Medicare Member Materials Manager - REMOTE

Lensa; City of Rochester (NY); Remote; USD 77,000 - 156,000; Full time

Job summary

A leading company is seeking a Medicare Member Materials Manager to oversee operations and compliance for Medicare products. The role involves managing a team, ensuring timely project completion, and developing beneficiary communications. Candidates should have a Bachelor's degree and relevant experience in healthcare administration or related fields.

Qualifications

• 5-7 years of relevant experience required.
• Experience in managing teams and projects.

Responsibilities

• Manage benefits, operations, communication, reporting for Medicare products.
• Ensure compliance with Medicare guidelines and oversee project timelines.

Skills

Leadership

Team Management

Compliance

Communication

Education

Bachelor's degree in Healthcare Administration

Bachelor's degree in Marketing

Bachelor's degree in Communications

Bachelor's degree in English

Job description

Medicare Member Materials Manager - REMOTE

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Job Description

Job Summary

Responsible for managing the benefits, operations, communication, reporting, and data exchange of the Medicare/MMP product in support of strategic and corporate business objectives. Supports all Medicare lines of business, including the annual Medicare and Medicare-Medicaid Plan Applications and Plan Benefit Package design. Provides centralized year-round support in Medicare for developing and editing core beneficiary communications, such as Medicare and MMP Welcome Kits, National Coverage Determinations, Mid-year change notices, and legal documents (e.g., Notice of Privacy Practices, Notices of Availability), in various formats and languages. Ensures business readiness for upcoming contract years and reviews Medicare mandated materials for compliance with Medicare Communications and Marketing Guidelines, including HPMS submissions for CMS review. Oversees and updates the Medicare public website collaboratively with project management and IT teams. Assists in developing and maintaining annual timelines and work plans to ensure timely project completion, including ad hoc projects and submissions assigned by the AVP of Marketing or designee.

Knowledge/Skills/Abilities

Leads and manages a team, overseeing all operations of the business unit. Ensures projects are completed, assesses staff contributions, and promotes growth and efficiency. Provides coaching, counseling, and performance improvement initiatives. Reviews and analyzes official guidance from CMS and State to ensure compliance. Fosters teamwork, provides conflict resolution support, and maintains a positive work environment.

• Leads and manages team in planning and executing business programs.
• Enforces policies, procedures, and standards to maintain a safe, secure, and compliant work environment.
• Develops an employee-oriented culture emphasizing quality, continuous improvement, retention, development, and high performance.
• Maintains employee schedules, including assignments, training, PTO, and overtime.
• Identifies trends, manages operational projects, and evaluates outcomes.
• Carries out the mission and goals of the business unit.

Job Qualifications

Required Education

Bachelor's degree in Healthcare Administration, Marketing, Communications, or English.

Required Experience

5-7 years of relevant experience.

Current Molina employees interested in this position should apply through the intranet.

Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $155,508 annually. Actual compensation may vary based on location, experience, education, and skills.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Management
• Industries: IT Services and Consulting

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