Remote Otter LogoRemoteOtter

Implementation & Project Manager - Remote

Posted 4 days ago
Project Management
Full Time
USA

Overview

The Implementation & Project Manager is responsible for overseeing the onboarding of new business to MedOne and assisting current clients with new or changing plan features. The Implementation & Project Manager ensures consistent client satisfaction throughout the implementation process through coordination of internal parties and external partners. This position is responsible for successfully meeting implementation timelines and ensuring contractual guarantees related to implementation and client transition. The Implementation & Project Manager plays a key role in creating a solid foundation of growth for new and existing client and partner relationships.

In Short

  • 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.

Requirements

  • 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.
MedOne Pharmacy Benefit Solutions logo

MedOne Pharmacy Benefit Solutions

MedOne Pharmacy Benefit Solutions is a full-service pharmacy benefit manager (PBM) that operates nationwide, dedicated to providing clients and members with convenient access to appropriate prescriptions at affordable prices. With a commitment to transparency through a pass-through model, MedOne focuses on resolving client and member issues, enhancing efficiencies, and supporting the onboarding of new clients and vendors. The company values diversity and inclusivity, fostering a dynamic work environment for its employees.

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