Job Description
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