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Medicare Manager Jobs in Rio Rancho, NM (NOW HIRING)

HCSC Group

Clinical Pharmacy Manager

Albuquerque, NM · On-site

$102K - $184K/yr

This Includes But Is Not Limited To Cms Stars And Medicaid Quality Withhold Programs, Medicare And ... Additionally, This Position Requires Collaboration With Management And Professional Staff Within ...

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Medicare Manager information

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$23K

$56K

$109.1K

How much do medicare manager jobs pay per year?

As of Sep 14, 2026, the average yearly pay for medicare manager in Rio Rancho, NM is $55,990.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,500.00 and $64,400.00 per year, depending on experience, location, and employer.

What is a Medicare manager?

A Medicare Manager oversees Medicare-related operations within a healthcare organization, ensuring compliance with federal regulations and optimizing Medicare services. They manage enrollment, billing, claims processing, and reimbursement while staying updated on policy changes. Additionally, they may lead a team, develop strategies to improve efficiency, and liaise with government agencies to resolve issues. Their role is essential for maintaining financial stability and delivering quality care to Medicare beneficiaries.

What are the key skills and qualifications needed to thrive as a Medicare manager?

To thrive as a Medicare Manager, you need an in-depth knowledge of Medicare regulations, benefits administration, and healthcare compliance, typically supported by a bachelor's degree in healthcare administration or a related field. Experience with Medicare claims processing systems, healthcare management software, and familiarity with CMS guidelines are highly valuable. Exceptional organizational skills, leadership abilities, and strong communication help you excel at overseeing teams and interacting with beneficiaries. These competencies are essential for ensuring regulatory compliance, efficient operations, and high-quality service within healthcare organizations.

What are the typical career growth opportunities for a Medicare manager?

Medicare Managers often have clear pathways for advancement, such as moving into senior leadership roles like Director of Medicare Operations or transitioning into broader healthcare management positions. With experience, you may also specialize further in policy development, compliance, or quality improvement within larger healthcare organizations. Many employers support ongoing education and professional certification to help you advance your skills and career. Demonstrating initiative, strong problem-solving, and leadership in this role can open doors to significant management and executive opportunities in the healthcare field.

What are the most commonly searched types of Medicare jobs in Rio Rancho, NM?

The most popular types of Medicare jobs in Rio Rancho, NM are:

What job categories do people searching Medicare Manager jobs in Rio Rancho, NM look for?

The top searched job categories for Medicare Manager jobs in Rio Rancho, NM are:

What cities near Rio Rancho, NM are hiring for Medicare Manager jobs?

Cities near Rio Rancho, NM with the most Medicare Manager job openings:

Medicare Manager jobs near you
Infographic showing various Medicare Manager job openings in Rio Rancho, NM as of September 2026, with employment types broken down into 87% Full Time, 10% Part Time, and 3% Contract. Highlights an 78% Physical, 2% Hybrid, and 20% Remote job distribution, with an average salary of $55,990 per year, or $26.9 per hour.

Medicaid Billing Specialist Remote

Albuquerque, NM • Remote

OPCO Skilled Management
Nursing and Residential Care Facilities • 201 - 500 employees
Learn more about OPCO Skilled Managementexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 days ago

Job description

Job Type: Full-Time.

Benefits Offered:

  • Healthcare

  • Dental

  • Vision

  • PTO

  • 401K

Your Job Summary:

The Medicaide Advoctage will be responsible for reviewing the Medicaid Pending applications and Medicaid renewals for assigned facilities to ensure Medicaid eligibility to obtain timely coverage and approvals. Provides ongoing support to Regional AR staff, BOM and ABOM in the areas of billing, claims, eligibility and authorization process for all payer types, such as Medicaid, Medicare, Managed Care, etc. 

Your Qualifications

• Experience in the application/renewal process for Medicaid in LTC facilities

• Experience with TMHP and SimpleLTC portals preferred

• Proficient computer skills

• Well organized and able to multitask

• Attention to detail

• Ability to travel, which includes a valid driver’s license and automobile insurance 

Your Responsibilities

Principal Responsibilities

• Review referrals and Medicaid questionnaire from assigned facilities to determine eligibility for Medicaid.

• Review all applications and supporting documentation prior to submitting to HHSC.

• May have communication with the residents and/or family members regarding the application process and supporting documentation needed.

• Maintain tracking system for all assigned Medicaid Pending residents to approval.

• Maintain tracking system to monitor Medicaid renewals to avoid interruption in coverage.

• Email communication with the facility and Regional Business Office Consultant to obtain information needed for the application process or renewal.

• Attend biweekly calls with assigned facilities and Regional Business Office Consultant for assigned facilities to discuss statuses, approvals, denials and any information needed from the facility.

• May assist with training the Business Office staff on the Medicaid application process.

• Report any delays, barriers or denials to the Senior Medicaid Advocate.

• Report weekly to the Senior Medicaid Advocate any outstanding items needed for application/renewal completion as well as the status on any denials.

• Ensure compliance with all State laws in relation to your position.

• Adherence to the Organization’s Compliance Plan and Code of Ethics.

• May occasionally assist other departments within the Central Billing Office. • Other duties, responsibilities and activities may change or assigned at any time with or without notice.