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Medicare Operations Manager Jobs in Nebraska (NOW HIRING)

Knowledgeable of Medicare, insurance rules and regulations, community resources and medical ... Work with limited supervision as an individual has primary responsibility for total operations of a ...

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 ...

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 ...

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Medicare Operations Manager information

See Nebraska salary details

$29.6K

$60.5K

$113K

How much do medicare operations manager jobs pay per year?

As of Jul 30, 2026, the average yearly pay for medicare operations manager in Nebraska is $60,502.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,100.00 and $73,900.00 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 the most commonly searched types of Medicare Operations jobs in Nebraska? The most popular types of Medicare Operations jobs in Nebraska are:
What are popular job titles related to Medicare Operations Manager jobs in Nebraska? For Medicare Operations Manager jobs in Nebraska, the most frequently searched job titles are:
What cities in Nebraska are hiring for Medicare Operations Manager jobs? Cities in Nebraska with the most Medicare Operations Manager job openings:

Full-time

Medical, Dental, Life, Retirement

Re-posted 23 hours ago


Job description


Job DutiesThe Behavioral Health Operations Manager is responsible for the operational oversight, workflow management, and day-to-day administrative functions of Behavioral Health services across OneWorld Community Health Centers. Under the direction of the Associate Director of Operations, this position ensures the effective, efficient, and compliant operation of Behavioral Health clinic services through leadership of Behavioral Health Referral Navigators and operational support staff.The Behavioral Health Operations Manager works in close partnership with the Associate Medical Director of Behavioral Health, Associate Behavioral Health Directors, and clinic leadership to support quality patient care, improve access to services, optimize workflows, and achieve organizational performance goals. While collaborating closely with Behavioral Health leadership, this position serves as the primary operational leader for Behavioral Health clinic operations, patient navigation services, scheduling processes, quality initiatives, and departmental performance within the behavioral health department.
  • Organizes and oversees the day-to-day operations of Behavioral Health services to ensure efficient workflows, timely patient access, and exceptional customer service.
  • Develops, implements, communicates, and continuously evaluates Behavioral Health operational policies, procedures, and workflows in collaboration with Operations and Behavioral Health leadership.
  • Maintains up-to-date knowledge of referral processes and mental health resources throughout the community
  • Directly supervises Behavioral Health Referral Navigators and other assigned operational support staff.
  • Oversees therapist and referral navigator scheduling processes to maximize patient access, provider productivity, and operational efficiency.
  • Maintains operational oversight of Behavioral Health office space, equipment, supplies, and inventory while adhering to approved budgets.
The tasks outlined above are intended to provide a general overview of the role and are not an exhaustive list of all duties, responsibilities, or job functions. Additional tasks may be assigned as needed to support the business, and responsibilities may evolve to meet the changing needs of the organization. 
  • Bachelor's degree in healthcare administration, Business Administration, Public Health, Psychology, Social Work, Human Services, or a related field preferred.
  • Minimum of three years of leadership, supervisory, or management experience in a healthcare setting.
  • Experience supervising patient navigation, referral management, case management, or operational support staff preferred.
  • Experience in a mental health setting preferred.
  • Strong knowledge of healthcare operations, workflow improvement, scheduling, quality improvement, and performance management.
  • Knowledge of Medicaid, Medicare, commercial insurance, and healthcare compliance requirements preferred.
  • Excellent organizational, leadership, communication, and problem-solving skills.
  • Strong proficiency with Microsoft Office applications and electronic health record systems.
  • Proficiency in English and Spanish required. 

OneWorld Community Health Centers, Inc. provides a competitive benefits package that includes Medical, Dental, and Life Insurance; Tuition Reimbursement; 401(k); free fitness center, and more.  If you want to apply your unique skillset to a diverse, caring, growing nonprofit that serves 50,000+ patients, please apply.You can make a difference – in your life and the lives of others.OneWorld Community Health Centers, Inc. is committed to ensuring equal opportunity and non-discrimination in all hiring and employment practices.  We are committed to equal treatment for all applicants and employees and will not discriminate based on age, race, color, ancestry, national origin, disability, sex/gender, gender identity, sexual orientation, religion, pregnancy, genetic information, veteran status, or any other basis protected by law.Equal Opportunity Employer