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Medicare Advantage Manager Jobs (NOW HIRING)

Palm Medical Centers

$75K - $103K/yr

... Medicare Advantage, Medicare, and Medicaid patient populations * Must have an active and ... Strong understanding of chronic disease management, preventative care, and quality metrics in a ...

Palm Medical Centers

WI · On-site

$93K - $128K/yr

... Medicare Advantage, Medicare, and Medicaid patient populations * Must have an active and ... Strong understanding of chronic disease management, preventative care, and quality metrics in a ...

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Medicare Advantage Manager information

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$24.5K

$59.5K

$116K

How much do medicare advantage manager jobs pay per year?

As of Sep 14, 2026, the average yearly pay for medicare advantage manager in the United States is $59,525.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $68,500.00 per year, depending on experience, location, and employer.

What is a Medicare Advantage Manager?

Medicare Advantage Managers are professionals who oversee and coordinate the operations, compliance, and performance of Medicare Advantage (Part C) health plans within healthcare organizations or insurance companies. Their responsibilities typically include managing plan offerings, ensuring regulatory compliance, analyzing performance metrics, and improving member satisfaction. They work closely with healthcare providers, regulatory agencies, and internal teams to ensure the Medicare Advantage plans meet federal standards and provide high-quality care to enrollees. Effective Medicare Advantage Managers help organizations navigate the complex landscape of Medicare regulations while optimizing plan performance and member outcomes.

What are some common challenges faced by a Medicare Advantage Manager, and how can they be addressed?

Medicare Advantage Managers often face challenges such as staying compliant with changing CMS regulations, managing relationships with healthcare providers, and ensuring member satisfaction. Navigating these complexities requires strong analytical skills, attention to detail, and effective communication. Building a knowledgeable team, staying up-to-date with regulatory updates, and implementing member outreach programs can help address these challenges and ensure operational success.

What are the key skills and qualifications needed to thrive as a Medicare Advantage Manager, and why are they important?

To thrive as a Medicare Advantage Manager, you need a deep understanding of Medicare regulations, health plan operations, and experience in healthcare management, often supported by a bachelor's degree or higher in healthcare administration or a related field. Familiarity with CMS guidelines, claims processing systems, and healthcare analytics tools is essential for overseeing plan compliance and performance. Strong leadership, problem-solving abilities, and effective communication skills help you manage teams and build relationships with providers and stakeholders. These competencies are vital for ensuring regulatory compliance, optimizing plan performance, and delivering quality care to Medicare beneficiaries.

What is the difference between Medicare Advantage Manager vs Medicare Claims Processor?

AspectMedicare Advantage ManagerMedicare Claims Processor
Required CredentialsBachelor's degree, industry certifications often preferredHigh school diploma or equivalent, training on claims processing systems
Work EnvironmentOffice-based, healthcare insurance companiesHealthcare facilities, insurance companies, remote options
Employer & Industry UsageHealth insurance providers managing Medicare Advantage plansProcessing Medicare claims for reimbursement

The Medicare Advantage Manager oversees the administration and strategy of Medicare Advantage plans, requiring management skills and industry knowledge. In contrast, the Medicare Claims Processor focuses on reviewing and processing claims, emphasizing attention to detail and technical skills. Both roles are essential in the Medicare industry but differ in responsibilities and required qualifications.

What cities are hiring for Medicare Advantage Manager jobs?

Cities with the most Medicare Advantage Manager job openings:

What are the most commonly searched types of Medicare Advantage jobs?

The most popular types of Medicare Advantage jobs are:

What states have the most Medicare Advantage Manager jobs?

States with the most job openings for Medicare Advantage Manager jobs include:

What are popular job titles related to Medicare Advantage Manager jobs?

For Medicare Advantage Manager jobs, the most frequently searched job titles are:

Infographic showing various Medicare Advantage Manager job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 80% Physical, 2% Hybrid, and 18% Remote job distribution, with an average salary of $59,525 per year, or $28.6 per hour.

Sr. Director, Medicare Advantage Product or Benefits

Eden Prairie, MN • On-site

UnitedHealth Group
Insurance Services • 10K+ employees
Learn more about UnitedHealth Groupexternal

$129K - $170K/yr

Full-time

Medical, Retirement

Posted 18 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Position Summary:
The Optum Health Enterprise Payer Team is responsible for owning, driving, and optimizing Optum Health's payer portfolio to achieve sustainable value-based care relationships. The Senior Product and Benefits Director will play a critical role in developing strategies to successfully position Medicare Advantage products within Optum Health value-based care arrangements including benefit design and planning, sales distribution relationships, identifying best practices, and AEP/OEP/SEP payer performance.
This individual will be expected to:
  • Be the subject matter expert for Medicare Advantage benefits and products including product management, product definition, risk identification, standard benefit models, and financial and regulatory impacts
  • Own the Optum Health strategic analysis of Medicare Advantage benefit design and planning
  • Provide quantitative and qualitative interpretation of AEP payer performance to help advance Optum Health goals
  • Understand CMS required deadlines and quality requirements for Medicare Advantage products and programs
  • Understand the scope and strategy for bid submission, including defining standard benefit models and alignment to product strategy
  • Foster relationships with cross-functional partners to solve critical business initiatives
  • Proactively identify problems and develop recommended solutions

This individual will need to be able to function in a diverse environment with varying level stakeholders across internal and external stakeholder groups, abstract and fluid environments, and simultaneous deadlines. The position requires an ability to comprehend Medicare Advantage, local markets' strategies while demonstrating awareness of broader systems across the enterprise, both strategically and tactically. Organizational agility will be required - building meaningful relationships and facilitating decision-making to continue achieving Optum Health's value-based care agenda.
Primary Responsibilities:
  • Lead end to end benefit strategy for all payers across Medicare Advantage plans
  • Create solid relationships with payer product teams to align membership strategies with enterprise financial performance targets
  • Analyze benefit performance/ROI and develop investment recommendations
  • Partner with Health Care Economics and Actuarial teams to ensure MACVAT data is completed and correct prior to socialization with key regional partners
  • Conduct in-depth analysis and strategic summary of AEP results
  • Identify key benefit battleground states and areas of greatest risk and opportunity along with key market insights
  • Ensure cross functional collaboration with finance and HCE to quantify benefit decision impact
  • Partner with local growth and marketing teams on broker/partnership strategy and execution, to unify capabilities where possible and create a cohesive approach
  • Develop and socialize specific AEP strategies with leadership and provide market feedback
  • Develop executive materials for overall benefit strategies and approach
  • Collaborate with care delivery and Optum at Home to build risk programs that strengthen overall market positioning and advance Optum's value prop to further differentiate for consumers and partners
  • Synthesize market, competitor, regulatory, financial, and operational intelligence to inform priorities, decisions, and future innovation opportunities

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • 10+ years of experience in healthcare strategy, Medicare, product management, innovation, or consulting
  • 5+ years of health plan or Medicare Advantage experience
  • Expert knowledge of Medicare Advantage benefits and products including product management, product definition, risk identification, standard benefit models, and financial and regulatory impacts
  • Experience with Medicare Advantage bid filings
  • Demonstrated ability to achieve high performance by utilizing resources in a matrix environment
  • Demonstrated ability to work with and communicate with all levels of the organization
  • Proven solid analytical skills

Preferred Qualifications:
  • Knowledge of Medicare Stars, HEDIS, value-based care models, provider incentives, care gap closure, supplemental data exchange, pharmacy quality, affordability/utilization, and provider engagement operations
  • Experience working with Actuarial and Underwriting teams
  • Proven ability to achieve superior results in a performance-oriented environment
  • Proven ability to work with all levels of management across all functions and business partners
  • Demonstrated problem solving, analysis, and resolution at strategic and functional levels
  • Demonstrated ability to manage competing priorities and a rapidly changing business environment
  • Demonstrated excellent written and verbal communication skills
  • Willingness to travel up to 20%

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $159,300 - $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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