... operations and profitability Maintain positive public relations. EDUCATION/EXPERIENCE : Bachelor's degree required with three years of management experience in a health care setting. MBA, MHA, or ...
... operations and profitability Maintain positive public relations. EDUCATION/EXPERIENCE : Bachelor's degree required with three years of management experience in a health care setting. MBA, MHA, or ...
... Medicare and Medicaid regulations for the successful operation of a nursing home Beauty Shop ... Records and submits daily sales records to Director/Manager. * Provides billing data to the ...
... Medicare and Medicaid regulations for the successful operation of a nursing home Beauty Shop ... Records and submits daily sales records to Director/Manager. * Provides billing data to the ...
Beautician HCC
Durham, NC · On-site
... Medicare and Medicaid regulations for the successful operation of a nursing home Beauty Shop ... Records and submits daily sales records to Director/Manager. * Provides billing data to the ...
Beautician HCC
Durham, NC · On-site
... Medicare and Medicaid regulations for the successful operation of a nursing home Beauty Shop ... Records and submits daily sales records to Director/Manager. * Provides billing data to the ...
Creative Product Owner
Raleigh, NC · On-site
Stakeholder Management: Serve as primary point of contact for asset requestors; manage expectations ... Operations Mindset: Comfortable with the day-to-day foundational work-Jira administration, status ...
Creative Product Owner
Raleigh, NC · On-site
Stakeholder Management: Serve as primary point of contact for asset requestors; manage expectations ... Operations Mindset: Comfortable with the day-to-day foundational work-Jira administration, status ...
Sr Test Analyst PBM
Durham, NC · Hybrid
... Commercial/Medicaid/Medicare) supporting pharmacy including claims processing and benefit ... Knowledge of systems capabilities and business operations. Job Level: Non-Management Exempt ...
New
Sr Test Analyst PBM
Durham, NC · Hybrid
... Commercial/Medicaid/Medicare) supporting pharmacy including claims processing and benefit ... Knowledge of systems capabilities and business operations. Job Level: Non-Management Exempt ...
New
Sr Test Analyst PBM
Durham, NC · Hybrid
Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing ... Knowledge of systems capabilities and business operations. Please be advised that Elevance Health ...
New
Sr Test Analyst PBM
Durham, NC · Hybrid
Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing ... Knowledge of systems capabilities and business operations. Please be advised that Elevance Health ...
New
Sales Representative
Durham, NC · Remote
$70K/yr
Identify new business opportunities and manage existing accounts to ensure customer satisfaction ... Communicate and explain Medicare, Medicaid, and private insurance procedures, pricing information ...
Quick apply
Sales Representative
Durham, NC · Remote
$70K/yr
Identify new business opportunities and manage existing accounts to ensure customer satisfaction ... Communicate and explain Medicare, Medicaid, and private insurance procedures, pricing information ...
Sales Representative
Raleigh, NC · Remote
$70K/yr
Identify new business opportunities and manage existing accounts to ensure customer satisfaction ... Communicate and explain Medicare, Medicaid, and private insurance procedures, pricing information ...
Quick apply
Sales Representative
Raleigh, NC · Remote
$70K/yr
Identify new business opportunities and manage existing accounts to ensure customer satisfaction ... Communicate and explain Medicare, Medicaid, and private insurance procedures, pricing information ...
Provider Engagement Specialist (Field-Based)
$36K - $41K/yr
Preferred: 2+ years of provider-facing experience, including Medicare lines of business * Strong ... Ability to manage multiple priorities in a fast-paced environment * Experience analyzing and ...
New
Provider Engagement Specialist (Field-Based)
$36K - $41K/yr
Preferred: 2+ years of provider-facing experience, including Medicare lines of business * Strong ... Ability to manage multiple priorities in a fast-paced environment * Experience analyzing and ...
New
... strengthen operations, and enhance patient outcomes. Our team provides comprehensive services ... Manage provider credentialing and enrollment processes with Medicare, Medicaid, and commercial ...
New
... strengthen operations, and enhance patient outcomes. Our team provides comprehensive services ... Manage provider credentialing and enrollment processes with Medicare, Medicaid, and commercial ...
New
Certified Pharmacy Technician
$17.85 - $23.99/hr
... operations, able to assist Pharmacy Manager with operations. Able to begin daily pharmacy ... Medicare Part D. * Work Location: Moncure CHC - 7228 Moncure-Pittsboro Road, Moncure, NC 27559
Certified Pharmacy Technician
$17.85 - $23.99/hr
... operations, able to assist Pharmacy Manager with operations. Able to begin daily pharmacy ... Medicare Part D. * Work Location: Moncure CHC - 7228 Moncure-Pittsboro Road, Moncure, NC 27559
Advanced Practice Clinician in Pinehurst, NC
$25K - $30K/yr
Our comprehensive clinical and operational leadership team will support your transition into our ... Educate patients and families on health management and preventive strategies * Maintain accurate ...
Advanced Practice Clinician in Pinehurst, NC
$25K - $30K/yr
Our comprehensive clinical and operational leadership team will support your transition into our ... Educate patients and families on health management and preventive strategies * Maintain accurate ...
Nurse Practitioner in Henderson, NC
Henderson, NC · On-site
$102K - $121K/yr
Our comprehensive clinical and operational leadership team will support your transition into our ... the Medicare Shared Savings Program for our clinicians, which could result in you receiving a ...
Nurse Practitioner in Henderson, NC
Henderson, NC · On-site
$102K - $121K/yr
Our comprehensive clinical and operational leadership team will support your transition into our ... the Medicare Shared Savings Program for our clinicians, which could result in you receiving a ...
Advanced Practice Clinician in Pinehurst, NC
$25K - $30K/yr
Our comprehensive clinical and operational leadership team will support your transition into our ... Educate patients and families on health management and preventive strategies * Maintain accurate ...
Advanced Practice Clinician in Pinehurst, NC
$25K - $30K/yr
Our comprehensive clinical and operational leadership team will support your transition into our ... Educate patients and families on health management and preventive strategies * Maintain accurate ...
Certified Pharmacy Technician
Moncure, NC · On-site
$16.43 - $18.49/hr
... operations, able to assist Pharmacy Manager with operations. Able to begin daily pharmacy ... Medicare Part D. * Work Location: Moncure CHC - 7228 Moncure-Pittsboro Road, Moncure, NC 27559
Certified Pharmacy Technician
Moncure, NC · On-site
$16.43 - $18.49/hr
... operations, able to assist Pharmacy Manager with operations. Able to begin daily pharmacy ... Medicare Part D. * Work Location: Moncure CHC - 7228 Moncure-Pittsboro Road, Moncure, NC 27559
Certified Pharmacy Technician
$17.85 - $23.99/hr
... operations, able to assist Pharmacy Manager with operations. Able to begin daily pharmacy ... Medicare Part D. * Work Location: Moncure CHC - 7228 Moncure-Pittsboro Road, Moncure, NC 27559
Quick apply
Certified Pharmacy Technician
$17.85 - $23.99/hr
... operations, able to assist Pharmacy Manager with operations. Able to begin daily pharmacy ... Medicare Part D. * Work Location: Moncure CHC - 7228 Moncure-Pittsboro Road, Moncure, NC 27559
Advanced Practice Clinician in Greenville, NC
$24K - $29K/yr
Our comprehensive clinical and operational leadership team will support your transition into our ... Educate patients and families on health management and preventive strategies * Maintain accurate ...
Advanced Practice Clinician in Greenville, NC
$24K - $29K/yr
Our comprehensive clinical and operational leadership team will support your transition into our ... Educate patients and families on health management and preventive strategies * Maintain accurate ...
Front Office / Patient Services Specialist
Cary, NC · On-site
$15 - $20/hr
Work with the home care scheduler to manage appointments * Educate patients and families on ... Oversee daily front office operations and administrative duties Qualifications * Minimum 1 year of ...
Front Office / Patient Services Specialist
Cary, NC · On-site
$15 - $20/hr
Work with the home care scheduler to manage appointments * Educate patients and families on ... Oversee daily front office operations and administrative duties Qualifications * Minimum 1 year of ...
Work with the home care scheduler to manage appointments * Educate patients and families on ... Oversee daily front office operations and administrative duties Qualifications * Minimum 1 year of ...
Quick apply
Work with the home care scheduler to manage appointments * Educate patients and families on ... Oversee daily front office operations and administrative duties Qualifications * Minimum 1 year of ...
NP - Acute Care job in Greenville NC
$24K - $29K/yr
Our comprehensive clinical and operational leadership team will support your transition into our ... Educate patients and families on health management and preventive strategies * Maintain accurate ...
NP - Acute Care job in Greenville NC
$24K - $29K/yr
Our comprehensive clinical and operational leadership team will support your transition into our ... Educate patients and families on health management and preventive strategies * Maintain accurate ...
Medicare Operations Manager information
See Raleigh, NC salary details
$30.1K - $37.9K
20% of jobs
$39.8K is the 25th percentile. Wages below this are outliers.
$37.9K - $45.6K
20% of jobs
The median wage is $51.3K / yr.
$45.6K - $53.3K
14% of jobs
$53.3K - $61.1K
9% of jobs
$61.1K - $68.8K
11% of jobs
$70.4K is the 75th percentile. Wages above this are outliers.
$68.8K - $76.5K
6% of jobs
$76.5K - $84.3K
6% of jobs
$84.3K - $92K
4% of jobs
$92K - $99.7K
3% of jobs
$99.7K - $107.5K
2% of jobs
$107.5K - $115.2K
4% of jobs
$30.1K
$61.7K
$115.2K
How much do medicare operations manager jobs pay per year?
What is the difference between Medicare Operations Manager vs Medicare Claims Supervisor?
| Aspect | Medicare Operations Manager | Medicare Claims Supervisor |
|---|---|---|
| Required Credentials | Bachelor's degree in healthcare administration or related field; certifications like CPC or CMS certifications | High school diploma or associate's; certifications like CPC or claims-specific training |
| Work Environment | Oversees multiple departments, manages staff, and ensures compliance in healthcare organizations | Supervises claims processing teams, reviews claims, and ensures accuracy in claims submission |
| Employer & Industry Usage | Health insurance companies, Medicare administrative contractors, healthcare providers | Health 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?
What are some of the main challenges faced by a Medicare Operations Manager, and how can they be addressed?
What are Medicare Operations Managers?

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 8 days ago
Advocate Aurora Health rating
7.6
Based on 773 frontline employees who took The Breakroom Quiz
185th of 885 rated healthcare providers
Job description
70100 Wake Forest Ambulatory Ventures: Winston Salem Eye Institute - Surgery Center
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Regular - Monday - Friday 40 hrs per week
Pay Range:
$59.00 - $88.50
Administrative responsibility for all functions of the Surgery Center(s), including, but not limited to, basic accounting, budgeting and productivity monitoring; personnel administration, guidelines and regulations of external accrediting agencies; and equipment/supplies necessary for provision of services. Enforces compliance with mission/ goals, policies/procedures, and relevant regulations, including Medicare, OSHA, HIPAA, and Corporate Compliance. Maintains all standards required for state licensure of the Surgery Center(s) and AAAHC accreditation. Evaluates the quality of service delivered to all customer groups. Works collaboratively with physicians, hospital administrators and other health system employees. Supervised by: Board of Directors
ESSENTIAL FUNCTIONS:
Develop goals and objectives for the department and administer policies, procedures and departmental processes as needed. Prepare departmental scorecard information based on strategic plan.
Responsible for all clinical, financial and personnel functions of Ambulatory Surgery Center(s). Responsible for compliance with all federal regulations applicable to ASCs (including Medicare ASC Conditions of Pat1icipation, OSHA, HIPAA, etc.), accreditation standards (AAAHC), state ASC licensure requirements, and CDC Infection Control guidelines.
Develops new policies and procedures as necessary and reviews current policies and procedures annually.
Prepares annual budget and all agendas with supporting documents for quarterly and special meetings of the Board of Directors and other committees of the board. Responsible for credentialing, appointment and reappointment of all Medical and Allied Health staff and approval of on-site students. Reviews and updates Medical Staff Bylaws in collaboration with attorneys and physician committees to assure compliance with regulatory and licensure requirements.
Responsible for development, implementation, oversight and annual updates to the Quality Assessment and Improvement and Risk Management programs. Responsible for oversight of the Safety Program. Maintains custody of all official documents in locked file rooms or office.
Evaluates equipment purchases and new services for feasibility, profitability and efficiency. Utilizes attorneys, CPAs, architects, consultants, etc. as needed.
Effectively communicates delegated responsibilities to subordinates as evidenced by a productive and supportive staff; Utilizes proper channels of communication to keep Administration updated on problems/needs related to patient care, clinical personnel, allied health personnel and surgeons.
Assesses complex situations, financial reports, and staffing to improve operations and profitability; Coordinates the planning and changing of programs/services for meeting patient care/nursing staff needs and nursing informational needs.
Performs other duties as assigned by management.
SKILLS/QUALIFICATIONS:
Excellent oral and written communication skills
Strong interpersonal skills
Ability to develop and enforce policies and procedures and Medical Staff Bylaws and Rules and Regulations
Ability to maintain positive working relationships with the Board of Directors, physicians, allied health staff, surgery center staff, and Medical Director
Assess complex situations, financial reports, and staffing to improve operations and profitability
Maintain positive public relations.
EDUCATION/EXPERIENCE: Bachelor's degree required with three years of management experience in a health care setting. MBA, MHA, or comparable degree and more than three years of experience preferred.
WORK ENVIRONMENT:
Clean, well-lit, comfortable office setting. Clean, indoor office environment Ability to travel locally and nationally as required PHYSICAL REQUIREMENTS: 0% 35% 65% to to to 35% 65% 100% N/A Activity X Standing X Walking X Sitting X Bending X Reaching with arms X Finger and hand dexterity X Talking X Hearing X Seeing Lifting, carrying, pushing and or pulling: X 20 lbs. maximum X 50 lbs. maximum X 100 lbs. maximum
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
- Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
What Advocate Aurora Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Advocate Health
Sourced by ZipRecruiter
Advocate Healthcare, based in Oak Lawn, Illinois, United States, is a leading figure in the health care industry. Accessible via their official website, 'advocatehealth.com', this organization provides a wide variety of medical services and treatment options. Founded in 1995 through a merger of Evangelical Health Systems Corporation and Lutheran General HealthSystem, Advocate Healthcare has grown exponentially over the years. Now, it operates more than 400 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, five Level I trauma centers, and three Level II trauma centers. Upholding their values of equality, compassion, excellence, partnership and stewardship, Advocate Healthcare's mission is centered on building lifelong relationships with patients by delivering the best health outcomes and highest level of service through an integrated approach to care and wellness.
Industry
Hospitals and health care and social assistance
Company size
10,000+ Employees
Headquarters location
Charlotte, NC, US