Medicare Strategy & Operations Lead

Lifetime Benefit Solutions, Inc.; City of Rochester (NY); Hybrid; USD 79,000 - 142,000; Full time

Job summary

Lifetime Benefit Solutions, Inc. is seeking a senior Medicare program leader to drive strategy and execution across Medicare Advantage, Medicare Supplement, Part D, and Dual Eligible products.

You will align regulatory requirements with business objectives, lead cross-functional initiatives, and ensure operational excellence while maintaining strong member privacy and adherence to company values. The role requires deep regulatory knowledge, eventful project management, and the ability to

Qualifications

• Bachelor’s degree with a minimum of six years progressive health plan operations experience.
• Strong leadership and/or management experience.
• Experience with regulatory and accreditation agencies (NCQA, CMS, DOH, Dept. of Finance Services).
• Proven project management, analytical, and problem-solving abilities.

Responsibilities

• Develops strategic, operational, and tactical business plans for Medicare lines of business.
• Evaluates market opportunities and builds business cases for new programs.
• Identifies root causes of issues affecting compliance and customer satisfaction; implements improvements.

Skills

Leadership

Regulatory expertise

Project management

Analytical thinking

Negotiation

Communication

Independent work

Education

Bachelor's degree in health administration, marketing, business administration or related field

Tools

MS Word

Excel

PowerPoint

Job description

Lifetime Benefit Solutions, Inc. is seeking a senior Medicare program leader to drive strategy and execution across Medicare Advantage, Medicare Supplement, Part D, and Dual Eligible products.

You will align regulatory requirements with business objectives, lead cross-functional initiatives, and ensure operational excellence while maintaining strong member privacy and adherence to company values. The role requires deep regulatory knowledge, eventful project management, and the ability to