Medicare Operations Senior Program Manager

For our client, we are seeking a Medicare Operations Senior Program Manager to join the team of a leader in the Healthcare space. This role will lead Medicare operations for a major health insurance organization, with a focus on day-to-day execution, regulatory adherence, and ongoing process improvement. The position will partner closely with internal teams and external administrators to support compliant product delivery and operational performance. The ideal candidate will bring deep Medicare experience, strong analytical capability, and the ability to influence stakeholders across a complex matrixed environment. Location: Remote - US based candidates only, no visa sponsorship available Compensation: $105,400 – $152,800 annually Responsibilities Manage day-to-day operational workflows for the Medicare Advantage line of business Oversee compliance with Federal Employee Program, OPM, and CMS regulations and policies Facilitate operational efficiencies and continuous improvement initiatives in product delivery Build collaborative relationships with internal and external stakeholders to enhance operations Support product implementation ensuring alignment with CMS-compliant specifications Collect and analyze operational performance metrics for reporting to leadership Serve as a liaison to operational teams, provide mentorship, and present recommendations Qualifications Bachelor's degree in Healthcare, Business Administration, Public Health, or equivalent experience 8+ years of experience in Medicare Advantage operations, healthcare operations, and health insurance or managed care Deep knowledge of Medicare Advantage, Part D, and CMS regulations Experience leading large, cross-functional initiatives, including collaboration with TPAs and BPOs Strong analytical skills to interpret utilization data and drive benefit enhancements Excellent communication skills for executive presentations and stakeholder engagement Proficiency in Microsoft Office and familiarity with project management and data visualization tools Benefits Comprehensive healthcare coverage and wellness programs Flexible work arrangements, including remote work Professional development and training opportunities Retirement savings plans with company match Generous paid time off and holiday schedule Our client is an equal opportunity employer. We encourage you to apply even if you don’t meet every qualification—your background could be exactly what this team needs.