GPS Support Specialist

GPS Support Specialist

Requirements

• Associate’s degree in a related field (or equivalent combination of education and experience) along with 1 – 2+ years’ related experience working with Medicare Programs, PBM, Managed Healthcare setting, or a regulatory agency.
• Good working knowledge of MS Excel and MS Access
• Basic level of expertise in MS Word and MS Outlook
• Basic understanding of claim processing concepts
• Ability to prioritize urgent issues effectively
• Ability to calculate figures and amounts such as discounts, interest proportions and percentages
• Detail oriented with a high degree of accuracy & follow-through on work deliverables
• Self-starter with the ability to work independently
• Proven analytical and decision making skills
• Ability to effectively balance a high volume of work
• Ability to work in a team environment and develop good working relationships
• Able to resolve problems and possess judgment and decision making skills
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
• Ability to deal with problems involving several concrete variables in standardized situations
• Ability to define problems, collect data, establish facts, and draw valid conclusions
• Ability to read and interpret documents such as procedure manuals, operating and maintenance instructions
• Above average written communications skills exhibited by the ability to write routine reports and correspondence

Responsibilities

• Performs analytical report analysis and validation; partners with IT and department members within GPS.
• Maintains current understanding of customers, Medicare Part D coverage and benefit plans in order to accurately analyze reports. Performs calculations, complete quality control and testing, and ensure appropriate updates and adjustments of data prior to submission to customers.
• Establishes positive working relationships with internal and external clients by providing sustainable, measurable, accurate, reliable and timely execution of Part D project activities and responsibilities. Supports the corporate strategy by delivering solution-oriented problem solving.
• Utilizes multiple company databases to obtain, record, and analyze Part D claim data and information. Completes project activities within the prescribed time frame to ensure timely and accurate delivery of Part D services. Works proactively under strict deadlines to manage client expectations on issue resolution and provides customer support to address action items and problems.
• Participates in interdepartmental meetings and customer conference calls regarding CMS Medicare Part D requirements, and MedImpact Medicare Part D processes, system capabilities and report file-standards/formatting on topics such as (but not limited to) True Up, RetroLICS Attestations, FIR Transaction rejection resolution, Medicare Part D Plan Finder, Centers for Medicare and Medicaid Services (CMS) Required Reporting, and Retiree Drug Subsidy services.

Preferred Qualifications

• Experience with system analysis, systems quality, or data analysis experience (desired)
• Knowledge of healthcare operating systems in PBM industry preferred