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Work From Home Geisinger Health Plan Jobs (NOW HIRING)

Pharmacist Health Plan

Danville, PA · On-site +1

$66.75 - $80/hr

Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 ... Everything we do is about caring for our patients, our members, our students, our Geisinger family ...

Senior AI Product Manager

Danville, PA · On-site +1

$144K - $191K/yr

Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 ... Geisinger is operationalizing AI at scale across one of the nation's most integrated health systems ...

Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 ... Geisinger is operationalizing AI at scale across one of the nation's most integrated health systems ...

Join our fully virtual, work-from-home team where you can earn an exceptional income while still ... Secure your future with life insurance coverage and health insurance reimbursement, prioritizing ...

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How much do work from home geisinger health plan jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for work from home geisinger health plan in the United States is $16.32, according to ZipRecruiter salary data. Most workers in this role earn between $14.18 and $17.79 per hour, depending on experience, location, and employer.

What are some common challenges faced when working remotely for Geisinger Health Plan, and how can they be managed?

Remote employees at Geisinger Health Plan may encounter challenges such as maintaining effective communication with their team, staying engaged with organizational goals, and managing work-life balance. To address these, the company provides collaborative digital tools, regular virtual meetings, and clear performance expectations. Employees are encouraged to establish a dedicated workspace, proactively reach out to colleagues, and participate in virtual training sessions to stay connected and productive.

What are work from home jobs at Geisinger Health Plan?

Work from home jobs at Geisinger Health Plan are remote positions that allow employees to perform their job duties from their home or another off-site location. These roles can include customer service representatives, care managers, clinical staff, IT professionals, and administrative positions. Geisinger Health Plan provides the necessary training and technology to support remote work, ensuring employees can collaborate with their teams and serve members effectively. Many of these roles offer flexible schedules and the opportunity to contribute to healthcare services without being onsite.

What is the difference between Work From Home Geisinger Health Plan vs Work From Home Medical Coder?

AspectWork From Home Geisinger Health PlanWork From Home Medical Coder
Required CredentialsHealth insurance knowledge, coding certifications often preferredMedical coding certification (CPC, CCS), knowledge of medical terminology
Work EnvironmentRemote, flexible schedule, healthcare industry settingRemote, flexible schedule, healthcare industry setting
Employer & Industry UsageHealthcare insurance provider, health plansHealthcare providers, hospitals, insurance companies
Common Search & ComparisonWork From Home Geisinger Health Plan vs Medical Coder

Both roles are remote healthcare positions within the industry. While Geisinger Health Plan focuses on managing health insurance plans, Medical Coders translate medical records into codes for billing and documentation. Both require healthcare knowledge and offer flexible, remote work environments, but differ in specific certifications and daily responsibilities.

What are the key skills and qualifications needed to thrive as a work from home Geisinger Health Plan representative?

To thrive in a Work From Home Geisinger Health Plan role, you need a solid understanding of health insurance procedures, billing, and customer service, typically supported by a high school diploma or equivalent and relevant experience. Familiarity with CRM systems, Microsoft Office Suite, and HIPAA compliance protocols is essential for handling sensitive health data remotely. Exceptional communication, problem-solving abilities, and self-motivation make someone stand out in this position. These skills ensure accurate information delivery, regulatory compliance, and a positive member experience in a remote healthcare environment.
More about Work From Home Geisinger Health Plan jobs
What cities are hiring for Work From Home Geisinger Health Plan jobs? Cities with the most Work From Home Geisinger Health Plan job openings:
What states have the most Work From Home Geisinger Health Plan jobs? States with the most job openings for Work From Home Geisinger Health Plan jobs include:
Infographic showing various Work From Home Geisinger Health Plan job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $33,938 per year, or $16.3 per hour.

Operations Specialist - Government Programs, Geisinger Health Plan (work from home Eastern Standard

Geisinger Health

Danville, PA • On-site, Remote

Full-time

Medical, Dental, Vision

Posted 13 days ago


Geisinger Health rating

6.9

Company rating: 6.9 out of 10

Based on 442 frontline employees who took The Breakroom Quiz

453rd of 887 rated healthcare providers


Job description

Location:
Work from home (Pennsylvania)
Shift:
Days (United States of America)
Scheduled Weekly Hours:
40
Worker Type:
Regular
Exemption Status:
No
Job Summary:
The Operations Specialist is responsible for the daily operations of Geisinger Health Plan's Children's Health Insurance Program (CHIP) and Marketplace lines of business.
Job Duties:
CHIP
  • Track and manage incoming and outgoing Bureau of CHIP (BOC) inquiries; perform quality assurance reviews and ensure timely submission of BOC deliverables, including both ad hoc and routine reports.
  • Identify, document, and assist in assigning appropriate business owners for new and revised CHIP regulatory requirements to ensure compliance and effective implementation.
  • Provide support for the CHIP annual onsite audit, including coordination, documentation, and follow-up activities.
  • Serve as a backup to the Benefits Specialist for State Government Programs, providing support for CHIP program operations as needed

Marketplace
  • Review, validate, and implement updates to regulatory, operational, and compliance documents to ensure adherence to ACA guidelines, federal regulations, and submission deadlines.
  • Collaborate with cross-functional teams to support Marketplace operations and implementation activities.
  • Identify risks, gaps, and process improvement opportunities to enhance compliance and operational effectiveness.

Both CHIP and Marketplace
  • Track and ensure timely, accurate submission of reports, filings, and required documentation across both lines of business.

Serves as an integral member of the team tasked with the oversight of Government Programs regulatory, compliance, legislative, sales and departmental operations. Assists with the development and maintenance of departmental policies and procedures, oversees routine and ad hoc regulatory responses, and supports the coordination and preparation of regulatory audits. Provides dedicated data and information technology expertise concurrent with the requirements of the department as they relate to applicable regulatory functions.
  • Manages simultaneous projects that enhance the operation and efficiency of Department.
  • Organizes, leads, and takes ownership of special projects and follows them through to completion.
  • Coordinates and monitors the implementation of activities related to assigned projects and program requirements.
  • Coordinates, corrects and supports rejected and pre-edits errors related to Encounter Data submissions for multiple lines of business.
  • Oversees provider Attestations Responds to member appeals and grievances timely and with accuracy.
  • Plans, coordinates and chairs ad hoc and related workgroup meetings with internal and external staff members as needed.
  • Coordinates and supports regulatory audits.
  • Assists in the preparation and distribution of necessary documentation to appropriate designees.
  • Manages and tracks all incoming and outgoing documentation used in support of the audit.
  • Coordinates, formats, organizes and uploads files for reporting and regulatory audits.
  • Tracks and ensures timely and correct submission of reports in support of all lines of business.
  • Remains open to regulatory and internal process changes and actively engages with other departments to implement changes to internal processes to avoid interruption with the revenue stream.
  • Validates and implements changes identified within various documents to ensure compliance deadlines while adhering to all federal rules and regulations.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Position Details:
*Relevant experience may be a combination of related work experience and degree obtained (Associate's Degree = 2 years; Bachelor's Degree = 4 years).
Education:
High School Diploma or Equivalent (GED)- (Required), Master's Degree- (Preferred)
Experience:
Minimum of 5 years-Relevant experience* (Required)
Certification(s) and License(s):
Skills:
Communication, Computer Literacy, Organizing, Waterfall Model, Working Independently
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
  • KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
  • EXCELLENCE: We treasure colleagues who humbly strive for excellence.
  • LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
  • INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
  • SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

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