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    GP Business Operations Specialist - Boise, United States - Idaho State Job Bank

    Idaho State Job Bank
    Idaho State Job Bank Boise, United States

    4 weeks ago

    Idaho State Job Bank background
    Description
    GP Business Operations Specialist at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

    Job Posting Title GP Business Operations Specialist Job Description Job Description:
    + Reviews and interprets policy and regulatory documents to identify the impact on operations. + Monitors HPMS Memos/ CMS guidance for operational changes and develops timelines/work plans to implement changes. Provides support through the planning and execution of these projects. Support may include developing business requirements, establishing deadlines, assigning resources/responsibilities and monitoring and summarizing progress of projects. Prepares reports for upper management regarding status of project. + Identify Medicare product benefits and prepare and manage the annual bid process and validation for the Medicare plan. Manage multiple workgroups with all levels of management for development of the bid. Coordinate with Legal, Actuarial, Compliance, and other operational areas. + Provides Medicare Part D subject matter expertise in response to day-to-day business issues. + Creates and executes project work plans and revises as appropriate to meet changing needs and requirements. + Coordinate annual readiness checklist process for CMS submission. + Provide general support, collect, and prepare information and data for the facilitation of standard recurring meetings, such as tactical, strategic and operations reviews. + Document and track action items for centralized reporting for dashboard of operational metrics. + Track, review, analyze project and resource expenditures. + Provide support to operations roles as required. + Support Medicare Plan(s) in downloading and submitting data to HPMS (Health Plan Management System). + Ensures adherence to CMS provided timelines and ensures timeliness and accuracy of compliance activities. + Reviews data to evaluate KPIs. + Acts as a liaison between departments to manage large-scale projects and implementations. + Manages day-to-day operational aspects of a project, including meeting facilitation and documentation. + Provides status reporting to stakeholders on a regular basis. Apprises management of issues requiring resolution in order to maintain progress on a timely basis. + Provide ad hoc analyses and/or research issues of non-compliance as requested by management.


    Minimum Qualifications:
    + 5+ years of Part To view full details and how to apply, please login or create a Job Seeker account
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