Shepherd Insurance is a privately-owned insurance agency that has delivered risk management ... Identify process improvements and contribute to enhancing operational workflows across the Medicare ...
Shepherd Insurance is a privately-owned insurance agency that has delivered risk management ... Identify process improvements and contribute to enhancing operational workflows across the Medicare ...
Medicare Specialist
Indianapolis, IN · On-site
Shepherd Insurance is a privately-owned insurance agency that has delivered risk management ... Identify process improvements and contribute to enhancing operational workflows across the Medicare ...
Medicare Specialist
Indianapolis, IN · On-site
Shepherd Insurance is a privately-owned insurance agency that has delivered risk management ... Identify process improvements and contribute to enhancing operational workflows across the Medicare ...
Billing and Payroll Operations Manager
$60K - $72K/yr
Position Summary The Billing & Payroll Manager is responsible for overseeing billing operations ... Medicaid, Medicare, and other payer requirements. This position is responsible for driving ...
Quick apply
Billing and Payroll Operations Manager
$60K - $72K/yr
Position Summary The Billing & Payroll Manager is responsible for overseeing billing operations ... Medicaid, Medicare, and other payer requirements. This position is responsible for driving ...
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 Sales Agent (Temporary)
Bloomington, IN · On-site +1
$18/hr
Agents will be assigned schedules within our Hours of Operation (HOO) and are expected to maintain ... Manage time well and can work independently with minimal supervision • Comfortable using ...
Medicare Sales Agent (Temporary)
Bloomington, IN · On-site +1
$18/hr
Agents will be assigned schedules within our Hours of Operation (HOO) and are expected to maintain ... Manage time well and can work independently with minimal supervision • Comfortable using ...
Payer STARS/Quality Clinical Consultant, Senior Manager
Indianapolis, IN · On-site
$124K - $280K/yr
As an operations consulting generalist at PwC, you will possess a broad understanding of various ... Medicare Stars and related quality initiatives through advanced clinical data strategies. As a ...
Payer STARS/Quality Clinical Consultant, Senior Manager
Indianapolis, IN · On-site
$124K - $280K/yr
As an operations consulting generalist at PwC, you will possess a broad understanding of various ... Medicare Stars and related quality initiatives through advanced clinical data strategies. As a ...
Strong understanding of Medicare Advantage and I-SNP models, including the clinical and operational ... The Manager, Clinical - ISNP is a trusted resource for complex cases, providing timely guidance and ...
Strong understanding of Medicare Advantage and I-SNP models, including the clinical and operational ... The Manager, Clinical - ISNP is a trusted resource for complex cases, providing timely guidance and ...
Strong understanding of Medicare Advantage and I-SNP models, including the clinical and operational ... The Manager, Clinical - ISNP is a trusted resource for complex cases, providing timely guidance and ...
Strong understanding of Medicare Advantage and I-SNP models, including the clinical and operational ... The Manager, Clinical - ISNP is a trusted resource for complex cases, providing timely guidance and ...
About the Role: The Operations Support Rep is responsible for processing and handling time ... Management software Experience with PDF creation software Knowledge of Medicaid, Medicare ...
About the Role: The Operations Support Rep is responsible for processing and handling time ... Management software Experience with PDF creation software Knowledge of Medicaid, Medicare ...
Operations Support Representative - Mail Processing - Onsite (Indianapolis) Job Category: Non ... Management software * Experience with PDF creation software * Knowledge of Medicaid, Medicare ...
Operations Support Representative - Mail Processing - Onsite (Indianapolis) Job Category: Non ... Management software * Experience with PDF creation software * Knowledge of Medicaid, Medicare ...
About the Role: The Operations Support Rep is responsible for processing and handling time ... Management software Experience with PDF creation software Knowledge of Medicaid, Medicare ...
About the Role: The Operations Support Rep is responsible for processing and handling time ... Management software Experience with PDF creation software Knowledge of Medicaid, Medicare ...
HOME HEALTH CLINICAL MANAGER
$78K - $92K/yr
... Medicare Conditions of Participation, Medicaid requirements, and agency policies. This role ... Key Responsibilities Clinical Operations & Patient Care Management Oversee and coordinate all ...
New
Quick apply
HOME HEALTH CLINICAL MANAGER
$78K - $92K/yr
... Medicare Conditions of Participation, Medicaid requirements, and agency policies. This role ... Key Responsibilities Clinical Operations & Patient Care Management Oversee and coordinate all ...
New
HOME HEALTH CLINICAL MANAGER
Indianapolis, IN · On-site
$78K - $92K/yr
... Medicare Conditions of Participation, Medicaid requirements, and agency policies. This role ... Key Responsibilities Clinical Operations & Patient Care Management - Oversee and coordinate all ...
New
Quick apply
HOME HEALTH CLINICAL MANAGER
Indianapolis, IN · On-site
$78K - $92K/yr
... Medicare Conditions of Participation, Medicaid requirements, and agency policies. This role ... Key Responsibilities Clinical Operations & Patient Care Management - Oversee and coordinate all ...
New
HOME HEALTH CLINICAL MANAGER
Indianapolis, IN · On-site
$78K - $92K/yr
... Medicare Conditions of Participation, Medicaid requirements, and agency policies. This role ... Key Responsibilities Clinical Operations & Patient Care Management - Oversee and coordinate all ...
New
Quick apply
HOME HEALTH CLINICAL MANAGER
Indianapolis, IN · On-site
$78K - $92K/yr
... Medicare Conditions of Participation, Medicaid requirements, and agency policies. This role ... Key Responsibilities Clinical Operations & Patient Care Management - Oversee and coordinate all ...
New
This role provides strategic direction and operational leadership for Government Regulatory ... Two (2) or more years of management or leadership experience is preferred. * Expertise in hospital ...
This role provides strategic direction and operational leadership for Government Regulatory ... Two (2) or more years of management or leadership experience is preferred. * Expertise in hospital ...
Payor Contract Manager, Infusion
Indianapolis, IN · Hybrid
$85.10K - $113.70K/yr
The Payor Contract Manager, Infusion manages the operational management, analysis, and ... Ensures contracts comply with federal and state regulations including CMS, Medicare Part B and D ...
Payor Contract Manager, Infusion
Indianapolis, IN · Hybrid
$85.10K - $113.70K/yr
The Payor Contract Manager, Infusion manages the operational management, analysis, and ... Ensures contracts comply with federal and state regulations including CMS, Medicare Part B and D ...
Program Manager (PM)
$47 - $51/hr
Operational Management * Oversee scheduling of patients and therapists to ensure adequate coverage. * Track and report assessment period data, ensuring proper documentation and adherence to Medicare ...
Program Manager (PM)
$47 - $51/hr
Operational Management * Oversee scheduling of patients and therapists to ensure adequate coverage. * Track and report assessment period data, ensuring proper documentation and adherence to Medicare ...
Program Manager (PM)
$47 - $51/hr
Operational Management * Oversee scheduling of patients and therapists to ensure adequate coverage. * Track and report assessment period data, ensuring proper documentation and adherence to Medicare ...
Program Manager (PM)
$47 - $51/hr
Operational Management * Oversee scheduling of patients and therapists to ensure adequate coverage. * Track and report assessment period data, ensuring proper documentation and adherence to Medicare ...
Program Manager (PM)
Fort Wayne, IN · On-site
$47 - $51/hr
Operational Management * Oversee scheduling of patients and therapists to ensure adequate coverage. * Track and report assessment period data, ensuring proper documentation and adherence to Medicare ...
Program Manager (PM)
Fort Wayne, IN · On-site
$47 - $51/hr
Operational Management * Oversee scheduling of patients and therapists to ensure adequate coverage. * Track and report assessment period data, ensuring proper documentation and adherence to Medicare ...
Payor Contract Manager, Infusion
Indianapolis, IN · Hybrid
$85K - $113.70K/yr
The Payor Contract Manager, Infusion manages the operational management, analysis, and ... Ensures contracts comply with federal and state regulations including CMS, Medicare Part B and D ...
Payor Contract Manager, Infusion
Indianapolis, IN · Hybrid
$85K - $113.70K/yr
The Payor Contract Manager, Infusion manages the operational management, analysis, and ... Ensures contracts comply with federal and state regulations including CMS, Medicare Part B and D ...
Medicare Operations Manager information
See Indiana salary details
$29.5K - $37.1K
20% of jobs
$39K is the 25th percentile. Wages below this are outliers.
$37.1K - $44.6K
20% of jobs
The median wage is $50.2K / yr.
$44.6K - $52.2K
14% of jobs
$52.2K - $59.8K
9% of jobs
$59.8K - $67.3K
11% of jobs
$68.9K is the 75th percentile. Wages above this are outliers.
$67.3K - $74.9K
6% of jobs
$74.9K - $82.5K
6% of jobs
$82.5K - $90.1K
4% of jobs
$90.1K - $97.6K
3% of jobs
$97.6K - $105.2K
2% of jobs
$105.2K - $112.8K
4% of jobs
$29.5K
$60.4K
$112.8K
How much do medicare operations manager jobs pay per year?
What are the key skills and qualifications needed to thrive as a Medicare Operations Manager, and why are they important?
What are some of the main challenges faced by a Medicare Operations Manager, and how can they be addressed?
What are Medicare Operations Managers?
What is the difference between Medicare Operations Manager vs Medicare Claims Supervisor?
| Aspect | Medicare Operations Manager | Medicare Claims Supervisor |
|---|---|---|
| Required Credentials | Bachelor's degree in healthcare administration or related field; certifications like CPC or CMS certifications | High school diploma or associate's; certifications like CPC or claims-specific training |
| Work Environment | Oversees multiple departments, manages staff, and ensures compliance in healthcare organizations | Supervises claims processing teams, reviews claims, and ensures accuracy in claims submission |
| Employer & Industry Usage | Health insurance companies, Medicare administrative contractors, healthcare providers | Health 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.
- Mta Manager Operations Salary
- Director Title Operations
- Flexible People Operations Manager
- Portfolio Onboarding Manager
- Remote Operations Manager
- Executive Manager Operations Manager
- Telecommunications Operations Director
- Deposit Operations Manager
- Operational Regulatory Oversight Medicare
- Site Operations Manager
Job description
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.Â
ROLES AND RESPONSIBILITIES
- Mange the intake, organization and closing of Medicare-related data with a strong focus on accuracy and compliance.Â
- Oversee policy renewal processing with AgencyBloc system, ensuring data integrity and timely completion.Â
- 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.Â
- Assist the Director of Medicare and team with ongoing and specialized data projects, often involving cross-system information gathering, cleanup and reporting.Â
- Identify process improvements and contribute to enhancing operational workflows across the Medicare division.
- Perform other related duties as assigned.Â
Requirements
- Complete annual training for General Compliance and Fraud/Waste/Abuse.Â
- Familiar with a variety of computer software applications including Microsoft Office products (Word, Excel, Outlook, PowerPoint).Â
- Ability to work independently, manage multiple priorities, and adapt quickly to directional changes within the Medicare division.Â
- 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.Â
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
About Shepherd Insurance
Sourced by ZipRecruiter
Industry
Insurance services
Company size
201 - 500 Employees
Headquarters location
Carmel, IN, US
Year founded
1977