Navitus Health Solutions is seeking a Medicare Services Executive to join our Government Programs department's team!
Our ideal candidate sits in Eastern or Central time zone
The Medicare Services Executive (MSE) is a highly motivated professional with at least 3 years of successful experience interfacing directly with clients that provide Medicare Part D services to their members. The position is responsible for the co-development of long-term account strategy for their assigned Clients. Working with subject matter experts, the MSE will be responsible for delivering Medicare Part D guidance and tracking all Medicare Part D specific projects and issues. The MSE will support retention efforts with the Client Services Executive through the achievement of corporate strategic goals relative to the client base and overall customer satisfaction. Efforts include solving client Medicare Part D issues relative to their delegated services, reporting, and will interface with the Clinical Account Executive for clinical issues. This position will require the ability to communicate across multiple organizational levels and the ability to lead projects is required.
Is this you? Find out more below!
ResponsibilitiesHow do I make an impact on my team?
Serves as primary Medicare Part D Point of Contact for the clientSupport the Lead Client Services Executive with Strategic Business Plans and Medicare Part D VALUE SummariesProvide Final Rule, Call Letter, Technical Specification and/or HPMS Memo updates to clients to include, interpretations, progress of enhancement efforts, answer client questions and facilitate and complete client requestsAssists the Client Services Executive in the evaluation of unmet Medicare Part D Performance Guarantees and responses provided to clientsCreates the benefit matrixes required to describe and communicate the Plan Sponsors Medicare products and provides to all business units supporting the annual re-implementationsSupports the Program Manager and Implementation Team on new client implementationsAssists the Medicare Part D Program Manager with Contract and Scope Definition Document maintenanceAttends Client Facing Value Summaries at least twice annually, providing overviews of projects, compliance, and annual re-implementation effortsProvide Medicare Part D mentoring, guidance and support to the coordinator levels, CSEs, and CAEsDue to the regulatory landscape, the MSE serves as primary point of contact for the client following termination and facilitates all activities related to post termination reporting and regulatory auditsOther duties as assigned QualificationsWhat our team expects from you?
Bachelor's degree in business, marketing, healthcare, or related area preferredAt least 3 years of successful experience interfacing directly with clientsKnowledge of PBM or health care industry requiredKnowledge of Medicare Part D is preferredStrategic thinking ability and skills to prepare business plans and execute them appropriately to accomplish business objectivesCustomer-Centric Skills, and ability to understand internal and external customersStrong team orientation, commitment to sales and client service, and desire to succeedWillingness to travel as needed to meet goalsExcellent verbal and written communication, presentation and negotiation skills requiredPC skills; Microsoft Office, Email, and InternetThe ability to take initiative in job responsibilitiesValid State Driver’s License and current Automobile Insurance PolicyParticipate in, adhere to, and support compliance program objectivesThe ability to consistently interact cooperatively and respectfully with other employeesOur ideal candidate sits in Eastern or Central time zoneWhat can you expect from Navitus? • Top of the industry benefits for Health, Dental, and Vision insurance • 20 days paid time off • 4 weeks paid parental leave • 9 paid holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account #LI-Remote
We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.
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