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Medicare Operations Manager Jobs in Virginia (NOW HIRING)

Ra

Health Care Analyst (Medicare)

Arlington, VA · 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 ...

CCS

Operation Supervisor - Pharmacy

Roanoke, VA · On-site

Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements * Abides ... in operations management or supervision * Education-Associate's Degree (AA) or equivalent ...

Ahold Delhaize

PT Pharmacist (H) (439219)

Hampton, VA · On-site

$56.25 - $67.75/hr

In coordination with Store Manager, Pharmacy Manager and Pharmacy Operations Manager, ensures that ... Unrestricted ability to fill Medicaid and Medicare prescriptions. Demonstrated ability and desire ...

Food Lion

PT Pharmacist (H)

Hampton, VA · On-site

$57.75 - $69.25/hr

... Manager or Pharmacy Operations Manager to develop and implement operational enhancement and ... Unrestricted ability to fill Medicaid and Medicare prescriptions. • Demonstrated ability and ...

Unissant

DevOps Lead

Herndon, VA · On-site

$148K - $223K/yr

Manage software artifact repositories, version promotion processes, package management controls ... Experience supporting large federal civilian agencies such as Centers for Medicare & Medicaid ...

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All JobsMedicare Operations JobsMedicare Operations Manager JobsMedicare Operations Manager Jobs in Virginia

Medicare Operations Manager information

See Virginia salary details

$30.7K

$62.9K

$117.5K

How much do medicare operations manager jobs pay per year?

As of Jul 25, 2026, the average yearly pay for medicare operations manager in Virginia is $62,912.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,600.00 and $76,800.00 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 Virginia? The most popular types of Medicare Operations jobs in Virginia are:
What are popular job titles related to Medicare Operations Manager jobs in Virginia? For Medicare Operations Manager jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Medicare Operations Manager jobs in Virginia look for? The top searched job categories for Medicare Operations Manager jobs in Virginia are:
Medicare Operations Manager jobs near you
Infographic showing various Medicare Operations Manager job openings in Virginia as of July 2026, with employment types broken down into 84% Full Time, 14% Part Time, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $62,912 per year, or $30.2 per hour.
Clinical Operations Manager

Clinical Operations Manager

Old Dominion University

Norfolk, VA • On-site

Full-time

Posted 8 days ago

Old Dominion University rating

7.5

Company rating: 7.5 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

280th of 560 rated colleges and universities

Job description

Posting Details
Position Information
Role Title
Gen Admin Supv I/Coord I
Role Code
19221
Pay Band
04
Posting Details
Working Title
Clinical Operations Manager
Position Number
00889A
Department
THERAPY CLINIC FEES
Location
Norfolk, VA
Type of Position
Classified
Type of Job
Full Time
EEO Category
C Technicians
Job Description
The Clinical Operations Manager will oversee the daily operations of the clinic to ensure the clinic is fiscally viable to support its vision and mission. This is highly responsible administrative work that involves overseeing and coordinating the daily operations of the rehabilitation facility; supervising business office staff; overseeing patient and third party payer billing; and communicating directly with the clinic director, university employees, students, referral sources, insurance companies, patients, and visitors.
Type of Recruitment
Knowledge, skills and abilities
  • Bachelor's degree in healthcare administration, business administration, or a related field, or equivalent combination of education and experience.
  • Two or more years experience managing operations in a healthcare or rehabilitation clinic setting.
  • Experience with patient billing, reimbursement processes, and financial tracking.
  • Experience supervising staff or coordinating team workflows.
  • Knowledge of healthcare regulations, including Medicare, Medicaid, HIPAA, and payer requirements.
  • Working knowledge of CPT and ICD coding and medical terminology.
  • Strong understanding of billing, collections, and reimbursement processes.
  • Proficiency with electronic medical records (EMR) and scheduling systems.
  • Strong organizational, communication, and problem-solving skills.
  • Ability to analyze financial reports, explanation of benefits (EOBs), and regulatory documents.
  • Demonstrated ability to manage multiple priorities and respond to routine and unexpected operational challenges.
  • Strong customer service and interpersonal skills.
  • Ability to lead, supervise, and direct the work of others.

Special licenses, registration or certification
CPR Certified or able to obtain within six months of hire.
Education or training
None
Level and type of experience
Considerable experience managing a medical office, including experience managing patient accounts and accurately recording payments and adjustments. Some experience with electronic scheduling and billing.
Additional Considerations (supplemental knowledge, skills, abilities, education, experience, licensure, certification)
  • Experience managing the business operations of an outpatient rehabilitation or physical therapy clinic.
  • Experience with Medicare therapy regulations, including caps, exemptions, and appeals processes.
  • Experience preparing for and managing accreditation or regulatory surveys.
  • Experience with budget development, reconciliation, and financial forecasting.
  • Knowledge of medical records systems, compliance standards, and audit processes.
  • Experience launching or expanding a clinical practice or service line.
  • Familiarity with university-based clinics or academic health systems.
  • Familiarity with WebPT and/or Tebra or similar documentation and/or billing platforms

Conditions of Employment
  • This is a 12-month, full-time classified staff position based in Norfolk, Virginia.
  • Work is primarily performed in a clinical office environment with frequent interaction with patients, staff, students, and external stakeholders.
  • The position requires regular on-site presence to support clinic operations.
  • Occasional early morning, evening, or extended hours may be required to ensure clinic coverage and operational needs.
  • The employee must comply with all university policies, healthcare regulations (including HIPAA), and applicable state and federal laws.
  • Employment is contingent upon a successful background check.
  • The position may require periodic training related to compliance, safety, and healthcare regulations.
  • Physical requirements include occasional standing, walking, and light lifting consistent with a clinical office environment.

Annual Salary/Hourly Rate
Salary range between $ - 65,000-75,000
Posting Detail Information
Job Requisition Number
S03362
Job Open To
General Public
Open Date
07/17/2026
Close Date
Open Until Filled
Yes
Special Instructions Summary
  • Applicants must complete the online application and submit the following materials for full consideration:
    • A cover letter describing qualifications, clinical experience, and interest in the position.
    • A current curriculum vitae or resume.
    • Contact information for three professional references, including at least one supervisor familiar with the applicant's clinical performance.

Criminal Background Check
The final candidate is required to complete a criminal history check.
College Home Page
Department Home Page
Equity Statement
It is the policy of Old Dominion University to provide equal employment, educational and social opportunities for all persons, without regard to race (or traits historically associated with race including hair texture, hair type, and protective hairstyles such as braids, locks, and twists), color, religion, sex or gender (including pregnancy, childbirth, or related medical conditions), national origin, gender identity or expression, age, veteran status, disability, political affiliation, sexual orientation or genetic information. Individuals from minoritized communities, women, veterans and individuals with disabilities are encouraged to apply.
Reasonable Accommodation Request
If you are an individual with a disability and require reasonable accommodation, please contact the Division of Talent Management and Culture at (757)683-3141.
Alternative Hiring Process
In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth's Alternative Hiring Process.
To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly called a Certificate of Disability) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans may also apply via the AHP if they also provide an AHP Letter.
To request an AHP Letter, use this link: https://www.dars.virginia.gov/drs/cpid/PWContact.aspx or call DARS at 800-552-5019, or DBVI at 800-622-2155.
Pay Transparency Nondiscrimination Provision
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or © consistent with contractor's legal duty to furnish information.

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