MedOne Pharmacy Benefit Solutions

Implementation – Project Manager

MedOne Pharmacy Benefit Solutions

full-time

Posted on:

Location Type: Remote

Location: Iowa • United States

Visit company website

Explore more

✨ AI Apply
Apply

About the role

  • Assists account management and member advocate teams with research, resolution, and reconciliation of member and client issues such as cost share and eligibility inquiries.
  • Assists team with projects such as gathering and stratifying client data, running plan utilization report packages, and updating client documentation.
  • Provides and clarifies plan design and process information to internal teams to help resolve issues and improve efficiencies.
  • Serves as back-up to the member advocate team when call volume is high.
  • Represents MedOne at client benefit fairs and open enrollment meetings.
  • Reconciliation of claim errors, including identification of member and client impact and subsequent communication to all parties.
  • Assists with new client and vendor onboarding tasks.
  • Creates and maintains member and client facing materials e.g., member plan design brochure and FAQ, open enrollment materials, and member letter templates.
  • Creates and maintains internal materials e.g., process and training documentation and data requests.
  • Completion of plan design testing within and outside of claim adjudication system.
  • Assists with CRM maintenance, report pulls, and enhancement projects.
  • Contributes to department and company goals.

Requirements

  • Bachelor’s degree in business, communications, or related area.
  • 5 years of project management experience in healthcare related industry, preferably the PBM sector.
  • Intermediate working knowledge of Microsoft Excel (complex formulas and tools), and basic working knowledge of Microsoft Word, Outlook, and Power Point.
Benefits
  • 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
Applicant Tracking System Keywords

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

Hard Skills & Tools
project managementdata analysisplan design testingclaim reconciliationreport generation
Soft Skills
communicationproblem-solvingteam collaborationorganizational skills
Certifications
Bachelor’s degree