Position Description: This isn't packaged goods. It's a bigger challenge than that. Here you're making a difference in people's lives, starting with your own. Join us and start doing your life's best work.(sm) This position will be part of the OptumRx Government Programs Operations Department and play a key role in providing best in class CMS beneficiary member communications support for those clients contracted with the OptumRx Employer Group Waiver Plan Prescription Drug Plan (EGWP) specific to the State of New Jersey. As a Senior Communication Specialist, you'll have the opportunity to provide service and analysis to support the operations and business objectives of the Medicare Part D Member Communications Department. This is a position that affords you the ability to drive process and improvement initiatives as well as best practices in the overall management of the CMS process for our clients. By providing process oversight and utilizing your sharp analytical skills to fulfill the needs of the business and/or clients, you will have an impact on healing the health care system. Primary Responsibilities: This is a critical position within the Medicare Part D EGWP Operations Department. The specific requirements are as follows:Demonstrated experience in working with clients and internal Account Management to resolve issues.Excellent interpersonal skills both verbally and in writing.Must be able to promote and ensure client satisfaction via timely and accurate responses, clear communication, and ongoing training / education of Account Management staff as it relates to CMS marketing guidelines, processes and procedures.Research member requests / issues as presented by the vendor, clients and Account Management.This position will track and monitor member communications to ensure all materials are created, approved, finalized and implemented timely and resolve any issues associated with such communications.Proofread client - specific member letters to ensure correct data is populated based on final approved documents.Attend conference calls with clients, Account Management and vendor as needed. Assist with new client implementations.Support special projects as needed.Act as primary liaison to account management for any ad hoc communications, updates, etc.
Required Qualifications: Bachelor degree (or higher ) in Business or Healthcare Administration or related field3+ years prior experience with Medicare Part D PDP operations including an understanding of regulatory guidance.3+ years project management experience Cross - collaboration skills Demonstrated proficiency with Microsoft Word, Excel and Power Point Preferred Qualification:3+ years prior experience in a Client / Account Service support function a strong plus. 3+ years prior experience within the PBM industry preferred, but not required.Experience and demonstrated familiarity with EGWP member communications strongly preferred.Experience gathering and documenting customer requirements in a form and manner to best support client and CMS expectations a strong plus.Journalist backgroundSoft skills: Solid written and verbal communication skills.Ability to work under tight time frames and think outside the box with strong emphasis on overall quality.Ability to work both independently and as a member of a team.OptumRx is an empowering place for people with the flexibility to help create change. Innovation is part of the job description. And passion for improving the lives of our customers is a motivating factor in everything we do. If you're ready to talk about groundbreaking interactions, let's talk about what happens when a firm that touches millions of lives decides to gather results from millions of prescriptions every month and analyze their impact. Let's talk about smart, motivated teams. Let's talk about more effective and affordable healthcare solutions. This is caring. This is great chemistry. This is the way to make a difference. We're doing all this, and more, through a greater dedication to our shared values of integrity, compassion, relationships, innovation and performance. Join us and start doing your life's best work.SMDiversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.Keywords:Shaumburg, IL, Project Management, medicare, account service support, CMS, United Health Group, United Health Care.
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.