“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!
MedImpact’s Managed Care Pharmacy Residency Program develops future managed care leaders by helping residents build a strong foundation of knowledge in both clinical and managed care principles.
The Managed Care Pharmacy Resident provides support to the Government Programs and Services (GPS) team and other departments through managed care learning experiences (rotations) and longitudinal projects. The rotations/projects will include a breadth of disciplines including clinical operations, utilization and formulary management, clinical account services, quality assurance and improvement, government program management, analytics and research.
Essential Duties and Responsibilities include the following:
• Perform cost savings and member impact analyses after learning benefit design and utilization management strategies.
• Contribute to clinical quality programs, such as Drug Utilization Review (DUR), Transitions of Care and other initiatives to improve HEDIS and CMS Star Ratings.
• Support clients by developing and implementing quality and cost savings initiatives and managing custom formularies across all lines of business.
• Participate in the management of government programs, including drug rebates, Coordination of Benefits (COB) and 340B.
• Perform quality program oversight and develop quality improvement initiatives while supporting regulatory and client oversight audits.
• Evaluate prior authorization requests and understand the regulatory requirements governing prior authorization reviews, which includes four hours of weekly staffing.
• Assist in material preparation and presents at MedImpact P&T Committee meetings.
• Develop presentation skills to lead meetings while learning to manage projects and navigate corporate complexities.
• Conduct a longitudinal research project designed for presentation at AMCP Annual Meeting.
• Other duties may be assigned.
Education and/or Experience
• PharmD from an ACPE-accredited school of pharmacy
• Minimum GPA of 3.0
• Managed Care experience preferred
Certificates, Licenses, Registrations
• Must obtain Registered Pharmacist license in state of residence and Kentucky by October 1st of the program year.
Please include Letter of Intent AND Curriculum Vitae (CV) along with submission of application.
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.
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.
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.
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