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Medicare Operations Manager Jobs in Indiana (NOW HIRING)

Ra

Health Care Analyst (Medicare)

Indianapolis, IN · 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 ...

Ourhrconnect

Conducts internal and/or external timely operational, financial, and/or compliance audits of ... Writes audit reports for corporate executive management that clearly and effectively convey ...

Ourhrconnect

Conducts internal and/or external timely operational, financial, and/or compliance audits of ... Writes audit reports for corporate executive management that clearly and effectively convey ...

AdaptHealth

Operations Specialist

Fort Wayne, IN · On-site

Meet quality and performance metrics while managing multiple priorities * Perform patient ... Experience within a healthcare organization, pharmacy, HME, medical supply, or Medicare-certified ...

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All JobsMedicare Operations JobsMedicare Operations Manager JobsMedicare Operations Manager Jobs in Indiana

Medicare Operations Manager information

See Indiana salary details

$29.5K

$60.4K

$112.8K

How much do medicare operations manager jobs pay per year?

As of Jul 27, 2026, the average yearly pay for medicare operations manager in Indiana is $60,383.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,000.00 and $73,700.00 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, and why are they important?

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 are Medicare Operations Managers?

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

Medicare Specialist

Shepherd Insurance

Indianapolis, IN • On-site

Full-time

Posted 21 days ago

Job description

PURPOSE:
This is an ideal opportunity to work at a growing organization with a strong family culture. Shepherd Insurance is a privately-owned insurance agency that has delivered risk management solutions since 1977. With a wide variety of insurance and financial products, we are among the largest independent agencies in the country.
As a Medicare Specialist within the Shepherd family, you will serve as a knowledgeable support partner to the Licensed Agents - Medicare Insurance Division and team by executing specialized operational functions, ensuring compliance accuracy, enhancing workflow efficiency, and support the client and agent experience. With a positive attitude, you will provide strong attention to detail and the ability to navigate Medicare and carrier systems with accuracy and efficiency.
ROLES AND RESPONSIBILITIES
  • Mange the intake, organization and closing of Medicare-related data with a strong focus on accuracy and compliance.
  • Oversee policy renewal processing with AgencyBloc system, ensuring data integrity and timely completion.
  • Coordinate and prepare pre-appointment documentation, including Scope of Appointment forms and Client Intake Sheets, ensuring readiness for agent consultations.
  • Maintain and audit required sales documentation to ensure adherence to CMS and carrier guidelines.
  • Navigate Medicare and carrier portals to perform provider searches, formulary and drug cost assessments, and benefit verification at a specialist level.
  • Assist the Director of Medicare and team with ongoing and specialized data projects, often involving cross-system information gathering, cleanup and reporting.
  • Identify process improvements and contribute to enhancing operational workflows across the Medicare division.
  • Perform other related duties as assigned.

Requirements
  • Complete annual training for General Compliance and Fraud/Waste/Abuse.
  • Familiar with a variety of computer software applications including Microsoft Office products (Word, Excel, Outlook, PowerPoint).
  • Ability to work independently, manage multiple priorities, and adapt quickly to directional changes within the Medicare division.
  • Strong organizational skills, attention to detail and commitment to confidentiality.

EDUCATION AND EXPERIENCE REQUIREMENTS
  • Education requirement: High school diploma or equivalent (GED) is required. College degree is preferred, not necessary.
  • Experience: At least two (2) years' experience in similar position is desirable.

WORKING CONDITIONS/PHYSICAL DEMANDS
Work environment characteristics and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. While performing the duties of this job, the employee is not exposed to weather conditions. The noise level in the work environment is usually moderate

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