Government Program Operations Specialist

Position Responsibilities:

• Manage the team's shared Outlook mailbox, ensuring timely and accurate responses.
• Lead pharmacy outreach for CMS disputes and oversee PDE reconciliation, analyzing trends and variances.
• Validate system enhancements, identify discrepancies, and recommend improvements for performance.

Operational Development:

• Design, maintain, and improve structured documentation like job aids, SOPs, and training materials.
• Optimize internal workflows and job aids to drive process standardization and identify efficiency opportunities.
• Support strategic initiatives by contributing insights and subject matter expertise as assigned.

Collaboration and Management:

• Manage and resolve escalations from claims monitoring using root cause analysis and cross-functional collaboration.
• Plan and facilitate cross-functional meetings to drive alignment, resolve issues, and advance operational objectives.
• Collaborate closely with team members and business partners to address operational needs and support organizational goals.