Senior program specialist/program specialist job description

Responsible for the management of the benefits, operations, communication, reporting, and data exchange of the Medicare/MMP product in support of strategic and corporate business objectives. Manage for all Medicare lines of business the annual Medicare and Medicare-Medicaid Plan Applications and Plan Benefit Package design, as well as provide centralized year-round support in Medicare for the development and editing of core beneficiary communications, to include the Medicare Summary of Benefits and Annual Notice of Change/Evidence of Coverage for print and online distribution via the iCat authoring process, ensuring compliance with CMS guidelines. Support Medicare and MMP line of business for upcoming contract year business readiness. This position also needs to assist in the development, implementation, and maintenance of annual timelines/work plans to ensure timely and successful project completion including adhoc projects and submissions as assigned by the Director of Medicare Programs.
KNOWLEDGE/SKILLS/ABILITIES



Initiate projects by documenting the project scope including goals, objectives, milestones, deliverables and obtaining approval of the project sponsor.
Plan projects by creating process improvement workflows, project presentations, work plans, establishing due dates, and assigning task responsibilities.
Guides project efforts by leading work teams and utilizing effective project management tools to achieve desired project results.
Monitor and control projects by measuring progress according to plan and making course corrections as needed to keep the project on track.
Provide interim reports and keeping the project sponsor and stakeholders informed of progress and risks.
Serves in an internal consultant capacity and possesses ability to rapidly learn, assess, and implement projects.
Develop and distribute internal communications.
Spearhead submission of Medicare and MMP Applications, annual Medicare Bid and PBP, ANOC/EOC, and Summary of Benefits working closely with a variety of internal and external partners. Responsible for staying up to date with the latest communications and guidance provided by CMS as it relates to applicable projects.
Coordinate cross-departmental informational updates - focusing on teamwork, information flow and support data to promote cross-training and unified team direction.
Annual implementation and roll out of business expansion for Medicare/MMP line of business.
Eligibility Extract analysis (834 file)
BRD development/Multiple third-party applications that contain Molina member data (examples, case management, MTM).



JOB QUALIFICATIONS


Required Education


Bachelor's degree in Healthcare Admin, Marketing, Communications, English


Required Experience



5+ years in healthcare process design and development, business analysis, compliance, project management or related experience.
Requires a minimum 2 years' experience in Medicare and/or healthcare and
1 year experience in project management.
1-2 years of experience in Information Technology, database Content Management Systems environments.



Preferred Experience


3-5 years in project coordination, project management, business analysis, compliance.


#PJHPO #LI-BEMORE


To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.


Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

This position is for a Deputy Program Manager for the Massachusetts Bay Transit Authority (MBTA) P25 System implementation. The Deputy PM will be working directly for the MBTA Head PM and with the program implementation team to ensure all external tasks, internal tasks, and reporting requirements are completed per the contract, PSPC PM Policies, the project schedule, and budget. The ideal candidate will be an experienced Program Manager who has implemented large scale Land Mobile Radio (LMR) systems or other communication systems in the Transit Industry.

A Deputy PM is considered a subject matter expert with comprehensive knowledge of job area and in-depth knowledge of program management. A Deputy PM assists the Head PM with the management of large, complex programs of substantial importance to the organization with minimal oversight or direction. A Deputy PM communicates within and outside of the organization to explain and influence changes to practices, processes, and approaches during the execution of programs. A Deputy PM provides input and insight to process improvements and implements operational plans that have measurable impact on business results.
Essential Functions:

The Deputy PM will be responsible for assisting the Head PM with all management activities involved with overseeing and successfully completing the installation of a Land Mobile Radio System for the MBTA. Specific duties include:

+ Scope Management - Monitoring and controlling the scope of the progam within the established baseline.

+ Schedule Management - Complete planning of the program with the Head PM and Project Scheduler including task monitoring, schedule modifications, schedule updating, resource loading and communication of the schedule to the customer.

+ Financial Management - Financial responsibility and accountability for meeting baseline targets for Revenue, GM, and Cash Collections. Weekly interaction with the Program Finance Administration (PFA) to review forecasts and make alterations as necessary.

+ Risk Management - Risk/Opportunity Management including seeking ways to upsell additional equipment and services with a goal of at least 5% growth in contract value.

+ Issue Management - Action/Issue Log Management including using the Action List to drive weekly meetings with the customer(s) and internal team.

+ Change Management - Track all requests for change in the Change Log, run Change Order requests through the Change Control Board (CCB) and present changes to the customer.

+ Internal and External Communication Meetings - Lead internal and external project meetings, distributing the agenda and action items prior to and after the meeting; Produce quality Program Review Presentations to the Senior Leadership Team that are timely and accurate, concise and error free. Present information clearly and with confidence.

+ Day-to-day interaction with the MBTA customer while implementing the transit system.

Basic Qualifications:

+ Bachelor's Degree and minimum 6 years of prior relevant experience. Graduate Degree and a minimum of 4 years of prior related experience.

Preferred Qualifications:

+ MS/MBA (Masters) degree

+ Excellent written and verbal skills

+ Proficient in the use of other MS Office applications (Word, Excel, PowerPoint)

+ Experience with MS Dynamics 360 and Tableau dashboards and other cutting-edge tools

L3Harris Technologies is proud to be an Affirmative Action/Equal Opportunity Employer. L3Harris is committed to treating all employees and applicants for employment with respect and dignity and maintaining a workplace that is free from unlawful discrimination. All applicants will be considered for employment without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender (including pregnancy, childbirth, breastfeeding or other related medical conditions), gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, characteristic or membership in any other group protected by federal, state or local laws. L3Harris maintains a drug-free workplace and performs pre-employment substance abuse testing and background checks, where permitted by law.

Join a team of more than 32,000 team members, comprised of our home office and over 229 clubs and 7 distribution centers. We're committed to delivering value and convenience to our Members, helping them save every day on everything they need for their family and home. BJ's Wholesale Club offers a collaborative, team-oriented environment where all team members can learn, grow and excel.

This opportunity is ideally suited for a highly motivated and proactive individual with strong organizational skills, keen attention to detail, strong communication skills, desire to grow an analytical mindset, problem-solving skills, and a strong customer mindset.

Approximately 25% of time will be allocated to strategic operational development and 75% to campaign execution.
Responsibilities and Key Accountabilities

+ Gatekeeper of assigned campaigns across multiple channels.

+ Responsible for project management and flawless execution of key components including developing and alignment with business partners on test and design of campaign briefs, marketing campaign schedules, creative trafficking, reporting, tracking of campaign results and ability to adapt learnings to future campaigns.

+ Can work independently and has ability to balance priorities across many initiatives.

+ Thrives in a fast-paced environment that requires both strategic and executional skills.

+ Strong desire to improve processes with a curious mindset. Going beyond the immediate task at hand to identify risk and question current state processes while making improvements.

+ Establishes and maintains SOPs and QC documentation where needed.

+ Team collaboration: builds strong collaborative relationships with team members and cross functional teams without direct reporting relationships. Open to different points of view, empathy, and good listening skills to enable fruitful collaboration with our internal partners (Merchandising, Marketing, Engagement, Cobrand, Print Production, Creative, Analytics, etc.).

+ Leads business meetings with Engagement Team and Business Partners to align on priorities, campaign testing, operational status, campaign measurement.

+ Flexibility and openness to reprioritizing work based on evolving business needs.

+ Desire to grow an analytic mindset, understanding marketing performance metrics (i.e., Sales lift, incrementality, Trip lift, ROI, ROAS, CPC, CTR).

Requirements

+ Bachelor's Degree in Business, Marketing, Communications, or another related area of study

+ 5+ years of experience in Marketing, Communications Retail Marketing, or related field preferred

+ Prefer experience managing campaigns across multiple channels including print, email, digital