Senior Member Correspondence Specialist, Medicare Part D

Scottsdale AZ 85260 Scottsdale 2 15880 North Greenway

Job Description

Responsible for all aspects of Medicare Part D Member Correspondence, including, but not limited to: creation and maintenance of all member communications for Medicare Part D beneficiaries, and monitoring (daily, weekly, monthly) of Medicare Part D Print Operations.
  • Collects requirements from internal functional areas for new written member communications.
  • Creates templates for Centers for Medicare & Medicaid Services (CMS) Model and non-Model member letters.
  • Coordinates data in standard and non-standard file feeds from various systems.
  • Maps data to variable fields within letter templates.
  • Compares annual updates to templates when delivered by CMS and making necessary updates.
  • Thoroughly understands the yearly Medicare Communications and Marketing Guidelines.
  • Uploads required documents into CMS’ Health Plan Management System (HPMS).
  • Interfaces daily with contracted Print Vendor(s) on production and development needs.
  • Uses technical knowledge to communicate needs to internal and external data sources.
  • Monitors production efficiency and service level agreements.
  • Supports Magellan Medicare Prescription Drug Program (PDP) and other Magellan Pharmacy Benefit Management (PBM) Medicare Part D clients.
  • Identifies and openly communicates all potential Compliance issues.
  • Leads project management of development projects.
  • Conducts meetings with interested parties on new development projects.
  • Develops reports to assist in determining vendor performance.
  • Maintains documents on processes and work instructions.
  • Follows documented Policies and Procedures.
  • Understand CMS guidance.
  • Identifies and communicates process improvement ideas.
  • Completes all annual Compliance training courses.

General Job Information

Title

Senior Member Correspondence Specialist, Medicare Part D

Grade

21

Job Family

General Services Group

Country

United States of America

FLSA Status

United States of America (Non-Exempt)

Recruiting Start Date

7/30/2019

Date Requisition Created

7/30/2019

Work Experience

Administrative Support, Healthcare, Medicare Part D (MedD)

Education

A Combination of Education and Work Experience May Be Considered. (Required), Bachelors (Required), GED (Required), High School (Required)

License and Certifications - Required

License and Certifications - Preferred

Other Job Requirements

Responsibilities

  • 3+ years of administrative experience required.
  • 1+ years of healthcare industry experience required.
  • 1+ years of Medicare Part D experience required.
  • High School Graduate or GED required.
  • Bachelor's degree or equivalent experience required.
  • Must possess computer navigation skills, including experience with Microsoft Office products.
  • Requires excellent customer service skills.
  • Must be detail oriented with excellent organizational and problem solving skills.
  • Ability to work with minimal supervision.
  • Skilled at managing several projects concurrently.

Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply and attest to the security responsibilities and security controls unique to their position.