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Medicare Program Director Jobs in Indiana (NOW HIRING)

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Medicare Program Director information

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.

Medicare Sales Field Agent - St. Joseph, IN.

Medicare Sales Field Agent - St. Joseph, IN.

Humana

South Bend, IN

$80K - $125K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago


Humana rating

8.0

Company rating: 8.0 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

146th of 261 rated insurance


Job description

Become a part of our caring community and help us put health first
With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does.

The MarketPoint Career Channel Team is looking for accomplished Medicare Sales Field Agents. This is a field-based role, and you must live in the designated territory to serve their local community. As part of a collaborative team of 8-12 Medicare Sales Field Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you will help bring Humana's strategy to life: Deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and influence.

What You'll Do in This FIELD-based Role:

  • Deliver: Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage.
  • Differentiate: Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits-providing a personalized experience that sets Humana apart.
  • Grow: Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource and building relationships in your community.

Benefits include:

  • Medical, Dental, Vision, and a variety of other supplemental insurances
  • Paid Time Off (PTO) and Paid Holidays
  • 401(k) retirement savings plan with a company match
  • Tuition reimbursement and/or scholarships for qualifying dependent children

Use your skills to make an impact

Required Qualifications:

  • Active Health Insurance License required or ability to obtain.
  • Must reside in the designated local territory to effectively serve the community.
  • Comfortable with daily face-to-face interactions in prospective members' homes, at community-based events and engaging with the community through service, retail environment, organizations, volunteer work, or local events.
  • Valid state driver's license and proof of personal vehicle liability insurance meeting at least 25/25/10 coverage limits (or higher, based on state requirements).

Preferred Qualifications:

  • Active Life and Variable Annuity Insurance License.
  • Background in selling Medicare products.
  • Experience in public speaking or delivering presentations to groups.
  • Background in supporting Value Based Care organizations.
  • Familiarity with Salesforce or similar CRMs
  • Associate or bachelor's degree.
  • Bilingual in English and an additional language, with the ability to speak, read, and write fluently in both languages.

Additional Information

Driving Statement:

This role is part of our company's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. State driver's license is subject to driver license validation and MVR review. Individuals must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Language Proficiency Assessment:

Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government.

Schedule:

Meeting with members requires appointments and/or event times that may vary at night and weekends. Flexibility is essential to your success.

Training:

The first five weeks of employment and attendance are mandatory.

Pay Range:

The range below reflects a good faith estimate of total compensation for full time (40 hours per week) employment at the time of posting. This compensation package includes both base pay and commission with guarantee. The pay range may be higher or lower based on geographic location. Actual earnings will vary based on individual performance, with the base salary and commission structure aligned with company policies and applicable pay transparency requirements.

$80,000 - $125,000 per year

#medicaresalesrep

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.


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About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

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