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Medicare Operations Manager Jobs in Nebraska (NOW HIRING)

Senior Claims Account Manager

Omaha, NE · On-site

$150 - $200/hr

Communicate regularly with actuarial, finance, legal, compliance, operations, TPAs, and senior ... return-to-work, settlement valuation, Medicare considerations, litigation management ...

Communicate regularly with actuarial, finance, legal, compliance, operations, TPAs, and senior ... return-to-work, settlement valuation, Medicare considerations, litigation management ...

Pharmacy Manager

Spalding, NE

$67 - $79/hr

... TJC, Medicare, etc) involved in provision of health care. Core Responsibilities and Essential ... Responsible for the day to day clinical pharmacy operations.* Develop and implement new clinical ...

... operations, guiding team members, coordinating care, and helping ensure strong outcomes from ... This role functions similarly to a Unit Manager with responsibility for clinical oversight, team ...

Administrator

Papillion, NE · On-site

$125 - $150/hr

Maintain survey readiness related to licensure, Medicaid, Medicare, OSHA, labor, life safety, and ... management processes. Identify operational risks and implement strategies to support safety for ...

Maintain survey readiness related to licensure, Medicaid, Medicare, OSHA, labor, life safety, and ... fiscal management processes. * Identify operational risks and implement strategies to support ...

Oversee clinical operations for the location, including patient care delivery, staff management ... Ensure clinical documentation, audits, and billing meet Medicare, payer, and company standards ...

Eligibility Specialist 1

Lincoln, NE · On-site

$19 - $21/hr

Manage a high case load effectively ,prioritizing tasks, following up on pending applications, and ... Basic knowledge of state and federalassistanceprograms such as Medicaid, Medicare, and Social ...

Eligibility Specialist 1

Lincoln, NE · On-site

$19 - $21/hr

Manage a high case load effectively , prioritizing tasks, following up on pending applications, and ... Support operational needs , including providing limited staffing coverage at nearby hospital ...

Eligibility Specialist 1

Lincoln, NE · On-site

$19 - $21/hr

Manage a high case load effectively , prioritizing tasks, following up on pending applications, and ... Support operational needs , including providing limited staffing coverage at nearby hospital ...

Showing results 41-60

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 Sep 8, 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 cities in Nebraska are hiring for Medicare Operations Manager jobs?

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

Business Office Manager (BOM)

Continental Springs

South Sioux City, NE

$25 - $32/hr

Full-time

Re-posted 22 days ago


Job description

Business Office Manager (BOM)

Job Summary:

We are seeking an experienced and skilled Business Office Manager (BOM) to join our team at Continental Springs in South Sioux City, Nebraska. As a key member of our administration team, the BOM will plan, develop, organize, implement, evaluate, and direct the overall financial operation of the facility, ensuring compliance with regulatory requirements and maintaining a high level of fiscal responsibility.

Responsibilities:

  • Plans, develops, organizes, implements, evaluates, and directs the overall financial operation of the facility, in accordance with generally accepted accounting principles and current state and federal laws/regulations.

  • Reports the facility's financial performance at least monthly, and more frequently as needed, to the Administrator and the Board of Managers, Directors, and/or governing body as directed.

  • Identifies, in conjunction with the Administrator and selected department heads, the facility's key performance financial indicators and establishes an ongoing system to monitor these key indicators.

  • Develops and monitors accounts receivables, and reports delinquent accounts and solutions to overcome obstacles to the Administrator.

  • Ensures the Business Office procedures comply with regulatory requirements related to bed-hold notice requirements.

  • Maintains a working knowledge of the state long-term care Medicaid insurance program, Medicare Part A, B and C insurance program, and private long-term care insurance programs.

  • Develops and maintains positive relationships with residents, employees, and family members.

  • Promotes teamwork, mutual respect, and effective communication.

  • Supervises all Business Office personnel and their work functions.

  • Evaluates work performance of Business Office personnel in concert with Human Resources for expected performance outcomes.

Additional Tasks:

  • Treats all residents with dignity and respect.

  • Promotes and protects all residents' rights.

  • Establishes a culture of compliance by adhering to all facility policies and procedures.

  • Follows appropriate safety and hygiene measures at all times to protect residents and themselves.

  • Participates in all life safety and emergency drills and trainings.

Personal Skills and Traits Desired:

  • Ability to read, write, speak, and understand the English language.

  • Ability to make independent decisions when circumstances warrant such action.

  • Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.

  • Possesses leadership, supervisory skills, and willingness to work harmoniously with and supervise other personnel.

  • Successfully follows oral and written instructions.

  • Successfully relays information concerning business office matters, residents, employees, or any given subject matter.

  • Wiling to work to task completion in spite of frequent interruptions.

  • Ability to assist in evacuation of residents during emergency situations.

Compliance as a Condition of Employment and Performance Appraisal:

Agreement to abide by all standards, policies, and procedures of the facility, including the facility's compliance and ethics program, is a condition of employment. Compliance will be a factor in evaluating job performance. Violations, including failure to report violations, will result in disciplinary action, up to and including termination.

How to Apply:

If you are a highly motivated and experienced professional looking for a new challenge, please submit your application, including your resume and a cover letter, to [insert contact information]. We offer a competitive salary and benefits package to the right candidate.

Equal Opportunity Employer Statement:

We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Reasonable Accommodation Statement:

Consistent with the Americans with Disabilities Act (ADA) and [insert state civil rights law], it is the policy of [Facility Name] to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. If reasonable accommodation is needed, please contact [include name and/or department, telephone, and e-mail address].