Supervisor, Medicare Operations

January 9

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MedImpact Healthcare Systems, Inc.

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MedImpact Healthcare Systems, Inc. is a pharmacy benefit manager that works with health plans to make pharmacy benefits more accessible and affordable for members. The company serves over 20 million members and handles more than $40 billion annually in pharmacy transactions. MedImpact provides a variety of services including medication reminders, home delivery, and more to empower individuals to manage their prescriptions effectively. By leveraging technology and resources, MedImpact aims to offer a better choice within the pharmacy benefits market and supports health solutions in ensuring convenient and reliable access to medications for its members.

PBM • Technology • Customer service • Pharmacy benefits management • Healthcare

1001 - 5000 employees

Founded 1988

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

💰 $1.4M Seed Round on 2013-09

📋 Description

• Oversees one or more Medicare Operations teams to ensure adequate support is provided to Part D clients • Responds to questions and issues related to a variety of areas including claims adjudication • Provides day-to-day supervision of Medicare Part D Operations teams • Provides direction and guidance to direct reports on operational issues • Manages and delegates the work flow for the department • Ensures the team’s work deliverables are on time, within budget • Ensures client satisfaction through the timely completion of client inquiries • Participates in client meetings and provides adequate information to all related departments • Provides ongoing training for staff development • Partners with Organization Effectiveness to identify and fill training needs • Assists staff members by helping to remove any roadblocks • Organizes, facilitates and leads meetings with internal and external clients • Keeps up-to-date with Medicare Part D regulations and related CMS guidance • Provides comprehensive assessment of requirements when CMS revises guidelines

🎯 Requirements

• Bachelor’s degree in a related field (or equivalent combination of education and experience) • 2 – 5+ years’ related experience in a PBM or Managed Healthcare setting • 1 year of supervisory experience required • Good understanding of prescription claim processing concepts and Medicare Part D benefits • Proficiency with MS Office (Word/Excel/Outlook) and familiarity with databases

🏖️ Benefits

• Medical / Dental / Vision / Wellness Programs • Paid Time Off / Company Paid Holidays • Incentive Compensation • 401K with Company match • Life and Disability Insurance • Tuition Reimbursement • Employee Referral Bonus