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Medicare Manager Jobs in Riverside, CA (NOW HIRING)

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Health Care Analyst (Medicare)

Orange, CA · Remote

You will be understanding the strategic direction set by senior management as it relates to team ... Who is currently in Medicare/ Medicaid! Who holds 2+ years Program management, full lifecycle ...

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Medicare Manager information

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$25.6K

$62.1K

$121K

How much do medicare manager jobs pay per year?

As of Aug 31, 2026, the average yearly pay for medicare manager in Riverside, CA is $62,101.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,800.00 and $71,500.00 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 Riverside, CA?

The most popular types of Medicare jobs in Riverside, CA are:

What job categories do people searching Medicare Manager jobs in Riverside, CA look for?

The top searched job categories for Medicare Manager jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Medicare Manager jobs?

Cities near Riverside, CA with the most Medicare Manager job openings:

Medicare Manager jobs near you
Infographic showing various Medicare Manager job openings in Riverside, CA as of August 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $62,101 per year, or $29.9 per hour.

Member Services Representatives - Medicare (Short-Term)

Rancho Cucamonga, CA • On-site

Inland Empire Health Plan
Insurance Services • 1 - 5K employees

6.8

Company rating: 6.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

270th of 315 rated insurance

Paid breaks

Respectful managers

Learn new skills

Learn more about Inland Empire Health Planexternal

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 7 days ago

Job description

Overview
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!
Medicare Member Services Representative is responsible for being a devoted and compassionate advocate for Medi-Cal, Medi-Medi and Medicare Members when assisting with maximizing their benefits, navigating the healthcare system and reaching their optimal health. Using multiple complex systems, responsible for providing guidance and answering questions from Members about their benefits and medical claims, as well as educating Members about wellness programs. Assisting Members in assessing tools available to help guide decision-making about complex matters related to their wellbeing. Facilitate the Members selection and access to in-network healthcare providers. Collaborate with inter-departments to ensure Member needs are met.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
This is a short-term role with a duration of up to 6 months. Please note that this position is not eligible for benefits.
While there is a possibility that this role could lead to a permanent position, permanent employment is not guaranteed and will depend on business needs, performance, and other factors.
Additional Benefits
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
  • Competitive salary
  • State of the art fitness center on-site
  • Medical Insurance with Dental and Vision
  • Life, short-term, and long-term disability options
  • Career advancement opportunities and professional development
  • Wellness programs that promote a healthy work-life balance
  • Flexible Spending Account - Health Care/Childcare
  • CalPERS retirement
  • 457(b) option with a contribution match
  • Paid life insurance for employees
  • Pet care insurance

Key Responsibilities
  1. Handle Medi-Cal and Medicare Inbound Calls
    • Responsible for covering the Cisco ACD Queue telephone lines.
    • Meet IEHP and Member Services Call Center standard and policy requirements.
    • Assist Members with many different process or benefit information such as:
      • Members eligibility status
      • Primary care/facility assignments, selections, and changes
      • Health program education
    • Ensures documentation is accurate and in compliance with regulatory requirements and accreditation standards.
    • Maintain knowledge of other department's roles as they pertain to Member Services standard work processes, to ensure proper handling of calls.
    • Ensure key performance indicator goals are met monthly (Quality Assurance, AHT, Adherence).
    • Ensure the privacy and security of PHI (Protected Health Information) as outlined in IEHP's policies and procedures relating to HIPAA compliance.
  2. Off phone work
    • QA Review
    • One on One
    • Projects
    • Meetings
  3. Any other duties as required to ensure Health Plan operations are successful.
  4. Ensure the privacy and security of PHI (Protected Health Information) as outlined in IEHP's policies and procedures relating to HIPAA compliance.

Qualifications
Education & Requirements
  • Internal Candidates:
    • A minimum of twelve (12) months experience as an IEHP Member Services Representative required
    • May substitute with two (2) years of experience in a medical setting
  • External Candidates:
    • Two (2) years of HMO or Manage Care customer service experience analyzing and solving customer problems
  • High School Diploma or GED required
  • This is a non-bilingual: bilingual highly preferred position. Identified bilingual team members in this role must take a language proficiency assessment and must receive a passing score.

Key Qualifications
  • Knowledge of Medicare managed care is preferred
  • Knowledge of Medical terminology, and Medi-Cal managed care is required
  • Understanding of and sensitivity to multi-cultural community.
  • Proficiency in Microsoft Office Suite; high level capacity to multitask
  • Excellent multi-tasking skills
  • Typing 35 words per minute, proficient in Windows applications, and experience in data entry
  • Knowledgeable of with the following programs: Cisco Finesse, Verint, HSP, Microsoft
  • Excellent written and verbal communication and interpersonal skills
  • Strong organizational skills
  • Ability and willingness to learn and follow direction in a fast-paced call center environment
  • Ability and desire to handle 25-30 calls per day. Adherence to specific work schedule is required
  • Works well in a fast-paced environment
  • Team culture a must
  • Positive Attitude and ability to work in a team setting
  • High level of patience
  • Telephone courtesy
  • Attention to detail
  • Willingness and ability to learn
  • Ability to work independently within specified time constraints
  • Excellent punctuality and attendance required
  • Ability to adapt and perform duties efficiently when unexpected changes arise
  • This position will work non-traditional hours to achieve coverage during periods where training or extended call center operations are required

Start your journey towards a thriving future with IEHP and apply TODAY!
Work Model Location
This role will transition to telecommuting after training has been successfully completed and upon leader approval. Training will be conducted onsite, five days per week.
Pay Range
USD $23.00 - USD $23.00 /Hr.

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