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Medicare Operations Manager Jobs (NOW HIRING)

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Medicare Training Specialist

Doral, FL · On-site

$45K - $62K/yr

Partner with Sales, Compliance, and Operations teams to align training with company objectives ... Proficiency in Microsoft Office, CRM systems, and virtual training platforms (Zoom, Teams)

Coordinate and manage all business and financial affairs and other operational activities related ... Follows all Medicare, Medicaid, and HIPAA regulations and requirements * Abides by all regulations ...

Coordinate and manage all business and financial affairs and other operational activities related ... Follows all Medicare, Medicaid, and HIPAA regulations and requirements * Abides by all regulations ...

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Medicare Operations Manager information

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$31K

$63.5K

$118.5K

How much do medicare operations manager jobs pay per year?

As of Jun 7, 2026, the average yearly pay for medicare operations manager in the United States is $63,456.00, according to ZipRecruiter salary data. Most workers in this role earn between $41,000.00 and $77,500.00 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.
More about Medicare Operations Manager jobs
What cities are hiring for Medicare Operations Manager jobs? Cities with the most Medicare Operations Manager job openings:
What are the most commonly searched types of Medicare Operations jobs? The most popular types of Medicare Operations jobs are:
What states have the most Medicare Operations Manager jobs? States with the most job openings for Medicare Operations Manager jobs include:
What job categories do people searching Medicare Operations Manager jobs look for? The top searched job categories for Medicare Operations Manager jobs are:
Infographic showing various Medicare Operations Manager job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, 1% Temporary, and 1% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $63,456 per year, or $30.5 per hour.
Business Operations Manager

Business Operations Manager

CommonSpirit Health

Prescott, AZ • On-site

Full-time

This job post has expired 2 days ago. Applications are no longer accepted.


CommonSpirit Health rating

7.1

Company rating: 7.1 out of 10

Based on 503 frontline employees who took The Breakroom Quiz

372nd of 869 rated healthcare providers


Job description


Job Summary and Responsibilities

As our Business Operations Manager, you will be a vital contributor to the financial health and seamless operations of our rehabilitation departments.
Every day, you will manage a wide range of administrative and operational tasks, including optimizing workflows, coordinating resources, and supporting strategic initiatives. You will be expected to ensure accurate record-keeping, provide excellent support to internal stakeholders, and collaborate with various departments to maintain efficient processes, all while upholding confidentiality and compliance.
To be successful in this role, you must combine strong organizational skills with meticulous attention to detail, excellent communication and problem-solving abilities, and a process-focused approach, directly impacting our operational efficiency and service quality.

  • Oversee Comprehensive Business Operations: This role is fully accountable for all business operations, encompassing meticulous charge entry and management, precise billing and payment collection, efficient handling of admitting, scheduling, and registration, proactive management of authorizations and coding, and diligent adherence to documentation requirements, while also being responsible for all patient records.
  • Establish and Maintain Operational Standards & Compliance: The individual will develop and uphold high standards for quality, accuracy, and timeliness across all business operations, from initial patient contact through discharge. This includes generating performance and audit reports to ensure compliance with HIPAA, Medicare, and all relevant local, state, and federal regulations.
  • Lead and Develop Business Office Staff: This function involves comprehensive management of all business office staff, including recruitment, hiring, orientation, training, supervision, coaching, and performance management. A key focus is to ensure staff's proficiency in business procedures (registration, intake, scheduling, authorizations, billing, documentation, collections) and deliver exceptional customer service.
  • Strategic Staffing and Productivity Management: The role requires strategic scheduling of business operations staff to optimize productivity and control costs, while also assisting with payroll and ensuring adequate staffing coverage. Additionally, it involves maintaining clinician productivity standards through workload management, collaboration with supervisors, and providing regular productivity reports.
  • Champion Customer Service and Patient Experience: A core responsibility is to prioritize and enhance the customer and patient experience. This includes promptly and effectively resolving complaints from patients, employees, and providers, demonstrating independent problem-solving skills, and ensuring all interactions with clients, patients, and visitors are professional, personalized, and of high quality.
  • Manage EMR and Special Projects: This position is crucial for Electronic Medical Record (EMR) management, including maintaining scheduling templates, preparing scheduling scripts, serving as an EMR liaison, and representing the department in EMR implementation projects. Additionally, it involves initiating and managing special projects as directed by leadership and assisting with supply ordering and ongoing professional development.

We are offering $10k relocation assistance to new hires who meet the eligibility requirements. 

Job Requirements

Required

  • Associates and two years in a health care business setting
  • One - three (1-3) years of previous experience in an outpatient setting with responsibility for the business continuum of charge entry to billing collections
  • Two (2) years of supervisory experience in a related field
  • Knowledge and competence in billing, coding, claims management, collection, and cash management
  • Requires previous computer experience with proficiency in healthcare financial, registration, health information storage, and documentation programs (Examples: Cerner, EPIC, Lawson, FIN Thrive)
  • Knowledge/competence in billing, coding, claims management, collection, and cash management
  • Ability to delegate and support other staff members' work duties without removing responsibility of others or oneself
  • Ability to work independently, demonstrate consistent initiative with prompt problem resolution, and excellent follow-through on all tasks

Preferred

  • Bachelors
Where You'll Work

Are you ready to join a healthcare family where your values align with ours? At Dignity Health – Yavapai Regional Medical Center (DH-YRMC), now a proud part of CommonSpirit Health, a not-for-profit integrated healthcare provider, our core mission guides every decision and every interaction.

Here, you'll discover more than just a job; you'll find rewarding career opportunities across a comprehensive network of inpatient and outpatient services. From a vibrant community hospital, YRMC has grown into a leading regional healthcare system.

Today, that means you could be making an impact at:

  • Two state-of-the-art acute care hospitals
  • A robust network of primary and specialty care clinics
  • Modern outpatient health and wellness services
  • Acclaimed cardiac diagnostic centers
  • Advanced outpatient medical imaging facilities

Elevate your career without sacrificing your quality of life. As you grow with YRMC, you'll find the Prescott area isn't just a place to work – it's an inspiring community designed for living, thriving, and embracing the outdoors. Imagine a charming blend of bygone appeal and modern amenities, coupled with four distinct seasons and nearly year-round sunshine perfect for every adventure.

Say hello to a relaxed lifestyle that empowers you to prioritize both your professional growth and family time. YRMC extends this inviting spirit within our walls, fostering a strong sense of family, and belonging among our team members.

Come experience the exceptional quality of life that YRMC and Prescott offer. Work at the heart of #hellohumankindness and discover where your career and well-being truly connect.

* Dignity Health now offers an Education Benefit program for benefit-eligible employees after 180 days. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000. Join our team at Dignity Health to take advantage of this amazing opportunity!

Qualifications:

Required

  • Associates and two years in a health care business setting
  • One - three (1-3) years of previous experience in an outpatient setting with responsibility for the business continuum of charge entry to billing collections
  • Two (2) years of supervisory experience in a related field
  • Knowledge and competence in billing, coding, claims management, collection, and cash management
  • Requires previous computer experience with proficiency in healthcare financial, registration, health information storage, and documentation programs (Examples: Cerner, EPIC, Lawson, FIN Thrive)
  • Knowledge/competence in billing, coding, claims management, collection, and cash management
  • Ability to delegate and support other staff members' work duties without removing responsibility of others or oneself
  • Ability to work independently, demonstrate consistent initiative with prompt problem resolution, and excellent follow-through on all tasks

Preferred

  • Bachelors
Employment Type: Full Time

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