Serve as a key partner for ensuring accuracy, compliance, and operational integrity of Medicare Part D programs.
Assist with P2P monthly process, DIR Reporting, PDE Reporting functions and audit support.
Partner with Compliance, Finance, Audit, Pharmacy Operations, and external stakeholders including the PBM.
Ensure alignment with evolving CMS Part D guidance by coordinating with Compliance and Operational Integrity teams.
Synthesize complex data into clear, meaningful insights for senior leadership and Compliance partners.
Assist in analytical reviews related to CMS PDE submissions and reconciliations to paid claims data.
Identify opportunities to optimize accuracy, improve internal controls, and streamline operational processes for Part D PDE submissions.

Requirements

2+ years of experience in Medicare Part D accounting, financial operations, or regulatory compliance.
Strong financial reporting and financial analysis experience.
Proficiency with SAS/SQL, Python, GCP, and advanced data management tools.
Demonstrated ability to interpret complex datasets and translate findings into actionable recommendations.
Strong analytical, mathematical, and problem‑solving abilities.
2+ years of Medicare Part D finance experience with expertise in data mining, analytics, and operational improvement (preferred).
Experience supporting or leading compliance activities within a health plan or regulated environment (preferred).
Bachelor's degree in Finance, Accounting, or a related discipline, or equivalent experience.

Benefits

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Medicare Part D accountingfinancial operationsregulatory compliancefinancial reportingfinancial analysisdata mininganalyticsoperational improvementdata managementSAS

Soft Skills

analytical abilitiesmathematical abilitiesproblem-solvingcommunicationcollaboration