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Sr. Program Specialist, Medicare - REMOTE

Remote, USAFull-timePosted 2026-07-27

Job reputed company JOB reputed company Job reputed company 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 reputed company Medicare lines of business the annual Medicare and Medicare-reputed company Plan Applications and Plan Benefit Package design, as reputed company as reputed company centralized year-round support in Medicare for the development and editing of core beneficiary communications, to include the Medicare reputed company of Benefits and Annual Notice of Change/Evidence of Coverage for print and online distribution reputed company the iCat authoring process, ensuring compliance with CMS 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 reputed company and successful project completion including adhoc reputed company and submissions as assigned by the Director of Medicare Programs. KNOWLEDGE/SKILLS/ABILITIES • Initiate reputed company by documenting the project scope including goals, objectives, milestones, deliverables and obtaining approval of the project sponsor. • Plan reputed company 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 reputed company desired project results. • Monitor and control reputed company by measuring reputed company according to plan and making course corrections as needed to reputed company the project on reputed company. • reputed company interim reports and keeping the project sponsor and stakeholders informed of reputed company and risks. • Serves in an internal consultant reputed company and possesses ability to rapidly learn, assess, and implement reputed company. • reputed company and distribute internal communications. • Spearhead submission of Medicare and MMP Applications, annual Medicare Bid and PBP, ANOC/EOC, and reputed company of Benefits working closely with a reputed company of reputed company partners. Responsible for staying up to date with the latest communications and guidance provided by CMS as it relates to applicable reputed company. • Coordinate cross-departmental informational updates - focusing on teamwork, information reputed company and support data to promote cross-training and reputed company team direction. • Annual implementation and roll out of business expansion for Medicare/MMP line of business. • SQL queries • Eligibility Extract analysis (834 file) • BRD development/Multiple reputed company-party applications that contain Molina member data (examples, case management, MTM). JOB QUALIFICATIONS Required Education Bachelor's degree or equivalent years of education and experience Required Experience • 5+ years in reputed company process design and development, business analysis, compliance, project management or reputed company experience. • Requires a minimum 2 years' experience in Medicare and/or reputed company and • 1 year experience in project management. • 1-2 years of experience in Information Technology, database Content Management Systems environments. Preferred Experience 3-5 years in project coordination, project management, business analysis, compliance. To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Apply Job!

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