Medicare Member Materials Manager - REMOTE

Molina Healthcare; Tampa (FL); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a dynamic leader to oversee the management of Medicare and MMP product operations. In this role, you will drive strategic initiatives, ensuring compliance and effective communication across all business units. Your leadership will foster a culture of continuous improvement and high performance, while you guide your team through various projects and operational challenges. This is an exciting opportunity to make a significant impact in the healthcare sector, working collaboratively to enhance the quality of services provided to beneficiaries. If you have a passion for healthcare and a talent for leadership, this role is perfect for you.

Qualifications

• 5-7 years of relevant experience in healthcare administration or related field.
• Strong leadership skills with a focus on team development and performance improvement.

Responsibilities

• Manage benefits, operations, and reporting for Medicare/MMP products.
• Ensure compliance with Medicare Communications and Marketing Guidelines.
• Lead project planning and execution for business programs.

Skills

Leadership

Project Management

Compliance Analysis

Team Building

Conflict Resolution

Education

Bachelor's degree in Healthcare Administration

Bachelor's degree in Marketing

Bachelor's degree in Communications

Bachelor's degree in English

Job description

Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare / MMP product in support of strategic and corporate business objectives. Support for all Medicare lines of business the annual Medicare and Medicare-Medicaid Plan Applications and Plan Benefit Package design. Provides centralized year-round support in Medicare for the development and editing of core beneficiary communications, to include the Medicare and MMP Summary of Benefits, Annual Notice of Change, Evidence of Coverage / Member Handbooks, and Provider Directory (printed) for print and online distribution in various formats and languages. Supports Medicare and MMP lines of business for upcoming contract year business readiness. Reviews all member-facing materials from all functional areas of Medicare for compliance per the Medicare Communications and Marketing Guidelines, initiating HPMS submission of materials for CMS review when required. Provides oversight and update of the Medicare public website, collaborating with internal project management teams and IT support on an ongoing basis. Assists in the development, implementation, and maintenance of annual timelines / work plans to ensure timely and successful project completion including adhoc projects and submissions as assigned by the Director of Medicare Administration.

KNOWLEDGE / SKILLS / ABILITIES

People leader responsible for the planning, support, and oversight of all operations of the business unit. Sees all annually recurring and ad hoc projects assigned to the business unit to closure, assesses individual contribution of staff, and promotes growth and increased efficiency. This position's duties also include providing coaching, counseling, and performance improvement initiatives when necessary. Manager will review and analyze all official guidance (CMS and State) applicable to the business unit to ensure compliance is met. In addition to project oversight and performance tracking, this position is responsible for fostering a spirit of teamwork and unity, providing conflict resolution support when necessary (with the assistance of Human Resources, if required).

• Leads and manages team in planning and executing business programs.
• Enforces systems, policies and procedures, and productivity standards to maintain a safe, secure, and legal work environment.
• Responsible for development of an employee-oriented culture that emphasizes quality, continuous improvement, employee retention / development, and high performance.
• Maintains employee work schedules, including assignments, job rotation, training, paid time off, and overtime scheduling.
• Identifies trends, chooses courses of action, defines objectives, manages and oversees operational project implementations, evaluates outcomes
• Carries out and maintains the mission and goals of the business unit.

JOB QUALIFICATIONS

Required Education

Bachelor's degree in Healthcare Admin, Marketing, Communications, English

Required Experience

5-7 years

To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing.

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

PJHPO

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