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Medicare Operations Manager Jobs in Nebraska (NOW HIRING)

Boys Town

Manager Pharmacy Operations

Omaha, NE · On-site

In a career as a Manager Pharmacy Operations, you join us in providing life-changing care to ... Familiarity with the following platforms and federal programs- EPIC, Omnicell, 340B, Medicare and ...

Boystown

Manager Pharmacy Operations

Omaha, NE · On-site

In a career as a Manager Pharmacy Operations, you join us in providing life-changing care to ... Familiarity with the following platforms and federal programs- EPIC, Omnicell, 340B, Medicare and ...

Boys Town

Manager Pharmacy Operations

Omaha, NE · On-site

In a career as a Manager Pharmacy Operations, you join us in providing life-changing care to ... Familiarity with the following platforms and federal programs- EPIC, Omnicell, 340B, Medicare and ...

Lincare

Manager, Center Operations

Scottsbluff, NE

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 ...

Socket.dev

Manager Utilization Management

Omaha, NE · On-site

$100 - $140/hr

Identify process improvement opportunities and provide recommendations for system enhancements and operational efficiencies. * Maintain expertise in Medicare Advantage regulations, managed care ...

hillcrest

Business Office Manager

Lincoln, NE · On-site

Business Office Manager - Hillcrest Firethorn Location: Lincoln, NE Service Line: Hillcrest ... operations, or a similar role. * Experience with Medicare and Medicaid processes strongly preferred.

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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 Aug 25, 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 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 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 job categories do people searching Medicare Operations Manager jobs in Nebraska look for?

The top searched job categories for Medicare Operations Manager jobs in Nebraska are:

What cities in Nebraska are hiring for Medicare Operations Manager jobs?

Cities in Nebraska with the most Medicare Operations Manager job openings:

Medicare Operations Manager jobs near you

Manager Pharmacy Operations

Boys Town

Omaha, NE • On-site

Full-time

Life, Retirement

Posted 19 days ago

Boys Town rating

7.3

Company rating: 7.3 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

21st of 243 rated social care providers

Job description

Business: Boys Town National Research Hospital
Job Summary:
In a career as a Manager Pharmacy Operations, you join us in providing life-changing care to patients from across the region. In this role, you will assume responsibility for implementing departmental policies relevant to the operation of the Department of Pharmacy. Assist in the planning of new concepts in drug distribution and control in accordance with established hospital policy and accepted standards of proper pharmacy practice. Assume directions of the Department in the absence of the Director.
Schedule: Full-Time
Locations: West Hospital
MAJOR RESPONSIBILITIES & DUTIES:
  • Initiates, schedules, directs and controls day-to-day operations of the department; performs in some part, and delegates remainder; coordinates department's activities with those of other departments. Coordinates with other management staff in establishing checks and quality controls to ensure quality of care.
  • Responsible for the supervision, scheduling, training, and performance management of direct reports.
  • Oversees drug purchasing functions; assists in plans to effect economy in the purchase of drugs; communicates with pharmaceutical representatives; purchases and provides suitable storage of drugs and pharmaceutical supplies.
  • Manages drug inventory to ensure therapies can be maintained. Coordinates product selection and provider communication.
  • Serves as the primary lead for 340B Program operations, compliance, and optimization, including audit management, regulatory adherence, and drug-savings optimization; directs a small team supporting auditing and optimization initiatives and ensures continuous program improvement through annual participation in 340B conferences.
  • Coordinates with billing, revenue integrity, and finance teams to resolve billing exceptions and ensure 340B compliant billing practices.
  • Serves on BTNRH Pharmacy and Therapeutics Committee and provides updates pertaining to hospital pharmacy operations, medication safety, quality, and compliance metrics.
  • Participates in drug diversion monitoring and compliance by ensuring controlled medications are properly received, documented, and secured within inventory systems and by serving on the Drug Diversion Committee.
  • Participates and provides input during annual budgeting process (operations and capital).
  • Acts as a drug consultant to support services and ancillary departments. Consults with members of the medical staff on orders for non-formulary drugs to offer formulary alternatives when possible.
  • Makes necessary arrangements to obtain drugs needed in emergency situations.
  • Participates in contract negotiation and selection finding appropriate services and terms to support our mission.
  • Oversees inspection processes across hospital departments, ambulatory clinics, contracted off-site locations, and affiliated entities to support regulatory compliance, accreditation readiness, and consistent policy application. Reports inspection findings, corrective action plans, and compliance trend analysis to the P&T Committee.
  • Oversees and manages pharmacy billing queues for high-cost, high-quantity, and high-risk medications to ensure timely and accurate charge capture
  • Acts in the absence of Director of Pharmacy, covering all duties including but not limited to those pertaining to operations and corporate responsibilities.

REQUIRED QUALIFICATIONS:
  • Registered Pharmacist who is a graduate of an accredited school of pharmacy with a current state license required.
  • Minimum of 5 years of operational pharmacy experience in a hospital setting required.
  • Familiarity with the following platforms and federal programs- EPIC, Omnicell, 340B, Medicare and Medicaid required.
  • BLS certified within 90 days of transfer or hire required.

Care and respect for others is more than a commitment at Boys Town - it is the foundation of who we are and what we do.
At Boys Town, we cultivate a culture of belonging for all employees that respects their individual strengths, views, and experiences. We believe that our differences enable us to be a better team - one that makes better decisions, drives innovation, and delivers better business results.
About Boys Town:
Boys Town has been changing the way America cares for children and families since 1917. With over a century of service, our employees have helped us grow from a small boardinghouse in downtown Omaha, Nebraska, into one of the largest national child and family care organizations in the country. With the addition of Boys Town National Research Hospital in 1977, our services branched out into the health care and research fields, offering even more career opportunities to those looking to make a real difference.
Our employees are our #1 supporters when it comes to achieving Boys Town's mission, which is why we are proud of their commitment to making the world a better place for children, families, patients, and communities. A unique feature for employees and their dependents enrolled in medical benefits are reduced to no cost visits for services performed by a Boys Town provider at a Boys Town location. Additional costs savings for the employee and their dependents are found in our pharmacy benefits with low to zero-dollar co-pays on certain maintenance drugs. Boys Town takes your mental health seriously with no cost mental health visits to an in-network provider. We help our employees prepare for retirement with a generous match on their 401K or 401K Roth account. Additional benefits include tuition reimbursement, parenting resources from our experts and professional development opportunities within the organization, just to name a few. Working at Boys Town is more than just a job, it is a way of life.
This advertisement describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Boys Town is an equal employment opportunity employer and participates in the E-Verify program. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and/or expression, national origin, age, disability, or veteran status. To request a disability-related accommodation in the application process, contact us at 1-877-639-6003.

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