Medicare Part D Operations Team Lead

hace 2 semanas


San Juan, San Juan, Puerto Rico abarca health A tiempo completo
Job Summary

Abarca Health is seeking a highly experienced and skilled Team Lead to oversee the day-to-day operations of our Medicare Part D programs. As a key member of our Pharmacy Benefit Management Operations & Services team, you will be responsible for leading a small team in managing the Medicare Part D processes, including Prescription Drug Event and Medicare Plan Finder.

Key Responsibilities
  • Lead the team responsible for the day-to-day operational tasks related to Medicare Part D processes.
  • Effectively manage day-to-day tasks processes, ensuring adherence to client and Centers for Medicare and Medicaid requirements.
  • Direct and manage activities and resources to support client and internal requests, adjusting plans as needed.
  • Provide timely second-tier triage support to the Medicare Part D Analysts and act as a subject matter expert for other areas to verify and analyze operational situations and/or issues referred for validation.
  • Support urgent processing issues, including research, analysis, identification of root cause, impact analysis, and corrective action.
  • Define operational and project tasks and resource requirements.
  • Assist the team during the development and testing of operational and project deliverables.
  • Monitor operation, project deliverables, and schedule timelines.
  • Establish effective communication between all stakeholders.
  • Identify and resolve escalating issues and conflicts within the operation, project execution, or implementation.
  • Develop best practices and tools for operation, project execution, and management.
Requirements
  • Bachelor's degree in Healthcare, Business, or related field (or equivalent relevant work experience).
  • 3+ years of Medicare Part D operational experience within a health plan or pharmacy benefit manager (PBM).
  • 3+ years of experience managing and guiding a team towards daily, weekly, and monthly goals.
  • Experience as a leader with a proven track record of leadership experience.
  • Highly organized thinker, speaker, and planner with the ability to coach others in these areas.
  • Able to utilize programming and dashboard tools, e.g., Tableau, QlikView, Excel tools, SQL.
  • Ability to oversee and motivate a team; excellent communication skills, and a customer service focus.
  • Excellent oral and written communication skills.
Preferred Qualifications
  • Detailed
  • Attention to Detail
  • Problem Solver
  • Leader/Mentor


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