RemoteLeaf Logo
Log in Sign up

Government Program Operations Specialist

2 weeks, 2 days ago
United States
Full-time
Junior
Operations Specialist
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 54

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

Similar Roles

Carvana

Diesel Technician - $2000 Sign On Bonus !

Carvana 10K-50K Automotive

Carvana is hiring a Diesel Technician to support its Fleet Maintenance team by keeping a Class 8 truck and trailer fleet safe, reliable, and compliant.

United States Full-time Junior Operations Specialist
$50k-$75k
34 minutes ago
DoorDash

Operations Specialist, Logistics

DoorDash 10K-50K Air Freight & Logistics

DoorDash Labs is hiring an Operations Specialist, Logistics to support final-mile supply chain movement and handling of materials, components, and finished goods for its autonomous robotics service environment.

United States Full-time Junior Operations Specialist
53 minutes ago
Sidekick

Operations Coordinator

Sidekick 1-10 Leisure Products

Sidekick is hiring a remote Operations Coordinator to support its DTC recovery brand by coordinating supply chain, fulfillment, inventory, and customer service operations across multiple markets.

Chile Colombia Costa Rica Mexico Argentina Brazil Full-time Mid Level Operations Specialist
Shopify SQL
1 hour, 12 minutes ago
Inter

INTERN

Inter 51-250 Banks

Inter is hiring for a Credit Recovery role within its real estate credit recovery team, supporting strategic initiatives and operational routines in the company’s financial super app environment.

Brazil Internship Entry Level Operations Specialist
1 hour, 20 minutes ago

You're on a roll! Sign up now to keep applying.

Sign Up

Already have an account? Log in

Used by 14,729+ remote workers