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*Resolution Analyst

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*Resolution Analyst

  • Location:

    Franklin

  • Sector:

    Healthcare

  • Job type:

    Temporary & Contract

  • Salary:

    Negotiable

  • Contact:

    Dinesh Meena

  • Contact email:

    dmeena@medicalrecruitmentstrategies.com

  • Job ref:

    BBBH400713_1658411078

  • Published:

    24 days ago

  • Expiry date:

    2022-10-19

As a Resolution Analyst, you will support our Medicare Part D (Med D) members. As you work with these Med D members, you will answer questions about their coverage and benefits as well as problem solve any concerns they may have. You will evaluate complex issues, use critical problem solving techniques, and apply your critical thinking skills to suggest and implement appropriate solutions

Conduct in depth research on member issues in order to provide quality resolution.

� Creatively construct written communication to members.

� Multitask and work with up to 15 various computer applications.

� Assess issues related to the pharmacy within Medicare Part D guidelines and resolve any issue with an appropriate plan and outcome.

� Document the issue and resolution in the database, while adhering to the strict turnaround time established by the Center for Medicare and Medicaid Services (CMS).

� Share the outcome with the customer through verbal and/or written correspondence.

� Work independently in a fast-paced, dynamic and regulated team environment.

� Partner with internal business units and external partners when you are navigating and researching issues.

� Acquire and maintain basic knowledge of relevant and changing Med D policies and procedures