Government Programs SpecialistVirtualVocations • Reno, Nevada, United States
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Government Programs Specialist
VirtualVocations • Reno, Nevada, United States
30+ days ago
Job type
- Full-time
Job description
A company is looking for a Government Programs and Services (GPS) Specialist I.
Key Responsibilities
Support MedAccess adjudication processes and communicate CMS guidance changes to clients
Provide internal and external support to ensure compliance with regulations and resolve client-specific claims issues
Maintain familiarity with client plan designs and benefit setups while managing project activities for timely service delivery
Required Qualifications
Bachelor's degree or equivalent combination of education and experience, along with 2+ years in a related industry
Familiarity with regulatory agencies and CMS guidance preferred
Intermediate knowledge of MS Office Suite and databases
Understanding of CMS, State and Federal regulations, and claim processing concepts
Experience in PBM, pharmaceutical, or managed healthcare industry is a plus
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Program Specialist • Reno, Nevada, United States
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