UnitedHealth Groupposted 3 days ago
$71,200 - $127,200/Yr
Full-time • Mid Level
Remote • Eden Prairie, MN
Insurance Carriers and Related Activities

About the position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position will be part of the OptumRx Government Programs Operations Department and play a key role in providing best in class CMS beneficiary member communications support for those clients contracted with the OptumRx Employer Group Waiver Plan Prescription Drug Plan (EGWP) specific to the State of New Jersey. As a Senior Communication Specialist, you'll have the opportunity to provide service and analysis to support the operations and business objectives of the Medicare Part D Member Communications Department. This is a position that affords you the ability to drive process as well as best practices in the overall management of the CMS process for our clients. By providing process oversight and utilizing your sharp analytical skills to fulfill the needs of the business and clients, you will have an impact on healing the health care system. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Responsibilities

  • This is a critical position within the Government Programs Communications Team
  • Demonstrated experience in working with client needs and internal Account Management to manage timelines and resolve issues
  • Excellent interpersonal skills both verbally and in writing
  • Must be able to promote and ensure client satisfaction via timely and accurate responses, clear communication, and ongoing training of Account Management staff as it relates to CMS marketing guidelines, processes, and procedures
  • Track and monitor member communications to ensure all materials are created, approved, finalized, and implemented timely and resolve any issues associated with such communications
  • Proofread client-specific member letters to ensure correct data is populated based on final approved documents
  • Facilitate updates to all communications throughout the yearly readiness cycle
  • Attend conference calls with clients, Account Management and vendor as needed
  • Assist with new client implementations
  • Act as primary liaison to account management for any ad hoc communications, updates, etc
  • Support Medicare Prescription Payment plan communications as a backup
  • Support special projects as needed
  • Support other Government Program processes during non-peak season

Requirements

  • 3+ years of experience with Medicare Part D operations including an understanding of regulatory guidance
  • 1+ years of experience in compiling and editing documentation
  • Proficient with Microsoft Word, Excel and Power Point
  • Cross-collaboration skills

Nice-to-haves

  • 3+ years of experience within the PBM industry
  • 1+ years of project management or account management experience
  • Experience and demonstrated familiarity with Employee Group Waiver plans
  • Experience gathering and documenting customer requirements in a form and manner to best support client and CMS expectations
  • Solid written and verbal communication skills
  • Proven ability to work under tight time frames and think outside the box with solid emphasis on overall quality
  • Demonstrated ability to work both independently and as a member of a team

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
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