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Medicare Member Materials Manager - REMOTE

Lensa

Kearney (NE)

Remote

USD 77,000 - 156,000

Full time

20 days ago

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Job summary

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.

Qualifications

  • 5-7 years of experience in healthcare administration or related field.
  • Strong leadership and team management skills.
  • Experience in compliance with CMS guidelines.

Responsibilities

  • Manage benefits and operations for Medicare/MMP products.
  • Oversee team performance and project timelines.
  • Ensure compliance with CMS guidelines and legal documents.

Skills

Leadership
Team Management
Compliance
Communication
Project Management

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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Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Job Description
Job Summary

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.

Knowledge/Skills/Abilities

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.

  • Leads and manages team in planning and executing business programs.
  • Enforces policies, procedures, and standards to ensure a safe, secure, and compliant work environment.
  • Develops a culture emphasizing quality, continuous improvement, employee development, and high performance.
  • Manages employee schedules, training, and leave.
  • Identifies trends, manages operational projects, and evaluates outcomes.
  • Maintains 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.

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.

Additional Details
  • Seniority Level: Mid-Senior level
  • Employment Type: Full-time
  • Job Function: Management
  • Industries: IT Services and Consulting
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