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Director, Medicare Administration

Company: Molina Healthcare
Location: Long Beach
Posted on: September 13, 2020

Job Description:

Job Description

Primary Location : US-CA-Long Beach-MOLINA300

Job : Exchange and Duals

Organization : Corporate

Job Posting Additional Information : To learn more about Molina Healthcare Careers, follow us on LinkedIn , Twitter  & Facebook . You can also visit Molina Cares to view interactive tutorials on resume & cover letter writing, interviewing and more!

Job Description

Job Summary:

Responsiblefor the management of the benefits, operations, communication, reporting, anddata exchange of the Medicare/MMP products in support of strategic and corporatebusiness objectives. Develops infrastructure, standards, and policies andprocedures for the Medicare and Dual Eligible Program and participates in thestrategic development of its products and services.

Knowledge/Skills/Abilities:

• Establishes audit controls and measurements to ensure correct processes are established.

• Develops and performs internal audits/risk assessments, monitoring program for Molina Healthcare departments.

• Coordinates development of written policies and procedures regarding compliance with local, state and federal guidelines.

• Responsiblefor development, implementation and maintenance of department strategicinitiatives with special support to the member experience.

• Manageteam supporting Medicare/MMP communications development and distribution.

•  Monitorsongoing performance and communicates expectations and results.

•  Provideswork direction for team, reviews work results and is focused on maintainingsteady workflow and productivity and resolving operational decisions.

•  Developsand implements beneficiary materials and communication development and distributionstrategies, establishes business processes to ensure goals and objectives aremet.

•  Collaborateswith internal and external stakeholders and business partners to implementplans.

•  Direct,organize and track numerous and diverse projects, activities, timelines andissues.

•  Identifypertinent policy issues and develop strategies, solutions and procedures.

Job Qualifications Required Education:

Graduate Degree or equivalent combination of education and experience

Required Experience:

•  7+ years of Medicare Advantage experience. •  5+ years of experience in a leadership role with direct reports. • Proficient in managing end to end Medicare / MMP core materials development including EOCs, Summary of Benefits, ANOCs, Provider Directories, etc. • Experience working with a 3rd party print and fulfillment company. • Must have experience working in a highly matrix organization. •  Excellent verbal and written communication skills. • M ustpossess creative problem-solving and strategic and analytical skills. Preferred Experience:

•  10+ years  of Medicare Advantage experience.

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.

Keywords: Molina Healthcare, Long Beach , Director, Medicare Administration, Other , Long Beach, California

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