Senior Manager, Medicare Strategic Communications

Position Summary

We are seeking a strategic, data-driven Senior Manager to advise and support Medicare Advantage and Part D health plan clients on member experience and communications strategies, with a strong focus on improving Stars performance. This role sits at the intersection of quality (Stars), pharmacy, clinical programs, sales and member engagement, partnering with internal stakeholders and external clients to design and optimize communications that improve adherence, member experience and Stars outcomes.

The ideal candidate combines Medicare expertise, strong strategy development capabilities and experience leveraging advanced analytics and AI-enabled simulation tools to evaluate and improve member-facing messaging.

• Client Strategy & Engagement
  • Serve as a strategic advisor to PBM Medicare health plan clients on Stars improvement initiatives, with a focus on CAHPS, adherence and member experience.
  • Partner with account teams and clients to align Stars strategy, benefit design and member communications.
  • Deliver executive-level insights and recommendations through presentations and strategic engagements.
• Member Experience & Communications Strategy
  • Design and optimize member-facing communications (e.g., onboarding, benefit changes, adherence outreach, formulary disruption) that are CMS compliant and behaviorally effective.
  • Translate complex regulatory, clinical and pharmacy dynamics into clear, digestible language that resonates across segments (e.g., LIS, chronic patients, varying literacy levels) to reduce operational friction and compel desired actions.
  • Support development of multi-channel engagement strategies (mail, digital, call center, provider touchpoints).
• AI-Enabled Simulation & Innovation
  • Apply AI-enabled tools to optimize communications.
  • Use simulation outputs to evaluate member comprehension and confusion points, emotional response and trust impact, resulting actions (e.g., call, complain, disengage).
  • Generate message refinements to reduce confusion and drive desired behavioral response.
• Analytics & Insight Development
  • Leverage performance data, Stars reporting and client insights to identify gaps in communication effectiveness, confusion drivers and abrasion points, opportunities to improve adherence and CAHPS outcomes.
  • Translate data into clear narratives and executive-ready recommendations.
  • Support development of test-and-learn frameworks (e.g., A/B testing, scenario modeling).
• Cross-Functional Leadership
  • Help drive alignment across stakeholders to ensure integrated Stars strategy execution across sales/account teams, quality/Stars program management, pharmacy & clinical programs, analytics & data science teams.
• Thought Leadership & Capability Building
  • Contribute to development of Stars value story, client-facing materials and innovation use cases.
  • Support pilot programs and new capabilities in AI-driven engagement and communication optimization.
  • Educate clients and internal teams on emerging trends in member experience and communication strategy.

• Required Qualifications
  • 7+ years of experience in healthcare marketing communications.
  • Demonstrated experience in developing and executing communication strategies.
• Preferred Qualifications
  • Strong understanding of Part D benefit design and formulary dynamics, Medicare Stars program and CMS member communication requirements and guidelines.
  • Experience working directly with health plan and other senior executives.
  • Exceptional storytelling and presentation skills.

Bachelor's degree or relevant experience.

The typical pay range for this role is: $67,900.00 - $.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.