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Medicare Operations Manager Jobs in Georgia (NOW HIRING)

Ra

Health Care Analyst (Medicare)

Atlanta, GA · Remote

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 ...

UCB

Commercial Operations Analyst

Atlanta, GA · Hybrid

Make your mark for patients We are looking for a Commercial Operations Analyst who is ... Process, validate, and reconcile Commercial, Managed Care, Trade, and Medicare Part D rebate ...

UCB

Commercial Operations Analyst

Atlanta, GA · On-site

Make your mark for patients We are looking for a Commercial Operations Analyst who is ... Process, validate, and reconcile Commercial, Managed Care, Trade, and Medicare Part D rebate ...

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All JobsMedicare Operations JobsMedicare Operations Manager JobsMedicare Operations Manager Jobs in Georgia

Medicare Operations Manager information

See Georgia salary details

$26.2K

$53.6K

$100.1K

How much do medicare operations manager jobs pay per year?

As of Aug 10, 2026, the average yearly pay for medicare operations manager in Georgia is $53,581.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,600.00 and $65,400.00 per year, depending on experience, location, and employer.

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 popular job titles related to Medicare Operations Manager jobs in Georgia? For Medicare Operations Manager jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Medicare Operations Manager jobs in Georgia look for? The top searched job categories for Medicare Operations Manager jobs in Georgia are:
What cities in Georgia are hiring for Medicare Operations Manager jobs? Cities in Georgia with the most Medicare Operations Manager job openings:
Medicare Operations Manager jobs near you

Health Care Analyst (Medicare)

Ra

Atlanta, GA • Remote

Full-time

Re-posted 24 days ago

Job description

Company Description

About Client:

They help in transforming the leading organizations and communities around the world. Organizations infrastructure and culture is amazing. Best place!!

Job Description

Job Title: Health Payer Technology Medicare Consultant

Job Level: Senior Level 


Job Description: 

THIS IS WHAT YOU WILL DO... 


You will be adapting existing methods and procedure to create possible alternative solutions to moderate complex problems.

You will design and implement solutions that are Medicare complaint.

You will be understanding the strategic direction set by senior management as it relates to team goals. 


WE ARE LOOKING FOR SOMEONE.!!


Who holds 4 years of experience as a consultant!

Who holds consulting experience in US Healthcare Payer market!

Who holds 2+ years' experience in US Payer operations & US Payer system implementations!

Who is experienced in systems and processes required to support health plan!

Who is currently in Medicare/ Medicaid!

Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience!

Who holds 2 years experience with Medicare systems and technologies with formal consulting!


Qualifications

Who holds 4 years of experience as a consultant!

Who holds consulting experience in US Healthcare Payer market!

Who holds 2+ years' experience in US Payer operations & US Payer system implementations!


Additional Information

All your information will be kept confidential according to EEO guidelines.

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