Medicare Part D Operations Team Lead
hace 4 semanas
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.
- 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.
- Detailed
- Attention to Detail
- Problem Solver
- Leader/Mentor
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