Devoted Health
Healthcare Insurance • Wellness
Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.
Program Manager, Medicare Part D Implementation
Job not on LinkedIn
November 26
Devoted Health
Healthcare Insurance • Wellness
Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.
📋 Description
• Complete oversight of all implemented CMS Part D Program functions delegated to the PBM • Collaborate with internal stakeholders for annual new and existing plan implementation as well as CMS Part D Program functions. • Coordinates with Compliance department on Part D oversight • Act as a liaison to address operational Part D issues including documenting issues, identifying owner, routing issue, gathering impact, and corrective action steps • Devoted Health Part D subject matter expert to assist internal and external partners to resolve any questions or concerns around Part D benefits and pharmacy claim adjudication through implementation and welcome season • Maintains knowledge of applicable current and proposed laws, regulations, and sub-regulatory guidance (e.g., CMS,HPMS memos) applicable to Part D specifically and general knowledge of Medicare Advantage requirements • Drafts and maintains policies and procedures, standard operating procedures, and work instructions for implementation projects
🎯 Requirements
• 3 years plus experience in pharmacy operations at a health plan or pharmacy benefit manager (PBM) • Strong initiative and ability to process improve • Data analysis and strong Excel/Sheets experience • Strong understanding of CMS Guidance and HPMS(Health Plan Management System) Memo guidance updates
🏖️ Benefits
• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles • Parental leave program • 401K program • And more....
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