Demo

Sr Program Specialist, Medicare

Lensa
Rapids, IA Full Time
POSTED ON 3/31/2025
AVAILABLE BEFORE 4/29/2025
Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals in Cedar Rapids, IA. Apply via Lensa today!

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. Manage for all Medicare lines of business the annual Medicare and Medicare-Medicaid Plan Applications and Plan Benefit Package design, as well as provide centralized year-round support of Medicare Growth Marketing, for the development and core editing of materials as required by Mandated Materials team, to include the Annual Notice of Change, Medicare Summary of Benefits, evidence of Coverage and Mid-Year Supplemental Benefit Notices for print and online distribution via the Data Automation Tools, ensuring compliance with CMS and State guidelines. Support Medicare and MMP line of business for upcoming contract year business readiness. This position also needs to assist 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 Manager of Mandated Materials or designee.

Knowledge/Skills/Abilities

  • Experience in developing materials in data automation tools, SQL queries (optional)
  • Initiate projects by documenting the project scope including goals, objectives, timelines, milestones, deliverables and obtaining approval of the project owner.
  • Plan projects by creating process improvement workflows, project presentations, work plans, establishing due dates, and assigning task responsibilities.
  • Guides project efforts by leading work teams and utilizing effective project management tools to achieve desired project results.
  • Monitor and control projects by measuring progress according to plan and making course corrections as needed to keep the project on track.
  • Provide interim reports and keeping the project sponsor and stakeholders informed of progress and risks.
  • Serves in an internal consultant capacity and possesses ability to rapidly learn, assess, and implement projects.
  • Develop and distribute internal communications.
  • Spearhead submission of Medicare and MMP materials (as assigned), annual Medicare Bid and PBP, ANOC/EOC, and Summary of Benefits working closely with a variety of internal and external partners. Responsible for staying up to date with the latest communications and guidance provided by CMS as it relates to applicable projects.
  • Coordinate cross-departmental informational updates – focusing on teamwork, information flow and support data to promote cross-training and unified team direction.
  • Collaborates with implementation team for Annual implementation and roll out of business expansion for Medicare/MMP lines of business.
  • Ensures materials developed are 508 compliant for web posting and receive Certificate of Accuracy (COA) for translations.

Job Qualifications

Required Education

  • Bachelor’s degree or equivalent years of education and experience

Required Experience

  • 1-2 years of experience in Information Technology, database Content Management Systems environments.
  • 5 years in healthcare process design and development, business analysis, compliance, project management or related experience.
  • 2 years’ experience in Medicare and/or healthcare
  • 1 year experience in project management.

Preferred Experience

  • 1-2 years in content management systems
  • 3-5 years in project coordination/management, business analysis, compliance.

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.

Pay Range: $77,969 - $128,519 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Salary : $77,969 - $128,519

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a Sr Program Specialist, Medicare?

Sign up to receive alerts about other jobs on the Sr Program Specialist, Medicare career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$138,649 - $191,575
Income Estimation: 
$182,502 - $249,036
Income Estimation: 
$207,946 - $249,343
Income Estimation: 
$175,165 - $219,883
Income Estimation: 
$182,642 - $260,237
Income Estimation: 
$107,623 - $139,321
Income Estimation: 
$133,494 - $170,282
Income Estimation: 
$131,105 - $151,214
Income Estimation: 
$128,269 - $173,633
Income Estimation: 
$157,111 - $225,157
Income Estimation: 
$87,195 - $112,851
Income Estimation: 
$115,491 - $158,336
Income Estimation: 
$102,413 - $133,130
Income Estimation: 
$109,705 - $144,044
Income Estimation: 
$119,541 - $162,386
Income Estimation: 
$125,870 - $158,705
Income Estimation: 
$156,108 - $190,447
Income Estimation: 
$131,105 - $151,214
Income Estimation: 
$172,510 - $244,152
Income Estimation: 
$191,286 - $252,215
Income Estimation: 
$69,279 - $89,028
Income Estimation: 
$88,573 - $114,377
Income Estimation: 
$102,413 - $133,130
Income Estimation: 
$91,640 - $116,747
Income Estimation: 
$119,541 - $162,386
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at Lensa

Lensa
Hired Organization Address Cheyenne, WY Full Time
Lensa is the leading career site for job seekers at every stage of their career. Our client, Evolent, is seeking profess...
Lensa
Hired Organization Address Cheyenne, WY Full Time
Lensa is the leading career site for job seekers at every stage of their career. Our client, Humana, is seeking professi...
Lensa
Hired Organization Address Cheyenne, WY Full Time
Lensa is the leading career site for job seekers at every stage of their career. Our client, Eliassen Group, is seeking ...
Lensa
Hired Organization Address Cheyenne, WY Intern
Lensa is the leading career site for job seekers at every stage of their career. Our client, Humana, is seeking professi...

Not the job you're looking for? Here are some other Sr Program Specialist, Medicare jobs in the Rapids, IA area that may be a better fit.

AI Assistant is available now!

Feel free to start your new journey!