Manager, Medicare Administration

  • Rancho Cucamonga
  • Inland Empire Health Plan
*What you can expect! *

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an *authentic experience!*

In collaboration with operational leaders, the Manager of Medicare Administration will lead the development, implementation, and maintenance of operational policies and strategies that support Medicare Advantage (MA) supplemental benefits (including, but not limited to, management of the flex card capabilities/functionality, flex card vendor performance, annual VBID and bid renewals, and other Part C requirements). The Manager of Medicare Administration will also evaluate and report the results of implemented supplemental benefit strategies. This role is responsible for facilitation of a multi-functional team to develop comprehensive MA member retention plan. In addition, the Manager of Medicare Administration will manage all aspects of the DSNP Enrollee Advisory Committee (EAC), ensuring compliance with Medicare requirements.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and .

*Perks*

IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
* Relocation Assistance
* Tuition/Loan Reimbursement
* CalPERS retirement
* 457(b) option with a contribution match
* Generous paid time off- vacation, holidays, sick
* State of the art fitness center on-site
* Medical Insurance with Dental and Vision
* Paid life insurance for employees with additional options
* Short-term, and long-term disability options
* Pet care insurance
* Flexible Spending Account – Health Care/Childcare
* Wellness programs that promote a healthy work-life balance
* Career advancement opportunities and professional development
* Competitive salary with annual merit increase
* Team bonus opportunities

*Education & Experience*
* Five (5) years of relevant work experience managing Medicare Advantage plans or other relevant Medicare product experience required. Proven leadership experience, mentoring, and developing a team at a leadership level required.
* Bachelor’s degree in Business Administration, Public Health, Public Policy, or related field from an accredited institution required.

*Key Qualifications*
* Must have a valid California Driver’s license.
* Knowledge of managed care is required. Knowledge of Medicare managed care or Medi-Cal managed care is required. Understanding of and sensitivity to a multi-cultural environment and community.
* Excellent writing, interpersonal, communication, project management and organizational skills.
* Ability to develop collaborative relations with various levels of management throughout IEHP is required. Must have a high degree of patience and attention to detail.

Job Type: Full-time

Pay: $104,041.00 - $137,841.00 per year

Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Employee discount
* Flexible spending account
* Health insurance
* Health savings account
* Life insurance
* Paid time off
* Professional development assistance
* Referral program
* Relocation assistance
* Retirement plan
* Tuition reimbursement
* Vision insurance
Schedule:
* 8 hour shift
* Day shift
* Monday to Friday



Application Question(s):
* The new incumbent must have five years of relevant work experience managing Medicare Advantage product plans or other relevant Medicare product experience. Do you have this experience?
* This position requires on-site attendance in Rancho Cucamonga, Tuesdays - Thursdays with remote opportunities on Mondays and Fridays. Are you ok with this requirement?

Education:
* Bachelor's (Required)

License/Certification:
* Do you have a valid driver's license (Required)

Ability to Relocate:
* Rancho Cucamonga, CA 91730: Relocate before starting work (Required)


Work Location: Hybrid remote in Rancho Cucamonga, CA 91730

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