- Remote and must live in the United States***
- Remote and must live in the United States***
Job Description
The Manager, Welcome Kits & Provider Directories owns the end‑to‑end development, coordination, and delivery of two critical member‑facing document types — Medicare Welcome Kits and Printed Provider Directories — across all applicable Medicare Advantage markets. Welcome Kits are a new member's first communication from Molina; Provider Directories must reflect current, approved provider data and satisfy CMS and state filing requirements on an annual and ongoing basis.
Job Summary
This is a high‑accountability, execution‑focused role that sits at the intersection of regulatory compliance, market coordination, and operational delivery. The Manager works closely with Regional Mandated Materials Managers, Government Contracts, D‑SNP Market Leaders, Provider Data Management, and the Online Materials Library (OML) team to ensure materials are market‑accurate, SMAC‑compliant, and delivered on schedule across multiple markets simultaneously.
Essential Job Duties
- Owns Welcome Kits and Provider Directories from start to finish: gathering market inputs, managing production, and ensuring on‑time delivery across all Medicare Advantage markets.
- Tracks SMAC requirements and ensures they show up correctly in materials: works directly with Government Contracts and D‑SNP Market Leaders to stay on top of market‑specific regulatory requirements throughout the year.
- Keeps Provider Directories current year‑round: PDs go beyond an annual update; provider changes and regulatory updates happen month to month, and this role manages those updates from the source data through to the final document.
- Coordinates across multiple teams at once: Regional Managers, Government Contracts, DMLs, Provider Data, OML, health plans, and MarCom Ops. Keeping everyone informed and moving is a core part of the job.
- Manages CMS and state filing deadlines: works with OML to make sure materials are submitted correctly and on time and handles any corrections or resubmissions that come back.
Welcome Kit Management
- Owns end‑to‑end coordination of all materials included in each market's Medicare Welcome Kit — from initial market intake through final production and delivery.
- Ensures Welcome Kit content accurately reflects market‑specific benefit designs, SMAC‑driven requirements, and all applicable CMS and state regulatory standards.
- Manages year‑over‑year Welcome Kit refreshes, incorporating annual plan changes, new market requirements, and feedback from prior production cycles.
- Tracks open items, outstanding inputs, and market‑specific variations across all assigned markets throughout the production cycle.
Provider Directory Management
- Manages the production and ongoing maintenance of Medicare Printed Provider Directories for all applicable markets.
- Collaborates with Provider Data Management teams to ensure approved "good data" files are used as the authoritative source for all directory content.
- Oversees annual directory refreshes and coordinates month‑to‑month updates driven by provider changes, market updates, or regulatory requirements.
- Ensures all updates are accurately reflected, tracked, and communicated to relevant stakeholders in a timely manner.
SMAC Requirements & Regulatory Alignment
- Develops a working knowledge of market‑specific SMAC requirements and their downstream impact on Welcome Kit content and structure.
- Partners with Government Contracts (GC) and D‑SNP Market Leaders (DMLs) to identify SMAC‑driven requirements and ensures they are correctly incorporated into materials.
- Tracks SMAC changes throughout the year and confirms that Welcome Kit content is updated accordingly ahead of each production cycle.
- Serves as an informed point of contact for market‑specific regulatory questions related to Welcome Kits and Provider Directories.
Market Coordination & Stakeholder Engagement
- Partners with health plan market teams to confirm required materials, gather market‑specific inputs, and manage timelines across multiple concurrent markets.
- Coordinates with Regional Mandated Materials Managers on production status, open items, market readiness, and escalation of issues.
- Supports Regional Manager‑led working sessions with health plans by preparing content updates, status reports, and tracking follow‑ups and next steps.
- Ensures health plan partners have clear visibility into material status, upcoming changes, and any market‑specific actions required of them.
CMS & State Filing Collaboration
- Partners with the Online Materials Library (OML) team to support CMS and state filing requirements for Welcome Kits and Provider Directories.
- Ensures materials are submitted accurately and on time, with awareness of filing deadlines and their impact on upstream production timelines.
- Manages CMS or state feedback, corrections, and resubmissions in coordination with OML and relevant market stakeholders.
- Maintains documentation of filing status, correspondence, and resolution outcomes by market and document type.
Required Qualifications
- At least 7 years of progressive communications/marketing experience, including health care/managed care experience, or equivalent combination of relevant education and experience.
- At least 1 year of management/leadership experience.
- Ability and experience leading communications/marketing strategy and strategic planning initiatives.
- Strong understanding of Centers for Medicare and Medicaid Services (CMS) regulations, Medicaid/Medicare communications, and member engagement strategies.
- Experience with communication analytics platforms and strategic planning tools.
- Strong analytical and strategic thinking skills.
- Strong organizational skills and attention to detail.
- Project management experience/experience managing complex projects in a regulated environment.
- Ability to work cross‑functionally with internal/external stakeholders in a highly matrixed organization.
- Strong verbal and written communication skills.
- Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
- Project Management Professional (PMP) or Agile certification.
- Proficiency in marketing technology platforms/tools (e.g. Salesforce Health Cloud, Adobe Experience Manager, Tableau).
- Experience with multicultural and multilingual communications.
- Familiarity with National Committee for Quality Assurance (NCQA) standards and health literacy best practices.
- Bilingual capabilities (Spanish, Mandarin, etc.).
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $65,791 - $142,548 / ANNUAL
- Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.