PBM- Government Programs Operations Analyst

• Position ID #: PBMOPS022324VAR
• Location: Various Cities
• Required Education: Bachelor's Degree or Equivalent Experience
• Salary Range: $70,000 - $80,000
• Required Experience: Three- Five Years
• Commission Range: Bonus - 10%
• Other: Expenses, Benefits, Equity
• Required Travel: N/A
• Relocation: N/A
• 
  Description:
  Rapidly Growing Player in the Pharmacy Benefits Management (PBM) marketplace seeks a Government Programs Operations Analyst who will support product performance and outcomes that achieve business goals and comply with federal and/or state regulatory requirements.
  Some of the expected job functions include:
  • Responsible for the day-to-day operational tasks related to Medicare Part D processes, including PDE and Medicare Plan Finder
  • Responsible for daily claims monitoring to ensure claims are paying/rejecting as appropriate
  • Assist team members with development and testing of operational processes and project deliverables
  • Assist with development of best practices regarding government programs operational projects
  • Leverage deep understanding of Medicare & Medicaid LOB’s, regulatory environment to support product strategy and service delivery
  • Maintain current knowledge of Medicare & Medicaid requirements to facilitate compliance of ongoing business operations
   
  The compensation plan includes a competitive salary ($70,000 - $80,000 - d/o/e), plus bonus and benefits.
  This position can be filled “remotely”, or as “hybrid”, should the candidate live in the NYC-Metro area.
• 
  Requirements:
  The ideal candidate for this position has at least three (3) years of documented Operations Management success in the Managed Care Industry, (with STRONG preference for the PBM market), supporting Medicare and Medicaid lines of business.
  
  Some of the required quailfications include:
  ** Bachelor’s degree or equivalent experience
  ** Thorough knowledge of Medicare and Medicaid regulatory requirements and associated product and/or operational workflows
  **  MS Excel Skills – ability to create/maintain pivot table, forms, and formula’s (i.e. VLOOKUP, TRUE, IF, LEFT, etc.) 
  **  Ability to balance multiple complex projects simultaneously 
  **  Extremely flexible, highly organized, and able to shift priorities easily 
  **  Attention to detail & commitment to delivering high quality work product
  
  Qualified candidates should send their resumes in MS Word format to: mail@phoenixhealthsearch.com