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Medicare Program Director Jobs (NOW HIRING)

Sparksoft Corporation

Program Director

Columbia, MD · Hybrid

As the program director, oversees coordination of personnel and resources required to successfully ... Must have experience supporting and managing large contracts at CMS (Centers for Medicare and ...

Freedom House Recovery Center

Be Seen First

Program Director

Warrenton, NC · On-site

$60K - $75K/yr

... the State, Medicaid, Medicare, service definitions / clinical coverage policies, commercial ... Develops program growth opportunities with Clinical Director and Chief Executive Officer. • ...

Healogics

Program Director

Glens Falls, NY · On-site

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions ...

Freedom House Recovery Center

Be Seen First

Program Director

Warrenton, NC · On-site

$60K - $75K/yr

... the State, Medicaid, Medicare, service definitions / clinical coverage policies, commercial ... Develops program growth opportunities with Clinical Director and Chief Executive Officer. • ...

Healogics

Program Director

Cape Girardeau, MO

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions ...

Healogics

Program Director

Longview, TX · On-site

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions ...

Healogics

Program Director

Glens Falls, NY · On-site

The Program Director/Program Manager is also responsible for maintaining collaborative and ... for Medicare and Medicaid Services (CMS) guidelines, as applicable.Essential Functions ...

Healogics

Program Director

Westwood, NJ

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions ...

Healogics

Program Director

Glen Ridge, NJ · On-site

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions ...

Healogics

Program Director

Glens Falls, NY · On-site

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions ...

Healogics

Program Director

West Branch, MI · On-site

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions ...

Healogics

Program Director

West Branch, MI · On-site

The Program Director/Program Manager is also responsible for maintaining collaborative and ... for Medicare and Medicaid Services (CMS) guidelines, as applicable.Essential Functions ...

Healogics

Program Director

Neptune City, NJ · On-site

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions ...

Healogics

Program Director

Cape Girardeau, MO · On-site

The Program Director/Program Manager is also responsible for maintaining collaborative and ... Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions ...

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Medicare Program Director information

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$37K

$93.5K

$160.5K

How much do medicare program director jobs pay per year?

As of Jun 7, 2026, the average yearly pay for medicare program director in the United States is $93,461.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,000.00 and $110,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medicare Program Director, and why are they important?

To thrive as a Medicare Program Director, you need a deep understanding of healthcare regulations, Medicare policies, and program management, typically supported by a relevant degree and extensive experience in healthcare administration. Familiarity with healthcare compliance software, data analytics tools, and CMS (Centers for Medicare & Medicaid Services) systems is crucial. Strong leadership, strategic thinking, and effective communication distinguish top performers in this role. These skills ensure programs remain compliant, efficient, and responsive to both regulatory requirements and beneficiary needs.

What does a Medicare Program Director do?

A Medicare Program Director oversees the administration and management of Medicare programs within a healthcare organization. They are responsible for ensuring compliance with federal and state regulations, developing policies and procedures, and coordinating with various departments to deliver quality care to Medicare beneficiaries. Additionally, they monitor program performance, manage budgets, and often serve as the main point of contact for regulatory agencies. Their work ensures that the Medicare program runs smoothly and efficiently while meeting all legal and quality standards.

What are some common challenges faced by a Medicare Program Director, and how can they be effectively managed?

Medicare Program Directors often encounter challenges such as keeping up with frequent regulatory changes, managing complex compliance requirements, and overseeing cross-functional teams to ensure program effectiveness. Staying informed through continuous education and building strong communication channels with legal, clinical, and administrative teams are critical strategies for success. Leveraging technology to track compliance metrics and fostering a culture of collaboration can also help manage these challenges effectively.

What is the difference between Medicare Program Director vs Medicare Claims Analyst?

AspectMedicare Program DirectorMedicare Claims Analyst
Required CredentialsBachelor's degree, industry certifications often preferredBachelor's degree, knowledge of claims processing
Work EnvironmentManagement, policy development, program oversightClaims review, data analysis, processing claims
Employer & Industry UsageHealthcare organizations, government agenciesInsurance companies, healthcare providers

The Medicare Program Director focuses on managing and developing Medicare programs, ensuring compliance and policy implementation. In contrast, the Medicare Claims Analyst primarily reviews and processes claims, analyzing data for accuracy. Both roles require industry knowledge but differ in responsibilities and work scope.

What states have the most Medicare Program Director jobs? States with the most job openings for Medicare Program Director jobs include:
Medicare Director

Medicare Director

Insurance Lounge LLC

Grants Pass, OR • On-site

Full-time

Posted 19 days ago

Job description

Insurance Lounge Job Description- Medicare Director
Role Overview
The Medicare Director is responsible for the overall success of all Medicare-related products, including Medicare Advantage, Medicare Supplement, and Prescription Drug Plans. This role drives production, ensures strict compliance with CMS regulations, manages carrier relationships, and maintains deep product expertise across the organization. The Product Director owns seasonal planning (AEP/OEP), ensures team readiness, and maintains full visibility into the health, compliance, and performance of the Medicare book of business. This role regularly presents strategic plans, adjustments, and pivots to meet growth, retention, and compliance standards.
Why Join Insurance Lounge?
This role represents a unique opportunity to take ownership of an established but growing Medicare division within a forward-thinking, independent agency. Insurance Lounge values leadership, accountability, compliance, and innovation, and empowers its directors to shape Medicare strategy, lead high-performing teams, and drive meaningful growth across all Medicare product lines. The Medicare Director will play a critical role in seasonal success, including AEP and OEP execution, while maintaining strict adherence to CMS guidelines and delivering an exceptional client experience.
This position offers a seat at the table with executive leadership and the ability to directly influence Medicare growth, compliance standards, and long-term organizational strategy. For a proven Medicare leader seeking long-term impact, professional autonomy, and the opportunity to build and scale a best-in-class Medicare program, this role offers both challenge and reward.
Primary Objectives
  • Own production through personal & department growth, and retention for all Medicare product lines (MAPD, PDP, Med Supp)
  • Ensure full compliance with CMS guidelines across self and all team members
  • Manage and strengthen Medicare carrier relationships
  • Serve as the internal Medicare product expert, including plan knowledge, compliance, and positioning
  • Oversee and enforce compliant sales practices, including Scope of Appointment (SOA), documentation, and marketing guidelines
  • Track and maximize carrier incentives, bonus programs, and production tiers
  • Maintain a clear, real-time understanding of Medicare book performance and compliance status
  • Lead all Medicare seasonal planning, including AEP and OEP strategy, staffing, and execution
  • Identify gaps in production, compliance, or process and present actionable solutions
  • Lead and coordinate Medicare product and compliance training for sales and support teams
  • Partner with leadership to align Medicare strategy with overall company growth goals
  • Provide consistent reporting on production, retention, compliance adherence, and trends
  • Identify new carrier opportunities and market expansion strategies within Medicare
  • Oversee client experience and issue resolution specific to Medicare policies.

Key Performance Indicators (KPIs)
  • Medicare policy retention rate
  • Active Medicare client count
  • Total Medicare policy count (by product type)
  • AEP production results vs. targets
  • OEP production and retention performance
  • Compliance audit results (internal and external)
  • SOA and documentation accuracy rates
  • Carrier bonus and incentive performance vs. targets
  • Medicare training and compliance sessions completed
  • Leadership reporting cadence (monthly/quarterly)

Success Looks Like
  • Lead by example through personal production to demonstrate product knowledge
  • Medicare book of business is growing, retained, and compliant
  • AEP and OEP are executed with strong production and zero compliance issues
  • Team demonstrates confidence and accuracy in Medicare product knowledge and compliance
  • Carrier partnerships are strong, engaged, and producing results
  • Leadership has clear visibility into Medicare performance and risk areas
  • Compliance issues are proactively prevented, not reactively corrected

Required Qualifications
  • 8+ years of Medicare insurance experience with direct responsibility for selling, servicing, and managing Medicare Advantage, Prescription Drug Plans, and Medicare Supplement products
    • 8+ years of experience building, leading, and managing a Medicare sales and/or service team
    • Demonstrated experience developing Medicare growth strategies, including AEP/OEP planning, and presenting recommendations to executive leadership
    • Proven success establishing and managing Medicare carrier relationships and identifying market expansion opportunities
    • Strong technical knowledge of Medicare products, CMS regulations, compliance requirements, and enrollment processes
    • Hands-on experience ensuring compliant sales practices, including Scope of Appointment (SOA), documentation, and marketing guidelines
    • Extensive experience with Applied Epic or a comparable CRM/agency management system, including Medicare tracking and reporting
    • Proven ability to lead teams, drive accountability, and deliver measurable production, retention, and compliance results

Work Location & Compensation
This is a full-time, in-person leadership role based out of Insurance Lounge's corporate headquarters in Grants Pass, Oregon. Competitive director-level compensation is offered, including base salary, performance-based bonus opportunities tied to Medicare production, retention, and compliance performance, with negotiable relocation and signing bonuses for qualified candidates.

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