Manager of Medicare & ACA

Patriot Growth Insurance Services

$85K — $90K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 3+ years in Medicare, ACA, or Individual Market health insurance sales; leadership experience preferred.
  • Active New York Life & Health insurance license required.
  • AHIP certification and Medicare/ACA certifications preferred.
  • Strong knowledge of various Medicare and Individual Market products and enrollment processes.
  • Thorough understanding of CMS regulations and compliance standards.
  • Proven experience in leading and developing high-performing teams.
  • Proficiency with CRM systems and Microsoft Office Suite.

Responsibilities

  • Lead, coach, mentor, and develop the Medicare & ACA team, focusing on recruitment and training.
  • Support client enrollment for various Medicare and ACA plans as needs arise.
  • Monitor team performance metrics and identify continuous improvement opportunities.
  • Review commission and validate sales activity for accurate compensation.
  • Develop community outreach and networking strategies to generate business opportunities.
  • Build relationships with insurance carriers and community organizations for training and support.
  • Ensure compliance with CMS, HIPAA, and other regulatory requirements through ongoing oversight.

Benefits

  • Medical, Dental, and Vision Benefits
  • Flexible Spending Account (FSA) and Health Savings Account (HSA)
  • Company paid Short-Term and Long-Term Disability and Group Term Life
  • Company paid Employee Assistance Program
  • Paid Parental Leave
  • Paid holidays
  • Personalized PTO
  • 401(k)
Full Job Description
Position Overview: We are seeking an experienced and results-driven Manager of Medicare & ACA to lead our Medicare and Individual Market team while supporting the continued growth of our health insurance business. This role is responsible for leading and developing a high-performing team, overseeing client enrollment activities, ensuring regulatory compliance, and driving community outreach and business development initiatives. The ideal candidate is a knowledgeable leader with deep expertise in Medicare and Affordable Care Act (ACA) products, strong leadership skills, and a passion for delivering exceptional client service. This position plays a key role in supporting team performance, operational excellence, regulatory compliance, and continued business growth.

Work Arrangement: This is a full-time position reporting to our office located in Williamsville, NY.

Professional Responsibilities:
  • Lead, coach, mentor, and develop the Medicare & ACA team, including recruiting, onboarding, training, performance management, and professional development.
  • Support client enrollment activities by assisting with Medicare Advantage, Medicare Supplement, Medicare Part D, ACA Marketplace, Child Health Plus, Essential Plan, and other Individual Market plan selections as needed.
  • Oversee team performance by monitoring sales activity, enrollment metrics, reporting, and productivity while identifying opportunities for continuous improvement.
  • Review commission reporting, validate sales activity, and partner with internal teams to resolve discrepancies and ensure accurate compensation.
  • Develop and execute community outreach, networking, and referral strategies to generate new business opportunities and expand market presence.
  • Build and maintain strong relationships with insurance carriers, FMOs, community organizations, and referral partners while coordinating product training and educational opportunities.
  • Ensure compliance with CMS guidelines, HIPAA requirements, state and federal regulations, and company policies through ongoing oversight, audits, and team education.
  • Maintain expertise in Medicare Advantage, Medicare Supplement, Medicare Part D, ACA Marketplace plans, Child Health Plus, Essential Plan, and other Individual Market products to support clients and team members.
  • Collaborate with agency leadership to develop sales strategies, improve operational processes, and support business growth initiatives.
  • Maintain accurate documentation and reporting within CRM, enrollment, and agency management systems.
  • Stay informed on regulatory changes, carrier updates, product enhancements, and industry best practices through ongoing professional development.

Qualifications and Requirements:
  • 3+ years of experience in Medicare, ACA, or Individual Market health insurance sales required, with previous leadership or supervisory experience preferred.
  • Active New York Life & Health insurance license required.
  • AHIP certification and Medicare and ACA certifications preferred.
  • Strong knowledge of Medicare Advantage, Medicare Supplement, Medicare Part D, ACA Marketplace plans, Child Health Plus, Essential Plan, and Individual Market enrollment processes.
  • Thorough understanding of CMS regulations, HIPAA requirements, and applicable state and federal compliance standards.
  • Demonstrated leadership experience with the ability to coach, develop, and motivate high-performing teams.
  • Experience working with CRM systems, enrollment platforms, reporting tools, and Microsoft Office Suite.
  • Strong organizational, analytical, and problem-solving skills with the ability to manage multiple priorities in a fast-paced environment.
  • Excellent interpersonal, communication, and relationship-building skills.
  • Client-focused, results-driven, and committed to delivering exceptional service while supporting business growth.

Pay Range: $85,000 to $90,000 per year depending on experience.

A wide salary range is posted for this position and any job offer is based upon a salary analysis to comply with the required state pay transparency law. The salary analysis considers relevant experience, education, certifications, and seniority as compared to others doing substantially similar work. There is no guarantee an offer will be at the top of the posted range based on the salary analysis.

In addition to a competitive salary, we provide a comprehensive health and welfare program to employees, family members and domestic partners. Employees are eligible for benefits coverage the first of the month following 30 days of employment. We offer:
  • Medical, Dental, and Vision Benefits
  • Flexible Spending Account (FSA) and Health Savings Account (HSA) and Commuter Transit Programs
  • Company paid Short-Term Disability, Long-Term Disability and Group Term Life
  • Company paid Employee Assistance Program
  • Paid Parental Leave
  • Paid holidays
  • Personalized PTO
  • 401 (k)

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