About this role

Oversee the implementation, compliance, and optimization of Medicare, Medicaid, and Exchange programs
Lead a team dedicated to identifying, developing, and maintaining technical analysis and efficiencies
Design automated solutions and validate accuracy of outgoing deliverables
Establish scalable processes that support regulatory and business objectives
Interpret CMS and state guidance
Collaborate with internal subject matter experts and clients
Analyze complex datasets to identify trends and process improvements
Create detailed specifications for reports and operational tools
Collaborate with cross-functional teams to enhance operational capabilities

5+ years of healthcare data experience
5+ years of relevant PBM and/or Health Plan experience supporting Medicare Part D, Medicaid, or Exchange plans
5+ years of experience working with SQL, R, or Python
Experience working with cross-functional teams
Ability to balance multiple complex projects simultaneously
Excellent written and verbal communication skills
Attention to detail & commitment to delivering high quality work product
Flexibility to respond to a range of different work situations
Ability to foster a culture of collaboration and high performing team

Government Program Operations Manager – Analysis, Efficiencies

Key skills