What are the responsibilities and job description for the Manager, Medicare Administration position at IEHP?
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
In collaboration with operational leaders, the Manager of Medicare Administration will lead the development, implementation, and maintenance of operational policies and strategies that support Medicare Advantage (MA) supplemental benefits (including, but not limited to, management of the flex card capabilities/functionality, flex card vendor performance, annual VBID and bid renewals, and other Part C requirements). The Manager of Medicare Administration will also evaluate and report the results of implemented supplemental benefit strategies. This role is responsible for facilitation of a multi-functional team to develop comprehensive MA member retention plan. In addition, the Manager of Medicare Administration will manage all aspects of the DSNP Enrollee Advisory Committee (EAC), ensuring compliance with Medicare requirements.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
Pay Range
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
In collaboration with operational leaders, the Manager of Medicare Administration will lead the development, implementation, and maintenance of operational policies and strategies that support Medicare Advantage (MA) supplemental benefits (including, but not limited to, management of the flex card capabilities/functionality, flex card vendor performance, annual VBID and bid renewals, and other Part C requirements). The Manager of Medicare Administration will also evaluate and report the results of implemented supplemental benefit strategies. This role is responsible for facilitation of a multi-functional team to develop comprehensive MA member retention plan. In addition, the Manager of Medicare Administration will manage all aspects of the DSNP Enrollee Advisory Committee (EAC), ensuring compliance with Medicare requirements.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
- CalPERS retirement
- 457(b) option with a contribution match
- Generous paid time off- vacation, holidays, sick
- State of the art fitness center on-site
- Medical Insurance with Dental and Vision
- Paid life insurance for employees with additional options
- Short-term, and long-term disability options
- Pet care insurance
- Flexible Spending Account – Health Care/Childcare
- Wellness programs that promote a healthy work-life balance
- Career advancement opportunities and professional development
- Competitive salary with annual merit increase
- Team bonus opportunities
- Five (5) years of relevant work experience managing Medicare Advantage plans or other relevant Medicare product experience required. Proven leadership experience, mentoring, and developing a team at a leadership level required.
- Bachelor’s degree in Business Administration, Public Health, Public Policy, or related field from an accredited institution required.
- Must have a valid California Driver’s license.
- Knowledge of managed care is required. Knowledge of Medicare managed care or Medi-Cal managed care is required. Understanding of and sensitivity to a multi-cultural environment and community.
- Excellent writing, interpersonal, communication, project management and organizational skills.
- Ability to develop collaborative relations with various levels of management throughout IEHP is required. Must have a high degree of patience and attention to detail.
Pay Range
- $104,041.60 USD Annually - $137,841.60 USD Annually
Salary : $104,042 - $137,842
