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Medicare Advantage Program Manager Jobs (NOW HIRING)

Palm Medical Centers

$93K - $128K/yr

... programs that cater to the communities we serve. Every day, Palm Primary Care delivers on its ... Strong understanding of chronic disease management, preventative care, and quality metrics in a ...

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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.

Medicare Advantage Enrollment Supervisor

Los Angeles, CA • On-site

UCLA Health
Health Care and Social Assistance • 10K+ employees
Learn more about UCLA Healthexternal

$73K - $149K/yr

Full-time

Posted 20 days ago

UCLA Health rating

8.7

Company rating: 8.7 out of 10

Based on 137 frontline employees who took The Breakroom Quiz

Job description

General Information
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Work Location: Los Angeles, CA, USA
Onsite or Remote
Flexible Hybrid
Work Schedule
Monday-Friday, 8:00am-5:00pm PST
Posted Date
08/20/2026
Salary Range: $73000 - 149600 Annually
Employment Type
2 - Staff: Career
Duration
Indefinite
Job #
32464
Primary Duties and Responsibilities
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As the Medicare Advantage Enrollment Supervisor, you will lead and supervise day-to-day enrollment operations, ensuring seamless Medicare membership enrollment, reconciliation, and benefits coordination.
You will:
  • Lead and oversee all aspects of Medicare Membership Enrollment and Reconciliation operations.
  • Manage coordination of benefits and ensure compliance with regulatory requirements.
  • Represent enrollment and reconciliation operations in cross-functional projects.
  • Act as Product Owner for Enrollment:
    • Ensure project requirements are clearly defined and implemented.
    • Review and approve requirements documentation.
    • Participate in solution design and definition.
    • Provide guidance and direction to project teams.
    • Coordinate cross-functional discussions and efforts.
  • Develop and maintain reports and project timelines to track progress and outcomes.

Salary Range: $73,000 - $149,600/annually
Job Qualifications
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We're seeking a detail-oriented leader with:
Required:
• A high school diploma or equivalent
• 2-4 years of experience in a Medicare health plan or Managed Care environment supervising Member Enrollment and Billing staff and processes
• Robust knowledge of Medicare and CMS enrollment and regulatory requirements
• Strong leadership skills, with the ability to articulate goals, plan, implement processes to achieve goals, recognize and assess the implications of cofounding variables, anticipate consequences, and meet deadlines
• Working knowledge of Microsoft Office Suite (Excel, Word, and PowerPoint) and data visualization tools
• Excellent oral and written communication skills
• Ability to prioritize and perform a variety of duties within a system that has frequently changing assignments, priorities and deadlines
• Strong critical thinking and the ability to apply knowledge at a broad level
• Reliability and compliance with scheduling standards
As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Current/former UC employees are subject to a personnel file review.

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About UCLA Health

Sourced by ZipRecruiter

UCLA Health, operating within the healthcare industry, is significantly recognized for its commitment to improving the health and wellbeing of people through the integration of patient care, research, and education. Located in Los Angeles, California, UCLA Health was founded and associated with the University of California, Los Angeles (UCLA) in 1955, entrenching its roots in quality healthcare service provision. Through a broad range of medical services, UCLA Health significantly stands as a cornerstone for comprehensive outpatient, inpatient, and emergency care services, specialized treatments, and wellness checks. Notable for pioneering an integrated, comprehensive medical approach, UCLA Health is consistently ranked among the top health systems in the US and world.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Los Angeles, CA, US

Year founded

1955

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