About this role
***Remote and must live in the United States***
JOB DESCRIPTION
Job Summary
The Manager, Welcome Kits & Provider Directories owns the end-to-end development, coordination, and delivery of two critical member-facing document types — Medicare Annual Notice of Change, Evidence of Coverage, and Summary of Benefits — across all applicable Medicare Advantage markets. Welcome Kits are a new member's first communication from Molina; Provider Directories must reflect current, approved provider data and satisfy CMS and state filing requirements on an annual and ongoing basis.
This is a high-accountability, execution-focused role that sits at the intersection of regulatory compliance, market coordination, and operational delivery. The Manager works closely with Regional Mandated Materials Managers, Government Contracts, D-SNP Market Leaders, Provider Data Management, and the Online Materials Library (OML) team to ensure materials are market-accurate, SMAC-compliant, and delivered on schedule across multiple markets simultaneously.
Essential Job Duties
• Owns Medicare Annual Notice of Change, Evidence of Coverage, and Summary of Benefits from start to finish: Gathering market inputs, managing production, and ensuring on-time delivery across all Medicare Advantage markets. • Tracks SMAC requirements and makes sure they show up correctly in materials: Works directly with Government Contracts and D-SNP Market Leaders to stay on top of market-specific regulatory requirements throughout the year. • Keeps Medicare Annual Notice of Change, Evidence of Coverage, and Summary of Benefits current year-round: PDs go beyond an annual update. Changes and regulatory updates happen month to month, and this role manages those updates from the source data through to the final document. • Coordinates across a lot of teams at once: Regional Managers, Government Contracts, DMLs, Provider Data, OML, health plans, and MarCom Ops. Keeping everyone informed and moving is a core part of the job. • Manages CMS and state filing deadlines: Works with OML to make sure materials are submitted correctly and on time and handles any corrections or resubmissions that come back.
Welcome Kit Management
• Own end-to-end coordination of all materials included in each market's Medicare Welcome Kit — from initial market intake through final production and delivery. • Ensure Welcome Kit content accurately reflects market-specific benefit designs, SMAC-driven requirements, and all applicable CMS and state regulatory standards. • Manage year-over-year Welcome Kit refreshes, incorporating annual plan changes, new market requirements, and feedback from prior production cycles. • Track open items, outstanding inputs, and market-specific variations across all assigned markets throughout the production cycle.
Provider Directory Management
• Manage the production and ongoing maintenance of Medicare Printed Provider Directories for all applicable markets. • Collaborate with Provider Data Management teams to ensure approved 'good data' files are used as the authoritative source for all directory content. • Oversee annual directory refreshes and coordinate month-to-month updates driven by provider changes, market updates, or regulatory requirements. • Ensure all updates are accurately reflected, tracked, and communicated to relevant stakeholders in a timely manner.
SMAC Requirements & Regulatory Alignment
• Develop working knowledge of market-specific SMAC requirements and their downstream impact on Welcome Kit content and structure. • Partner with Government Contracts (GC) and D-SNP Market Leaders (DMLs) to identify SMAC-driven requirements and ensure they are correctly incorporated into materials. • Track SMAC changes throughout the year and confirm that Welcome Kit content is updated accordingly ahead of each production cycle. • Serve as an informed point of contact for market-specific regulatory questions related to Welcome Kits and Provider Directories.
Market Coordination & Stakeholder Engagement
• Partner with health plan market teams to confirm required materials, gather market-specific inputs, and manage timelines across multiple concurrent markets. • Coordinate with Regional Mandated Materials Managers on production status, open items, market readiness, and escalation of issues. • Support Regional Manager-led working sessions with health plans by preparing content updates, status reports, and tracking follow-ups and next steps. • Ensure health plan partners have clear visibility into material status, upcoming changes, and any market-specific actions required of them.
CMS & State Filing Collaboration
• Partner with the Online Materials Library (OML) team to support CMS and state filing requirements for Welcome Kits and Provider Directories. • Ensure materials are submitted accurately and on time, with awareness of filing deadlines and their impact on upstream production timelines. • Manage CMS or state feedback, corrections, and resubmissions in coordination with OML and relevant market stakeholders. • Maintain documentation of filing status, correspondence, and resolution outcomes by market and document type.
Essential Job Duties:
• In collaboration with senior leadership, supports the development and execution of enterprise communication strategies aligned with brand standards, business objectives, and regulatory requirements, while representing regional needs and insights. • Serves as the primary communications lead for an assigned region, delivering regular (monthly and mid‑month/weekly) updates to health plans and ensuring clear, consistent communication throughout the material development lifecycle. • Supports and contributes to comprehensive communication strategies that drive member engagement, retention, provider relations, and regulatory compliance, translating enterprise objectives into regionally executable plans. • Co‑leads monthly health plan calls in partnership with Marketing, including scheduling, agenda development, preparation, facilitation, and follow‑up, ensuring alignment on priorities, timelines, and expectations. • Leads and manages the development of mandated and regulatory communication materials within the region, ensuring milestones, timelines, and deadlines are clearly communicated, tracked, and met. • Proactively tracks progress, identifies risks or delays, and communicates mitigation strategies to health plans and internal stakeholders to support timely delivery and reduce downstream impacts. • Builds and maintains strong cross‑functional partnerships with shared services teams (e.g., Compliance Practice Oversight, Product, Enrollment, Medicare Implementations), coordinating year‑over‑year updates, operational changes, and regional requirements. • Represents regional perspectives and recurring themes to inform enterprise communication planning, campaign roadmaps, and continuous improvement efforts. • Oversees Source of Truth (SOT) governance for the region, ensuring accuracy, completeness, and timely stakeholder input; serves as the primary point of contact for SOT change requests, escalations, and post‑deadline updates, including late‑breaking changes. • Identifies, escalates, and helps resolve communication or operational issues by partnering with internal and external stakeholders to ensure timely resolution, consistent follow‑up, and clear documentation. • Utilizes data, competitive insights, and member feedback to inform strategic decisions and regional communication approaches. • Partners with analytics teams to define and monitor key performance indicators (KPIs), track progress, measure effectiveness of communication efforts, and apply insights to improve future initiatives. • Develops and refines communication frameworks, templates, tools, and best practices based on regional patterns, questions, and recurring needs. • Champions innovation and continuous improvement across communication strategy, planning, intake, and execution processes. • Leads, coaches, and develops team members by setting clear direction, providing guidance and feedback, fostering collaboration, and ensuring alignment with organizational goals and high‑quality outputs. • Inspires a high‑performing team culture grounded in accountability, transparency, creativity, and operational excellence through regular engagement, communication, and performance management.
Required Qualifications
• At least 7 years of progressive communications/marketing experience, including health care/managed care experience, or equivalent combination of relevant education and experience.
• At least 1 year of management/leadership experience.
• Ability and experience leading communications/marketing strategy and strategic planning initiatives.
• Strong understanding of Centers for Medicare and Medicaid Services (CMS) regulations, Medicaid/Medicare communications, and member engagement strategies.
• Experience with communication analytics platforms and strategic planning tools.
• Strong analytical and strategic thinking skills.
• Strong organizational skills and attention to detail.
• Project management experience/experience managing complex projects in a regulated environment.
• Ability to work cross-functionally with internal/external stakeholders in a highly matrixed organization.
• Strong verbal and written communication skills.
• Microsoft Office suite and applicable software programs proficiency.
Preferred Qualifications
• Project Management Professional (PMP) or Agile certification.
• Proficiency in marketing technology platforms/tools (e.g. Salesforce Health Cloud, Adobe Experience Manager, Tableau).
• Experience with multicultural and multilingual communications.
• Familiarity with National Committee for Quality Assurance (NCQA) standards and health literacy best practices.
• Bilingual capabilities (Spanish, Mandarin, etc.).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V