processing, and healthcare compliance, typically supported by experience in medical billing or coding and at least a high school diploma or equivalent. Familiarity with Medicare billing software, electronic health records (EHRs), and customer relationship management (CRM) systems is highly valued. Excellent communication, attention to detail, and problem-solving skills help professionals effectively assist clients and resolve complex inquiries remotely. These competencies ensure accurate claims processing, regulatory compliance, and strong client satisfaction in a virtual healthcare environment.

What are remote Medicare jobs?

Remote Medicare jobs entail the selling of health insurance, supplementary coverage, and other benefits to seniors who qualify for Medicare services. In these positions, you perform your duties as an employee or contractor who works outside of a company office. You contact seniors via phone or internet, and you may meet face-to-face to explain Medicare plan options and help with the enrollment process. You follow up on sales leads and work with customers who have an existing account to sell new products and benefits. Your responsibilities can focus on a specific type of medical coverage, such as home healthcare or prescription insurance plans.

What is the difference between Remote Medicare vs Remote Medicaid?

AspectRemote MedicareRemote Medicaid
Required CertificationsMedicare certification, health insurance licensesMedicaid certification, health insurance licenses
Work EnvironmentCall centers, insurance companies, healthcare providersCall centers, government agencies, healthcare providers
Industry UsagePrivate insurers, Medicare Advantage plansState Medicaid programs, government agencies
Common Search/ComparisonRemote Medicare vs Remote Medicaid

Remote Medicare and Remote Medicaid roles both involve assisting beneficiaries with insurance plans, but they differ mainly in certification requirements and employer types. Medicare roles focus on private insurance plans for seniors, while Medicaid roles are linked to government-funded programs for low-income populations. Understanding these differences helps job seekers target the right opportunities in the healthcare insurance industry.

More about Remote Medicare jobs
What are popular job titles related to Remote Medicare jobs in Raleigh, NC? For Remote Medicare jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Medicare jobs in Raleigh, NC look for? The top searched job categories for Remote Medicare jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Medicare jobs? Cities near Raleigh, NC with the most Remote Medicare job openings:
Remote Medicare jobs near you
Infographic showing various Remote Medicare job openings in Raleigh, NC as of August 2026, with employment types broken down into 2% As Needed, 79% Full Time, 14% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $43,475 per year, or $20.9 per hour.

Clinical Pharmacist, Pharmacy Outreach (Remote)

Aledade

Raleigh, NC • Remote

$115K - $135K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 3 days ago

Aledade rating

8.6

Company rating: 8.6 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

53rd of 483 rated business services

Job description

The Clinical Pharmacist, Pharmacy Outreach (internally: Pharmacist, Pharmacy Outreach) is responsible for optimizing patient outcomes through telephonic interventions. This role focuses on the tactical execution of medication management services, including polypharmacy, adherence, and pharmacotherapy optimization.
 
Candidates should be comfortable working remotely from anywhere within the US, across all US time zones.
 
 
Please note: Valid pharmacist license in at least 2 of the following markets and a willingness to acquire more states as needed:    AL, KY, LA, MS, NC, KS, PA, UT, VA, WV, MI, DE
 
 
 
 
 
Primary Duties:
Clinical Execution & Patient Care
  • Counsel patients via telephonic outreach on medication adherence, address any medication related problems such as adherence barriers, polypharmacy, or high risk medication use, and make appropriate evidence-based recommendations to patients and Practice Care Teams
  • Perform focused clinical chart reviews as needed to inform patient interventions
  • Obtain and document patient commitment to medication adherence and address barriers in real time
  • Escalate complex clinical cases to prescribers or interdisciplinary teams as appropriate
  • Meet and sustain performance goals (e.g., STARs, HEDIS) 
Clinical Innovation and Resource Optimization
  • Collaborate with Physicians, clinical and administrative staff to optimize the Medication Management workflow and patient experience
  • Proactively identify gaps in medication management through patient interactions and translate patient insights into targeted recommendations that drive improvements in practice operations and clinical workflows
  • Participate in the design, implementation, and evaluation of pilot programs or process changes ("test and learn") within the outreach model
  • Serve as a clinical subject matter expert, leveraging clinical pharmacy expertise to support organizational objectives and adapt to evolving healthcare needs
  • Develop and maintain standardized resources, educational tools, and clinical protocols to support improved medication outcomes and performance on quality measures (e.g., STARS, HEDIS) for practices, clinicians, and patients
  • Other duties as assigned 
Minimum Qualifications:
  • Doctor of Pharmacy (PharmD)
  • Active, unrestricted pharmacist license in the state of practice; Valid multi-state licensure in at least two of the following states: AL, KY, LA, MS, NC, KS, PA, UT, VA, WV, MI, DE
  • Willingness to obtain and maintain additional licenses within first 60 days of hire
  • Minimum of 3 years experience in value-based care, ambulatory care, or community pharmacy settings
  • In depth knowledge of pharmacotherapy and pharmacy practice
  • Strong verbal and written communication skills; Ability to translate complex clinical data into clear, understandable language for patients and care teams
  • Proficiency in telephony platforms and various Electronic Health Record (EHR) systems
  • Ability to work in a fast paced environment and adapt quickly to change
  • Ability to work between 8 AM - 7 PM EST as dictated by business needs
Preferred KSA's:
  • Familiarity with Medicare, HEDIS, and STAR ratings  
Physical Requirements:
  • Prolonged periods of sitting at a desk and working on a computer
$115,000 - $135,000 a year
Salary Range: $115,000 to $135,000 a year + bonus + equity
Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience.
Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!

At Aledade, we don't just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.

Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at  https://www.aledade.com/privacy-policy-applicants
We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us.
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About Aledade

Sourced by ZipRecruiter

Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients. We are on a mission to change healthcare for the better and solve complex problems within the healthcare system. We follow the simple but radical idea that Aledade only succeeds when our partner practices succeed. From our cutting-edge technology platform to practice transformation services, we provide physicians with everything they need to create and run an accountable care organization (ACO), revamping the way they practice and getting them back to where they should be: quarterbacking their patients' health care! Our customized solutions help clinicians in communities across America preserve their autonomy, deliver better care to their patients, reduce overall costs, and keep independent physician practices flourishing.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Bethesda, MD, US

Year founded

2014

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