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Medicare Director Jobs (NOW HIRING)

Insurance Lounge LLC

Medicare Director

Grants Pass, OR · On-site

Insurance Lounge - Medicare Director Role Overview The Medicare Director is responsible for the overall success of all Medicare-related products, including Medicare Advantage, Medicare Supplement ...

Humana, Inc.

Medical Director - OP Medicare

Become a part of our caring community The Medical Director National OP Medicare relies on medical background and reviews preauthorization requests for services. You will work assignments that involve ...

American Advanced Management

Medicare Biller

Salida, CA · On-site

$22 - $26/hr

POPULATION SERVED The position does not involve direct patient care for a population of patients ... Resubmit claims, file appeals/denials, and demonstrate in-depth knowledge of Medicare, Medi-Cal and ...

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How much do medicare director jobs pay per year?

As of May 28, 2026, the average yearly pay for medicare director in the United States is $135,863.00, according to ZipRecruiter salary data. Most workers in this role earn between $137,500.00 and $141,000.00 per year, depending on experience, location, and employer.

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

To thrive as a Medicare Director, you need in-depth knowledge of Medicare regulations, healthcare management experience, and often a bachelor's or master's degree in healthcare administration or a related field. Familiarity with CMS guidelines, health plan management software, and regulatory compliance tools is typically required. Excellent leadership, strategic thinking, and strong communication skills are crucial for coordinating teams and ensuring regulatory adherence. These competencies are essential for ensuring efficient plan operations, maintaining compliance, and delivering high-quality healthcare services to beneficiaries.

What are some of the common challenges faced by a Medicare Director, and how can they effectively address them?

Medicare Directors often navigate complex regulatory environments and rapidly evolving healthcare policies. A common challenge is ensuring compliance with both state and federal Medicare guidelines while maintaining efficient operations and high-quality member care. To address these, successful Medicare Directors stay updated on policy changes, foster strong relationships with compliance officers, and implement continuous staff training. Additionally, they collaborate closely with cross-functional teams such as clinical, legal, and IT departments to streamline processes and improve patient outcomes.

What is a Medicare Director?

A Medicare Director is a senior-level professional responsible for overseeing Medicare programs within a healthcare organization, insurance company, or government agency. They manage compliance with federal and state regulations, develop strategies to maximize Medicare services, and ensure high-quality care for Medicare beneficiaries. Their duties often include supervising teams, coordinating with external partners, monitoring program performance, and staying up-to-date with changes in Medicare policies. Medicare Directors play a crucial role in optimizing operations and ensuring that their organization meets all requirements for Medicare participation.

What is the difference between Medicare Director vs Medicare Coordinator?

AspectMedicare DirectorMedicare Coordinator
Required CredentialsBachelor's degree, industry experience, possibly certifications in healthcare managementHigh school diploma or equivalent, healthcare or insurance experience often preferred
Work EnvironmentManagement setting, overseeing teams and programs within healthcare organizationsAdministrative or support roles, working closely with Medicare plans and beneficiaries
Employer & Industry UsageHospitals, insurance companies, government agenciesInsurance providers, healthcare facilities, government programs
Common Search & ComparisonMedicare Director vs Medicare Coordinator

The Medicare Director typically holds a management role with strategic responsibilities, requiring higher education and experience. In contrast, the Medicare Coordinator focuses on administrative support and day-to-day operations. Both roles are essential in the Medicare industry but differ in scope, responsibilities, and qualifications.

More about Medicare Director jobs
What cities are hiring for Medicare Director jobs? Cities with the most Medicare Director job openings:
What are the most commonly searched types of Medicare jobs? The most popular types of Medicare jobs are:
What states have the most Medicare Director jobs? States with the most job openings for Medicare Director jobs include:
What job categories do people searching Medicare Director jobs look for? The top searched job categories for Medicare Director jobs are:
Medicare Director jobs near you
Medicare Director

Medicare Director

Insurance Lounge LLC

Grants Pass, OR • On-site

Full-time

Posted 9 days ago

Job description

Insurance Lounge Job Description- Medicare Director
Role Overview
The Medicare Director is responsible for the overall success of all Medicare-related products, including Medicare Advantage, Medicare Supplement, and Prescription Drug Plans. This role drives production, ensures strict compliance with CMS regulations, manages carrier relationships, and maintains deep product expertise across the organization. The Product Director owns seasonal planning (AEP/OEP), ensures team readiness, and maintains full visibility into the health, compliance, and performance of the Medicare book of business. This role regularly presents strategic plans, adjustments, and pivots to meet growth, retention, and compliance standards.
Why Join Insurance Lounge?
This role represents a unique opportunity to take ownership of an established but growing Medicare division within a forward-thinking, independent agency. Insurance Lounge values leadership, accountability, compliance, and innovation, and empowers its directors to shape Medicare strategy, lead high-performing teams, and drive meaningful growth across all Medicare product lines. The Medicare Director will play a critical role in seasonal success, including AEP and OEP execution, while maintaining strict adherence to CMS guidelines and delivering an exceptional client experience.
This position offers a seat at the table with executive leadership and the ability to directly influence Medicare growth, compliance standards, and long-term organizational strategy. For a proven Medicare leader seeking long-term impact, professional autonomy, and the opportunity to build and scale a best-in-class Medicare program, this role offers both challenge and reward.
Primary Objectives
  • Own production through personal & department growth, and retention for all Medicare product lines (MAPD, PDP, Med Supp)
  • Ensure full compliance with CMS guidelines across self and all team members
  • Manage and strengthen Medicare carrier relationships
  • Serve as the internal Medicare product expert, including plan knowledge, compliance, and positioning
  • Oversee and enforce compliant sales practices, including Scope of Appointment (SOA), documentation, and marketing guidelines
  • Track and maximize carrier incentives, bonus programs, and production tiers
  • Maintain a clear, real-time understanding of Medicare book performance and compliance status
  • Lead all Medicare seasonal planning, including AEP and OEP strategy, staffing, and execution
  • Identify gaps in production, compliance, or process and present actionable solutions
  • Lead and coordinate Medicare product and compliance training for sales and support teams
  • Partner with leadership to align Medicare strategy with overall company growth goals
  • Provide consistent reporting on production, retention, compliance adherence, and trends
  • Identify new carrier opportunities and market expansion strategies within Medicare
  • Oversee client experience and issue resolution specific to Medicare policies.

Key Performance Indicators (KPIs)
  • Medicare policy retention rate
  • Active Medicare client count
  • Total Medicare policy count (by product type)
  • AEP production results vs. targets
  • OEP production and retention performance
  • Compliance audit results (internal and external)
  • SOA and documentation accuracy rates
  • Carrier bonus and incentive performance vs. targets
  • Medicare training and compliance sessions completed
  • Leadership reporting cadence (monthly/quarterly)

Success Looks Like
  • Lead by example through personal production to demonstrate product knowledge
  • Medicare book of business is growing, retained, and compliant
  • AEP and OEP are executed with strong production and zero compliance issues
  • Team demonstrates confidence and accuracy in Medicare product knowledge and compliance
  • Carrier partnerships are strong, engaged, and producing results
  • Leadership has clear visibility into Medicare performance and risk areas
  • Compliance issues are proactively prevented, not reactively corrected

Required Qualifications
  • 8+ years of Medicare insurance experience with direct responsibility for selling, servicing, and managing Medicare Advantage, Prescription Drug Plans, and Medicare Supplement products
    • 8+ years of experience building, leading, and managing a Medicare sales and/or service team
    • Demonstrated experience developing Medicare growth strategies, including AEP/OEP planning, and presenting recommendations to executive leadership
    • Proven success establishing and managing Medicare carrier relationships and identifying market expansion opportunities
    • Strong technical knowledge of Medicare products, CMS regulations, compliance requirements, and enrollment processes
    • Hands-on experience ensuring compliant sales practices, including Scope of Appointment (SOA), documentation, and marketing guidelines
    • Extensive experience with Applied Epic or a comparable CRM/agency management system, including Medicare tracking and reporting
    • Proven ability to lead teams, drive accountability, and deliver measurable production, retention, and compliance results

Work Location & Compensation
This is a full-time, in-person leadership role based out of Insurance Lounge's corporate headquarters in Grants Pass, Oregon. Competitive director-level compensation is offered, including base salary, performance-based bonus opportunities tied to Medicare production, retention, and compliance performance, with negotiable relocation and signing bonuses for qualified candidates.

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