Senior Manager, Medicare Strategic Communications

Hispanic Alliance for Career Enhancement

Sioux Falls, SD

JOB DETAILS
SALARY
$67,900–$199,144 Per Year
SKILLS
A/B Testing, Artificial Intelligence (AI), Call Centers, Centers for Medicare and Medicaid Services (CMS), Channel Strategies, Clinical Data, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Content Management Systems (CMS), Customer Experience, Customer/Client Research, Data Science, Federal Laws and Regulations, Formulary, Geography, Health Plan, Healthcare, Leadership, Literacy, Marketing, Medicare, Onboarding, Performance Management, Pharmacy, Regulations, Sales, Simulation, State Laws and Regulations, Storytelling, Strategic Planning, Test Plan/Schedule, Test Scenario, Trend Analysis
LOCATION
Sioux Falls, SD
POSTED
2 days ago

Position SummaryWe 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 & EngagementServe as a strategic advisor to PBM Medicare health plan clients on Stars improvement initiatives, with a focus on CAHPS, adherence and member experiencePartner with account teams and clients to align Stars strategy, benefit design and member communicationsDeliver executive-level insights and recommendations through presentations and strategic engagementsMember Experience & Communications StrategyDesign and optimize member-facing communications (e.g., onboarding, benefit changes, adherence outreach, formulary disruption, etc.) that are CMS compliant and behaviorally effectiveTranslate complex regulatory, clinical and pharmacy dynamics into clear, digestible language that resonates across segments (e.g., LIS, chronic patients, varying literacy levels) to reduce the operational friction inherent to Medicare and compel desired actionsSupport development of multi‑channel engagement strategies (mail, digital, call center, provider touchpoints)AI‑Enabled Simulation & InnovationApply AI‑enabled tools to optimize communicationsUse simulation outputs to evaluate:Member comprehension and confusion pointsEmotional response and trust impactResulting action (e.g., call, complain, disengage)Generate message refinements to reduce confusion and drive desired behavioral responseAnalytics & Insight DevelopmentLeverage performance data, Stars reporting and client insights to identify:Gaps in communication effectivenessConfusion drivers and abrasion pointsOpportunities to improve adherence and CAHPS outcomesTranslate data into clear narratives and executive‑ready recommendationsSupport development of test‑and‑learn frameworks (e.g., A/B testing, scenario modeling)Cross‑Functional LeadershipHelp drive alignment across stakeholders to ensure integrated Stars strategy execution across:Sales / account teamsQuality/Stars program managementPharmacy & clinical programsAnalytics & data science teamsThought Leadership & Capability BuildingContribute to development of Stars value story, client‑facing materials and innovation use casesSupport pilot programs and new capabilities in AI‑driven engagement and communication optimizationEducate clients and internal teams on emerging trends in member experience and communication strategyRequired Qualifications7+ years of experience in healthcare marketing communicationsDemonstrated experience in developing and executing communication strategiesPreferred QualificationsStrong understanding of Part D benefit design and formulary dynamics, Medicare Stars program and CMS member communication requirements and guidelinesExperience working directly with health plan and other senior executivesExceptional storytelling and presentation skillsEducationBachelor's degree or relevant experienceCompensationTypical pay range: $67,900.00 – $199,144.00. Actual base salary will depend on experience, education, geography and other factors. The role also includes eligibility for bonus, commission or short‑term incentive programs and the company's equity award program.BenefitsComprehensive benefits package including medical, dental, vision, paid time off, retirement savings options, wellness programs and other resources. Eligibility and details are provided during the application process.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.#J-18808-Ljbffr

About the Company

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Hispanic Alliance for Career Enhancement