Aetna Senior Director, Medicare Member Materials in Los Angeles, California

Req ID: 55006BR

Aetna Medicare is hiring a Senior Director, Medicare Member Materials

Position Summary/ Mission:

Leads the work and deliverables to support the Medicare Advantage Regulatory Communications annual life-cycle. Responsible for all aspects of a successful plan year and ongoing management of member communications.

Also will be responsible for work and deliverables of multiple, complex projects or programs, through to implementation, that impact multiple processes, systems, functions and products. Length of project may run multiple years in duration.

Fundamental Components:

(*) Develops and implements strategic business plan to achieve business goals, including meeting CMS requirements and regulations on all mandatory member materials.

(*) Proactively leads a program and/or most complex projects by setting strategic direction.

(*) Works with vendors and stakeholders to create annual project plan, production plan, mail distribution plan to ensure materials are delivered as required by CMS.

(*) Identifies gaps and recommends enhancements related to new and/or existing products, services and workflows based on broad view of the organization.

(*) Collaborates and partners with other functional managers, other business areas across/within segments or other business areas to ensure all workflow processes and interdependencies are identified and addressed.

(*) Uses feedback and lessons learned to improve quality, efficiency and timeliness of processes year over year.

(*) Consults with constituents (these may be internal and/or external) to scope/define project.

(*) Influences change in order to improve performance results, organization effectiveness and/or systems/quality/services

(*) Obtains financial support for most complex projects or supports this work as it relates to program management.

(*) Collaboratively works across multiple functions and /or segments to obtain agreement from all impacted parties (e.g., up and downstream effects often impact multiple functions and/or segments.

(*) Responsible for development and implementation of new ideas that supports work/team. Cross function/segment group facilitation/presentation.

(*) Leads all project and/or program management work including monitoring and tracking of progress and status update communications. Responsible for resource utilization within and across work teams.

(*) Owns responsibility for budget, ensures efficient use of resources. Responsible for the financial implications of errors, and rework on budgets.

Background Experience:

(*) Minimum 10 years of healthcare industry experience

(*) 5 or more years strategy consulting experience, with related management and leadership experience

(*) Demonstrated experience developing analysis, presentations and support material to successfully implement strategy or change initiatives.

(*) Demonstrated relationship management skills at the senior levels within an organization and external constituents.

(*) Excellent verbal and written communication skills.

(*) Proven track record in successful delivery of annual regulatory materials including meeting milestones, minimizing errors and rework and staying within budget.

(*) Proven negotiation and vendor management skills.

(*) Experience includes development and management of multiple budgets related to various projects and or program.

(*) Proven program management skills.

Functional Experiences:

(*) Medicare Advantage

(*) Medicare Part D

(*) Print and distribution vendor management

(*) Medicare Advantage materials life-cycle including: composition development, BOM management, production and distribution, reconciliation, compliance, digital delivery, archival

(*) Experience with Medicare required materials Evidence of Coverage, Annual Notice of Change, Directories, Ad-hoc mailings

(*) Medicare Advantage product development/filing/ implementation, Medicare Advantage Compliance, or Medicare Advantage Marketing

(*) Experience with individual and Group Medicare Products

Required Skills:

(*) High level of CMS Compliance Materials, Product Understanding

(*) Program/ Project Management

(*) Supply Chain Management

(*) Print Vendor Management

(*) Inventory and Production Management

(*) Process and Control Auditing; Process improvement and management, experience with Lead and/ or Six Sigma Preferred

(*) Very familiar with postal and package distribution solutions (UPS, UPSMI, FedEx, etc.)

(*) Build, manage and lead team including matrixed resources

(*) Experience with large cross functional, highly visible programs

(*) Experience in technical initiatives, business requirements, testing and deployments

(*) Skilled communicator with ability to flex to all levels


(*) Bachelor's Degree or equivalent experience (Required)

(*) Master's Degree (preferred)

Licenses and Certifications


(*) PMP

(*) Six Sigma/ Lean etc.

(*) CPIM (Certified Production and Inventory Management)

(*) CSCP (Certified Supply Chain Professional)

Technology Experience:

(*) Highly skilled of Microsoft office including Word, Excel and PowerPoint

(*) Familiar with database Access, SQL and Tableau

(*) Filenet, Adobe Mobius

(*) Familiar with HP ExStream

(*) Familiar with CCM (Customer Communications Management)/ CMS (Content Management Software)

Desired Skills:

(*) Medicare Advantage

(*) Medicare bid filing a plus


Proven ability to satisfy customers needs and develop alternatives to resolve issues. Ability to communicate effectively with all levels of management.

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidates's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Job Function: Product & Marketing

Aetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.