Manager, National Communications Strategy & Planning; Medicare
Boise, Ada County, Idaho, 83708, USA
Listed on 2026-10-11
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Business
Regulatory Compliance Specialist
*** 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.
EssentialJob 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 Mar Com 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.
- 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.
- 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.
- 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.
- 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…
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