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Medicare Advantage Program Manager Jobs (NOW HIRING)

Twin Health

Director, Medicare Advantage Strategy

Working expertise across multiple dimensions of Medicare Advantage, such as Stars, CAHPS/member experience, clinical programs, care management, supplemental benefits, risk adjustment, health equity ...

ZS

Medicare Advantage Manager

Princeton, NJ · On-site

$200K - $229K/yr

Health Plan Manager for Medicare Advantage Center of Excellence What You'll Do * Demonstrate deep ... Milestone training programs aligned to career progression opportunities * Internal mobility paths ...

Twin Health

Director, Medicare Advantage Strategy

Working expertise across multiple dimensions of Medicare Advantage, such as Stars, CAHPS/member experience, clinical programs, care management, supplemental benefits, risk adjustment, health equity ...

Bcbsa

Medicare Plan Management Principal

Chicago, IL · Hybrid

The role leads the design and execution of plan-facing strategy for the Medicare Advantage program ... Lead change manage strategy for program evolution, ensuring Plans are prepared for, engaged with ...

A-Line Staffing Solutions

Be Seen First

Member Services Representative - Medicare Advantage

Akron, OH · On-site

$20 - $22.50/hr

... programs. * Provide personalized assistance regarding plan benefits, provider networks, pharmacy ... Perform administrative and reporting duties as assigned by management. MEDICARE ADVANTAGE MEMBER ...

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Medicare Advantage Program Manager information

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$38.5K

$107.5K

$157K

How much do medicare advantage program manager jobs pay per year?

As of Sep 10, 2026, the average yearly pay for medicare advantage program manager in the United States is $107,460.00, according to ZipRecruiter salary data. Most workers in this role earn between $79,500.00 and $132,500.00 per year, depending on experience, location, and employer.

What does a Medicare Advantage Program Manager do?

A Medicare Advantage Program Manager oversees the planning, implementation, and administration of Medicare Advantage health plans within an organization. Their role includes ensuring compliance with federal and state regulations, managing plan performance, coordinating cross-functional teams, and developing strategies to enhance member satisfaction and enrollment. They also analyze data, monitor trends, and work with healthcare providers to optimize services for Medicare Advantage members. This position requires strong organizational and leadership skills, as well as a deep understanding of Medicare policies.

What are the key skills and qualifications needed to thrive as a Medicare Advantage Program Manager?

A Medicare Advantage Program Manager requires in-depth knowledge of Medicare regulations, program management experience, and a relevant bachelor's degree, often in healthcare administration or a related field. Familiarity with CMS guidelines, data analytics platforms, and project management tools is typically necessary, and certifications such as PMP or Lean Six Sigma can be advantageous. Exceptional leadership, problem-solving, and communication skills help navigate regulatory complexities and coordinate cross-functional teams. These competencies are vital to ensure compliance, operational efficiency, and the delivery of high-quality services to Medicare Advantage members.

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

Medicare Advantage Program Managers often navigate complex regulatory requirements and frequent policy changes from the Centers for Medicare & Medicaid Services (CMS). Staying compliant while managing plan performance and member satisfaction can be challenging. To address these issues, managers should prioritize ongoing education, foster strong collaboration with compliance and clinical teams, and leverage data analytics to identify areas for improvement. Building strong relationships with external partners and internal stakeholders also helps ensure efficient communication and effective program implementation.

What is the difference between Medicare Advantage Program Manager vs Medicare Benefits Analyst?

AspectMedicare Advantage Program ManagerMedicare Benefits Analyst
CredentialsTypically requires a bachelor’s degree in healthcare administration, business, or related field; certifications like CPC or CCM are commonUsually holds a bachelor’s degree in health administration, finance, or related area; certifications like CPC or CHC may be preferred
Work EnvironmentWorks within healthcare organizations, insurance companies, or government agencies managing Medicare Advantage plansWorks in healthcare or insurance companies analyzing Medicare benefits, costs, and policy compliance
Employer & Industry UsageCommonly employed by insurance providers, healthcare organizations, and government programsEmployed by insurance companies, healthcare providers, or consulting firms focusing on Medicare benefits

While both roles involve Medicare, the Medicare Advantage Program Manager oversees the development and management of Medicare Advantage plans, focusing on program operations and compliance. The Medicare Benefits Analyst analyzes Medicare benefits and costs, supporting decision-making and policy analysis. Both roles require healthcare knowledge but differ in scope and responsibilities.

Who manages Medicare Advantage Program Manager?

A Medicare Advantage Program Manager is typically managed by senior healthcare administrators or directors within a health insurance organization. They oversee the program's operations, compliance, and performance, often working with teams of healthcare professionals and utilizing data analysis tools. The role requires knowledge of Medicare regulations and program management skills.

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

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

Infographic showing various Medicare Advantage Program Manager job openings in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 73% In-person, 9% Hybrid, and 18% Remote job distribution, with an average salary of $107,460 per year, or $51.7 per hour.

Director, Medicare Advantage Strategy

Remote

Twin Health
Health Care and Social Assistance • 51 - 200 employees
Learn more about Twin Healthexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

Job description

Opportunity

We are looking for a Director, Medicare Advantage Strategy to bring deep Medicare Advantage expertise to Twin as we build and scale our offering for MA members and health plan partners.

This person will be Twin's internal expert on the Medicare Advantage population, ecosystem, and market. You will help us deeply understand MA members-their needs, behaviors, barriers, care experiences, and expectations-and translate that expertise into better product, clinical, operational, and commercial decisions.

You will partner closely with Product, Clinical, Operations, Commercial, Marketing, and executive leadership to help shape Twin's Medicare Advantage strategy and member experience. You will bring an informed perspective on what works, what doesn't, what health plans expect, and where the market is headed-helping Twin anticipate needs and opportunities rather than simply reacting to them.

This is an ideal role for someone who has spent significant time in Medicare Advantage and wants to use that expertise to help build a differentiated, technology- and AI-enabled model of metabolic care for the Medicare population.

You will also serve as an external voice for Twin on Medicare Advantage, representing the company with customers, partners, industry groups, panels, and conferences.

Responsibilities 

  • Serve as Twin's subject matter expert on Medicare Advantage, bringing deep knowledge of MA members, health plans, care models, market dynamics, and industry best practices.
  • Develop a deep, continuously evolving understanding of the MA member, including health needs, motivations, technology comfort, accessibility needs, care-seeking behaviors, social needs, engagement barriers, and expectations of their health plan and care providers.
  • Advise Product, Design, Clinical, and Operations teams on how Twin's member experience and care model should evolve for the Medicare population.
  • Partner with the Medicare Advantage Product Lead to shape the end-to-end MA member journey, identify gaps and opportunities, and pressure-test product strategy and roadmap decisions.
  • Help Twin look around corners by monitoring changes in the MA market, CMS policy, health plan priorities, competitive offerings, emerging care models, and member expectations-and translating those changes into implications for Twin.
  • Bring expertise across key MA domains including member experience, Stars and quality, CAHPS, supplemental benefits, care management, health equity, risk adjustment, utilization, retention, and plan economics-and understand how these areas interact with Twin's offering.
  • Partner with Commercial and Product Marketing to understand health plan priorities, strengthen Twin's MA value proposition, support strategic customer conversations, and inform positioning and competitive differentiation.
  • Build and maintain Twin's internal MA knowledge base, educating teams and leadership on the Medicare Advantage ecosystem, member population, terminology, incentives, and emerging trends.
  • Establish relationships with external experts, health plans, industry organizations, and other stakeholders to keep Twin connected to evolving MA practices and perspectives.
  • Represent Twin externally as a Medicare Advantage thought leader through customer conversations, industry panels, conferences, webinars, and other forums.
  • Help identify new opportunities for Twin within Medicare Advantage, including populations, partnerships, capabilities, and care models where Twin can create differentiated member and plan value.
  • Other duties as assigned.

Qualifications 

  • Deep Medicare Advantage Experience: 10+ years of experience in Medicare Advantage, Medicare, managed care, or closely related healthcare roles, with significant direct exposure to MA.
  • Member & Market Expertise: Deep understanding of the Medicare population and the practical realities of engaging and caring for older adults and other Medicare beneficiaries.
  • Health Plan Expertise: Strong understanding of how Medicare Advantage plans operate, make decisions, measure performance, and evaluate partners and solutions.
  • Broad MA Knowledge: Working expertise across multiple dimensions of Medicare Advantage, such as Stars, CAHPS/member experience, clinical programs, care management, supplemental benefits, risk adjustment, health equity, retention, and regulatory requirements.
  • Builder's Mindset: Comfortable moving beyond explaining how Medicare Advantage works to helping design what a better Medicare experience should look like.
  • Executive Presence: Strong communicator who can represent Twin credibly with senior health plan leaders, customers, partners, industry experts, and external audiences.
  • Thought Leadership: Experience presenting to executive audiences and ideally speaking at industry events, panels, conferences, webinars, or other external forums.
  • This remote opportunity based out of the U.S. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Compensation and Benefits 

The compensation range for this position is $215,000 - $245,000 annually. 

Twin has an ambitious vision to empower people to live healthier and happier lives, and to achieve this purpose, we need the very best people to enhance our cutting-edge technology and medical science, deliver the best possible care, and turn our passion into value for our members, partners and investors. We are committed to delivering an outstanding culture and experience for every Twin employee through a company based on the values of passion, talent, and trust. We offer comprehensive benefits and perks in line with these principles, as well as a high level of flexibility for every Twin

  • A competitive compensation package in line with leading technology companies
  • A remote and accomplished global team
  • Opportunity for equity participation 
  • Unlimited vacation with manager approval
  • 16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents
  • 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options
  • 401k retirement savings plan

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