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Senior Medicare Claims Processing Jobs (NOW HIRING)

Humana

Claims Processing Professional

Miramar, FL

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...

Humana

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...

Peraton

Enterprise Architect, Senior Advisor

$176K - $282K/yr

Architect scalable and highly available solutions for Medicare claims processing, ensuring compliance with CMS performance requirements, HIPAA security standards, and FedRAMP controls * Configure and ...

Humana, Inc.

Claims Processing Professional

Miramar, FL · On-site

$53K - $72K/yr

As a Claims Processing Professional, you will: * Review and process healthcare claims within ... These efforts are leading to a better quality of life for people with Medicare and Medicaid ...

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · On-site

$16.75 - $21.25/hr

Overview Claims Processor Full Time - Johnstown, Pa Senior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and ...

Senior LIFE

Claims Processor - Johnstown

Johnstown, PA · Hybrid

$15.50 - $19.75/hr

Overview Claims Processor Full Time - Johnstown, Pa Senior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and ...

UHS

Claims Auditor/Trainer

Reno, NV · On-site

... Medicare claims processing and compliance required. · QNXT system experience highly preferred. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where ...

Barrow Wise Consulting

Medicare Analyst

MD · On-site

$70K - $90K/yr

The Medicare Analyst will support Barrow Wise's Illinois DHS project and perform the following ... Document all processes and procedures and develop policies * Perform data analytics on claims and ...

Elevate Patient Financial Solutions

Medicare Specialist

$22.75 - $28.50/hr

Job Summary As a Medicare Specialist, you will be instrumental in helping resolve aged medical ... Develops a solid understanding of assigned client processes in order to review and analyze claims ...

UHS

Claims Auditor/Trainer

Reno, NV · On-site

$26.65 - $38/hr

... Medicare claims processing and compliance required. • QNXT system experience highly preferred. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where ...

Highmark Health

Supervisor Appeals - Medicare

Verbal and written communication with Director and Senior Management, peers, departmental staff ... Identify opportunities, through the use of Medicare policies and procedures, claims processing ...

New

Peraton

Test Engineering, Senior Associate

$86K - $138K/yr

Responsibilities The Health and Financial Solutions team is looking for a Test Engineer to support the testing lifecycle for Medicare claims processing systems operating on a legacy mainframe ...

New

SeniorLIFE of PA

Claims Processor - Johnstown

Johnstown, PA · On-site

$16.75 - $21.25/hr

Claims Processor Senior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and support to seniors living in the ...

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Showing results 21-40

All JobsFinance and Insurance JobsInsurance JobsSenior Medicare Claims Processing Jobs

Senior Medicare Claims Processing information

See salary details

$28.5K

$76.6K

$137.5K

How much do senior medicare claims processing jobs pay per year?

As of Aug 19, 2026, the average yearly pay for senior medicare claims processing in the United States is $76,607.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What is the difference between Senior Medicare Claims Processing vs Medicare Claims Processor?

AspectSenior Medicare Claims ProcessingMedicare Claims Processor
CredentialsTypically requires experience in claims processing, knowledge of Medicare policiesEntry-level certifications, on-the-job training
Work EnvironmentOffice settings, healthcare administration departmentsCall centers, healthcare provider offices
Employer & IndustryHealthcare agencies, government Medicare officesInsurance companies, healthcare providers
Search & Comparison IntentUnderstanding advanced roles, career progressionEntry-level job details, basic responsibilities

Senior Medicare Claims Processing involves handling complex claims, requiring experience and knowledge of Medicare policies. In contrast, Medicare Claims Processors perform basic claims entry and verification, often at an entry-level. The senior role typically offers more responsibilities and requires prior experience, while the processor role is suitable for those starting in healthcare claims processing.

More about Senior Medicare Claims Processing jobs

What cities are hiring for Senior Medicare Claims Processing jobs?

Cities with the most Senior Medicare Claims Processing job openings:

What are the most commonly searched types of Medicare Claims Processing jobs?

The most popular types of Medicare Claims Processing jobs are:

What states have the most Senior Medicare Claims Processing jobs?

States with the most job openings for Senior Medicare Claims Processing jobs include:

What job categories do people searching Senior Medicare Claims Processing jobs look for?

The top searched job categories for Senior Medicare Claims Processing jobs are:

Senior Medicare Claims Processing jobs near you
Infographic showing various Senior Medicare Claims Processing job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $76,607 per year, or $36.8 per hour.

Healthcare Claims Operations Team Lead - Washington, DC (On-site)

Gainwell Technologies

Washington, DC • On-site

$50K - $55K/yr

Full-time

Medical, Life, Retirement, PTO

Re-posted 14 days ago

Gainwell Technologies rating

7.8

Company rating: 7.8 out of 10

Based on 80 frontline employees who took The Breakroom Quiz

137th of 245 rated software companies

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
As a Healthcare Claims Operations Team Lead at Gainwell, you will lead a team responsible for medical claims processing, resolution, and financial reconciliation supporting Medicaid and Medicare programs.
You will oversee end-to-end healthcare claims operations, including claims adjudication, complex issue resolution, payment accuracy, and compliance with CMS guidelines. This role serves as a subject matter expert in health insurance claims workflows and financial processes, while driving operational efficiency, quality, and continuous improvement.
Your role in our mission
  • Lead, mentor, and develop a team supporting medical claims processing, adjudication, and resolution
  • Oversee the full lifecycle of healthcare claims, ensuring accuracy, timeliness, and service excellence
  • Resolve complex and escalated Medicaid and Medicare claims issues, including discrepancies and exceptions
  • Manage claims-related financial processes, including payments, reimbursements, adjustments, and reconciliations
  • Partner with cross-functional teams across finance, compliance, IT, and operations to optimize workflows and performance

What we're looking for
  • 5-7+ years of experience in medical claims, healthcare claims, or health insurance operations
  • Strong experience working with Medicaid and/or Medicare claims
  • Experience with end-to-end claims lifecycle, including adjudication, processing, and resolution
  • Knowledge of claims-related financial processes, including reconciliation, payments, and adjustments
  • Proven experience leading or supervising teams in a healthcare claims or insurance environment

What you should expect in this role
  • Onsite position located at Gainwell Technologies, 1111 19th St NW, Suite 1000, Washington, DC
  • Opportunity to lead high-impact healthcare claims operations supporting government-sponsored programs
  • A collaborative environment focused on operational excellence, compliance, and continuous improvement
  • Career growth within a company that values innovation, flexibility, and professional development
  • Exposure to cross-functional leadership and strategic initiatives across claims, finance, and compliance teams

*This posting is intended for pipelining. We will accept applications on an ongoing basis.
#LI-ONSITE
#LI-LS2
The pay range for this position is $50,000 - $55,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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