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Director Medicare Operations Jobs (NOW HIRING)

Imh

Medicare Market Operations Partner

Murray, UT · On-site +1

$59.50 - $91.84/hr

The Medicare Market Operations Partner is responsible to partner with the Medicare P&L leadership ... The Director partners cross-functionally with clinical, finance, compliance, network, and ...

Imh

Medicare Market Operations Partner

Lone Tree, CO · On-site +1

$59.50 - $91.84/hr

The Medicare Market Operations Partner is responsible to partner with the Medicare P&L leadership ... The Director partners cross-functionally with clinical, finance, compliance, network, and ...

Imh

$59.50 - $91.84/hr

The Medicare Market Operations Partner is responsible to partner with the Medicare P&L leadership ... The Director partners cross-functionally with clinical, finance, compliance, network, and ...

Imh

Medicare Market Operations Partner

Fort Collins, CO · On-site +1

$59.50 - $91.84/hr

The Medicare Market Operations Partner is responsible to partner with the Medicare P&L leadership ... The Director partners cross-functionally with clinical, finance, compliance, network, and ...

Imh

Medicare Market Operations Partner

Nevada, IA · On-site +1

$59.50 - $91.84/hr

The Medicare Market Operations Partner is responsible to partner with the Medicare P&L leadership ... The Director partners cross-functionally with clinical, finance, compliance, network, and ...

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Director Medicare Operations information

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$34K

$107.7K

$179.5K

How much do director medicare operations jobs pay per year?

As of Aug 15, 2026, the average yearly pay for director medicare operations in the United States is $107,680.00, according to ZipRecruiter salary data. Most workers in this role earn between $75,500.00 and $135,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a director Medicare Operations?

To thrive as a Director of Medicare Operations, you need deep knowledge of Medicare regulations, healthcare administration, and operational leadership, often supported by a bachelor's or master's degree in healthcare or business. Familiarity with claims processing systems, CMS guidelines, and data analytics tools is typically required. Strong strategic thinking, problem-solving, and communication skills are essential for leading teams and ensuring regulatory compliance. These skills and qualities are vital for optimizing operational efficiency, maintaining compliance, and driving organizational success in the complex Medicare landscape.

What does a director Medicare Operations do?

A Director of Medicare Operations is responsible for overseeing the administration and management of Medicare-related programs within a healthcare organization or insurance company. This role involves ensuring compliance with federal and state regulations, optimizing operational efficiency, and leading teams that handle enrollment, claims processing, and customer service for Medicare members. The director also collaborates with other departments to implement strategic initiatives, improve quality of care, and ensure financial performance. Their leadership helps ensure that Medicare beneficiaries receive timely and accurate services while maintaining the organization's standards and objectives.

How does a director Medicare Operations typically collaborate with compliance and clinical teams to ensure regulatory adherence?

A Director of Medicare Operations plays a critical role in bridging operational processes with compliance and clinical teams. They regularly coordinate with compliance officers to interpret and implement CMS regulations, ensuring all processes meet federal standards. Additionally, they work closely with clinical leaders to design workflows that maintain both operational efficiency and high-quality patient care. This collaboration often involves frequent meetings, joint audits, and developing cross-functional training to address any regulatory or quality issues promptly.
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Director Medicare Operations jobs near you
Infographic showing various Director Medicare Operations job openings in the United States as of August 2026, with employment types broken down into 86% Full Time, 11% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $107,680 per year, or $51.8 per hour.

Director Medicare Operations

The James Allen Companies Inc

Kansas City, MO • On-site

$130 - $190/hr

Other

Posted 8 days ago

Job description

Director of Medicare Operations

This is not a Medicare sales or producer position. It is an operations, compliance, carrier contracting, technology, and team-development role focused specifically on building the organization's Medicare Supplement capabilities.

About the Organization

The organization provides an alternative to traditional group health benefits through a technology platform that serves brokers and employers. Employees use the platform to shop for individual health plans and enroll directly with the insurance carrier.

The company currently supports ACA and other non-Medicare individual health products. It is now adding a Medicare division and needs an experienced Medicare professional to build the operational infrastructure, compliance framework, carrier relationships, technology solutions, and internal team required to support the new business line.

The person in this position will report directly to Hunter.

Primary Responsibilities

The Director of Medicare Operations will:

  • Develop the company's Medicare Supplement operational model and supporting processes.
  • Establish compliant procedures for Medicare-related enrollments, communications, documentation, and agent activity.
  • Lead carrier contracting and appointment efforts with Medicare Supplement carriers.
  • Evaluate and help select technology solutions that support quoting, enrollment, compliance, reporting, and customer service.
  • Build and develop a Medicare operations team of approximately six employees.
  • Establish workflows, performance standards, training procedures, and quality controls for the team.
  • Work closely with leadership, technology, agency operations, brokers, carriers, and compliance partners.
  • Help scale the Medicare division as the company expands its services.
  • Ensure the Medicare operation integrates effectively with the organization's existing ACA and individual health platform.
Ideal Candidate Background

The strongest candidate will have significant experience with Medicare Supplement products and the operational requirements surrounding them.

The organization would prefer someone who has worked for an independent insurance agency, brokerage, field marketing organization, or similar organization where they were involved in developing or expanding a Medicare business.

The person should understand:

  • Medicare Supplement products and carrier requirements.
  • Medicare-related compliance and operational procedures.
  • Carrier contracting, appointments, licensing, and onboarding.
  • Agency operations and enrollment workflows.
  • Technology platforms used for quoting, enrollment, compliance, and customer management.
  • Team development, training, and performance management.
  • How to build processes and infrastructure within a growing organization.

Experience helping grow an agency, department, startup, or new division would be highly valuable.

What the Role Is Not

This position is not designed for someone whose Medicare experience has primarily consisted of selling policies directly to consumers.

The successful candidate does not need to be a traditional salesperson or business-development producer. The emphasis is on building and managing the operational foundation behind a Medicare Supplement business, including compliance, carrier relationships, technology, processes, and people.

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