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Medicare Operations Manager Jobs in Texas (NOW HIRING)

UHS

MGR - PLANT OPERATIONS

Laredo, TX

The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Environmental ... The Manager - Plant Operations of Plant Engineering supports an organizational culture for Service ...

UHS

MGR - PLANT OPERATIONS

Laredo, TX · On-site

The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Environmental ... The Manager - Plant Operations of Plant Engineering supports an organizational culture for Service ...

UHS

MGR - PLANT OPERATIONS

Laredo, TX · On-site

The Joint Commission (TJC), Centers for Medicare and Medicaid Services (CMS), Environmental ... The Manager - Plant Operations of Plant Engineering supports an organizational culture for Service ...

RX MEDICAL LLC

Operations Specialist 1

Fort Worth, TX · On-site

Maintains up-to-date product knowledge and inventory management software systems. Product knowledge ... Medicare accreditation status requires its employees in close physical contact with patients ...

Ra

Health Care Analyst (Medicare)

Austin, TX · 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 ...

Ra

Health Care Analyst (Medicare)

Irving, TX · 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 ...

Ra

Health Care Analyst (Medicare)

Dallas, TX · 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 ...

Ra

Health Care Analyst (Medicare)

San Antonio, TX · 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 ...

Ra

Health Care Analyst (Medicare)

Houston, TX · 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 ...

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Medicare Operations Manager information

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 Texas?

For Medicare Operations Manager jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Medicare Operations Manager jobs in Texas look for?

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

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

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

Medicare Operations Manager jobs near you
Infographic showing various Medicare Operations Manager job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 10% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution.

Medicare Operations & Sales Support Associate

Fort Worth, TX • On-site

Level Four Group, LLC
Finance and Insurance • 51 - 200 employees
Learn more about Level Four Group, LLCexternal

Full-time

PTO

Re-posted 7 hours ago

Job description

Our Team is growing, and we need you!
Come be a part of this disruption in the financial services marketplace!
By joining the Level Four family of companies, you'll be joining one of the fastest growing wealth management firms in the country. After 20+ years, we still have an entrepreneurial spirit, dedicated to embracing change. We are national in scope with offices throughout the U.S., yet with local roots here in North Texas.
We offer:
  • Casual Work Environment
  • Generous Paid Time Off
  • Flexible Work Schedule
  • Great Benefits
  • And More...
Come take your career path to the next level!
The Medicare Operations & Sales Support Associate will support the operations of the Medicare Team by assisting with contracting & licensing, placing & managing Turning 65 workshop orders, organizing, and updating internal resources, managing client database, and assisting Medicare sales team members as needed. They will serve as an additional point of contact for Customers and licensed agents regarding Medicare Advantage, Medicare Supplement, and Prescription Drug Plans.
Essential responsibilities and tasks of the Medicare Operations & Sales Support Associate are:
  • Creating, placing, and managing Turning 65 workshop orders.
  • Assist team members in managing carrier appointments and certifications for new and existing agents.
  • Perform clerical duties such as data entry, generating reports, editing documents, managing a filing system, and updating internal resources such as spreadsheets, CRM, client database, et al.
  • Answer inbound calls , emails, and chat inquiries related to benefits, eligibility, enrollment, and coverage options.
  • Assist in educating customers on Medicare products, enrollment periods, and plan features while maintaining compliance with CMS guidelines
  • Document all customer and agent interactions accurately within the company's CRM & customer management systems
  • Investigate and resolve customer and agent concerns promptly and professionally
  • Maintain confidentiality and safeguard sensitive information in accordance with HIPAA regulations
  • Stay current on Medicare regulations, CMS updates, company policies, and product offerings
  • Stay current on annual CE and carrier product trainings. Assist agency with staying up to date with these training.
  • Flexible schedule availability may be required, including evenings and weekends during peak enrollment seasons
  • Additional duties as required.
Successful Medicare Operations & Sales Support Associate candidates will have:
Required
  • Highschool Education or GED
  • Texas Licensed Insurance Agent General Lines
  • Microsoft Suite of programs, Zoom & Teams
  • Salesforce
  • Must be a self-starter, adaptable for a fast paced industry, display integrity and honesty, dependability and flexibility, highly proactive & goal-oriented, must exhibit a high level of self-discipline and self-motivation, analytical skills, emotional intelligence, the ability to communicate clearly.

Apply