Senior Level Medicare Specialist Jobs
Senior level medicare specialist jobs place experienced professionals in charge of compliance strategy, claims oversight, and the operational teams or program initiatives that drive results. Openings are concentrated across Insurance, Technology & Software, and Healthcare & Medical Services, with a mix of on-site, remote, and hybrid settings, and employers like CVS Health, Banner Health, and Salem Infotech hiring at this level now.
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See related jobsWelcome to Transitions Benefit Group, your go-to resource for everything benefits related. For more than a decade, we’ve provided people with the resources and guidance needed to make an informed decision about their Medicare, retirement, and health insurance needs
SUMMARY
Leads the implementation of the sales strategy and delivers business growth, profitability, and customer retention in alignment with the business strategy and financial objectives. Responsible for achieving set revenue targets, setting team sales goals, expanding the company's market share in channel or line of business, and managing the sales team to ensure maximum productivity and efficient use of resources. Performs Sales Duties
ESSENTIAL DUTIES AND RESPONSIBILITIES
Develops strategic sales plans to achieve targets.
Leads and motivates the sales team to maximize performance.
Analyzes market trends to identify opportunities and challenges.
Manages client relationships to ensure satisfaction and retention.
Coordinates with marketing to align sales strategies.
Monitors and reports on sales metrics.
Oversees budgeting and financial forecasting for sales.
Complies with agency management system data standards and data integrity (enters complete and accurate information);
Performs all duties in accordance with all company policies and procedures, and all federal, state and local laws, wherein the Company operates.
Performs other duties as assigned.
QUALIFICATIONS
EDUCATION / EXPERIENCE
Bachelor's Degree in business administration or related field or equivalent combination of education and experience
Six (6) or more years industry sales experience
Three (3) or more years sales strategy and market analysis experience
Demonstrated progressive career experience in sales management
Valid Insurance License
SKILLS
Strong understanding of sales strategy techniques, interpreting sales metrics and market data, and customer relationship management
Knowledge of the insurance industry procedures, practices and terminology
Working knowledge of federal, state and local laws as well as industry regulations
Knowledge of supervisory techniques to accomplish instruction, motivation and training of personnel
Skill in maintaining effective working relationships with all customers, employees and the general public
Strong planning, organizational and prioritization skills
Excellent communication and collaboration skills, capable of effectively engaging with diverse teams and stakeholders
Skill in negotiating and problem solving to resolve internal and external conflicts
Proficient in Microsoft Office Suite
Ability to communicate effectively, both orally and in writing, in a constructive manner
Ability to demonstrate organizational leadership qualities and develop and foster trusting relationships
Ability to analyze and accurately interpret budgets, financial reports and statistical data
#LI-REMOTE
#LI-GS1
Welcome to Transitions Benefit Group, your go-to resource for everything benefits related. For more than a decade, we’ve provided people with the resources and guidance needed to make an informed decision about their Medicare, retirement, and health insurance needs
SUMMARY
Leads the implementation of the sales strategy and delivers business growth, profitability, and customer retention in alignment with the business strategy and financial objectives. Responsible for achieving set revenue targets, setting team sales goals, expanding the company's market share in channel or line of business, and managing the sales team to ensure maximum productivity and efficient use of resources. Performs Sales Duties
ESSENTIAL DUTIES AND RESPONSIBILITIES
Develops strategic sales plans to achieve targets.
Leads and motivates the sales team to maximize performance.
Analyzes market trends to identify opportunities and challenges.
Manages client relationships to ensure satisfaction and retention.
Coordinates with marketing to align sales strategies.
Monitors and reports on sales metrics.
Oversees budgeting and financial forecasting for sales.
Complies with agency management system data standards and data integrity (enters complete and accurate information);
Performs all duties in accordance with all company policies and procedures, and all federal, state and local laws, wherein the Company operates.
Performs other duties as assigned.
QUALIFICATIONS
EDUCATION / EXPERIENCE
Bachelor's Degree in business administration or related field or equivalent combination of education and experience
Six (6) or more years industry sales experience
Three (3) or more years sales strategy and market analysis experience
Demonstrated progressive career experience in sales management
Valid Insurance License
SKILLS
Strong understanding of sales strategy techniques, interpreting sales metrics and market data, and customer relationship management
Knowledge of the insurance industry procedures, practices and terminology
Working knowledge of federal, state and local laws as well as industry regulations
Knowledge of supervisory techniques to accomplish instruction, motivation and training of personnel
Skill in maintaining effective working relationships with all customers, employees and the general public
Strong planning, organizational and prioritization skills
Excellent communication and collaboration skills, capable of effectively engaging with diverse teams and stakeholders
Skill in negotiating and problem solving to resolve internal and external conflicts
Proficient in Microsoft Office Suite
Ability to communicate effectively, both orally and in writing, in a constructive manner
Ability to demonstrate organizational leadership qualities and develop and foster trusting relationships
Ability to analyze and accurately interpret budgets, financial reports and statistical data
#LI-REMOTE
#LI-GS1
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- Healthcare & Medical Services
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Senior Level Medicare Specialist Jobs: Frequently Asked Questions
How do I get a senior level medicare specialist job?
Employers at this level expect candidates to demonstrate deep knowledge of Medicare regulations, billing compliance, and appeals processes, along with a history of leading projects or guiding junior staff. Highlighting experience owning outcomes, such as reducing claim denial rates or managing audits end-to-end, sets strong candidates apart. Certifications in healthcare compliance or coding add credibility and show sustained professional investment.
Which companies hire senior level medicare specialists?
Companies hiring senior level medicare specialists right now include CVS Health, Banner Health, and Salem Infotech, based on current listings on Migrate Mate as of November 2026. Hiring at this level typically comes from health insurers, managed care organizations, hospital systems, and government contractors that run Medicare Advantage or supplemental benefit programs at scale.
Are there remote senior level medicare specialist jobs?
Yes, though availability varies by employer and role scope. About 60% of senior level medicare specialist openings are remote or hybrid as of November 2026, reflecting the administrative nature of much of this work. Roles tied to audits, compliance reviews, or cross-team coordination are especially common in flexible arrangements, while positions requiring on-site provider or team oversight tend to be in-person.
What makes a medicare specialist role senior level?
Senior level roles go beyond processing claims or applying policies to actively owning compliance programs, interpreting regulatory changes, and advising leadership on risk. These positions carry broader accountability, often including mentoring junior specialists, leading process improvement initiatives, and serving as the internal subject matter authority on Medicare rules, payer contracts, or audit responses.
Which industries hire the most senior level medicare specialists?
Senior Level medicare specialist roles concentrate in Insurance, Technology & Software, and Healthcare & Medical Services, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they manage large Medicare-covered populations, face stringent CMS compliance requirements, and need experienced professionals who can own regulatory risk and lead operational teams.