Jeryn Mays
Los Angeles,CA
Summary
Multifaceted managed healthcare professional with 10 years experience in the Medicare setting. Expertise includes project coordination of Medicare NOIA and Application submission, Annual Notice of Change/Evidence of Coverage creation/submission, Summary of Benefits creation/submission, Member Materials Online Material Library oversight, Website oversight, and management of direct reports responsible for such tasks.
Overview
14
14
years of professional experience
1
1
Certification
Work History
SENIOR PROGRAM SPECIALIST
MOLINA HEALTHCARE
Remote Employee
02.2022 - Current
- Developed Evidence of Coverage materials for over 50 Molina Medicare MAPD and SNP plans in coordination with material development vendor RR Donnelley.
- Developed Central Region PBP Placemat with proposed plan design
- Completed entry of HPMS PBP data for 18 Central Region SNP, MAPD, and MMP Plans
- Created document resources, and developed presentations for purposes of training staff and vendors on previous member material development cycles and best practices.
- Assisted in development, review, and submission of Annual Notice of Change and Summary of Benefits documents for MAPD and SNP plans.
- Created standard operating procedures
- Coordinated work between multiple departments
- Implemented strategies to increase program effectiveness
MANAGER, MEDICARE PROGRAMS
MOLINA HEALTHCARE
Long Beach, CA
03.2017 - 02.2019
- Managed three Medicare Programs teams to include Strategic Planning (Application, BID/PBP Submission, ANOC/EOC/SB creation/submission), Medicare Online Material Library team ( compliance review and reconciliation of all member-facing materials), and Website (ensuring all member facing pages are up to date with applicable materials, disclaimers, contact info, links, CMS requirements, 508 compliance, and aesthetics).
- Supported direct reports to maintain satisfactory work environment, workload, and morale
- Served as liaison to functional leaders
- Presented status updates and project overviews to senior leadership
- Organized and created Policies and Procedures to ensure upkeep of internal compliance standards and CMS requirements.
SUPERVISOR, MEDICARE PROGRAMS
MOLINA HEALTHCARE
Long Beach, CA
01.2015 - 02.2017
- Supervisor to Medicare Strategic Planning tasked with project coordination and oversight of Medicare Application Process, Medicare Bid Submission, Plan Benefit Package Submission, and development of Annual Notice of Change/Evidence of Coverage documents
- Assisted other departments in completion of ad hoc projects to include membership accounting, sales, and compliance teams
- Created and presented project updates to functional area leadership on behalf of department
- Created performance tools, streamlined workflows, and managed timesheets, PTO, and other staff-related needs.
MEDICARE PROJECT/PROGRAM ANALYST
MOLINA HEALTHCARE
Long Beach, CA
07.2012 - 01.2015
- Served as project coordinator for annual Medicare Application Process, Medicare Bid Submission, Plan Benefit Package Submission, Annual Notice of Change/Evidence of Coverage development, and ad hoc projects
- Created project plans and materials, presented requirements to functional area leadership, coordinated deliverables, quality reviewed submitted materials, completed CMS submissions ensuring plan expansions/reductions/creations were successful and compliant.
SALES OPS COMPLIANCE ANALYST
MOLINA HEALTHCARE
Long Beach, CA
02.2011 - 07.2012
- Created, documented, and operated process that organized and reconciled thousands of hardcopy and telephonic Scope of Appointment submissions with completed enrollment applications
- Coordinated with Broker Support Unit, Inside Sales Division, and Membership Accounting to ensure all applications included corresponding prospective member consent (SOA) per CMS requirements to ensure compliance
- Trained Inside Sales unit on-site in Utah.
Education
Business Administration -
University of California, Riverside
Riverside, CASkills
- Problem Solving
- Stakeholder Engagement
- Cross-functional Collaboration
- Process Improvement
- Strategic Planning
- Communication
- Public Speaking
- Conflict Resolution
- Team Leadership
Certification
Wilderness First Aid - American Red Cross
Timeline
SENIOR PROGRAM SPECIALIST
MOLINA HEALTHCARE
02.2022 - Current
MANAGER, MEDICARE PROGRAMS
MOLINA HEALTHCARE
03.2017 - 02.2019
SUPERVISOR, MEDICARE PROGRAMS
MOLINA HEALTHCARE
01.2015 - 02.2017
MEDICARE PROJECT/PROGRAM ANALYST
MOLINA HEALTHCARE
07.2012 - 01.2015
SALES OPS COMPLIANCE ANALYST
MOLINA HEALTHCARE
02.2011 - 07.2012
Business Administration -
University of California, Riverside