As the Medicare Part D (Med D) Production Services Manager, you will directly manage the Med D Production Services Data Validation team, including a team of Senior and Junior level analysts and Subject Matter Experts (SME’s). You will be expected to manage the efficient operation of the Med D Production Services Data Validation Team operations function, ensuring that the Med D member letters are validated for accuracy and delivered in compliance with CMS guidance, on time, and within budget.
You will also need to maintain a standard of continuous process improvement, including implementing the necessary mechanism for issue escalation by working with key stakeholders to evolve roles, responsibilities, processes, and technology, to produce and execute effectively within CMS regulations. You will be expected to ensure that departmental policies and procedures are documented and being used consistently across teams. You will also need to ensure the delivery of HR management functions that involve hiring and onboarding of staff, performance management, staff development, and team building.
Duties include but are not limited to:
o Collaborate cross-functionally to ensure member letters and other communications meet all regulations and meet all SLA requirements (conference calls, project calls, process improvements, etc.)
o Manage Premium Billing validations for members.
o Ensure staff performance of their responsibilities for validations. Ensuring each member has been trained and is meeting departmental SLA and departmental goals.
o Creating department schedule for each month (including weekends and holidays)
o Lead ad hoc projects and special, as assigned ( reviewing letters and communications that are not part of the daily process, or participation on process improvement teams)
The successful Med D Production Services Manager will possess excellent facilitation, influencing, and negotiation skills, including strong business acumen. You will also need to have strong attention to detail with a process quality mindset. You must be an effective written and oral communicator, with the ability to speak and present in front of senior leaders. Finally, you must possess excellent project management and organizational skills, with proven ability to manage multiple projects concurrently. The contributions you will make as a Med D Production Services will help position CVS Health as a leader in client and member satisfaction, and service, in the PBM marketplace.
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