[Hiring] Lead, Medicare Administration @Molina Healthcare

Role Description This will be a remote position on our team that is responsible for our Medicare product - both Bids and Member Materials.

• Provides lead level support for Medicare and Medicare-Medicaid Plan (MMP) Duals products
• Development, implementation, and maintenance of annual project timelines/work plans for both product lines
• Supports the annual Medicare and MMP plan applications and Plan Benefit Package (PBP) design
• Provides centralized core beneficiary communications support
• Assists both lines of business for upcoming contract year business readiness
• Works collaboratively with business and operational units to ensure effective, accurate, and efficient business processes
• Ensures benefits are accurately defined, communicated, and configured
• Ensures member communications are compliant
• Ensures data exchanges and reports are accurate, timely, and meet federal requirements

Qualifications

• At least 4 years’ experience in Medicare/health care process design and development, business analysis, and/or compliance
• 1 year of project management experience, or equivalent combination of relevant education and experience
• Project management skills
• Strong quantitative analytical skills and abilities
• Strong multi-tasking skills and ability to navigate various software systems
• Ability to collaborate cross-functionally
• Strong verbal and written communication skills
• Microsoft Office suite and applicable software program(s) proficiency

Requirements

• Medicare experience
• Experience filing bids
• In depth understanding of planning benefits
• Experience with member materials
• Product management, product development of the Medicare product
• Experience supporting annual Medicare Product Management Life Cycle (applications, bids, benchmarking, mandated member materials)

Preferred Qualifications

• Medicare or Medicare-Medicaid Plan (MMP) experience

Benefits

• Molina Healthcare offers competitive benefits and compensation package

Apply tot his job Apply To this Job