Manager, Medicare Operations
Core
Designing and implementing enterprise-wide solutions to address business challenges within the Medicare organization, ensuring compliance and enhancing operational effectiveness.
Role type
Manager, Medicare Operations
Builds
Operational solutions for Medicare programs, market readiness, and member retention strategies.
Domain
Health Insurance / Medicare / Government-sponsored healthcare
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Strategic planning, cross-functional leadership, stakeholder influence, data analysis, project management, process improvement, KPI monitoring, bid management, regulatory compliance
Preferred skills
Medicare Advantage operations, AEP readiness, bid development, PMP certification, Quickbase proficiency
Technologies
Microsoft Excel, Microsoft Office, Quickbase
Responsibilities
Oversee day-to-day operations of the Medicare program, develop and execute cross-enterprise initiatives, conduct quality assurance reviews, assess government program opportunities, collaborate with sales and account management teams, investigate and remediate operational issues, drive process improvement projects, manage AEP readiness activities, support annual Medicare bid filing, establish and monitor KPIs.
Seniority
Manager, operational leadership