Government Program Operations Specialist

1 week, 3 days ago
Full-time
Junior
Project and Program Management
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

Description

  • Manage the Government Programs Operations team shared Outlook mailbox and ensure timely, accurate, and complete responses.
  • Lead and execute pharmacy outreach initiatives related to CMS disputes while following regulatory requirements and internal procedures.
  • Validate system enhancements by evaluating output data, identifying discrepancies, and recommending improvements to system performance and data integrity.
  • Design, maintain, and continuously improve documentation frameworks including job aids, policies and procedures, SOPs, and training materials.
  • Develop and optimize internal workflows and job aids to standardize processes and identify efficiency opportunities.
  • Oversee daily PDE reconciliation activities, analyze trends, identify variances, and address discrepancies to support data accuracy and compliance.
  • Manage and resolve escalations from claims monitoring activities using critical thinking, root cause analysis, and cross-functional collaboration.
  • Support strategic Government Programs Operations initiatives by contributing insights and process improvements as assigned.
  • Plan, coordinate, and facilitate cross-functional meetings to drive alignment, resolve issues, and advance operational objectives.
  • Collaborate with team members and business partners to address operational needs and support broader organizational goals.

Requirements

  • 3+ years of experience in an equivalent role.
  • High school diploma required.
  • Experience with Medicare Part D preferred.
  • Pharmacy Technician experience preferred.
  • Strong organizational skills and a keen eye for detail and accuracy.
  • Experience working in high-growth, startup environments is an advantage.
  • A positive and upbeat attitude.
  • Excellent interpersonal communication skills.
  • Ability to work under pressure and juggle multiple priorities.
  • Ability to work independently and collaborate effectively within and across teams.

Benefits

  • Remote work available for non-local candidates, with hybrid work available for candidates local to the Denver or NYC area.
  • Remote US base salary range of $69,200 to $100,000 USD.
  • New York, NY base salary range of $87,200 to $109,000 USD.
  • Denver, CO base salary range of $80,000 to $100,000 USD.

Interested in this position?

Apply directly on the company website

Apply Now

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