Health Plan Specialist - Medicare

TEKsystems; Madison (WI); Remote; USD 29,000 - 30,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Disability insurance

Paid time off (PTO)

Job summary

TEKsystems is seeking Health Plan Specialists to support members with benefits, billing, enrollment, and coverage. This fully remote role handles inbound calls, aims for resolution, and delivers excellent member experiences with empathy and accuracy.

The position requires strong problem solving and independence within a remote work setup, with hours between 8:00 AM and 9:00 PM CST. Based in Madison, WI as a contract role, candidates must reside in eligible states and have prior call center

Qualifications

• High School Diploma, GED, or equivalent experience.
• Minimum of 2 years of call center experience.
• Ability to navigate multiple software applications and screens simultaneously.
• Excellent attendance and reliability.
• Ability to work independently in a remote environment.

Responsibilities

• Handle 100% inbound customer service calls from health plan members.
• Manage approximately 50-70 calls per day during peak Open Enrollment periods.
• Assist members with questions related to benefits, billing, enrollment, eligibility, and coverage.
• Research and resolve complex member issues while maintaining ownership through resolution.
• Accurately document customer interactions and case details.
• Utilize multiple systems and online resources simultaneously to access and communicate information.
• Explain complex health plan information in a clear, professional, and easy-to-understand manner.
• Ensure timely and accurate follow-up on member inquiries.
• Deliver a high-quality member experience with empathy, professionalism, and attention to detail.
• Collaborate with teammates and internal departments to resolve member issues effectively.

Skills

Call center experience

Multi-system navigation

Reliability

Remote work

Education

High School Diploma, GED, or equivalent experience

Job description

About the Role

Are you passionate about helping others and providing exceptional customer service? We are seeking dedicated and empathetic Health Plan Specialists to support health plan members by answering questions related to benefits, billing, enrollment, and coverage.

In this role, you will serve as the first point of contact for members, handling inbound calls and providing end-to-end resolution for complex inquiries. You will take ownership of each interaction, ensuring concerns are resolved accurately, professionally, and efficiently while delivering an outstanding member experience.

This is an excellent opportunity for customer service professionals who enjoy problem-solving, critical thinking, and making a positive impact in people's lives.

Hours: Must be available to work any shift between 8:00 AM - 9:00 PM CST

Responsibilities

• Handle 100% inbound customer service calls from health plan members.

• Manage approximately 50-70 calls per day during peak Open Enrollment periods.

• Assist members with questions related to benefits, billing, enrollment, eligibility, and coverage.

• Research and resolve complex member issues while maintaining ownership through resolution.

• Accurately document customer interactions and case details.

• Utilize multiple systems and online resources simultaneously to access and communicate information.

• Explain complex health plan information in a clear, professional, and easy-to-understand manner.

• Ensure timely and accurate follow-up on member inquiries.

• Deliver a high-quality member experience with empathy, professionalism, and attention to detail.

• Collaborate with teammates and internal departments to resolve member issues effectively.

Qualifications

• High School Diploma, GED, or equivalent experience.

• Minimum of 2 years of call center experience.

• Ability to navigate multiple software applications and screens simultaneously.

• Excellent attendance and reliability.

• Ability to work independently in a remote environment.

Work Environment

This is a fully remote position.

Equipment will be provided; however, candidates must meet the following requirements:

• Hard-wired internet connection via Ethernet cable.

• Stable high-speed internet service.

• No satellite internet, mobile hotspots, or Wi‑Fi‑only connections.

• Dedicated, professional workspace free from distractions.

• Ability to appear on camera for meetings and training.

• Use company-provided equipment, including monitors and headset.

Eligible States

Candidates must reside in one of the following states:

• Arkansas

• Arizona

• Florida

• Georgia

• Iowa

• Illinois

• Kansas

• Kentucky

• Michigan

• Minnesota

• Missouri

• Nebraska

• North Dakota

• Oklahoma

• South Dakota

• Tennessee

• Virginia

• Wisconsin

Why Join Us?

• Fully remote opportunity

• Meaningful work helping health plan members

• Supportive team-oriented environment

• Opportunity to develop healthcare and insurance industry knowledge

• Exposure to complex problem-solving and customer advocacy

• Potential for career growth and advancement

Job Type & Location

This is a Contract position based out of Madison, WI.

Pay and Benefits

The pay range for this position is $21.00 - $22.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Job Type & Location

This is a Contract position based out of Madison, WI.

Application Deadline

This position is anticipated to close on Oct 30, 2026.

Workplace Type

This is a fully remote position.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Were strategic thinkers, hands‑on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance

Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI)

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.