Medicare Welcome Kits & Directories Manager (Remote)

Molina Healthcare; Northern (KY); Remoto; USD 95.000 - 135.000; Tempo pieno

Descrizione del lavoro

Molina Healthcare is seeking a Manager of Welcome Kits & Provider Directories to own end-to-end Medicare Annual Notice of Change, Evidence of Coverage, and Summary of Benefits across markets. The role partners with Government Contracts, D-SNP Market Leaders, Provider Data Management, and the Online Materials Library to ensure SMAC-compliant materials are accurate and delivered on schedule.

You will coordinate across regional managers and health plans, manage CMS/state filing deadlines, track

Mansioni

• Owns Medicare Annual Notice of Change, Evidence of Coverage, and Summary of Benefits from start to finish: Gathering market inputs, managing production, and ensuring on-time delivery across all Medicare Advantage markets.
• Tracks SMAC requirements and makes sure they show up correctly in materials: Works directly with Government Contracts and D-SNP Market Leaders to stay on top of market-specific regulatory requirements throughout the year.
• Keeps Medicare Annual Notice of Change, Evidence of Coverage, and Summary of Benefits current year-round: PDs go beyond an annual update. Changes and regulatory updates happen month to month, and this role manages those updates from the source data through to the final document.
• Coordinates across a lot of teams at once: Regional Managers, Government Contracts, DMLs, Provider Data, OML, health plans, and MarCom Ops. Keeping everyone informed and moving is a core part of the job.
• Manages CMS and state filing deadlines: Works with OML to make sure materials are submitted correctly and on time and handles any corrections or resubmissions that come back.
• Own end-to-end coordination of all materials included in each market's Medicare Welcome Kit - from initial market intake through final production and delivery.
• Ensure Welcome Kit content accurately reflects market-specific benefit designs, SMAC-driven requirements, and all applicable CMS and state regulatory standards.
• Manage year-over-year Welcome Kit refreshes, incorporating annual plan changes, new market requirements, and feedback from prior production cycles.
• Track open items, outstanding inputs, and market-specific variations across all assigned markets throughout the production cycle.
• Manage the production and ongoing maintenance of Medicare Printed Provider Directories for all applicable markets.
• Collaborate with Provider Data Management teams to ensure approved 'good data' files are used as the authoritative source for all directory content.
• Oversee annual directory refreshes and coordinate month-to-month updates driven by provider changes, market updates, or regulatory requirements.
• Ensure all updates are accurately reflected, tracked, and communicated to relevant stakeholders in a timely manner.
• Develop working knowledge of market-specific SMAC requirements and their downstream impact on Welcome Kit content and structure.
• Partner with Government Contracts (GC) and D-SNP Market Leaders (DMLs) to identify SMAC-driven requirements and ensure they are correctly incorporated into materials.
• Track SMAC changes throughout the year and confirm that Welcome Kit content is updated accordingly ahead of each production cycle.
• Serve as an informed point of contact for market-specific regulatory questions related to Welcome Kits and Provider Directories.
• Partner with health plan market teams to confirm required materials, gather market-specific inputs, and manage timelines across multiple concurrent markets.
• Coordinate with Regional Mandated Materials Managers on production status, open items, market readiness, and escalation of issues.
• Support Regional Manager-led working sessions with health plans by preparing content updates, status reports, and tracking follow-ups and next steps.
• Ensure health plan partners have clear visibility into material status, upcoming changes, and any market-specific actions required of them.
• Partner with the Online Materials Library (OML) team to support CMS and state filing requirements for Welcome Kits and Provider Directories.
• Ensure materials are submitted accurately and on time, with awareness of filing deadlines and their impact on upstream production timelines.
• Manage CMS or state feedback, corrections, and resubmissions in coordination with OML and relevant market stakeholders.
• Maintain documentation of filing status, correspondence, and resolution outcomes by market and document type.
• In collaboration with senior leadership, supports the development and execution of enterprise communication strategies aligned with brand standards, business objectives, and regulatory requirements, while representing regional needs and insights.
• Serves as the primary communications lead for an assigned region, delivering regular (monthly and mid-month/weekly) updates to health plans and ensuring clear, consistent communication throughout the material development lifecycle.
• Supports and contributes to comprehensive communication strategies that drive member engagement, retention, provider relations, and regulatory compliance, translating enterprise objectives into regionally executable plans.
• Co-leads monthly health plan calls in partnership with Marketing, including scheduling, agenda development, preparation, facilitation, and follow-up, ensuring alignment on priorities, timelines, and expectations.
• Leads and manages the development of mandated and regulatory communication materials within the region, ensuring milestones, timelines, and deadlines are clearly communicated, tracked, and met.
• Proactively tracks progress, identifies risks or delays, and communicates mitigation strategies to health plans and internal stakeholders to support timely delivery and reduce downstream impacts.
• Builds and maintains strong cross-functional partnerships with shared services teams (e.g., Compliance Practice Oversight, Product, Enrollment, Medicare Implementations), coordinating year-over-year updates, operational changes, and regional requirements.
• Represents regional perspectives and recurring themes to inform enterprise communication planning, campaign roadmaps, and continuous improvement efforts.
• Oversees Source of Truth (SOT) governance for the region, ensuring accuracy, completeness, and timely stakeholder input; serves as the primary point of contact for SOT change requests, escal

Descrizione del lavoro

Molina Healthcare is seeking a Manager of Welcome Kits & Provider Directories to own end-to-end Medicare Annual Notice of Change, Evidence of Coverage, and Summary of Benefits across markets. The role partners with Government Contracts, D-SNP Market Leaders, Provider Data Management, and the Online Materials Library to ensure SMAC-compliant materials are accurate and delivered on schedule.

You will coordinate across regional managers and health plans, manage CMS/state filing deadlines, track