Manager, Compliance & Member Materials (Medicare)

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Position Purpose:
Manage development of Medicare marketing and member materials in compliance with CMS regulations and business requirements.

• Manages the development, CMS submission, and downstream delivery of compliant member materials, (depending on scope of team) including Annual Notice of Changes, Evidence of Coverage and Summary of Benefits.
• Leads the Duals Medicare Communications Compliance team in the management of regulatory requirements associated with the Medicare and Duals materials  compliance.
• Manages a team of employees to optimize performance and align with company’s values/pillars.
• Manages performance and conduct employee reviews and performance evaluations, develop skills and competencies in-line with career goals, ensure adherence to policy and procedures.
• Delegates tasks and assignments, prioritize team workload, manage resources and provide guidance to ensure department’s goals are met, and interview, hire and train new team members.
• Supports team members by addressing obstacles that would prevent achievement of goals.
• Ensure timely and accurate submission of materials to CMS and state regulatory agencies.
• Develops and maintains efficient processes for creating template materials with versioning to incorporate health plan specific information.
• Trains business owners on Medicare Marketing requirements and departmental processes to ensure compliance.
• Leads projects internal to the department and cross-functional business partners to promote successful collaboration.
• Supports the implementation of measurable, repeatable, scalable, and predictable processes related to organizational goals and drive continuous improvement to enable the department to scale efficiently and effectively.
• Manages quality assurance audits on department wide product, including regulatory research, projects, and communications.
• Monitors regulatory guidance and disseminate as needed to ensure awareness and compliance (depending on scope of team).
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience:
Bachelor’s degree in related field or equivalent experience. 5+ years of combined health plan member materials development and compliance experience in a Medicare Managed Care environment. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff preferred. Ability to work in a fast-paced, rapidly changing environment with superior attention to detail. Strong communication (verbal and written) and presentation skills. Ability to work well under pressure and meet targeted deadlines.
 

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act