Communications Program Manager

Summary

Join Abarca's PBM Operations & Services team as a GPS Regulatory Communications Program Manager! You'll ensure accurate and timely written communications to external parties, adhering to regulatory requirements and client agreements. This role involves analyzing communication trends, maintaining letter template inventories, staying updated on regulations, and engaging with clients and vendors. You will develop monitoring tools, manage relationships with print and mailing entities, and facilitate discussions impacting regulatory communications. Additionally, you'll create training programs, develop reports, identify risks, and support corrective action plans. This position requires strong communication, analytical, and problem-solving skills.

Requirements

• Bachelor’s Degree or Master’s Degree in a related field. (In lieu of a degree, equivalent relevant work experience may be considered.)
• 6+ years of experience within a similar role in government related programs
• Experience the Healthcare industry (PBM, Pharmacy, Insurance, CMS plan audits)
• Experience working with PBM Operations, Medicare Part D, Auditing and Monitoring, CMS Program Audits & Protocols
• Excellent writing skills with high levels of negotiating capabilities and proper presentation skills
• Experience in vendor management
• Excellent oral and written communication skills
• Must be able to access and navigate each department at the organization’s facilities
• Sedentary work that primarily involves sitting/standing

Responsibilities

• Analyze, trend, and track written communications for all lines of business
• Keep an inventory of the most current approved letter templates by topic and by client, with applicable requirements
• Stay up to date with regulatory requirements and best practices pertaining to mailing timeliness and communication requirements
• Ensure communications requirements are followed in accordance with policies and procedures as well as regulatory guidance
• Engage directly with clients, auditors and vendors as a subject matter expert and strategic consultant
• Develop tools to document and perform monitoring activities for determining if letters are compliant with regulatory requirements, accurate content, approved templates, and mailing timeliness
• Work with areas to identify root cause of issues pertaining to letter processes and ensure any findings are promptly corrected and documented properly
• Assist in issue management processes related to communications processes and/or vendor performance to ensure corrective actions are performed, including testing and ongoing monitoring
• Manage relationship with print and mailing delegated entities to ensure compliance with SLA’s and contracted functions
• Facilitate discussions related to changes that may impact file exchanges between Abarca’s technical team and print and mailing vendor(s)
• Participate and facilitate discussions related to change that may impact regulatory communications. Prepare and maintain process documentation supporting regulatory communication processes and logics for internal and external audiences
• Develop internal and client training programs and cadence, facilitate execution
• Engage directly with clients and leadership to develop, modify, and deliver dashboards and other required reporting as needed
• Identify, quantify, and communicate areas of risk and develop corrective actions
• Support creation of internal and external CAPs; oversee implementation of remediations, monitor efficacy of corrective actions
• Collaborate with client implementation team as needed for process requirements gathering, configuration, E2E testing and go-live process
• Prepare ad hoc analysis and other reports such as RFP responses, presentations, among others

Preferred Qualifications

Bilingual fluency in Spanish and English