Exemption Status:
United States of America (Exempt)
$65,934 - $90,000 - $114,066
“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”
This position is not eligible for Sponsorship.
MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!
Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.
At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!
Job Description
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Develops, builds, and maintains day-to-day management of workflows necessary to deliver clinical programs, products and services. Responsible for successful implementations and developing and maintaining operational plans.
Manages the day-to-day operations of assigned clinical products. Adheres to strict procedural and quality standards, including thorough and accurate documentation, testing protocols, claims analysis, and thorough understanding of product technical and service specifications. Relies on experience, judgment, business & systems knowledge, and technical skill to plan and accomplish goals.
Leads the implementation process for clinical products, including timely and accurate documentation, communication of client requirements and follow-up expectations to internal partners, ensuring appropriate review and customer sign-off, leading conference calls, and related responsibilities to ensure flawless implementations.
Supports organizational sales efforts for clinical products. Facilitates completion of opportunity analyses as requested for prospective and current clients. Assists Client Teams in completing Opportunity Analysis Questionnaires and validating test claims. Coordinates with other Clinical Solutions staff in delivery of opportunity analyses.
Manages and updates product toolkits to ensure that Sales and Account Management have up-to-date resources that facilitate the sale of clinical products.
Manages outgoing communications associated with clinical products. Coordinates with Clinical Solutions staff and other departments across the organization to ensure that all product communication materials are issued free of defects in a timely and efficient manner. Provides quality control checks on data files. Compiles and sends out associated reports.
Monitors and audits client billing of clinical products and communicates with Account Executive if any discrepancies are identified.
Ensures Client service agreements and/or work orders are executed for clinical products and services delivered. Maintains documentation and tracking of all Clients who have purchased assigned programs.
Serves as liaison with external vendors as needed. Monitors and audits vendor invoicing and communicates with Product Owner if any discrepancies are identified. Ensures vendor service agreements and/or work orders are executed for clinical products and services delivered.
Serves as liaison between Clinical Solutions and account teams and/or Clients. Attend client calls when necessary to report on product performance or answer SME questions.
Utilizes project management skills to track milestones and deliverables, timely recognition/notification of risk indicators and provide regular status updates to Leadership internally/externally.
Supports business process improvement initiatives, including evaluating and documenting processes and workflows, identifying gaps, and developing recommendations for improvement. Conduct needs assessments and gap analysis as required per initiative. Design, implement, and monitor change plan(s) required.
Completes all documentation throughout the product or project lifecycle, including creating project charters, business cases, business requirements, functional requirements, etc. Obtain appropriate approvals at each phase of the project.
Supervisory Responsibilities
This job has no supervisory responsibilities.
Client Responsibilities
This is an internal and external client facing position that requires excellent customer service and interpersonal communication skills (listening/verbal/written). One must be able to; Respond promptly to client team needs; Solicit client team feedback to improve service; Respond to requests for service and assistance from client teams. Meet commitments to clients; Manage difficult or emotional client situations; Present product or performance information to clients in a proficient and professional manner.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Bachelor's degree from four-year college or university or equivalent combination of education and experience and the following:
A minimum of three (3) years of successful related programs operations experience in a healthcare (health insurer, managed care, third party administrator, PBM, or pharmacy) setting,
A minimum of two (2) plus years’ proven and demonstrated experience with Project Management, Product Management, or Project Coordination using best practices for project methodology. Four (4) years’ internal MedImpact experience may substitute for this requirement.
Clinical license/certification required.
Computer Skills
Intermediate to advanced skill set in MS Office; Word, Excel, PowerPoint, Project and Outlook
Intermediate to advanced knowledge in Visio
Certificates, Licenses, Registrations
Clinical license (RPhT, LPN, CNA, etc.) or national certification (CPhT, Medical Terminology, or other applicable national clinical certification) required, and project management certification highly desired.
Other Skills and Abilities
Strong understanding of PBM, managed care, and retail pharmacy environments
Strong understanding of pharmacy claims
Outstanding numeric, verbal, written, logic, and analytical skills
Excellent organization, written and verbal communication skills
Basic knowledge of new product development processes and methodologies
Basic knowledge of finance, including ability to read and understand financial data such as product income statements, ROI analysis, net present value analysis
Ability to manage multiple, concurrent projects.
Basic knowledge of medical terminology, including ability to read and understand basic clinical program data to implement and maintain clinical solutions, understanding and interpreting quality and net value
Reasoning Ability
Ability to apply common sense understanding to carry out instructions furnished in written, verbal, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
Project Management - Develops project plans; Coordinates projects; Communicates changes and progress; Completes projects on time and budget
The Perks:
- Medical / Dental / Vision / Wellness Programs
- Paid Time Off / Company Paid Holidays
- Incentive Compensation
- 401K with Company match
- Life and Disability Insurance
- Tuition Reimbursement
- Employee Referral Bonus
To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to www.medimpact.com/careers
MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego,
California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.
Equal Opportunity Employer, Male/Female/Disabilities/Veterans
OSHA/ADA:
To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Disclaimer:
The above
statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
