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Medicare Operations Manager Jobs in Florida (NOW HIRING)

Medicare Sales Manager

Clearwater, FL · On-site

$65K - $72K/yr

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 ...

New

Medicare Sales Manager

Clearwater, FL · On-site

$65K - $72K/yr

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 ...

New

Medicare Sales Manager

Clearwater, FL · On-site

$65K - $72K/yr

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 ...

New

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 ...

Basic computer proficiency (Microsoft Office, Excel, Outlook, CRM systems and ability to learn new ... This may be modified at any time at the discretion of the employer as business operations may deem ...

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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.

Sr. Manager,Professional Services

Convey Health Solutions, Inc.

Fort Lauderdale, FL • On-site

Full-time

Re-posted 9 days ago


Job description

Job Title: Sr Manager, Professional Services

Position Summary:

Reporting directly to the Senior Director of Professional Services, the Senior Manager of Professional Services plays a pivotal role in overseeing the creation, management, and maintenance of all operational documentation within the organization. This role ensures that all processes, procedures, job aids, and policies are accurately documented, easily accessible, and regularly updated to reflect current practices. The Senior Manager will work closely with various departments to ensure documentation supports operational efficiency, compliance, and continuous improvement. This position requires a professional capable of driving departmental change and maintaining high standards for enterprise documentation and training materials.

Essential Duties and Responsibilities:
  • Develop and implement a comprehensive documentation strategy that aligns with organizational goals and regulatory requirements.
  • Oversee the creation, review, and maintenance of operational documents, including standard operating procedures (SOPs), job aids, process maps, and training materials.
  • Proactively collaborate with stakeholders to ensure documentation remains current following changes driven by, but not limited to, the normal course of business, Medicare guidance, and change management initiatives.
  • Ensure all documentation is accurate, up-to-date, and compliant with industry standards and regulations.
  • Evaluate documentation effectiveness and continuously refine materials based on feedback and performance metrics.

Team Leadership:

  • Lead and mentor a team of documentation specialists, providing guidance and support to ensure high-quality output.
  • Foster a collaborative and innovative team environment that encourages continuous learning and improvement.

Cross-Functional Collaboration:

  • Work closely with department heads and subject matter experts to gather information and ensure documentation accurately reflects current processes and procedures.
  • Facilitate regular reviews and updates of documentation to incorporate feedback and changes in operational practices.

Compliance and Quality Assurance:

  • Implement and maintain quality control processes to ensure the consistency and accuracy of all documentation.
  • Conduct regular audits of documentation to identify areas for improvement and ensure compliance with internal and external standards.
  • Remain abreast of changes in CMS regulations and ensure documentation is updated accordingly.

Training and Support:

  • Develop and deliver training programs to educate employees on the use and importance of operational documentation.
  • Provide ongoing support to ensure employees can effectively access and utilize documentation.

Technology and Tools:

  • Evaluate and implement documentation management tools and/or knowledge management tools and technologies to enhance efficiency and accessibility.
  • Maintain current knowledge of industry trends and best practices in documentation management and incorporate them into the organization's processes.
Education and Experience:
  • Bachelor's degree in Technical Writing, Healthcare Administration, Business Administration, or a related field. Master's degree preferred.
  • 5-7 years of experience in Medicare operations, documentation management, or a related field.
  • Proven hands-on experience and demonstrated success in a managerial or leadership role, with a track record of successfully leading documentation projects and teams.
  • Excellent written, verbal and presentational communication skills with the ability to communicate at all levels and establish good working relationships and interaction with executives and/or senior management

Knowledge, Skills, and Abilities:

  • Good written, verbal and interpersonal communication skills.
  • Excellent organizational skills and attention to detail.
  • Requires analytical / problem-solving skills
  • Requires Supervisory/Management skills
  • Ability to read, analyze, and interpret technical journals, financial reports, and legal documents.
  • Ability to effectively present information to top management, public groups, and/or boards of directors.
  • Skill in organizing and prioritizing tasks.
  • Must be able to multi-task and think quickly.
  • Ability to analyze data and prepare reports.
  • Ability to understand and carry out complex oral and written instructions.
  • Ability to be flexible and juggle many assignments or projects at the same time.
  • Ability to manage open requests and follow up when necessary without outside direction.
  • Ability to manage time effectively with strong attention to detail.
  • Ability to constantly meet deadlines.
  • Ability to interact politely, tactfully and firmly with a wide range of people and personalities.
  • Ability to work in an environment with potential interruptions.
  • Ability to manage multiple simultaneous tasks with individual timeframes and priorities.
  • The ability to generate positive relationships with internal and external business associates as well as foster a team environment through excellent leadership and management skills.
  • Strong change management skills and ability to thrive in a dynamic and fast-paced environment.
About Us
Convey Health Solutions, together with Pareto Intelligence, delivers a powerful combination of purpose-built technology, advanced analytics, and expert services to help health plans thrive in a complex, post--Affordable Care Act environment.
As a trusted partner to Medicare and commercial payers, we provide scalable, compliant solutions that span the entire member lifecycle--from enrollment and billing to risk adjustment, Stars performance, and member engagement. Pareto's deep analytics and financial intelligence complement Convey's operational expertise, enabling our clients to improve performance, reduce costs, and create better healthcare experiences for millions of Americans--especially seniors and vulnerable populations.
Together, we help health plans scale smarter, grow stronger, and make healthcare work better for the people who need it most. Learn more at http://www.ConveyHealthSolutions.com