Agency Director / Medicare Operations Manager

Location: Raleigh, North Carolina (On-Site)
Employment Type: Full-Time
Compensation: Six-Figure Base Salary + Performance Bonus + 2%–5% Profit Sharing

Join One of the Fastest Growing Insurance Organizations

We are an established and highly successful insurance organization with multiple high-performing business divisions, expanding aggressively into the Medicare Advantage and Medicare Supplement insurance market.

We are seeking an experienced Agency Director / Medicare Operations Manager to build, lead, and scale a world-class Medicare agency. This is not a typical management role. We are looking for an executive-level operator capable of taking full ownership of agency performance while working with company leadership to drive long-term growth.

The successful candidate will be provided with the infrastructure, technology, recruiting resources, compliance support, and operational backing necessary to build an industry-leading Medicare organization.

Position Overview

You will oversee the complete day-to-day operations of our Medicare agency while developing scalable systems that drive sales, compliance, agent performance, customer satisfaction, and profitability.

You will be responsible for building an organization that consistently delivers exceptional enrollment quality while maintaining strict compliance with all CMS and carrier requirements.

This role reports directly to executive leadership and offers significant growth opportunities as the organization expands nationwide.

Primary ResponsibilitiesAgency Leadership

• Lead the overall Medicare Advantage and Medicare Supplement business.
• Develop strategic growth plans for agency expansion.
• Build a high-performance sales culture.
• Establish KPIs across all operational departments.
• Drive agency profitability and operational efficiency.
• Manage agency budgets and performance metrics.
• Report weekly and monthly business performance to executive leadership.

Sales Management

• Recruit, interview, hire, and onboard Medicare agents.
• Develop sales teams capable of consistently meeting production goals.
• Create performance scorecards.
• Coach underperforming agents.
• Build incentive programs.
• Increase agent retention.
• Monitor production and conversion metrics.
• Optimize lead utilization and ROI.
• Develop cross-selling opportunities.

Medicare Expertise

Must possess expert-level knowledge of:

• Medicare Advantage
• Medicare Supplement Plans
• Prescription Drug Plans (PDP)
• Special Enrollment Periods (SEP)
• Annual Enrollment Period (AEP)
• Open Enrollment Period (OEP)
• Dual Eligible Programs
• LIS / Extra Help
• CSNP, DSNP, ISNP
• Carrier enrollment processes
• Agent contracting
• Licensing requirements
• Scope of Appointment requirements
• CMS Marketing Guidelines
• Medicare compliance regulations

Compliance & Quality Assurance

• Ensure full CMS compliance throughout all sales operations.
• Develop and maintain Quality Assurance programs.
• Review sales recordings.
• Monitor compliance scores.
• Handle escalated compliance issues.
• Maintain carrier standards.
• Conduct internal audits.
• Develop corrective action plans.
• Train agents on regulatory changes.

Training & Development

Design and oversee:

• New Hire Training
• Medicare Certification Training
• Sales Training
• Product Knowledge Training
• Carrier Updates
• Compliance Training
• Coaching Programs
• Continuing Education
• Leadership Development

Operations

Manage all operational functions including:

• Sales Operations
• Agent Performance
• Commission Tracking
• Carrier Reporting
• Licensing
• Contracting
• Customer Service Coordination
• Enrollment Processing
• Application Follow-Up
• KPI Reporting
• Forecasting
• Operational Planning

Compensation & Commission Management

Must understand:

• Carrier commission structures
• Override commissions
• Agent compensation plans
• Commission reconciliation
• Chargebacks
• Production reporting
• Profitability analysis
• Revenue forecasting
• Payroll coordination

Technology

Experience with:

• Medicare CRM platforms
• Dialer Systems
• Call Recording Systems
• Reporting Dashboards
• Microsoft Excel
• Performance Analytics
• Quality Monitoring Software
• Lead Management Systems
• Electronic Enrollment Platforms

Required Qualifications

• Minimum 7+ years of Medicare insurance industry experience.
• Minimum 5+ years managing Medicare sales teams.
• Proven experience leading high-performing Medicare agencies.
• Strong understanding of CMS regulations and compliance.
• Experience managing Quality Assurance programs.
• Experience building sales processes and operational workflows.
• Strong leadership and people management skills.
• Excellent analytical and reporting capabilities.
• Ability to recruit and develop high-performing teams.
• Strong business and financial acumen.

Preferred Experience

Candidates with experience managing agencies producing:

• Medicare Advantage
• Medicare Supplement
• Prescription Drug Plans
• Ancillary Products

Experience working with multiple national carriers is highly preferred.

What We Offer

• Six-Figure Base Salary
• Performance Bonuses
• 2%–5% Profit Sharing
• Long-Term Growth Opportunity
• Executive-Level Leadership Position
• Full Administrative Support
• Recruiting Resources
• Marketing Support
• Modern Technology Stack

Complete Operational Infrastructure

• Opportunity to build and lead a nationally recognized Medicare agency

Who Should Apply?

This position is ideal for someone who has successfully managed a Medicare agency and is ready to build something larger with executive-level support.

If you are passionate about leadership, compliance, operational excellence, and building high-performing sales organizations, we would like to hear from you.

Apply with your resume and a brief summary of your Medicare leadership experience, including the size of the teams you've managed, annual production, carriers you've worked with, and measurable accomplishments.

Pay: $100,000.00 - $300,000.00 per year

Experience:

• Medicare Agency Management: 5 years (Required)

License/Certification:

• Life & Health Insurance License (Required)
• Medicare Certification (Required)

Work Location: In person