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Senior Manager, Medicare Strategic Communications

$67.9k - $199.14k

7505 Caremark, L.L.C.

Position Summary Senior Manager – Medicare Advantage & Part D Member Experience & Communications 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, 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. Key Responsibilities Client Strategy & Engagement – Serve as a strategic advisor to PBM Medicare health plan clients on Stars improvement initiatives, focusing 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 to reduce operational friction and drive 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, emotional response, trust impact and resulting action; 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, and 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 – 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 the 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. Exceptional storytelling and presentation skills. Education: Bachelor’s degree or relevant experience. 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. Pay Range $67,900.00 – $199,144.00 (base hourly rate or base annual full‑time salary; additional bonus, commission, equity awards may be offered). Benefits Comprehensive benefits package including medical, dental, vision coverage, paid time off, retirement savings options, wellness programs and other resources, based on eligibility. Legal and Application Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Application window closes on 08/14/2026. #J-18808-Ljbffr 7505 Caremark, L.L.C.

Vacancy posted 2 days ago
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