RDS Program Director

Overview

RDS has an exciting career opportunity for an RDS Program Director. The purpose of the RDS Program Director is to support RDS clients and constituents with the completion of all time-sensitive tasks related to the Retiree Drug Subsidy (RDS) program, and to understand all aspects relating to the RDS website and RDS database. The RDS Program Director collaborates directly with the President, RDS Sales Director, clients and vendors.

RDS Services, LLC, an Accretive Company, has been managing the Retiree Drug Subsidy ("RDS") program for plan sponsors since the Medicare Modernization Act was enacted and the RDS program began back in 2005. This is as long as anyone else in the nation. For more information, please visit, www.https://www.rdsservices.us/

What You'll Do

Delivery

• Manage ongoing RDS administration including RDS Reopenings.
• Manage client accounts.
• Obtain retiree information from clients, prepare via RDS database, and upload to CMS through the RDS website as needed.
• Analyze members and claim data.
• Review and communicate response, weekly notification, and part D notifications to clients.
• Upload response, weekly notification, and part D notifications into RDS database.
• Maintain client retiree data in database.
• Identify and resolve subsidy issues and other administration issues as needed.
• Understand and interpret "Reason Codes" and give guidance to clients on communicating to Medicare eligible retirees.
• Coordinate and complete client applications in accordance with established CMS deadlines, request extensions if needed.
• Coordinate and complete client reconciliations in accordance with established CMS deadlines.
• Assist in the review of claims data received by carriers (PBMs), make corrections, and submit to CMS for subsidy payment.
• Communicate important RDS program notifications to clients and complete or assist in updating RDS member information in the CMS website as needed.
• Responsible for analysis of all RDS reporting outputs including detailed and thorough reviews of deliverables subsequent to established quality control. protocols.

Staff Development

• Collaborate with data analyst program leader to manage workload, trouble-shoot vendor issues and develop revenue forecasts for President.
• Train and manage new Account Managers; evaluate their work and competence levels re the RDS Program.

Client/Vendor Management

• Attend prospect and client meetings and interact with Plan Sponsors as needed whether in person, conference calls or email.
• Establish strong relationships with clients, associated vendors and brokers in order to maintain ongoing client retention and pursue prospective new client opportunities.

Strategy Development

• Attend meeting as needed with RDS Account Managers/Analysts and company President.
• Manage new strategic partner initiatives.
• Oversee systems upgrade with outside IT vendors.
• Attend meetings as needed with Database Analysts to discuss database issues, changes and updates.

What You'll Need

Minimum of 5+ years in PBM management with a customer service and/or sales field focus.

Bachelor's degree in auditing, management, or information systems a plus.

Pharmacy/Medical claims audit background a plus.

Systems Skills:

• MS Excel: Expert
• MS Access: Novice
• MS Word: Proficient
• Internet: Expert

What's in it For You?

To help you make the best decision for your personal growth, it's important to us to share a glimpse of what we offer our top asset, our people:

• Competitive base salary.
• Generous 30+ Days Comprehensive Paid Time Off Package inclusive of Paid Time Off, 10 Company Holidays, 2 Floating Holidays, 5 Sick Days, and 2 Volunteer Days.
• Health benefit options with you in mind; 5 affordable medical plan options with rates based on your salary, company paid HSA contribution with eligible HSA plan selection, 2 dental plan options offering orthodontia coverage and 3 cleanings per year, and 2 vision plan options.
• Company match 401(k) plan - 50% up to 6%!
• Support of your fitness wellness goals! We offer up to 75% off at over 11,000 gyms and fitness centers.
• Opportunity to prioritize your mental health with 24/7 access to licensed therapists.
• Pet benefits & discounts.
• Access to our Employee-led Resource Groups (ERGs) that lend a voice to the variety of demographics represented throughout Accretive.

Grow, with us

Accretive is a collection of elite specialty and wholesale agencies supported by experienced industry leaders. Our expertise is broad, and our innovative culture runs deep. We value relationships above all else and consistently deliver best in class customized solutions and service you can trust.

Accretive is passionate about fueling our clients' innovation and growth. That makes us the perfect place for creative, dynamic people who want to grow their career while helping businesses, families and people thrive. We are proud to be one of the largest brokers in the country, but we're even prouder of the honest, caring relationships that our employees build with our clients every day.

Working with us will give you the opportunity to do work that matters while you learn with us, advance with us, and most importantly, grow with us. Accretive is committed to embracing diversity, equity and inclusion to create a workplace that welcomes and thrives on the unique experiences, perspectives and contributions of all team members. Accretive is bringing the best people and most diverse talent forward to drive growth, innovate and think bigger!