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Medicare Operations Manager Jobs in Florida (NOW HIRING)

Coordination of Benefits Specialist

Miami, FL ยท On-site

$19 - $21/hr

  • Medical

... Medicare operations * Strong understanding of Medicare Secondary Payer (MSP) rules and COB principles * Experience working with CMS eligibility files, Medicare Advantage plans, or managed care ...

Medicare Sales Manager

Clearwater, FL ยท On-site

$65K - $72K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Medicare Sales Manager leads and oversees daily operations for a team of 20-30 licensed Medicare agents in a fast-paced call center environment, based in-office in Clearwater, FL and reporting to ...

Medicare Sales Manager

Clearwater, FL ยท On-site

$65K - $72K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Medicare Sales Manager leads and oversees daily operations for a team of 20-30 licensed Medicare agents in a fast-paced call center environment, based in-office in Clearwater, FL and reporting to ...

Medicare Sales Manager

Clearwater, FL ยท On-site

$65K - $72K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Medicare Sales Manager leads and oversees daily operations for a team of 20-30 licensed Medicare agents in a fast-paced call center environment, based in-office in Clearwater, FL and reporting to ...

You will be understanding the strategic direction set by senior management as it relates to team ... Who holds 2+ years' experience in US Payer operations & US Payer system implementations! Who is ...

You will be understanding the strategic direction set by senior management as it relates to team ... Who holds 2+ years' experience in US Payer operations & US Payer system implementations! Who is ...

Medicare Enrollment & Billing Specialist

Tampa, FL ยท On-site

$17.50 - $23.75/hr

Job Summary: The Medicare Billing & Enrollment Specialist is responsible for the enrollment ... billing, general operations, and data management. Job Responsibilities (but not limited to)

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Showing results 1-20

Medicare Operations Manager information

What is the difference between Medicare Operations Manager vs Medicare Claims Supervisor?

AspectMedicare Operations ManagerMedicare Claims Supervisor
Required CredentialsBachelor's degree in healthcare administration or related field; certifications like CPC or CMS certificationsHigh school diploma or associate's; certifications like CPC or claims-specific training
Work EnvironmentOversees multiple departments, manages staff, and ensures compliance in healthcare organizationsSupervises claims processing teams, reviews claims, and ensures accuracy in claims submission
Employer & Industry UsageHealth insurance companies, Medicare administrative contractors, healthcare providersHealth insurance companies, Medicare contractors, claims processing centers

The Medicare Operations Manager focuses on overseeing overall Medicare operations, including compliance and staff management, while the Medicare Claims Supervisor concentrates on managing claims processing and accuracy. Both roles require knowledge of Medicare policies and certifications like CPC, but differ in scope and responsibilities.

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

To thrive as a Medicare Operations Manager, you need expertise in healthcare administration, Medicare regulations, and process optimization, typically supported by a bachelor's degree in healthcare or business administration. Familiarity with CMS guidelines, claims processing systems, and compliance management tools is essential. Strong leadership, analytical thinking, and effective communication distinguish top performers in this role. These skills are crucial for ensuring regulatory compliance, operational efficiency, and high-quality service in the management of Medicare programs.

What are some of the main challenges faced by a Medicare Operations Manager, and how can they be addressed?

A Medicare Operations Manager often encounters challenges such as staying current with frequently changing CMS regulations, ensuring data accuracy, and coordinating across multiple departments to maintain compliance and operational efficiency. Addressing these challenges involves maintaining robust communication channels, investing in ongoing staff training, and leveraging technology to automate reporting and auditing processes. Building strong relationships with compliance, IT, and customer service teams also helps streamline workflows and foster a proactive approach to problem-solving.

What is a Medicare Operations Manager?

Medicare Operations Managers are professionals responsible for overseeing the daily operations of Medicare-related services within healthcare organizations or insurance companies. They ensure compliance with federal regulations, manage teams that process Medicare claims, and work to optimize workflows and efficiency. Their role also involves monitoring performance, implementing policy changes, and coordinating with other departments to ensure high-quality service for Medicare beneficiaries. These managers play a critical role in maintaining regulatory standards and improving overall operational effectiveness.

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

The most popular types of Medicare Operations jobs in Florida are:

What are popular job titles related to Medicare Operations Manager jobs in Florida?

For Medicare Operations Manager jobs in Florida, the most frequently searched job titles are:

What cities in Florida are hiring for Medicare Operations Manager jobs?

Cities in Florida with the most Medicare Operations Manager job openings:

Infographic showing various Medicare Operations Manager job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 96% In-person, and 4% Remote job distribution.

Medicare Sales Agent

Worxweb Solutions

Fort Lauderdale, FL โ€ข On-site

$100/hr

Full-time

This job post hasย expired 1 day ago.ย Applications are no longer accepted.


Job description

Earn $1,600 to $2,100+ Per Week Selling Medicare - $15/hr Base, Inbound Leads, No Chargebacks


Are you a licensed Medicare sales professional with current AHIP and at least one year of experience looking for a stable base pay, clean inbound leads, and a no-chargeback commission structure? Worxweb Solutions is recruiting Medicare Sales Agents on behalf of a health insurance organization in Sunrise, FL. This is an in-office role with a guaranteed $15/hr base, $100 per deal after your seventh enrollment each week, and zero chargebacks on your commissions.


Position: Medicare Sales Agent

Location: Sunrise, FL (onsite)

Hours: Monday to Friday, 9:00 AM to 6:00 PM

Job Type: W-2 Employee

Pay: $15.00/hr guaranteed base + $100 per deal after 7 deals per week | Estimated $1,600 to $2,100+ per week



About Our Client


Our client is a Medicare health insurance sales organization running a high-quality inbound call operation. All leads are inbound, agents are not cold calling. The team works with UnitedHealthcare and other Medicare carriers to enroll eligible seniors in the right plan. Commissions are straightforward, there are no chargebacks, and agents are supported with consistent lead flow and a stable base.



Key Responsibilities


  • Handle inbound calls from Medicare-eligible consumers and guide them through plan options and enrollment.
  • Sell Medicare Advantage and related plans with a focus on UnitedHealthcare products.
  • Accurately complete enrollments and maintain CRM documentation.
  • Meet weekly production targets.
  • Follow all CMS and carrier compliance guidelines.


Requirements

  • Active health insurance license required.
  • Current AHIP certification required.
  • Minimum 1 year of Medicare sales experience required.
  • Releases Required
  • Licensed in a minimum of 10 states required.
  • Priority states include: FL, TX, IN, OH, NC, TN, MO, LA, and OK.
  • Must be able to work in-office in Sunrise, FL Monday through Friday.


Compensation


Base pay: $15.00 per hour, W-2, guaranteed.


Commission: $100 per enrolled deal for every deal after the first 7 in a given week.


No chargebacks, commissions are yours to keep.


Estimated weekly earnings based on consistent production:


Developing producer: approximately $1,600 per week

Strong consistent producer: approximately $1,850 per week

Top performer: approximately $2,100 or more per week


Actual earnings depend on weekly enrollment volume above the 7-deal threshold.



Why This Role


Guaranteed $15/hr base provides stable income regardless of weekly production. 100% inbound leads, no cold calling, no self-sourcing. No chargebacks, every commission you earn stays earned. Clean, straightforward structure: hit 7 deals and every additional deal pays $100. UnitedHealthcare focused operation with strong brand recognition in the Medicare market. Consistent lead flow in a structured, compliance-driven environment.



How to Apply


Submit your resume through Indeed to be considered. Qualified candidates will be contacted for a quick SMS pre-screen, so please ensure your contact details are current. All applications are handled confidentially.

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