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Remote Medicare Jobs in Springfield, OR (NOW HIRING)

Headway

LMHT (Remote)

Eugene, OR · 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 ...

Headway

LMHC (Remote)

Eugene, OR · 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)

Lebanon, OR · 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)

Eugene, OR · 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 ...

HMG Careers

Remote Sales Agent

Eugene, OR · Remote

$69K/yr

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Empire State Careers

Remote Sales Agent

Eugene, OR · Remote

$69K - $150K/yr

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Lone Star Careers

Remote Sales Agent

Eugene, OR · Remote

$69K - $150K/yr

Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

HMG Careers

Remote Life Insurance Agent

Eugene, OR · Remote

$69K/yr

Remote Insurance Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

Lone Star Careers

Remote Life Insurance Agent

Eugene, OR · Remote

$69K - $150K/yr

Remote Insurance Representative | Flexible Schedule | Commission Only This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely ...

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All JobsMedicare JobsRemote Medicare JobsRemote Medicare Jobs in Springfield, OR

Remote Medicare information

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How much do remote medicare jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for remote medicare in Springfield, OR is $22.26, according to ZipRecruiter salary data. Most workers in this role earn between $18.65 and $23.65 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 Springfield, OR? For Remote Medicare jobs in Springfield, OR, the most frequently searched job titles are:
What job categories do people searching Remote Medicare jobs in Springfield, OR look for? The top searched job categories for Remote Medicare jobs in Springfield, OR are:
What cities near Springfield, OR are hiring for Remote Medicare jobs? Cities near Springfield, OR with the most Remote Medicare job openings:
Remote Medicare jobs near you
Utilization Management Program Manager-RN

Utilization Management Program Manager-RN

Samaritan Health Services

Eugene, OR • Remote

Full-time

Posted 19 days ago

Samaritan Health Services rating

7.5

Company rating: 7.5 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

230th of 890 rated healthcare providers

Job description

Summary


  • Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services' mission of Building Healthier Communities Together. This is a remote position in which we are able to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin Our ideal candidate will have the following experience:
    • Health plan utilization management
    • Medicare and Medicaid rules and regulations and health plan benefit structure and policy.
    • Data analysis to include reporting results and developing improvement plans
    • Quality Management experience in a healthcare setting

  • JOB SUMMARY/PURPOSE

    • Executes program(s) that meet the needs of the organization, employees and/or customers. Plans, initiates, oversees execution of all elements for assigned program(s). Leads the development, implementation and management of assigned program(s) and associated projects. Oversees process from planning to completion. Works with multiple internal teams, vendors, clients. Responsible for explaining, training, and mentoring the entire organization on the program. Collaborates with SHS system experts to ensure focus, alignment, and best practices for the program.
  • EXPERIENCE/EDUCATION/QUALIFICATIONS
    • Current unencumbered Oregon RN License required within 90 days of hire. BSN preferred. Master's degree in a related field preferred.
    • One (1) year clinical nursing experience plus four (4) years health plan utilization management experience required.
    • Experience or training in the following required:
      • Health care delivery systems and/or managed care patients.
      • Computer applications including electronic documentation (e.g., MS Office, EPIC, Clinical Care Advanced).
    • Experience in the following preferred:
      • Team leadership.
      • Case management.
      • Medicare and Medicaid rules and regulations and health plan benefit structure and policy.
  • KNOWLEDGE/SKILLS/ABILITIES
    • Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
    • Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
    • Critical thinking – Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
    • Communication and team building – Lead effectively with excellent verbal and written communication. Delegates and initiates/manage cross-functional teams and multi-disciplinary projects.
  • PHYSICAL DEMANDS
    • (1 - 10% of the time) (11 - 33% of the time) (34 - 66% of the time) (67 – 100% of the time) LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs LIFT (Knee to chest: 24"-54") 0 – 20 Lbs LIFT (Waist to Eye: up to 54") 0 - 20 Lbs CARRY 1-handed, 0 - 20 pounds BEND FORWARD at waist KNEEL (on knees) WALK – LEVEL SURFACE ROTATE TRUNK Standing REACH - Upward PUSH (0 - 20 pounds force) PULL (0 - 20 pounds force) CARRY 2-handed, 0 - 20 pounds ROTATE TRUNK Sitting REACH - Forward FINGER DEXTERITY PINCH Fingers GRASP Hand/Fist

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