Medicare Plan Coordinator

Position ResponsibilitiesServes as the point person for all Medicare Part D related activities at Eldercare.Supports the annual Part D bid by keeping timely and accurate records of all pharmacy related expenses, bid tracking and works directly with accounting and the bid preparation.Responsible for all areas of Pharmacy Drug Event (PDE) reporting and oversight.Responsible for drug rebate and manufacturer discount reporting and oversight.Responsible for Plan to Plan payment reporting and oversight.Serves as the point person for all Part D required reporting to third party and Medicare (Acumen, HPMS, Pharmastar, Milliman, Palmetto etc.).Responsible for the organization's compliance and Fraud, Waste and Abuse plan including data gathering, evaluation and reporting.Tracks all organizations licensures, completes/assists with all renewal applications to ensure compliance.Responsible for insurance renewals including emergency management plans, completes/assists with all renewal applications to ensure coverage remains active.Conducts compliance audits, prepares reports and communicates findings to Executive Director.Responsible for all Eldercare Accounts Payable including accurately completing check requests and attaching invoices for management approval.Serves as a backup for enrollment, claims, network and HR related tasks.Communicates with management regularly to keep them abreast of ongoing projects/issues.Completes assignments in an accurate and timely manner.Knows and adheres to philosophy and goals of Eldercare.Participates in and supports Quality Improvement initiatives.QualificationsLicense/Registration/CertificationHealth Care Compliance certification highly preferred.EducationBachelors Degree is preferred.ExperienceAt least 2 years prior experience in a Medicare health plan, Pharmacy Benefit Manager or Part D Actuary. Prior experience in Part D program operations and/or compliance is extremely helpful.

Experience in compliance and Fraud Waste and Abuse programs as well as experience working with a pharmacy benefit manager are preferred.Benefits:We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:Health benefitsLife insuranceLong-term disability coverageHealthcare spending accountsRetirement planPaid time offPet InsuranceTuition reimbursementEmployee assistance programWellness programOn-site housing for select positions and more!