Product Enrollment Manager
Medco Health Solutions, Inc. - Franklin Lakes, NJ

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Position Summary
The Manager, Product Enrollment Services is responsible for the overall management of enrolling client in Medco’s Programs may include; Retail, Direct, Mail, Specialty Pharmacy pricing, Specialty Copay Proration, Retail Strategy, and various other products. The role will also encompass the management of coordinators within Product Enrollment Services team. Responsibilities of this position will include the provision of pre-enrollment support, the development and execution of comprehensive enrollment procedures, quality assurance analyses, and post-enrollment management of issue resolution and program maintenance. In summary, the Pricing Manager will be looked upon as a direct resource/leader within the Product Enrollment Team as well as manage the overall quality and timeliness of all pricing related processes within the CBA.

Primary Responsibilities/Expected Contributions

Pre-enrollment Support
Triage incoming requests as it relates to expected timelines and configurations. Maintain and evaluate current assessment scans for existing clients to identify any incompatibilities or additional set up requirements. Facilitate installation meetings and follow up with account teams and internal business partners including, Rules Integration, File Management, Plan File, PPO, Product Management to review all necessary requirements and timelines. Develop and present educational materials to support Account Teams and product management in successful program enrollment – including SOPs, process flows, forms, presentation materials, and additional enrollment tools. Establish next steps and follow up items and continue to maintain open communicate with account teams throughout process.

Management of the Enrollment Process
Ensure appropriate documentation of client requirements and consistency of translation into functional specifications. Closely interface with functional areas that support program execution.
Create and coordinate execution of all necessary configuration changes on appropriate platform: CBM, FOUNDATION 14 or ECLIPSE. Timely update of departmental databases regarding installation status, issues, risks and mitigating actions. Timely and accurate update of all Benefit Administrator tools. Insure that all updates are completed in order to meet all testing deadlines. Provide Finance and/or Account Teams with all testing output and work with them to resolve any identified issues prior to installation date. Report status of installation risks to management.

Quality Assurance / Quality Control
Perform data extractions to review and ensure accuracy of all aspects of client configuration.
Maintain standard reporting processes and perform ad hoc requests and analyses utilizing Bi-Query
Provide Product Enrollment in accordance with all SOP’s and checklists.

Post Enrollment Issue Resolution
Manage the process of post-enrollment issue resolution – entails leading a cross-functional team to identify track and monitor issues through resolution, including identifying root cause and implementing preventative measures. Use REMEDY to track all issues and insure all action items are brought to closure.
Direct Reports
Responsible for the management/oversight of 8 Direct Reports which includes but is not limited to: 1:1 meetings, coordination of training sessions (including new hire training), conducting performance reviews, managing configuration and identifying immediate issues/risks.

  • LI-SE1
  • Bachelor of Science, Degree or equivalent work experience
  • 3-4 years experience in a product / service support role.
Minimum Requirements
  • In-depth understanding of prescription drug management program installations from a client perspective and detailed understanding of core prescription benefit features and related configurations
  • Organizational and planning skills, including abilities to manage and follow up on multiple projects, conforming to departmental timelines and SOP’s
  • Data analysis skills
  • Strong attention to detail and communication skills.
  • Promotes teamwork and training
We are an Equal Opportunity Employer, M/F/D/V

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