Role Description The Medicare Strategy & Operations Manager role supports senior leaders in creating segment and state-specific strategies, as well as driving key strategic and operational initiatives to transform the organization. Strategy development efforts include data analysis and synthesis of regulatory, competitive, and operational insights. The incumbent will work cross-functionally with stakeholders across the enterprise and will have exposure to functional and segment leadership. - Develops and maintains state and product-specific Medicare strategies. - Executes market research on Medicare industry trends, competitive landscape, and customer needs. - Conducts quantitative and qualitative analyses using internal and external data sources to identify performance trends, risks, and opportunities across Medicare Advantage markets. - Assesses strategic impact of regulatory changes. - Provides strategic recommendations and supports decision-making processes. - Assists in leading and implementing high-priority projects and operational improvement initiatives throughout the Medicare segment. - Coordinates with cross-functional teams to drive strategic and operational alignment. - Takes ownership of end-to-end analysis and/or projects, ensuring thorough and actionable outcomes. - Act as a liaison between the Medicare Strategy Team and other departments. Qualifications - Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas. - Strong interpersonal and communication skills (oral and written) and ability to communicate with those in all positions of the company. - Ability to concisely synthesize large and complex requirements. - Ability to organize and maintain regulatory data including real-time policy changes. - Ability to understand current state organization structures and business processes and identify opportunities to enhance efficiency and effectiveness. - Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems. - Ability to work independently in a remote environment. - Ability to work with those in other time zones than your own. Benefits - Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Role Description In our Customer Care area, the Relationship Manager develops deep relationships with advisors, plan sponsors, and third-party administrators that are in our 10M - 200M market space in the Kentucky area. This role is the strategic partner to our clients and advisors to provide creative solutions that meet business goals of retention, growth, and retirement readiness to name a few. - Collaborate with the plan sponsor and the advisor on plan design, investments, retirement readiness, services and new opportunities. - Plan level health reviews. - Problem solving complex issues. Qualifications - Bachelor's degree or 4+ years of equivalent retirement industry experience required. - Qualified Plan knowledge strongly preferred (Defined Benefit, Defined Contribution). - Excellent demonstrated leadership, negotiation, presentation, organizational, and problem-solving skills required. - Superior interpersonal, analytical, and oral and written communication skills. - Must become an associated person of Principal Securities, Inc. - Travel required (25 - 30%), mostly day travel but there will be some overnight travel as well. - Licensing will be required based on state/federal laws and/or company policy in accordance with current licensing policy. - The below licenses are required within 5 months of employment (strong preference for fully licensed): - FINRA Series 6 or 7 - FINRA Series 63 - Life & Health Requirements - Salary Range (Non-Exempt expressed as hourly; Exempt expressed as yearly): $84,600 - $171,600 / year - Relationship Manager II: $84,600 - $139,700 / year - Relationship Manager III: $104,400 - $171,600 / year Benefits - Flexible Time Off (FTO) is provided to salaried (exempt) employees. - Pension Eligible: Yes Location - Due to territory, the ideal candidate will reside in Kentucky, Indiana, or Ohio. Work Authorization/Sponsorship At this time, we're not considering applicants that need any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. Investment Code of Ethics For Principal Asset Management positions, you’ll need to follow an Investment Code of Ethics related to personal and business conduct as well as personal trading activities for you and members of your household. Company Description At Principal, we value connecting on both a personal and professional level. Together, we’re imagining a more purpose-led future for financial services – and that starts with you. Our success depends on the unique experiences, backgrounds, and talents of our employees. And we support our employees the same way we support our customers: with comprehensive, competitive benefit offerings crafted to protect their physical, financial, and social well-being.

• Retail partners make faster, better decisions because of your work. • Root causes get found, not just flagged. • QBRs and sell-in conversations land with impact. • Cross-functional teams are better equipped to answer "why" and "what's next." • You're the go-to expert on your category and partner landscape.

• Determine eligibility of LTC claims to individualized policy • Interpret LTC policy coverage using claims guidelines and policy language to assess eligibility. • Evaluate provider qualifications and covered services. • Accurately input and maintain complete data, documentation, and notes in the claims administrative system. • Monitor the aging of assigned tasks to ensure compliance with established turnaround time standards. • Educates claimants and their representatives on policy coverage and claim processes • Serve as the point of contact for claimants and/or their representatives, ensuring a positive and supportive experience. • Contribute to process improvement initiatives by helping develop enhanced customer service strategies. • Stay current on relevant state/territory regulations, industry trends, and emerging issues. • Investigate and analyze medical evidence to determine whether policy benefit qualifier(s) are met. • Consult with claimants’ physicians and/or providers as needed to gather supporting medical information. • Conduct telephonic evaluations to monitor claimants’ progress and assess changes in care needs over time. • Identify and escalate claims requiring special handling, including proposed denials, potential fraud, or coordination of benefits with other payers. • Clinical Review Responsibilities • Review and summarize medical records to support claim evaluations. • Assess complex medical claims upon request from non-clinical team members, providing clinical insight and guidance. • Review claim files and complete Chronically Ill Certifications in accordance with policy requirements and regulatory standards.