ZipRecruiter

Log In

1

Medicare Director Jobs in Delaware (NOW HIRING)

Long Term Care

Admissions Director

Wilmington, DE

The Admissions Director will be responsible for increasing census and increasing market awareness ... Maintain knowledge of Medicare and Medicaid regulations. * Maintain relationships with legal and ...

Concentra

Physician Clinic Medical Director

Newark, DE · On-site

Must be eligible to participate in Medicare * Board Certification or Eligibility in an ABMS or AOA ... Monthly Medical Director Stipend * Monthly RVU Bonus Incentive * Quarterly Quality Care Bonus ...

Concentra

Physician Clinic Medical Director

Newark, DE · On-site

Must be eligible to participate in Medicare * Board Certification or Eligibility in an ABMS or AOA ... Monthly Medical Director Stipend * Monthly RVU Bonus Incentive * Quarterly Quality Care Bonus ...

Stonegates

Accounts Receivable

Wilmington, DE · On-site

$65K - $70K/yr

Report all census discrepancies immediately to Director of Nursing. Prepare and bill appropriate paying agencies (Private, Medicare, Private Insurance, etc.) monthly in accordance with the ...

Medical Facilities of America, Inc.

RN MDS

Wilmington, DE · On-site

$36.25 - $43.75/hr

... with direct care staff, the patient's physician, and family. You will play a pivotal role in ... Ensure Assessment Reference Date (ARD) stays within Medicare & Medicaid guidelines. * Participate ...

next page

Showing results 1-20

People also search for

All JobsMedicare Director JobsMedicare Director Jobs in Delaware

Medicare Director information

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.

What are the most commonly searched types of Medicare jobs in Delaware? The most popular types of Medicare jobs in Delaware are:
What job categories do people searching Medicare Director jobs in Delaware look for? The top searched job categories for Medicare Director jobs in Delaware are:
What cities in Delaware are hiring for Medicare Director jobs? Cities in Delaware with the most Medicare Director job openings:
Medicare Director jobs near you

Director of Admissions

Encore at Wilmington

Wilmington, DE

$75K - $85K/yr

Full-time

Posted 19 days ago

Job description

Encore at Wilmington is seeking an experienced and driven Director of Admissions to oversee and manage the full admissions process for our Health Center. This role is essential in ensuring a smooth transition for residents while building strong relationships with referral sources and families.

Key Responsibilities:

  • Manage the entire admissions process from referral to admission

  • Build and maintain relationships with hospitals, physicians, and referral partners

  • Conduct resident/family admission interviews and collect all required documentation

  • Review and explain Medicare Part A coverage, denials, and certifications

  • Maintain accurate census data including admissions, discharges, transfers, and payer changes

  • Coordinate admissions, transfers, and discharges with clinical and administrative teams

  • Provide facility tours and serve as the primary admissions contact

  • Maintain all admission records and files in compliance with regulations

  • Track and manage waitlists and referral pipelines

  • Ensure residents and families are fully informed of rights and services

  • Support utilization review processes for Medicare admissions

  • Maintain strict confidentiality of all resident information

    Qualifications:

  • Experience in long-term care, skilled nursing, or healthcare admissions preferred

  • Strong knowledge of Medicare Part A and admission processes required

  • Excellent communication and interpersonal skills

  • Strong organizational and multitasking ability

  • Ability to work in a fast-paced environment and manage multiple priorities

Work Environment:

  • Office-based role with frequent interaction across departments

  • Requires walking throughout the facility

  • May involve exposure to healthcare environments

Why Encore:

  • Collaborative and supportive leadership team

  • Opportunity for growth within a multi-facility organization

  • Make a meaningful impact on resident experience and care

  • Apply today and join a team committed to excellence in care and service.