Program Delivery Lead – Part D Risk Adjustment
Location
United States
Posted
25 days ago
Salary
$115.2K - $158.4K / year
Bachelor Degree8 yrs expEnglish
Job Description
• Facilitate the continuous improvement of Part D risk adjustment programs with focus on new PDP provider programs and expansion of Part D (MAPD) programs.
• Collaborate with risk adjustment, pharmacy, and enterprise leaders to improve existing programs.
• Develop next-generation initiatives to ensure Part D risk score documentation is timely, complete, and accurate.
• This will also promote appropriate follow-up care for members.
• Coordinate dependencies and manage inter-related efforts across multiple teams.
• Establish and maintain structures for prioritizing, monitoring, reporting, and evaluating Part D-focused programs, pilots, and projects.
• Support member and provider engagement with consideration to organizational goals.
Job Requirements
- Bachelor's degree
- 8 or more years of project management, program management or operations experience
- 2+ years of project leadership experience
- Experience with Medicare Advantage programs
- Experience working with cross-functional teams
- History of communication across all organizational levels
- Past performance showing strong initiative and independent drive towards achieving objectives
- Experience creating impactful presentations and reports
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
Related Guides
Related Categories
Related Job Pages
More Risk Jobs
Risk Adjustment Trainer
BlueCross BlueShield of TennesseeBringing peace of mind through better health to our customers and communities
Risk25 days ago
Full TimeRemoteTeam 5,001-10,000Since 1952H1B Sponsor
Risk Adjustment Trainer developing training programs for BCBST teams
Tennessee
Global Policy & Governance Manager
Western DigitalWe create data storage solutions that power the technology of today and inspire the innovations of tomorrow.
Risk25 days ago
Full TimeRemoteTeam 10,001+Since 1970H1B Sponsor
Governance Policy Manager developing SharePoint repository for governance documentation.
Risk25 days ago
Full TimeRemoteTeam 1,001-5,000Since 2012H1B Sponsor
Senior Risk Analyst identifying payments fraud risks at Coinbase
MySQLSQLTableau
Risk25 days ago
Full TimeRemoteTeam 1,001-5,000Since 2012H1B Sponsor
Staff Risk Analyst identifying and mitigating account security risk at Coinbase
PythonSQLTableau