Medicare Program Partner
Core
Manage Medicare Advantage programs (healthy living, wellness, transportation) ensuring operational performance, regulatory compliance, and member satisfaction.
Role type
Senior Medicare Advantage Program Manager
Builds
End-to-end operational performance of the Medicare Advantage line of business
Domain
Healthcare / Medicare Advantage
Required skills
Medicare Operations, Leadership, Project Management, Data analytics, Strategic planning, Analytical skills, Problem Solving
Preferred skills
Program management
Technologies
CMS systems, HPMS
Responsibilities
Lead daily market operations ensuring CMS compliance; Develop and optimize strategies for enrollment, product development, and care coordination; Ensure readiness for CMS audits and regulatory changes; Partner with Compliance/Legal to operationalize regulations; Drive performance improvements for Star Ratings and KPIs; Oversee vendor performance and contract compliance; Collaborate on budgeting and forecasting; Support growth initiatives like new market entry and AEP.
Seniority
Senior, hands-on IC
