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

CVS Health

Analyst,Patient Relations

Albuquerque, NM · On-site

$21.10 - $40.90/hr

The Patient Relations Analysts will report to the Associate Patient Relations Manager or Practice Manager. Responsibilities: * Assist patients with navigating medicare and insurance issues which ...

CVS Health

Analyst,Patient Relations

Albuquerque, NM

$21.10 - $40.90/hr

The Patient Relations Analysts will report to the Associate Patient Relations Manager or Practice Manager. Responsibilities: * Assist patients with navigating medicare and insurance issues which ...

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All JobsMedicare JobsMedicare Manager JobsMedicare Manager Jobs in Rio Rancho, NM

Medicare Manager information

See Rio Rancho, NM salary details

$23K

$56K

$109.1K

How much do medicare manager jobs pay per year?

As of Jun 16, 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 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 is a Medicare Manager job?

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 in the Medicare Manager position, and why are they important?

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 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 June 2026, with employment types broken down into 82% Full Time, and 18% Part Time. Highlights an 76% In-person, 12% Hybrid, and 12% Remote job distribution, with an average salary of $55,990 per year, or $26.9 per hour.
Care Manager (San Juan, McKinley County based)- LPN/RN

Care Manager (San Juan, McKinley County based)- LPN/RN

Molina Healthcare

Albuquerque, NM • On-site

$24 - $46.81/hr

Full-time

Posted 12 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 192 frontline employees who took The Breakroom Quiz

146th of 261 rated insurance

Job description

Job Description
Job Summary
Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
This role works in the San Juan or McKinley Counties.
Essential Job Duties
• Completes assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments.
• Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
• Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
• Collaborates with licensed care managers/leadership as needed or required.
• 25- 40% estimated local travel may be required (based upon state/contractual requirements).
Required Qualifications
• At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
• Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Demonstrated knowledge of community resources.
• Ability to operate proactively and demonstrate detail-oriented work.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations
.• Ability to work independently, with minimal supervision and self-motivation.
• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
Preferred Experience:
LPN (Licensed Practical Nurse).
Experience with Medicare Advantage, D-SNP, integrated care management.
Experience working with New Mexico Medicaid/Medicare MCO
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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