MedOne Pharmacy Benefit Solutions · 11 hours ago
Implementation & Project Manager
MedOne Pharmacy Benefit Solutions is a full-service pharmacy benefit manager serving clients nationwide. The Implementation & Project Manager is responsible for overseeing the onboarding of new business and assisting current clients with plan features, ensuring client satisfaction and meeting implementation timelines.
Pharmaceuticals
Responsibilities
Assists account management and member advocate teams with research, resolution, and reconciliation of member and client issues such as cost share and eligibility inquiries
Assists team with projects such as gathering and stratifying client data, running plan utilization report packages, and updating client documentation
Provides and clarifies plan design and process information to internal teams to help resolve issues and improve efficiencies
Serves as back-up to the member advocate team when call volume is high
Represents MedOne at client benefit fairs and open enrollment meetings
Reconciliation of claim errors, including identification of member and client impact and subsequent communication to all parties
Assists with new client and vendor onboarding tasks
Creates and maintains member and client facing materials e.g., member plan design brochure and FAQ, open enrollment materials, and member letter templates
Creates and maintains internal materials e.g., process and training documentation and data requests
Completion of plan design testing within and outside of claim adjudication system
Assists with CRM maintenance, report pulls, and enhancement projects
Contributes to department and company goals
Qualification
Required
Bachelor's degree in business, communications, or related area
5 years of project management experience in healthcare related industry, preferably the PBM sector
Intermediate working knowledge of Microsoft Excel (complex formulas and tools), and basic working knowledge of Microsoft Word, Outlook, and Power Point
Strong verbal and written communication skills with emphasis on responsiveness, clarity and concision, and altering approach to the audience
Cooperation and collaboration skills necessary to establish rapport, promote open dialogue, and reach clarity
Excellent organizational and time management skills (track and manage issues, ensure the right teams are engaged, facilitate comprehensive and timely issue resolution, etc.)
Benefits
Competitive salary and bonuses that reward your performance.
Comprehensive health, dental, and vision insurance + additional benefits
401(k) with company match to secure your future.
Generous paid time off and holidays.
Opportunities for professional growth and development.
A vibrant and collaborative work culture.