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A leading company in IT Services and Consulting is seeking a Medicare Member Materials Manager to oversee operations and compliance for Medicare products. The role involves managing a team, ensuring regulatory compliance, and developing beneficiary communications. Candidates should have a Bachelor's degree and 5-7 years of relevant experience.
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Responsible for managing the benefits, operations, communication, reporting, and data exchange of the Medicare/MMP product to support strategic and corporate 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, including Welcome Kits, National Coverage Determinations, change notices, and legal documents (e.g., 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 CMS guidelines, initiating HPMS submissions when required. Oversees and updates the Medicare public website in collaboration with internal teams. Assists in developing and maintaining project timelines to ensure timely completion of projects and submissions.
Leads and manages the team, overseeing all operations of the business unit. Ensures projects are completed successfully, assesses staff contributions, and promotes growth and efficiency. Provides coaching, counseling, and performance management. Reviews guidance from CMS and State agencies to ensure compliance. Fosters teamwork, resolves conflicts, and maintains a positive work environment.
Bachelor's degree in Healthcare Administration, Marketing, Communications, or English.
5-7 years.
Current Molina employees interested in this position should apply through the intranet. Molina offers competitive benefits and is 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.