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Medicare Relationship Manager Jobs in Spring, TX

The Payor Relations Manager is responsible for owning relationships within all of case management ... As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related ...

The Payor Relations Manager is responsible for owning relationships within all of case management ... PPO, ACO, Medicare, Medicaid, etc.) Experience in public speaking Additional state specific ...

The Payor Relations Manager is responsible for owning relationships within all of case management ... PPO, ACO, Medicare, Medicaid, etc.) Experience in public speaking Additional state specific ...

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Medicare Relationship Manager information

See Spring, TX salary details

$24.9K

$71.8K

$125K

How much do medicare relationship manager jobs pay per year?

As of Aug 17, 2026, the average yearly pay for medicare relationship manager in Spring, TX is $71,819.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,900.00 and $93,900.00 per year, depending on experience, location, and employer.

What is a Medicare Relationship Manager?

A Medicare Relationship Manager is a professional who helps clients understand their Medicare options and assists them in selecting and enrolling in the most suitable Medicare plans. They serve as a point of contact for Medicare beneficiaries, providing personalized guidance, answering questions, and resolving issues related to coverage. These managers often work for insurance companies or healthcare organizations, ensuring that clients have a positive experience and remain informed about their benefits and any changes in Medicare policies.

How does a Medicare Relationship Manager typically collaborate with internal teams to support client needs?

A Medicare Relationship Manager works closely with sales, customer service, and compliance teams to ensure clients receive accurate information and exceptional support. This role often involves coordinating with product specialists to address complex Medicare plan questions and collaborating with marketing to develop client outreach initiatives. Regular communication and feedback loops among teams help the Relationship Manager proactively resolve issues and enhance the client experience. By fostering strong internal relationships, the Relationship Manager can effectively advocate for client interests and streamline service delivery.

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

To excel as a Medicare Relationship Manager, you need a thorough understanding of Medicare regulations, healthcare plans, and strong relationship-building skills, typically supported by a relevant degree and health insurance licensure. Familiarity with CRM software, Medicare enrollment platforms, and regulatory compliance tools is common in this role. Outstanding interpersonal communication, problem-solving abilities, and customer service orientation help you stand out when assisting clients and collaborating with partners. These skills ensure clients receive accurate guidance, foster trust, and help organizations navigate complex healthcare landscapes efficiently.

What is the difference between Medicare Relationship Manager vs Medicare Sales Representative?

AspectMedicare Relationship ManagerMedicare Sales Representative
Required CredentialsHealth insurance licenses, Medicare certificationsHealth insurance licenses, Medicare certifications
Work EnvironmentClient management, ongoing relationship buildingSales calls, client acquisition, product promotion
Employer & Industry UsageInsurance companies, healthcare providersInsurance agencies, brokerages, healthcare insurers
Common Search & ComparisonFocuses on maintaining client relationships and plan managementFocuses on selling Medicare plans and acquiring new clients

The main difference between a Medicare Relationship Manager and a Medicare Sales Representative lies in their primary focus. Relationship Managers prioritize maintaining and enhancing existing client relationships, ensuring customer satisfaction and plan management. In contrast, Sales Representatives concentrate on acquiring new clients and promoting Medicare plans. Both roles require similar certifications and work within the healthcare insurance industry, but their day-to-day responsibilities differ significantly.

What are popular job titles related to Medicare Relationship Manager jobs in Spring, TX?

For Medicare Relationship Manager jobs in Spring, TX, the most frequently searched job titles are:

What job categories do people searching Medicare Relationship Manager jobs in Spring, TX look for?

The top searched job categories for Medicare Relationship Manager jobs in Spring, TX are:

What cities near Spring, TX are hiring for Medicare Relationship Manager jobs?

Cities near Spring, TX with the most Medicare Relationship Manager job openings:

Infographic showing various Medicare Relationship Manager job openings in Spring, TX as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 14% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $71,819 per year, or $34.5 per hour.

Payor Relations Manager

Aveanna Healthcare

Houston, TX • On-site

Full-time

Medical

Posted 18 days ago


Aveanna Healthcare rating

6.7

Company rating: 6.7 out of 10

Based on 202 frontline employees who took The Breakroom Quiz

64th of 242 rated social care providers


Job description

Territory: Texas & Louisiana

Position Overview
The Payor Relations Manager is a highly specialized sales professional who works with our branch and area leadership to develop a strategic plan for growing relationships with assigned Medicaid Managed Care Organizations.  The Payor Relations Manager reports directly to the AVP of Payor Strategy.  The Payor Relations Manager is responsible for owning relationships within all of case management and utilization management departments.  This individual will work with AVPs of Payor Relations, RVPs of Business Development, and AVP of Payor Strategy to develop a plan focused on volume growth, enhanced rate opportunities, and alternative payment model strategies.
Essential Job Functions
Develop and own relationships with all case management and utilization management departments within assigned payor accounts.
Hold weekly or monthly meetings with MCO delegates to provide updates on existing patients and referrals
Capture and maintain metrics for all assigned MCOs outside of what ABI can produce (staffing ratios, referral conversion, speed to care, etc.)
Collaborate with AVP of Payor Strategies, AVP of Payor Relations, and RVP of Business Development to develop primary (volume) and secondary growth goals
Develop tools for area leaders to educate branches, reiterate preferred payor targets, and align with account expectations
Communicate regularly with all branch location personnel to assure we are aligned on all partnership opportunities with assigned payors (it is critical to our efforts to be entrenched in all facets of our branch operations)
Coordinate with locations on any operational barriers and case interventions that need to be escalated to the payor
Partner with AVP of Payor Strategy for any enhanced rate requests and associated documents
Map out and maintain organization charts for assigned MCOs
Identify any resources that need to be included in the payor landing page for myAveanna.net
Oversight of compliance for any MCO required reports
Coordinate with business development team for major account referrals tied to assigned MCOs
Encourage ongoing communication between branch locations and contacts each MCO
Develop practice efficiencies that benefit Aveanna and assigned MCOs
Attend regularly scheduled meetings to develop and review weekly, monthly, and quarterly goals
Requirements
2+ years experience with MCO authorization process
Comprehensive knowledge of all Aveanna business lines and ability to articulate
Basic Understanding of claims life cycle
Fundamental understanding of healthcare benefits (HMO, PPO, ACO, Medicare, Medicaid, etc.)
Experience in public speaking
Additional state specific requirements:
Understanding of state regulations that govern our practices and those of the MCOs
Participation and advocacy with state industry associations
Preferences
Experience with Private Duty Nursing utilization request processes
Proven sales track record
Extensive knowledge of the Private Duty Nursing industry
Basic contracting and credentialing knowledge
Previous leadership skills
Other Skills/Abilities
Proficient in Microsoft Word, Excel, and PowerPoint
Familiarity with company EMR functions
Effective problem-solving and conflict resolution
Excellent organization and communication skills
Environment
Multiple branch locations within coverage area of MCO
Comfortable presenting industry and Aveanna specific knowledge with high level employees at MCOs
Performs duties in an office environment during agency operating hours
Vaccination Requirements
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

Notice for Job Applicants Residing in California

Notice for Job Applicants Residing in Florida


What Aveanna Healthcare employees say

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Hours and flexibility

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About Aveanna

Sourced by ZipRecruiter

Aveanna Healthcare is one of the nation's leading providers of pediatric and adult homecare in the nation. We lead with clinical quality and compassion, delivering care in over 200 locations in 23 states. While we have a national presence, we are very much a local provider in each community we serve. Our stated mission is to revolutionize the way pediatric healthcare is delivered, one patient at a time, and we hope you will help us fulfill that mission by joining the 30,000 nurses who already call Aveanna home. Apply today.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Atlanta, GA, US