Molina HealthcareMH

Medicare Member Materials Manager - REMOTE

Molina Healthcare is a FORTUNE 500 company focused on providing government-sponsored healthcare services, including Medicaid and Medicare, across the United States.

Molina Healthcare

Employee count: 1001-5000

United States only

JOB DESCRIPTION

Job Summary

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

About the job

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Posted on

Job type

Full Time

Experience level

Manager

Location requirements

Hiring timezones

United States +/- 0 hours

About Molina Healthcare

Learn more about Molina Healthcare and their company culture.

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Molina Healthcare is a FORTUNE 500, multi-state health care organization dedicated to providing quality health care services under Medicaid and Medicare programs. With a commitment to ensuring that every person and family has access to quality health care, Molina operates in numerous states across the United States. The organization serves over 5 million members through locally operated health plans and strives to address health disparities with innovative solutions.

With a foundation built in 1980 by Dr. C. David Molina, the organization has grown from one clinic in Long Beach, California, to become a leader in government-sponsored health care services. Molina Healthcare specializes in managed care, providing a comprehensive range of health services from preventive care to specialized treatment plans. One of Molina's most significant achievements includes integrating care for those eligible for both Medicaid and Medicare, showing a commitment to delivering high-quality, coordinated health care across diverse populations. Their focus on community engagement ensures that members are empowered to manage their health effectively.

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Molina Healthcare

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