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Medicare Operations Manager Jobs (NOW HIRING)

Addus HomeCare

Home Care Operations Manager

Tyler, TX · On-site

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 ...

Scangroup

Manager, Pharmacy Operations

Long Beach, CA

Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most ... The Job The Manager of Pharmacy Operations is responsible for providing leadership and direction to ...

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How much do medicare operations manager jobs pay per year?

As of Jun 6, 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:
Medicare Operations Manager jobs near you
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.
Home Care Operations Manager

Home Care Operations Manager

Addus HomeCare

Tyler, TX • On-site

Other

Posted 26 days ago

Addus HomeCare rating

6.0

Company rating: 6.0 out of 10

Based on 134 frontline employees who took The Breakroom Quiz

122nd of 228 rated social care providers

Job description

To apply via text, text 10921 to 334-518-4376.

Position Summary: Coordinate and manage all business and financial affairs and other operational activities related to the administration of the office by performing the following duties personally or through subordinates, including solid and consistent communication with branch leadership, handling accounting/billing functions, management of service issues, accurate file maintenance and management of the office support staff.

Schedule: M-F 8 to 5

Essential Duties:

  • Keeps management informed by summarizing key information; reviewing and analyzing special reports; identifying trends with employees or clients and recognizing opportunities for improvement
  • Reviews and approves timesheets for non-exempt branch staff
  • Ensures the appearance of the branchs open environment is professional: neat, clean, orderly and generally free of clutter
  • Maintains a safe working environment free of environmental hazards
  • Maintains confidentiality at all times due to access to sensitive information
  • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department
  • Follows all Medicare, Medicaid, and HIPAA regulations and requirements
  • Abides by all regulations, policies, procedures and standards

Performance Responsibilities:

  • Maintains positive internal and external customer service relationships
  • Maintains open lines of communication
  • Plans and organizes work effectively and ensures its completion
  • Meets all productivity requirements
  • Demonstrates team behavior and promotes a team-oriented environment
  • Actively participates in Continuous Quality Improvement
  • Represents the organization professionally at all times

Position Requirements & Competencies:

  • Maintains objective, informative approach when assessing escalated situations
  • Excels in communicating with all employees, from Sr. Leaders to entry-level new hires
  • Creatively considers alternative solutions
  • Adapts well to changing priorities

Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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