Project Manager, Senior - Group Medicare
About The Position
Your Role The Group Medicare team is responsible for Client & Stakeholder Management, Retiree & Member Support Operations, Project Management & Execution, Compliance, Quality, & CMS Readiness, Data, Reporting & Continuous Improvement. In this role, you will support the delivery and operational excellence of our Group Medicare offerings. You will coordinate cross‑functional workstreams, collaborate closely with internal teams and external employer groups, and help ensure a seamless experience for both clients and members. Your work directly supports the retiree populations we serve and strengthens the overall performance and growth of our Group Medicare business. The Project Manager, Senior – Group Medicare will report to the Program Manager. The Group Medicare team serves retirees both inside and outside of California. We partner with employer groups and plan sponsors to offer Medicare Advantage and Medicare Part D solutions tailored to their retiring employees and eligible dependents. This role plays a key part in ensuring those clients—and their retirees—receive high‑quality support throughout the plan lifecycle. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
Requirements
- Requires a bachelor’s degree or equivalent experience
- Requires at least 5 years of prior relevant experience
- Requires experience with project management methodologies, tools, and best practice
- Requires experience within healthcare, managed care, or health plan operations
- Strong understanding of CMS requirements, compliance standards, and annual readiness cycles
- Demonstrated experience leading cross-functional initiatives involving multiple internal and external stakeholders
Nice To Haves
- Experience working on Group Medicare Advantage products strongly preferred
- Lean Six Sigma Green Belt or Black Belt certification (or equivalent process improvement training) with demonstrated ability to apply structured problem-solving and process optimization techniques strongly preferred
Responsibilities
- Direct small-scale, complex programs/projects that may involve multiple internal and external stakeholders
- Manages the development and implementation of process of company's projects involving departmental or cross-functional teams focused on delivery of new or existing internal/external programs and/or products
- Monitors the program from initiation through delivery and monitors for continuous improvement across projects within program
- Organizes the interdepartmental activities ensuring completion of projects within the program are on schedule and within budget
- Interfaces with internal and external customers on technical matters and program status
- Responsible for assembling a project team, assigning and monitoring work of team members and providing guidance and leadership
- Develop the program, integrated program plan, resource plan, contingency plan, and related project management artifacts
- Evaluate trade-offs between program size and complexity, cost, urgency, risk, and stakeholder value
- Validate financial forecasts and provide on-going reconciliation of resources and other related program expenditures
- Partner with business sponsors to define success metrics and criteria
- Assess and resolve all high priority program risks as they are encountered
- Ensure all projects adhere to project methodology compliance standards set by the company
- Serve as a subject matter expert to regularly brief key stakeholders on different aspects of assigned initiatives
- Represent the program in various project governance and inter-departmental forums
- Define and track program milestones while developing, maintaining, and reporting on an overall integrated delivery plan
- Manage operational and client-facing activities for the Group Medicare retiree line of business, ensuring smooth execution of implementations, annual readiness cycles, and ongoing plan updates
- Coordinate cross-functional teams to support accurate retiree enrollment processing, member communications, issue resolution, and alignment with CMS requirements
- Monitor Group Medicare performance trends and escalations, partnering with internal teams to drive improvements in service, compliance, and the overall retiree experience
- Other duties as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
