Supports the vendor relationship, daily operations and the implementation of the EGWP Pharmacy program. Supports compliance activities, FEP policies and PBM contract, increasing the value of services to members and program stakeholders. Collects, maintains, and shares program operational and performance data. Supports timely resolution of inquiries, communication development, process documentation, reporting requirements and activities that support program compliance and audit needs.
Responsible for the maintenance and publication of operational performance and production data reporting
Supports inquiry resolution and reporting needs. Identifies performance and compliance risks and communicates to leadership timely to minimize non-compliance.
Assist with managing, tracking and approvals for communication requests in compliance with CMS and FEP requirements/standards. Fosters collaborative relationships with internal and external business owners to determine best practices, operational efficiencies, or process improvements that enhance program performance and the member experience.
Participates in program implementations to capture tasks, milestones and action items. Provide historical reference by maintaining meeting minutes, and making updates to project schedules as needed.
Education Bachelors Degree
Bachelor's degree in business, healthcare, information systems or related field Certifications Experience
Minimum of three years of experience within a business environment services delivery setting, with experience in project management, and/or healthcare informatics
• Experience in project management and/or account management• Experience setting priorities and meeting objectives for projects with multiple stakeholders • Technical proficiency with Microsoft Office, Teams and SharePoint Skills Project management skills for reporting multiple projects, involving multiple stakeholders, under tight deadlines
Advanced organizational skills with the ability to develop approaches that meet required objectives
Excellent communication (written and oral) and interpersonal skills with an ability to communicate to small and/or large audiences (both internal and external to BCBSA) People Management No
Consultant EGWP (Employer Group Waiver Plans) Operations
Company:
BCBSA
City:
Washington
State:
DC
Employment type:
Full time
Remote Position:
No
Required degree level:
Other
Make an impact on healthcare in America. A career with Blue Cross Blue Shield Association allows you to be part of the foundation that supports the 35 Blue Cross and Blue Shield companies nationwide, while protecting and strengthening the Blue Cross Blue Shield brand. Our work is helping provide greater access to cost-effective healthcare, improve the health of America and build stronger communities. With a commitment to diversity, equity and inclusion, we celebrate different cultures, languages, backgrounds and experiences while striving to advance health equity, and we want you to join Team BCBSA.
Accommodations:
Vision Accommodations, Hearing Accommodations, Neurodiversity, Learning, Mental Health, Mobility
