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Medicare Operations Jobs (NOW HIRING)

Conflux Systems

Medicare Domain SME

Medicare operations workflow This Expert must be able to play a leadership role in managing and coordinating the members of the BIA team. They must have excellent interpersonal skills, be self ...

Blue Cross and Blue Shield of Kansas Inc.

Responsible for overseeing day-to-day operational work streams that support Medicare products and services to ensure operational/regulatory compliance consistent with FEP, Office of Personnel ...

Bcbsa

Responsible for overseeing day-to-day operational work streams that support Medicare products and services to ensure operational/regulatory compliance consistent with FEP, Office of Personnel ...

Bcbsa

Responsible for overseeing day-to-day operational work streams that support Medicare products and services to ensure operational/regulatory compliance consistent with FEP, Office of Personnel ...

Bcbsa

Responsible for overseeing day-to-day operational work streams that support Medicare products and services to ensure operational/regulatory compliance consistent with FEP, Office of Personnel ...

Bcbsa

Responsible for overseeing day-to-day operational work streams that support Medicare products and services to ensure operational/regulatory compliance consistent with FEP, Office of Personnel ...

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Medicare Operations information

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How much do medicare operations jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for medicare operations in the United States is $21.30, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $24.28 per hour, depending on experience, location, and employer.

What is Medicare Operations?

Medicare Operations refers to the administrative and logistical processes involved in managing Medicare health insurance programs. This includes tasks such as enrolling beneficiaries, processing claims, handling customer service inquiries, ensuring compliance with federal regulations, and coordinating with healthcare providers. Professionals in Medicare Operations work to ensure that Medicare recipients receive their benefits accurately and efficiently while adhering to complex government guidelines. Their work is essential for the smooth functioning of the Medicare system.

What are the key skills and qualifications needed to thrive in Medicare Operations?

To thrive in Medicare Operations, you need a solid understanding of healthcare regulations, Medicare policies, and experience with claims processing or healthcare administration. Familiarity with systems like CMS (Centers for Medicare & Medicaid Services) portals, claims adjudication software, and sometimes certification in healthcare compliance (such as CHC or CPC) is valuable. Strong attention to detail, analytical thinking, and effective communication are essential soft skills in this field. These skills and qualifications ensure accurate and compliant processing of Medicare claims, contributing to organizational efficiency and regulatory adherence.

What are some common challenges faced in a Medicare Operations role and how can they be addressed?

Professionals in Medicare Operations often encounter challenges such as staying compliant with frequently changing CMS regulations, managing a high volume of member inquiries, and coordinating effectively across departments like claims, customer service, and provider relations. To address these, it’s important to stay updated on regulatory changes through regular training, utilize robust workflow and documentation tools, and foster clear communication within cross-functional teams. Adopting a proactive approach and leveraging technology can greatly improve efficiency and accuracy in this dynamic environment.

What is the difference between Medicare Operations vs Medicare Claims Specialist?

AspectMedicare OperationsMedicare Claims Specialist
CertificationsKnowledge of Medicare policies, possibly CMS certificationsLikewise, familiarity with Medicare claims processing, often with similar certifications
Work EnvironmentHealthcare organizations, insurance companies, government agenciesHealthcare providers, insurance companies, claims processing centers
Job FocusOverseeing Medicare program administration, policy complianceProcessing and reviewing Medicare claims for reimbursement

Medicare Operations and Medicare Claims Specialist roles share similar certifications and work environments, but differ mainly in scope. Medicare Operations focuses on managing the overall Medicare program and ensuring compliance, while Medicare Claims Specialists handle the detailed processing of claims for reimbursement. Both roles are essential in the healthcare and insurance industries, often overlapping in skills and knowledge areas.

More about Medicare Operations jobs

What are the most commonly searched types of Medicare Operations jobs?

The most popular types of Medicare Operations jobs are:

What are popular job titles for Medicare Operations?

Popular job titles for Medicare Operations:

Medicare Operations jobs near you
Infographic showing various Medicare Operations job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, 1% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $44,307 per year, or $21.3 per hour.

Medicare Operations & Sales Support Associate

Fort Worth, TX • On-site

Level Four Group, LLC
Finance and Insurance • 51 - 200 employees
Learn more about Level Four Group, LLCexternal

Other

PTO

This job post has expired today. Applications are no longer accepted.

Job description

Job Description
Job Description
Our Team is growing, and we need you!
Come be a part of this disruption in the financial services marketplace!
By joining the Level Four family of companies, you’ll be joining one of the fastest growing wealth management firms in the country. After 20+ years, we still have an entrepreneurial spirit, dedicated to embracing change. We are national in scope with offices throughout the U.S., yet with local roots here in North Texas.
We offer:
  • Casual Work Environment
  • Generous Paid Time Off
  • Flexible Work Schedule
  • Great Benefits
  • And More…
Come take your career path to the next level!
The Medicare Operations & Sales Support Associate will support the operations of the Medicare Team by assisting with contracting & licensing, placing & managing Turning 65 workshop orders, organizing, and updating internal resources, managing client database, and assisting Medicare sales team members as needed. They will serve as an additional point of contact for Customers and licensed agents regarding Medicare Advantage, Medicare Supplement, and Prescription Drug Plans.
Essential responsibilities and tasks of the Medicare Operations & Sales Support Associate are:
  • Creating, placing, and managing Turning 65 workshop orders.
  • Assist team members in managing carrier appointments and certifications for new and existing agents.
  • Perform clerical duties such as data entry, generating reports, editing documents, managing a filing system, and updating internal resources such as spreadsheets, CRM, client database, et al.
  • Answer inbound calls , emails, and chat inquiries related to benefits, eligibility, enrollment, and coverage options.
  • Assist in educating customers on Medicare products, enrollment periods, and plan features while maintaining compliance with CMS guidelines
  • Document all customer and agent interactions accurately within the company’s CRM & customer management systems
  • Investigate and resolve customer and agent concerns promptly and professionally
  • Maintain confidentiality and safeguard sensitive information in accordance with HIPAA regulations
  • Stay current on Medicare regulations, CMS updates, company policies, and product offerings
  • Stay current on annual CE and carrier product trainings. Assist agency with staying up to date with these training.
  • Flexible schedule availability may be required, including evenings and weekends during peak enrollment seasons
  • Additional duties as required.
Successful Medicare Operations & Sales Support Associate candidates will have:
Required
  • Highschool Education or GED
  • Texas Licensed Insurance Agent General Lines
  • Microsoft Suite of programs, Zoom & Teams
  • Salesforce
  • Must be a self-starter, adaptable for a fast paced industry, display integrity and honesty, dependability and flexibility, highly proactive & goal-oriented, must exhibit a high level of self-discipline and self-motivation, analytical skills, emotional intelligence, the ability to communicate clearly.

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