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Government Programs Coordinator
Location
United States
Posted
9 days ago
Salary
$55.1K - $103.8K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Government Programs Coordinator
Capital Blue Cross
Role Description This position is responsible for supporting the overall success of the Government Programs (GP) Division; supporting the implementation of new products and benefit enhancements of existing products. Also responsible for assisting in the development of new operational workflows and improving existing processes. Supports Business Owners and leadership of GP with implementation cycles, updating/tracking annual timelines. Provides oversight of operational support systems in order to meet GP performance goals, ensure compliance accuracy, and ensure products meet requirements/expectations of external (regulators, providers, members, vendors) and internal customers. - Oversight of implementation activities from CMS and state application and regulatory filings through product launch and the entire product life cycle. - Ongoing management of the GP product portfolio. - Resolution of operational issues associated with product and account set up. - Ensuring products are functioning properly within existing systems (FACETS, PBM, Sales systems, etc.). - Implementing guidance changes and coordinating internal process communications. - Work on project teams with individuals with diverse levels of knowledge from throughout the organization. - Partner with GP Management and Sales, Marketing, Stars, Clinical, Pharmacy, Actuarial, Legal, Compliance, Operational Departments and other subject matter experts. Qualifications - Deep understanding of MA products and benefits. - Minimum three to five years of experience in health insurance organization managing benefits, pricing, and the operational systems that support them. - Prior experience in compliance, operations, or project management experience is preferred. - Prefer bachelor’s degree in business, health management, marketing, or communication or equivalent work experience. - Knowledge and understanding of Medicare benefits required. Requirements - Proven successful experience leading complex projects, preferably in Government Programs products. - Effective communication, both written and oral, skills and strong skills with common PC software applications (i.e. Microsoft Office) required. - Excellent analytical, organizational and project management skills required. - Ability to build successful collaborative business relationships and partner with large cross-functional teams on new product implementations and changes. - Excellent presentation skills required including presentation development, product training, process improvements, and developing policies & procedures. - Experience using effective problem solving and decision making techniques to develop recommendations and present to management/stakeholders. - Strong attention to detail and high level of accuracy. Benefits - Comprehensive benefits package including Medical, Dental & Vision coverage. - Retirement Plan. - Generous time off including Paid Time Off, Holidays, and Volunteer time off. - Incentive Plan. - Tuition Reimbursement. Physical Demands - Frequently required to sit, use hands and fingers, talk, hear, and see. - Must be able to work over 40 hours per week. - Occasionally lift and/or move up to 5 pounds. Company Description We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital, you will work alongside a caring team of supportive colleagues and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.
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