As part of the Government Programs Team and reporting to the General Manager, Medicare Part D, the Operations Manager, Medicare Part D administers operational responsibilities on behalf of Navitus’ Medicare Product and implements systemic process and systems updates based on CMS regulatory changes for all Navitus Part D clients. The Manager will ensure success completion of projects led by the team, implement and administer processes that govern those projects, and is responsible for ongoing operational processes. This position will interface primarily with the Government Programs Medicare Functional Product Team, Technical Operations Team, Part D Compliance Team, and Client Account Management.
Is this you? Find out more below!
ResponsibilitiesHow do I make an impact on my team?
Develops and maintains a project portfolio infrastructure for all projects executed by the teamDevelops and maintains knowledge of Medicare Part D requirements for operational functions to facilitate identification of requirements for development and assures compliant business operationsReads Centers for Medicare & Medicaid Services (CMS) Proposed and Final Rules related to Medicare Part D. Ensures successful completion of projects led by the team that meet the requirements outlined in these RulesOversees EGWP product management operational support activities. Resolves escalated issues arising from operations and coordination with other departmentsActively participates in the largest annual project led by the team, the annual member materials projectManages a matrix of operational processes to assigned resources. Ensures detailed work instructions are developed and maintained. Manages workload of team members and continually balances priorities with available resourcesEstablishes processes that are scalable and efficient. Identifies key metrics to monitor the compliance and accuracy of the processes establishing oversight methods that are operationally efficient and effectiveLeads activities related to annual plan submission of our EGWP plans to CMS, including being proficient in use of the HPMS systemOversees all EGWP client implementations and re-implementationsDevelops and maintains subject matter expertise related to the Medicare Advantage and Part D Communications & Marketing Guidelines and general Medicare Part D topics as it relates to the content in the annual beneficiary materialsProvides SME support to Navitus Sales Team and Proposal Team for functions supported by the teamParticipates in, adheres to and supports compliance and diversity, equity, and inclusion program objectivesOther duties as assigned QualificationsWhat our team expects from you?
A minimum of a bachelor’s degree is requiredManagement experience required, defined as prior experience supervising or managing people and indirectly leading teams3+ years of project management experience requiredPBM or health plan experience highly desiredProject portfolio management experience preferredExperience in interpreting and articulating regulatory requirements preferredExperience with interfacing with external clients preferredParticipate in, adhere to, and support compliance program objectivesThe ability to consistently interact cooperatively and respectfully with other employeesWhat can you expect from Navitus?
Top of the industry benefits for Health, Dental, and Vision insurance20 days paid time off4 weeks paid parental leave9 paid holidays401K company match of up to 5% - No vesting requirementAdoption Assistance ProgramFlexible Spending AccountEducational Assistance Plan and Professional Membership assistanceReferral Bonus Program – up to $750!We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.
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