Medicare Part D Program Manager

As a Medicare Part D Program Manager at Abarca, you'll oversee critical programs and processes related to Medicare Part D, including managing the Medicare Plan Finder and ensuring compliance with CMS regulations. Your role involves translating technical guidance into actionable business processes and engaging directly with clients to enhance service delivery.

To qualify for the Medicare Part D Program Manager role at Abarca, candidates should have a Bachelor’s or Master’s degree in a relevant field, or equivalent work experience. Additionally, 6+ years of experience in Medicare Part D operations, pricing, and claims processes is required, along with strong communication skills and proficiency in SQL and Excel.

Abarca ensures compliance with CMS guidance by creating and executing rigorous monitoring programs. As a Medicare Part D Program Manager, you'll be responsible for establishing processes to prevent issues and analyze data to confirm that all operations meet or exceed CMS requirements.

Essential skills for the Medicare Part D Program Manager role at Abarca include strong analytical abilities, excellent communication skills, proficiency in SQL and Excel for data analysis, and the capability to translate technical healthcare guidance into effective business processes.

Abarca offers a flexible, remote work environment with a hybrid model requiring certain on-site days. The company emphasizes a collaborative culture that celebrates diversity, allowing Program Managers to engage with various teams and clients effectively.

When asked about your experience with Medicare Part D operations, highlight specific roles you've held that involved pricing, claims, or data analysis. Discuss particular challenges you faced, how you overcame them, and your familiarity with the CMS guidelines that govern these operations.

To effectively communicate with both technical and non-technical audiences, focus on using clear, jargon-free language and adapting your approach based on the audience's background. Provide examples from previous roles where you successfully navigated these conversations to ensure understanding across diverse teams.

Detail the proactive measures you implement for compliance with CMS guidelines, such as developing monitoring programs, conducting regular audits, and creating detailed process documentation. Share an instance when your attention to compliance positively impacted your team's workflow.

When asked about process improvements, share a specific example where you analyzed existing procedures, identified inefficiencies, and proposed actionable changes that led to enhanced performance or compliance. Emphasize the results achieved post-implementation.

In discussing your data analysis approach, highlight your familiarity with SQL and Excel, and describe your method of using data to inform decisions. Provide an example of how you used data to solve a problem or streamline operations and the significance of those findings.

Share your experience with tools or software relevant to Medicare Part D analysis, such as SQL databases, Excel for data manipulation, or reporting tools. Elaborate on how these tools have enhanced your ability to conduct thorough analyses and inform business processes.

Discuss your relationship-building strategies with clients and teams, emphasizing active listening, clear communication, and responsiveness. Provide examples of how these relationships have led to successful collaborations and positive outcomes for the organization.

When addressing process documentation, convey your approach to creating clear, structured, and accessible documentation. Explain how you gather input from relevant stakeholders and ensure that the documentation is regularly updated and easily retrievable for team members and clients.

In the event of an inconsistency in Medicare Part D reporting, explain your investigative process for identifying the root cause, collaborating with necessary teams for resolution, and ensuring it is documented. Emphasize your commitment to transparency and proactive measures to prevent future discrepancies.

When discussing your motivation for working in Medicare Part D, express your passion for contributing to healthcare improvements, emphasizing the impact on patients' lives. Share personal or professional experiences that have fueled your desire to support and enhance Medicare services.