Senior Manager of Medicare Financial Operations

Published: September 10, 2021
Location
PR, Puerto Rico
Job Type
Job Code
23922
Years of Experience
5
Salary
$80K - $140K Base Salary. Commensurate with candidate experience plus excellent fringe benefits.
Travel
No
Education
Bachelor’s Degree
Contact
Clara Amiama
Contact Email
camiama@careersincpr.com

Description

Our client, a leader in the Healthcare Industry is hiring a Senior Manager of Medicare Financial Operations. This position will be responsible for overseeing, guiding and supervising the Medicare Finance Operations Team. This position can work 100% remotely, no relocation required.

RESPONSIBILITIES:

  • Ensure proper management and compliance with Prescription Drug Events (PDE) and with Medicare Plan Finder (MPF)
  • Among responsibilities are managing claims and reprocessing, claims adjustments
  • Collaborate with clients’ implementations
  • Identify PDE errors, solving them and provide correct information to the Team and Customers.
  • Be a liaison between multiple departments and clients

Requirements

  • Bachelor’s or Master’s Degree in Accounting, Finance, Healthcare Administration or related fields
  • 5+ years of experience leading teams in Medicare Operational roles
  • The candidate needs to have strong knowledge and expertise in Medicare Part D and Medicare Plan Finder
  • Strong knowledge of CMS regulations
  • Knowledge in Prescription Drug Events (PDE), Medicare Plan Finder (MPF), Claims Processing, Claims Adjustments, Client implementations
  • Proficient in English
  • Supervision experience

Compensation: $80K - $140K Base Salary. Commensurate with candidate experience plus excellent fringe benefits.

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