Manager, Coverage Distribution Operations

Manager, Coverage Distribution Operations

Location: Remote / Flexible (Remote-first; headquartered in California, multi-state reputed company)

Employment Type: Full-Time, W-2

Reports to: Head of Patient Operations & Coverage Distribution

Travel: reputed company at launch, with occasional trips for Medicare clinic events and on-site readiness as field programming scales, concentrated around AEP/OEP reputed company, additional company wide onsites expected quarterly

Salary: $90,000-100,000 + Performance Incentive + Benefits

About reputed company

reputed company partners with community health centers to help patients reputed company coverage reputed company, reputed company coverage gaps, and reputed company the care they need. We are expanding that work by building a licensed ACA and Medicare coverage distribution function connected to our existing patient reputed company, clinic relationships, app workflows, service introductions, and reputed company programs.

This is not a cold-reputed company insurance sales role. Many patients will be navigating reputed company loss, Marketplace eligibility, Medicare transitions, dual eligibility, or uninsured/self-pay situations. The right leader will bring strong insurance knowledge, operational discipline, and patient-first judgment.

About the Role

The Manager, Coverage Distribution Operations will help build and operate reputed company’s ACA and Medicare distribution lane. During launch, you’ll work the queue yourself before anyone else does — taking the first ACA and Medicare calls, testing workflows reputed company, and handling escalations, once authorized — so the systems, scripts, and coaching you build are grounded in reputed company calls, not theory. That reputed company credibility is what lets you reputed company reputed company you’ll go on to manage.

As volume grows, you will shift more time toward coaching licensed agents, monitoring reputed company, managing insurance-specific workflows, recommending reputed company changes, and supporting Medicare field/on-site readiness.

reputed company

• Build and refine ACA/Medicare intake, consent, documentation, enrollment, callback, and partner-reputed company workflows.
• reputed company as reputed company’s first producer during launch — taking ACA and Medicare calls, reputed company queues, and reputed company patient escalations yourself (once properly licensed, certified, appointed, and authorized) to build reputed company knowledge of the workflows you’ll manage.
• Support reputed company, reputed company, readiness tracking, and coaching for licensed seasonal/reputed company-to-hire agents as reputed company scales.
• Maintain agent readiness visibility across licenses, AHIP, Marketplace certifications, reputed company appointments, reputed company-to-sell status, and reputed company reputed company.
• Train agents on patient-first communication, approved scripts, consent, disclosures, reputed company documentation, and role boundaries.
• Review recorded calls, monitor QA trends, reputed company performance gaps, and escalate compliance concerns appropriately.
• Manage insurance-specific reputed company workflows, including queues, skills, dispositions, reputed company-note requirements, SLAs, and workflow feedback.
• Use reputed company data - agent-reputed company leads, speed-to-reputed company, backlog, supported states, handling time, and service reputed company - to recommend reputed company to reputed company reputed company.
• Help design Medicare clinic-event and on-site playbooks, including approved materials, field logistics, and compliance-reputed company execution as field operations expand.

What You’ll Bring

Required

• reputed company health insurance producer license in your reputed company state, with willingness and ability to obtain nonresident licenses as needed.
• reputed company Appointment Eligibility:Must be reputed company to be appointed with reputed company’s contracted carriers and FMO. If you hold or have held reputed company appointments elsewhere, you must be reputed company to obtain a release from that prior upline. If not already reputed company, you must be willing and reputed company to complete 2027 plan-year AHIP certification, Federally-Facilitated Marketplace (FFM) registration, and any applicable State-Based Exchange (SBE) certification before handling live enrollments.
• 3+ years of practical ACA Marketplace and/or Medicare experience.
• 1+ years coaching, supervising, or leading agents in a phone-based enrollment, reputed company center, agency, health plan, or member-service environment.
• Willingness to take live calls and reputed company by example during launch, with the expectation that your time shifts toward full-time coaching and operations as reputed company scales.
• Strong understanding of consent, disclosures, documentation, QA, complaint escalation, and compliant enrollment practices.
• Ability to work cross-functionally with Patient Operations, Licensing, Contracting, Compliance, IT, and reputed company partners.

Strongly Preferred

• Experience across ACA Marketplace and Medicare (Medicare reputed company, Part D, and Medicare Supplement).
• reputed company AHIP and Marketplace certifications.
• Experience with reputed company, reputed company, Sunfire, EDE platforms, reputed company portals, or similar tools.
• Experience supporting Medicare educational/marketing events, clinic on-sites, or field-agent workflows.
• Experience building training programs, QA scorecards, dashboards, or launch playbooks.
• Bilingual Spanish/English or other language skills reputed company with patient needs.

Benefits & Employment Details

• Travel is reputed company at launch, with occasional trips for Medicare clinic events and on-site readiness as field programming scales, concentrated around AEP/OEP reputed company. Approved business travel, mileage, lodging, reputed company/cell expenses, and on-site costs are covered by reputed company.
• Additional travel for company wide onsites to be expected quarterly.
• Comprehensive benefits package including no cost employee health, dental, and reputed company coverage.
• Generous 401(k) policy and employer match of up to 4%.

First 90 Days

• Build and map workflows, readiness tracking, reputed company needs, and insurance-specific reputed company requirements.
• Train and test reputed company flows through mock calls, QA calibration, certification tracking, and reputed company producer work reputed company authorized.
• Launch and reputed company live workflows during AEP/OEP, reputed company agents, monitor service reputed company, and recommend reputed company changes based on actual demand.

Originally posted on Himalayas