Medicare Savings Program Specialist - REMOTE (2026-50238)

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When you join the UMass Chan Medical School team, you join us in advancing together to improve the health and well-being of our diverse communities throughout Massachusetts and across the US and the world. Together, we lead in education, research, health care delivery, and public service. Your life's work is more than a career. It's an expression of your passion, intellect, skill, and drive. UMass Chan"s commitment to excellence, innovation, competitive benefits, and work-life integration will allow you to build a professionally rewarding career as we work together to better or improve the health of people around the globe.

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Medicare Savings Program Specialist - REMOTE

Job Number: 2026-50238

Category: Administrative Professional

Location: Westborough, MA

Shift: Day

Exempt/Non-Exempt: Exempt

Business Unit: ForHealth Consulting

Department: ForHealth Consulting - Benefits Coord Consulting- W407612

Job Type: Full-Time

Num. Openings: 1

Post Date: June 30, 2026

Work Location: 100% Remote

Salary Minimum: USD $50,000.00/Yr.

Salary Maximum: USD $64,000.00/Yr.

The Medicare Savings Program (MSP) is a federal program that allows states to pay all or part of monthly Medicare premiums and cost sharing for eligible Medicare beneficiaries. The MSP team within the Medicare Eligibility Enhancement Programs at ForHealth Consulting administers this program for the Massachusetts Medicaid program, MassHealth.

Under the general direction of the MSP Manager or designee, the MSP Specialist provides customer service to MassHealth members, providers, and other authorized representatives regarding the status of MSP benefits, resolves issues related to payment of Medicare premiums, and updates Medicare coverage information and premium payment status in state systems. The MSP Specialist will assist in the coordination and management of the daily operations of the program

Responsibilities

• Identify, evaluate, and coordinate Medicare Savings Program benefits for MassHealth members.
• Provide direct customer service to MassHealth members including, but not limited to, answering, researching, and resolving inquiries in relation to Medicare coverage, eligibility and premium payments.
• Manage daily and monthly MSP transactions between MassHealth and Medicare
• Provide resolutions for MSP members who are experiencing issues related to payment of their Medicare premiums.
• Investigate and resolve Medicare coverage, premium payment, and other exception cases.
• Respond to inquiries from MassHealth members, their authorized representatives, providers, EOHHS staff, and state and federal agencies to coordinate Medicare Savings Program benefits as it relates to the members eligibility.
• Responsible for documenting and tracking all information associated with cases and reporting cost savings and caseload data.
• Make appropriate referrals to various EOHHS units and federal agencies such as the Social Security Administration (SSA) and the Centers for Medicare and Medicaid Services (CMS) to coordinate functions as required.
• Ensure compliance with state and federal rules and regulations.
• Interpret and communicate state and federal rules and regulations clearly and concisely.
• Correspond with internal and external stakeholders, including representatives of the SSA, CMS, the Railroad Retirement Board (RRB), and MassHealth Customer Service Center (CSC) and MassHealth Enrollment Centers (MECs) to provide information and resolve issues as needed.
• Provide direct customer service to MassHealth members including, but not limited to, answering, researching, and resolving inquiries in relation to Medicare coverage, eligibility and premium payments.
• Research payment transaction codes generated by SSA, CMS, and MMIS to accurately process premium payments.
• Assist in training opportunities for co-workers and new staff
• Utilize databases and/or systems to track program activities
• Represent the Medicare Savings Program Unit at member appeal hearings, as needed.
• Identify and participate in quality improvement initiatives and projects to improve overall service delivery.
• Conduct business in accordance with approved standards and processes, including all data security, privacy, and usage guidelines
• Work independently and as a member of a team.
• Perform other duties as assigned.

Qualifications

• Bachelor"s Level Degree or equivalent in Health Care Administration, Social Work, Public Administration, Health and Human Services, Public Health or related field
• 2 years of relevant professional experience
• Ability to multitask
• Excellent customer service skills
• Effective time management
• Ability to understand, apply and explain pertinent laws, rules, regulations, policies, and procedures.
• Strong attention to detail
• Demonstrated ability to handle confidential information and to exercise judgment and discretion
• Demonstrated ability to assess priorities and operate in a flexible manner

PREFERRED QUALIFICATIONS:

• Previous insurance or benefit coordination experience
• Previous professional experience in customer service or call center role
• Knowledge of federal and state agencies, preferably health and human services organizations
• Ability to utilize questioning and listening skills that support effective telephone communication
• Knowledge of policies, programs, and procedures of the Medicare and Medicaid programs.
• Experience with state and federal information systems such as eligibility and enrollment systems
• Previous experience communicating professionally and effectively with public sector personnel, businesses, legal representatives, or private citizens
• Bilingual skills

Posting Disclaimer:

This job posting outlines the primary responsibilities and qualifications for the role but is not intended to be an exhaustive list. Duties and expectations may evolve in response to the needs of the department and the broader institution.

In alignment with our commitment to pay transparency, the base salary range for this position is listed above (exclusive of benefits and retirement). At UMass Chan Medical School, final base salary offers are determined based on a combination of factors, including your skills, education, and relevant experience. We also consider internal equity to ensure fair and consistent compensation across our teams.

Please note that the range provided reflects the full base salary range for this position. Offers are typically made within the midrange to allow for future growth and development within the role.

In addition to base pay, UMass Chan offers a comprehensive Total Rewards package, which includes paid time off, medical, dental, and vision coverage, and participation in a 401(a)-retirement plan, with the option to contribute to a voluntary 403(b) plan.

UMass Chan welcomes all qualified applicants and complies with all state and federal anti-discrimination laws.

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