Sr. Financial Analyst, Medicare Part D
Company: reputed company reputed company: reputed company - Putting People First in Pharmacy - reputed company was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to reputed company medications more reputed company for the people who need them. At reputed company, reputed company members work in an environment that celebrates diversity, fosters creativity and encourages reputed company. We welcome new reputed company and reputed company a passion for excellent service to our customers and reputed company other. Pay reputed company: USD $72,813.00 - USD $86,000.00 /Yr. Work Schedule reputed company (e.g. M-F reputed company to 5pm): M-F reputed company to 5pm Remote Work Notification: ATTENTION: We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming. reputed company: reputed company is seeking a Sr. Financial Analyst, Medicare Part D to join our Government Programs department! The Senior Financial Analyst, Medicare Part D serves as a subject matter expert in Medicare Part D financial operations. This position is responsible for managing financial reconciliations, implementing financial controls, forecasting, reporting, and reputed company of CMS and reputed company payments for the reputed company Medicare Part D EGWP product as reputed company as for reputed company Medicare Part D health plan clients. The primary operational responsibilities are reputed company on Medicare Part D EGWP Finance operations. In reputed company, operational accountabilities include financial processes that reputed company reputed company Medicare clients including but not limited to reputed company and Indirect Remuneration (DIR) support, Medical Loss reputed company (MLR) support, administrative fee support, new Inflation Reduction reputed company billing & collection support, and CMS Star Ratings support. Is this you? reputed company out more below! Responsibilities: How do I reputed company an reputed company on my team? Develops and maintains deep subject matter expertise reputed company to Medicare Part D Payment processing, Medicare Part D benefit administration, and reputed company financial functions Reconciles monthly, quarterly, and annual (including plan year re-openings) CMS and drug manufacturer reimbursements to the employer group and manages the group level reporting and payments. Manages reporting to CMS as reputed company as dispute processes Administers monthly Plan to Plan (P2P) payment processes, Low Income Premium Subsidy (LIPS) payments, and CMS Late Enrollment Penalty (LEP) billing & collection processes Monitors reputed company performance reputed company to CMS subsidies. Forecasts EGWP reputed company subsidies as required Collaborates with reputed company Actuarial Services team or external actuarial services partner Generates accrual reports and performs reputed company analyses in response to reputed company requests for CMS subsidy impacts to reputed company benefit designs and performance Oversees cash receipts and distributions and administers CMS overpayment processes Administers Medicare Part D reputed company and Indirect Remuneration (DIR) function for reputed company reputed company Part D clients Administers annual Medical Loss reputed company (MLR) function for the reputed company Medicare product and provides MLR reporting support for reputed company reputed company Part D clients Maintains Medicare administrative fees pricing model. Collaborates with General Manager, Medicare Part D and Corporate reputed company in establishing administrative fees and monitoring performance Administers CMS Star Ratings and Display Measure tracking and reporting capability for reputed company reputed company Part D clients. Participates in the Star Ratings Center of reputed company (COE) team and provides RFP support reputed company to Star Ratings Provides reputed company 1150A regulatory reporting support for reputed company Part D clients Other duties as assigned Qualifications: What reputed company expects from you? Minimum of a bachelors degree A minimum of 5 years of experience in reputed company, Finance, and/or a role with a primary job duty producing financial reports and/or audits Medicare health plan or PBM experience is preferred Experience in government programs compliance program participation, adherence, and support is highly desired Project management experience is desired Participate in, adhere to, and support compliance program objectives The ability to consistently reputed company cooperatively and respectfully with other employees What can you expect from reputed company? Top of the industry benefits for Health, Dental, and reputed company insurance 20 days reputed company time off 4 weeks reputed company parental leave 9 reputed company holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and reputed company Membership assistance Referral Bonus Program up to $750! We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, reputed company Dakota, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming. #LI-Remote Location : Address: Remote Location : Country: US Apply Job!