Responsibilities

• Advise clients on healthcare payer communications, including Medicare Advantage, Medicaid, and Commercial HMO/PPO plans.
• Support complex member correspondence, enrollment communications, and regulatory notices.
• Analyze business requirements and recommend communication solutions aligned with industry and compliance standards.
• Lead communication initiatives related to Open Enrollment (OE) and Annual Enrollment Period (AEP).
• Manage multiple projects while coordinating with clients, internal teams, and offshore resources.
• Support reporting, communication governance, quality assurance, and process improvement efforts.

Requirements

• Bachelor's degree or equivalent professional experience in Healthcare Administration, Business, Communications, Marketing, or a related field.
• Strong knowledge of Commercial, Medicare Advantage, Medicaid, and other health plan products.
• Experience supporting healthcare member communications and enrollment-related initiatives.
• Expertise in communication strategy, reporting, and regulatory communication requirements.
• Advanced proficiency in Microsoft Word and Excel.
• Strong analytical, problem-solving, and requirements-gathering skills.
• Excellent written, verbal, and client-facing communication skills.
• Ability to manage multiple priorities in a fast-paced consulting environment.

Preferred

• Experience with Enrollment Administration Manager (EAM).
• Experience supporting Medicare Advantage Open Enrollment and Annual Enrollment programs.
• Knowledge of TriZetto solutions and healthcare payer operations.
• Strong editing, proofreading, and content development skills.
• Experience with Adobe InDesign, Illustrator, and Photoshop.
• Basic knowledge of XML, SQL, and Oracle.
• Experience developing client proposals, estimates, and consulting deliverables.

Benefits

• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan