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Medicare Operations Manager Jobs in Florida (NOW HIRING)

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Medicare Sales Agent

Sunrise, FL ยท On-site

$60K - $100K/yr

We combine high-volume call center operations with field sales support across multiple states. Our ... Maintain accurate documentation in CRM and compliance systems * Meet or exceed weekly and monthly ...

Sales Representative (Medicare)

Sunrise, FL ยท On-site +1

$48K - $82K/yr

Submit special reports regarding the operation of the territory, acceptance or rejection of ... managed care experience, preferably in Medicare required Bilingual in Spanish preferred: Specific ...

Sales Representative (Medicare)

Plantation, FL ยท On-site +1

$48K - $82K/yr

Submit special reports regarding the operation of the territory, acceptance or rejection of ... managed care experience, preferably in Medicare required Bilingual in Spanish preferred: Specific ...

Submit special reports regarding the operation of the territory, acceptance or rejection of ... managed care experience, preferably in Medicare required Bilingual in Spanish preferred: Specific ...

Submit special reports regarding the operation of the territory, acceptance or rejection of ... managed care experience, preferably in Medicare required Bilingual in Spanish preferred: Specific ...

AVP of Operations (Medicare)

Orlando, FL ยท On-site

$140 - $190/hr

Implements operational changes that improve efficiency and set the area up for long-term ... At least 10 years of industry-related experience, including three years in upper management ...

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 ...

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Medicare Operations Manager information

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 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 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 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 job categories do people searching Medicare Operations Manager jobs in Florida look for?

The top searched job categories for Medicare Operations Manager jobs in Florida 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 87% Full Time, 10% Part Time, 1% Temporary, 1% Contract, and 1% Nights. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution.

Practice Operations Manager

Florida Digestive Health Specialists LLP

Bradenton, FL โ€ข On-site

$90 - $130/hr

Other

Posted 9 days ago


Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Practice Operations Manager

Full Time Management FDHS HQ, Bradenton, FL, US

6 days ago Requisition ID: 1376

Location: Multiple locations - Tampa Area (travel required)

Our Culture: Inspire hope. Build your legacy. Founded in 2011, Florida Digestive Health Specialists (FDHS) is the state's largest single-specialty, physician-owned gastroenterology practice. FDHS provides unparalleled, compassionate gastroenterology care. With a mission to provide the highest quality digestive health services while fostering advanced research to improve patient outcomes, FDHS offers comprehensive care across 30 locations in Florida. The team includes many โ€œTop Doctorsโ€ recognized by Castle Connolly for their clinical excellence and dedication to the communities they serve. This is a great organization to be a part of, so come join the team! .

With a growing team of nationally acclaimed care centers, providers, and staff, we continue to expand our reach to communities that need our care. As we continue to grow, we are seeking a skilled Practice Operations Manager to join our team and support our mission.

Description:The Practice Operations Manager is responsible for overseeing the administrative and business operations processes as well as the marketing of all FDHS care centers. This position plays a vital role in ensuring efficient workflows, regulatory compliance, team leadership, and seamless billing integration as well as ensuring best practices and advancing growth of the network. The ideal candidate is detail-oriented, adaptable, and skilled in operational management and cross-functional communication.

Duties and Responsibilities:

Practice Operations Management

  • Oversee daily administrative, clinical, and billing process and compliance for all FDHS practices.
  • Effectively collaborate with healthcare providers to optimize patient care and workflow efficiency.
  • Ensure compliance with FDHS policies, procedures, and all applicable regulations (HIPAA, OSHA, Medicare).
  • Support patient services including scheduling, prior authorizations, patient flow coordination, and inquiries.
  • Assist in special projects and initiatives aimed at growth planning and improving office operations and patient satisfaction.
  • Ensure all physician practices consistently follow established front-end and back-end operational and revenue cycle protocols to ensure consistency and efficiency.
  • Ensure that standardized workflows align with both clinical practice needs and billing accuracy requirements.
  • Perform regular reviews, audits, and compliance checks to identify deviations from standard procedures and recommend corrective actions.
  • Partner with practice leadership to enforce accountability and adherence to best practices.
  • Build trust and foster effective communication between practice staff, leadership, and external RCM teams.
  • Analyze RCM performance data to identify trends, inefficiencies, and improvement opportunities
  • Effectively communicate and train Office Administrators in new or updated policies, procedures, and changes in a professional manner that fosters understanding and buy-in.
  • Demonstrate strong change management skills and the ability to maintain a calm and professional demeanor in times of transition.
  • Ensure that Office Administrators understand not only the "how" but also the "why" behind changes to promote successful adoption and implementation.
  • Oversee operations of global ancillary service lines, including but not limited to: elastography, infusion and capsule endoscopy.
  • Oversee payer quality indicators (ie MIPS) identifying areas of focus to maximize incentives.
  • Other duties as assigned. Please note that the duties and responsibilities outlined in this job description are not exhaustive and may be subject to change at any time to meet the evolving needs of the company. In addition to the responsibilities listed above, employees may be required to perform additional tasks or duties as assigned by management.

Qualifications:

  • High school diploma or equivalent required; college degree or relevant certifications and experience preferred.
  • Minimum 5 years of supervisory experience in healthcare administration, physician practice operations, revenue cycle support, or medical office coordination.
  • Proven experience in training staff and implementing new processes across multiple sites.
  • Strong understanding of revenue cycle workflows (front-end and back-end).
  • Excellent interpersonal, verbal, and written communication skills.
  • Ability to remain composed and professional in high-pressure or changing environments.
  • Proficiency in Microsoft Office Suite.
  • Proficient in electronic medical record (EMR) systems; ability to navigate and train others in EMR functionality.
  • Familiarity with electronic health records (EHR) and practice management systems.
  • Experience managing external vendor relationships preferred.
  • Background in change management or process improvement is a plus.
  • Must be able to travel between care centers as needed.

Physical Demands

The employee is frequently required to walk; sit; use hands for fine manipulation, handle or feel and reach with hands and arms using a keyboard and video display terminal. The employee is occasionally required to stand and stoop, kneel, crouch or crawl and climb stairs. The employee should be able to lift and move up to 25 lbs.

EEO Statement:

It is the policy of Florida Digestive Health Specialists to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.

When you join FDHS, you become part of a premier team striving to deliver unparalleled, personalized care while treating patients like family. And at FDHS, our patients are at the heart of everything we do. Join our team at FDHS and make a difference in the lives of our patients and employees alike!

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