The role involves developing and executing member communication plans for Medicare Advantage, managing campaigns, overseeing compliance with CMS regulations, and enhancing member retention while working collaboratively with cross-functional teams.
Requisition Number: 2343169
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Manager, Member Communications - Medicare is responsible for the development and execution of member communication plans, integrated retention campaigns and content planning that support member experience and retention goals for our Medicare Advantage lines of business. The manager is results-driven, creative, and detail-orientated, with experience working at a Medicare Advantage insurance plan. This candidate is a team player, able to work with and influence cross-functional teams to drive strategic communication plans and tactics, including direct response communications, collateral development, and engagement activities. This person must have proven experience measuring the effectiveness of retention and experience programs. The manager also has oversight and accountability for end-to-end development of all KelseyCare Advantage mandated member materials (e.g., website updates, Annual Notice of Change, Summary of Benefits, Evidence of Coverage for all plan benefit packages, pharmacy directory, provider directory) in compliance with CMS regulations and business requirements.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Preferred Qualifications:
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together.
Manager, Member Communications - Medicare is responsible for the development and execution of member communication plans, integrated retention campaigns and content planning that support member experience and retention goals for our Medicare Advantage lines of business. The manager is results-driven, creative, and detail-orientated, with experience working at a Medicare Advantage insurance plan. This candidate is a team player, able to work with and influence cross-functional teams to drive strategic communication plans and tactics, including direct response communications, collateral development, and engagement activities. This person must have proven experience measuring the effectiveness of retention and experience programs. The manager also has oversight and accountability for end-to-end development of all KelseyCare Advantage mandated member materials (e.g., website updates, Annual Notice of Change, Summary of Benefits, Evidence of Coverage for all plan benefit packages, pharmacy directory, provider directory) in compliance with CMS regulations and business requirements.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Bachelor's degree or equivalent experience
- 5+ years of experience working in a Medicare Advantage plan
- 3+ years of demonstrated experience with CMS-mandated materials in a delegated model environment
- 3+ years of communication, campaign, and/or communications experience
- 3+ year of supervisory/managerial experience
- Working knowledge of CMS Medicare Advantage regulations, MCMG and oversight requirements
Preferred Qualifications:
- 2+ years of experience with CMS Compliance and Regulatory Guidelines
- Experience working with delegated entities (e.g., IPAs, medical groups, PBMs)
- Familiarity with Texas Medicare Advantage market dynamics
- Experience supporting Annual Enrollment Period (AEP) deliverables
- Vendor management and fulfillment experience
- Knowledge of CAHPS and Star Ratings
- Support scalable, efficient communication processes appropriate for a mid-sized, regional health plan
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Top Skills
Cms Regulations
Communication Campaigns
Member Communication Plans
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