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Government Program Operations Specialist

1 month, 3 weeks ago
United States
Full-time
Junior
Project Coordinator
Project and Program Management
Apply Now
Capital Rx

Capital Rx

Capital Rx provides comprehensive health benefit management and transparent pharmacy benefit management solutions, integrating various healthcare services to support millions of plan members across diverse sectors.

Health Care Providers & Services
251-1K
Founded 2017
View All Jobs 30

Description

  • Create, maintain, and organize program documentation such as SOPs, job aides, FAQs, and control documents.
  • Submit and track development tickets and follow up on enhancements and fixes to ensure timely completion.
  • Support testing of system or process updates to confirm functionality and business requirements are met.
  • Conduct quality assurance reviews of member notices, invoices, and other communications for accuracy, completeness, and compliance.
  • Track deliverables, timelines, and service level agreements to support timely client reporting and program outputs.
  • Monitor program activities and escalate issues, risks, or discrepancies, while assisting with issue tracking and remediation.
  • Coordinate internal and client meetings and maintain agendas, notes, and action item tracking.

Requirements

  • 1-3 years of experience in operations, program coordination, healthcare administration, or a related role.
  • Experience in Medicare, PBM, or managed care is preferred.
  • Associate’s or Bachelor’s degree is preferred; a high school diploma or equivalent is required.
  • Strong organizational skills and attention to detail, especially in documentation, tracking, and quality review.
  • Experience managing multiple workstreams, including meeting coordination, task tracking, and deliverable management in a deadline-driven environment.
  • Familiarity with ticketing systems, project tracking tools, or workflow management platforms.
  • Experience supporting testing, quality assurance, or validation activities for operational processes, systems, or communications is preferred.
  • Exposure to healthcare regulatory or compliance environments such as CMS, Medicare, notices, or audits is a plus.
  • Strong written and verbal communication skills for documenting outcomes, summarizing issues, and collaborating across teams and with clients.
  • Ability to work independently and collaboratively while managing competing priorities.

Benefits

  • Remote work available for non-local candidates.
  • Hybrid work option for candidates local to New York, NY or Denver, CO.
  • Competitive base salary range of $69,200-$109,000 USD for remote US candidates.
  • New York, NY salary range of $87,000-$109,000 USD.
  • Denver, CO salary range of $80,000-$100,000 USD.

Interested in this position?

Apply directly on the company website

Apply Now

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