MedImpact Healthcare Systems, Inc.

MedImpact Healthcare Systems, Inc.

8 open positions available

3 locations
1 employment type
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Full-time

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MedImpact Healthcare Systems, Inc.

Account Manager I – III

MedImpact Healthcare Systems, Inc.AnywhereFull-time
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Compensation$40K - 70K a year

Develops and maintains client relationships, manages onboarding and service delivery, and leads project implementation. | Requires at least 2 years in account management or client service, project management experience, healthcare regulatory knowledge, and proficiency in MS Office and Visio. | Job Description: • Develops, builds, and maintains solid client business relationships • Ensures appropriate levels of service and operational support to assigned clients • Proactively maintains and improve upon service performance levels • Leads members of the core client team • Adheres to strict procedural and quality standards • Leads the implementation process for the onboarding of new business • Utilizes project management skills to track milestones and deliverables • Effectively educates the client to MedImpact systems and processes • Manages the client and consultant in compliance with the client service agreement • Completes special projects as assigned • Provides regular feedback to management team regarding client requirement status and business development opportunities Requirements: • Bachelor's degree from four-year college or university or equivalent combination of education and experience • A minimum of two (2) years of account management or related client/customer service experience in a healthcare setting • A minimum of one (1) plus years’ proven and demonstrated experience with Project Management or Project Coordination using best practices for project methodology • Two (2) years’ internal MedImpact experience may substitute for this requirement • Must be familiar with healthcare related state and government regulations such as Medicaid, CMS, etc. • Intermediate to advanced skill set in MS Office, Word, Excel, PowerPoint, Project, and Outlook • Intermediate to advanced knowledge in Visio • Pharmacy Technician license or national certification desired • Successful completion of MedImpact Internal Certifications required within one (1) year of active employment in role (i.e., MedAccess Certification, Cognos, and Med Coaching Certification) Benefits: • 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

Customer Lifecycle Management
Account Management
B2B SaaS
Verified Source
Posted 24 days ago
MedImpact Healthcare Systems Inc.

Clinical Ideation Product Development Manager

MedImpact Healthcare Systems Inc.AnywhereFull-time
View Job
Compensation$102K - 179K a year

Lead early-stage product innovation, assess market needs, develop business cases, and evaluate portfolio enhancements. | Extensive experience in project management, healthcare strategy, and product development, with strong analytical, financial, and stakeholder engagement skills. | Exemption Status: United States of America (Exempt) $102,260 - $140,608 - $178,955 “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 Summary The Clinical Ideation Product Development Manager will lead early-stage product innovation and portfolio evaluation for proposed clinical innovation ideas. This role focuses on identifying unmet market and clinical needs, conducting rigorous competitive and financial analyses, and shaping product opportunities into clear business cases and prototype plans. In addition to driving new concept ideation, the role will assess existing products in the portfolio to recommend enhancements, re-designs, or retirement. Essential Duties and Responsibilities include the following. Other duties may be assigned. Accountable to execute Innovation & Ideation deliverables Assess innovative ideas against unmet clinical and market needs through research, stakeholder engagement, and industry trend analysis. Generate and prioritize a pipeline of product concepts aligned to clinical organization and enterprise strategy. Conduct competitive intelligence and market analysis to assess emerging technologies, competitor pipelines, and potential disruptors. Benchmark against best-in-class solutions to inform product differentiation strategies. Facilitate structured ideation sessions and innovation workshops with clinical, commercial, and technical experts. Defining clear problem statements and opportunity spaces rooted in evidence from the market, regulatory, and reimbursement landscapes. Generate and prioritize a pipeline of product concepts aligned to organizational strategy. Lead Business Case and Value Proposition Development Build robust business cases for product concepts, including market opportunity sizing, competitive analysis, clinical value proposition, and financial metrics. Define the clinical and economic value proposition for new product concepts, clearly articulating benefits to patients, providers, payers, and health systems. Quantify the potential impact of proposed products on outcomes, efficiency, cost savings, or patient experience. Ensure value propositions are evidence-based, leveraging clinical data, market insights, and stakeholder feedback. Assess technical feasibility, regulatory pathways, and reimbursement considerations early in the process. Evaluate build vs. buy vs. partner strategies for each concept, including acquisition of existing solutions, licensing, or co-development opportunities. Partner with marketing, clinical, and health economics teams to test and refine messaging with target audiences and translate the value proposition into core elements of the business case, supporting both strategic prioritization and investment decisions. Present business cases and clear recommendations (including build/buy/partner pathways) to senior leadership for investment decisions. Develop Financial Models Develop detailed financial models to support business cases, including revenue forecasts, cost projections, margin analysis, and ROI. Assess funding needs for prototypes, pilots, and early development, balancing risk and return. Partner with finance, Trade, and other economic partners to evaluate resource requirements, pricing assumptions, and revenue opportunities. Provide input into portfolio-level financial prioritization by comparing projected value across initiatives. Track early spending and investment against approved budgets for prototype or pilot phases. Accountable for the Development Plan Define high-level requirements and success criteria for concepts approved for prototyping or pilot or product built. Assess feasibility of in-house development relative to external alternatives, factoring in speed-to-market, cost, regulatory requirements, and strategic alignment. Partner with R&D, clinical, and design teams to scope prototypes and feasibility studies. Ensure clear handoffs of validated concepts into the formal product development pipeline. Manage Portfolio Assessment & Triage Maintain visibility in the innovation funnel and communicate pipeline priorities to leadership. Continuously evaluate existing clinical products and solutions to determine ongoing relevance, market fit, and clinical impact. Conduct gap analyses against competitor offerings, regulatory changes, and evolving customer needs. Partners with cross-functional teams, including EPP, to scope enhancements or redesigns that align with the product’s value proposition. Recommend portfolio trade-offs and resource allocation for early-stage initiatives. Supervisory Responsibilities No supervisory responsibilities Client Responsibilities This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients. 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 BS/BA and 9+ years’ experience or equivalent combination of education and experience, and 6 years' of SME in respective areas. MBA, RN, or RPh preferred. Computer Skills Proficiency in design and workflow tools, Excel. Microsoft Office Suite required. Certificates, Licenses, Registrations RN, RPh preferred but not required for role Other Skills and Abilities Experience in product management, clinical innovation, or healthcare strategy, with proven experience in early-stage product development. Strong understanding of healthcare market dynamics, clinical workflows, and regulatory considerations. Demonstrated ability to create and present compelling business cases. Proven history of demonstrated ability to conduct strategic analysis, market assessments, and financial modeling. Excellent collaboration, facilitation, and communication skills. Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Language Skills Ability to read, analyze, and interpret the most complex documents. Ability to write reports, business correspondence, and procedure manuals. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. Visual acuity required up to 20 inches. The employee must occasionally lift and/or move up to 25 pounds. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Work Location This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders. Working Hours This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonable meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm. 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. MedImpact was founded more than three decades ago by a pharmacist and independent drug store owner who saw firsthand how families struggled with the high cost of prescriptions, and how it impacted their lives, financial security, and health. So, he started MedImpact to make prescription benefits understandable and accessible. While we have grown to be one of the leading PBMs in America, we remain as committed to these principles today as we did when it all began.

Project Management
Stakeholder Engagement
Strategic Planning
Verified Source
Posted 26 days ago
MH

General Manager, Affiliate Company

MedImpact Healthcare Systems, Inc.Tempe, ArizonaFull-time
View Job
Compensation$157K - 290K a year

Oversee all functions and operations of Verdegard Administrators, including financial results, strategic planning, and compliance, while driving growth and ensuring operational excellence. | Requires 15+ years in insurance operations or TPA/PBM experience, 12+ years in leadership, with a Bachelor's degree; knowledge of distribution systems and regulatory environment preferred. | Exemption Status: United States of America (Exempt) $156,839 - $223,496 - $290,152 “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 Summary Responsible for establishing plans, determining priorities, prescribing the processes and coordinating the staff resources needed to achieve objectives of Verdegard Administrators, LLC within MedImpact Health and Wellness’s overall operating plans and policies. Verdegard Administrators, LLC consists of Verdegard Administrators LLC, Verdegard PBM LLC, and Priority Consulting LLC. Works collaboratively with MedImpact Health and Wellness’s Executive leadership in strategic planning, business/market planning, goal setting and developing a long-term success initiative for Verdegard. This position has direct oversight for TPA Operations (Claims, Call Center, Health Services), Client Finance, and Account Management. This role will be responsible to grow the company’s brand awareness and grow the overall TPA business. Will have P&L responsibility and drive the growth and expansion of the business. Responsible for setting and achieving revenue goals and meeting both revenue and EBITDA targets. Essential Duties and Responsibilities include the following. Other duties may be assigned. Oversees/leads all functions/operations of Verdegard Administrators. Oversees the financial results of Verdegard Administrators (budgets, forecasts, financial statements, etc.). Works with MedImpact Health and Wellness’s Leadership (parent company) team to determine the strategic planning, business mapping, market outlines, budgeting, goal setting, etc. for Verdegard. Interacts regularly with MedImpact Health and Wellness’s Executive team and individual department heads to determine Verdegard Administrators’ operating priorities, and procedures to implement same. Ensures that the development, implementation and administration of departmental business plans & budgets are consistent with overall Verdegard Administrators strategic planning initiatives. Ensures Verdegard Administrators’ compliance with all relevant rules, regulations and laws. Design and directs implementation and execution of operating and service policies, guidelines, and practices for the enterprise. Continually investigates and introduces operational process improvement measures and presents suggestions to President for consideration. Strives to ensure operations move forward & stay current while maximizing innovation Supervisory Responsibilities Manages assigned staff in the functional area. Responsible for the overall direction, coordination, and evaluation of the Verdegard companies. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Supports and enforces all company policies and procedures in a fair and consistent manner, taking corrective action whenever necessary. Models and cultivates staff behaviors that achieve business success, including leadership skills, collaboration, accountability, and ownership. Ensures that staff members are aware of business plan objectives, individual accountabilities, and the competencies critical to successful job performance. Carries out management responsibilities in accordance with the organization's policies and applicable laws. Client Responsibilities This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients. 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 A Bachelor’s Degree in business related major or related field of study; 15+ years insurance operations experience, third-party administration (TPA) experience or PBM experience; 12+ years in a leadership capacity; only requires additional breadth of experience to be considered for next step in career path. Computer Skills Basic PC knowledge including MS Office Suite strongly preferred Certificates, Licenses, Registrations Completion of insurance coursework i.e., CPCU, IIA strongly preferred. Other Skills and Abilities Knowledge of distribution system and regulatory environment(s) preferred. Must be a consummate team player, putting others before self, and actively engage stakeholders at all levels. Must be customer focused, both internal and external to the company. Strong Interpersonal skills required. Solid Verbal and Written Communications Skills required Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Mathematical Skills Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. . Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Business Acumen Directing Others Organizational Agility Conflict Management Drive for Results Political Savvy Customer Focus Innovation Management Strategic Agility Decision Quality Managerial Courage Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Work Location This position must work on-site at the Tempe location for purposes of providing adequate support to internal clients; being available for face-to-face interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as for facilitation of quick and effective decisions through collaboration with stakeholders. Remote work is not an option for these purposes. Working Hours This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonable meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm. Travel This position requires domestic travel of up to 20% of the time. 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. MedImpact was founded more than three decades ago by a pharmacist and independent drug store owner who saw firsthand how families struggled with the high cost of prescriptions, and how it impacted their lives, financial security, and health. So, he started MedImpact to make prescription benefits understandable and accessible. While we have grown to be one of the leading PBMs in America, we remain as committed to these principles today as we did when it all began.

Strategic planning and execution
P&L management and financial acumen
Program and portfolio management
Direct Apply
Posted about 1 month ago
MedImpact Healthcare Systems Inc.

Vice President, Clinical Data & Analytics

MedImpact Healthcare Systems Inc.AnywhereFull-time
View Job
Compensation$208K - 395K a year

Lead the development and execution of enterprise clinical analytics strategies, oversee data integration, and drive measurable improvements in healthcare outcomes and costs. | Requires 10+ years in PBM or Managed Care environments, extensive experience in enterprise analytics or HEOR, and proficiency in data platforms and statistical tools. | Exemption Status: United States of America (Exempt) $208,071 - $301,704 - $395,336 “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 Summary The Vice President, Clinical Data & Analytics is an enterprise leader responsible for defining and executing MedImpact’s clinical analytics vision: Proactive, Individualized, Whole-Person, and Sustainable/Scalable Care. Reporting directly to the Chief Medical Officer, this role leads the strategy, infrastructure, and delivery of advanced analytics that power MedImpact’s clinical programs, client reporting, and enterprise differentiation. The Vice President will drive analytic insights that improve PMPM performance, reduce total cost of care, elevate HEDIS and CAHPS measures, and articulate MedImpact’s clinical value proposition in client partnerships and RFPs. This role is foundational to enabling evidence-based, data-driven decisions across the enterprise, integrating PBM, specialty pharmacy, and medical data to achieve measurable clinical and financial impact. Essential Duties and Responsibilities include the following. Other duties may be assigned. Clinical Analytics Strategy & Value Creation Lead development of an enterprise clinical analytics roadmap that unifies PBM, pharmacy, and medical data assets into a cohesive intelligence platform.\ Design and implement analytics frameworks that directly measure and improve PMPM savings, total cost of care, and member health outcomes. Partner with the Chief Medical Officer and executive leadership to quantify and communicate MedImpact’s value to clients through advanced outcomes reporting and HEOR analyses. Build predictive and prescriptive models to identify high-value interventions, optimize medication use, and support population health management. Use data-driven insights to shape clinical program innovation, targeting key quality levers including HEDIS, Star Ratings, and CAHPS performance. Client & Market Differentiation Develop robust, client-facing reporting and analytics packages that articulate MedImpact’s clinical and economic impact. Provide sales and marketing teams with data narratives and dashboards that strengthen the clinical sales proposition and enhance RFP competitiveness. Represent Clinical Data & Analytics in client engagements, showcasing MedImpact’s ability to deliver measurable outcomes and financial value. Leverage benchmarking and comparative analytics to position MedImpact as a top-performing, outcomes-driven PBM partner. Health Economics & Outcomes Research (HEOR) Lead all HEOR initiatives within the Clinical Division, demonstrating the value of MedImpact programs in improving adherence, reducing utilization, and optimizing total cost of care. Develop and publish outcomes studies that support client retention and industry thought leadership. Partner with Product and Innovation teams to incorporate HEOR findings into program design and ROI measurement. Data Integration & Enterprise Enablement Create a unified, scalable data infrastructure that supports real-time analytics, predictive modeling, and clinical decision intelligence across the MedImpact enterprise. Champion data interoperability, governance, and automation to improve analytic efficiency and reliability. Integrate data sources across MedImpact, Birdi, and Aspen Health to enable a whole-person, enterprise-level understanding of clinical impact. Leadership & Collaboration Build and lead a high-performing analytics team that blends expertise in clinical informatics, biostatistics, data science, and visualization. Foster collaboration across Clinical Operations, Product, and Sales to ensure analytics are actionable, strategic, and aligned with enterprise objectives. Serve as a thought partner to senior executives Supervisory Responsibilities Manages assigned staff in the segment area. Responsible for the overall direction, coordination, and evaluation of the unit. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Supports and enforces all company policies and procedures in a fair and consistent manner, taking corrective action whenever necessary. Client Responsibilities This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients. 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 accommodation may be made to enable individuals with disabilities to perform the essential functions. Education Bachelor’s degree in Health Informatics, Epidemiology, Biostatistics, Data Science, Public Health, or related field or equivalent required; Master’s preferred; plus 15 years’ related experience; 15 years of SME in respective area(s); (or equivalent combination of education and experience); and 12 years supervisory experience; Supervisory experience may be substituted with 12 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader at the Vice President level or above that must be completed within 12 months in new position. PhD, MD, PharmD, or equivalent advanced degree strongly preferred Experience 10+ years of experience in PBM or Managed Care environments. Proven success in leading enterprise analytics or HEOR functions with measurable impact on cost of care, quality, and client outcomes. Deep understanding of pharmacy and medical data integration, predictive modeling, and advanced statistical methods. Experience supporting commercial teams with data-driven insights for RFPs, renewals, and client value storytelling, Computer Skills Expertise in total cost of care analytics, PMPM modeling, and performance benchmarking. Proficiency in visualization and analytic platforms (Power BI, Tableau, SQL, Python, R) Exceptional communication skills with the ability to translate complex data into compelling strategic narratives. Demonstrated ability to lead and inspire cross-functional teams in a matrixed environment. Certificates, Licenses, Registrations None required. Other Skills and Abilities Demonstrated ability to lead and inspire cross-functional teams in a collaborative environment Demonstrated improvement in PMPM savings and total cost of care reduction. Advancement of MedImpact’s HEDIS, CAHPS, and outcomes-based quality metrics. Growth in client retention and RFP win rates tied to analytic differentiation. Successful integration of analytics capabilities across MedImpact’s enterprise entities.Strength of data-driven culture and analytic maturity across the Clinical Division. Reasoning Ability Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.,) in its most difficult phases. Ability to deal with a variety of abstract and concrete variables. Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Mathematical Skills Ability to work with concepts such as limits, rings, quadratic and differential equations, and proofs of theorems. Ability to comprehend and apply principles of advanced calculus, modern algebra, and advanced statistical theory. Language Skills Ability to make effective and persuasive speeches and presentations on controversial or complex topics to top management, public groups, and/or boards of directors. Ability to write speeches and articles using original or innovative techniques or style. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Business Acumen Directing Others Organizational Agility Conflict Management Drive for Results Political Savvy Customer Focus Innovation Management Strategic Agility Decision Quality Managerial Courage Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Work Location This position must work on-site at the San Diego Headquarters (or other company location) for purposes of providing adequate support to internal clients; being available for face-to-face interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as for facilitation of quick and effective decisions through collaboration with stakeholders. Periodic scheduled remote work may be permitted as allowed under the department’s policy and with management approval. Working Hours This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, at weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm. Travel This position requires domestic travel of up to 20% of the time. 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. MedImpact was founded more than three decades ago by a pharmacist and independent drug store owner who saw firsthand how families struggled with the high cost of prescriptions, and how it impacted their lives, financial security, and health. So, he started MedImpact to make prescription benefits understandable and accessible. While we have grown to be one of the leading PBMs in America, we remain as committed to these principles today as we did when it all began.

Healthcare Data Integration
Predictive Modeling
Health Economics & Outcomes Research (HEOR)
Data Visualization (Power BI, Tableau)
Statistical Methods
Verified Source
Posted 2 months ago
MedImpact Healthcare Systems, Inc.

Data Engineer – III

MedImpact Healthcare Systems, Inc.AnywhereFull-time
View Job
Compensation$110K - 140K a year

Develop and administer data pipelines, data warehouse, and BI tools, transforming raw data into insights and creating reports and dashboards primarily using Power BI and SQL Server. | 6+ years experience with advanced SSIS, Power BI, SQL Server, Azure DevOps, Python, healthcare data standards, and real-time data streaming expertise. | Description: • Responsible for the development and administration of data pipelines, the data warehouse, and BI tools. • Transform raw data into meaningful insights. • Work closely with the business to gather requirements and translate into a viable solution to solve complex business challenges. • Understand various database technology platforms and data relationships to develop robust reporting and analytic services. • Adhere to and serve as a data warehouse resource for the organization. • Present report data in Power BI in a meaningful way, accessible and clear for individuals at all levels of understanding. • Develop queries, functions, stored procedures, and views to support reporting and data extraction. • Significant experience developing reports and dashboards using Power BI and up to date with the current version of Power BI and its capabilities. • Design, develop, and optimize complex SQL Server solutions, including stored procedures, SSIS packages, and views and other database objects. • Participate in team-based problem solving and multidisciplinary team use of various data-driven process improvement techniques. • Develop best practice procedures for end users to facilitate the use of reporting tools and applications. • Practice good software engineering techniques and standards to reduce coding errors and ensure robustness and efficiency of work products. Requirements: • BS/BA and 6+ years’ experience or equivalent combination of education and experience, and 2 years of SME in respective areas • Advanced SSIS development skills, including automation, parameterization, and CI/CD deployment. • Advanced proficiency with ETL Framework, Power BI, and SQL Server Reporting Services (SSRS). • Advanced SQL Server expertise, including query tuning, indexing, and large-scale performance optimization. • Advanced Power BI skills, including dataset optimization, security configuration, and enterprise-level deployment. • Advanced and proven partition switching expertise in SQL Server. • Advanced expertise in working with Azure DevOps and CI/CD pipelines. • Familiarity with healthcare data standards (HL7, X12 EDI, HIPAA compliance) • Strong knowledge of Power BI service. • Ensure code quality with Test Driven Development/unit testing. • Proficient in creating complex DAX queries in Power BI Desktop & Report Builder. • Strong knowledge of Power BI Report Builder tool. • Real-time data streaming experience • Experience working with Azure cloud-based data data engineering solutions. • Proficiency in Python programming language. • Familiarity with 340B program. • Preferred: Understanding of data lakehouse concepts • Strong experience with Azure Data Factory and/or Databricks Benefits: • 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

SQL Server
SSIS
Power BI
Azure DevOps
Python
ETL Framework
CI/CD
DAX
Azure Data Factory
Databricks
Healthcare data standards (HL7, HIPAA)
Verified Source
Posted 5 months ago
MedImpact Healthcare Systems Inc.

Pharmacy Claims Auditor I

MedImpact Healthcare Systems Inc.AnywhereFull-time
View Job
Compensation$53K - 86K a year

Conduct retail pharmacy network compliance audits and credentialing to ensure regulatory compliance and reduce fraud, including claim adjustments and documentation. | Requires 2+ years experience, BS/BA or equivalent, strong MS Office skills, knowledge of pharmacy laws and practices, and ability to work independently with strong communication skills. | Exemption Status: United States of America (Non-Exempt) $25.33 - $33.25 - $41.16 “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 Summary Responsible for conducting retail pharmacy network compliance audits and credentialing to ensure compliance with government regulations and decrease fraud. Document and make adjustments to pharmacy claims as determined by audit findings to ensure the integrity and accuracy of the MedImpact’s claims processes by participating pharmacies. Ensures timely credentialing of participating providers by ensuring that records for each network pharmacy are complete and up-to-date. Essential Duties and Responsibilities include the following. Other duties may be assigned. Prepares and completes desktop, document & verification, and on-site audits, including obtaining claim data for selection analysis, reviewing dispensing activities for billing errors, reviewing federal/state/local pharmacy laws, documenting audit results, notifying pharmacies, and preparing travel itineraries, audit plans, & schedules as appropriate; Analyzes pharmacy profile reports for possible claim discrepancies, fraud, and drug abuse; Prepares prescription listings for desktop, document & verification, and on-site audits as appropriate; Performs extensive follow-up inspection of claims data based on extrapolations from initial audit results; Prepares correspondence for pharmacy providers, requesting documentation to validate detected claim discrepancies; Reviews documentation and makes appropriate claim adjustments according to audit findings; Prepares audit outcome documentation for pharmacies; Ensures that results are appropriately documented for clients and that appropriate invoicing of services is completed; Maintains credentialing policies & procedures, work instructions, and documentation processes. Educates stakeholders on credentialing requirements and processes; Facilitates credentialing committee meetings by preparing credentialing information for presentation to the committee, maintaining records of action items, following through on committee decisions, and maintaining thorough documentation of committee activities; Ensures timely credentialing and re-credentialing of participating providers by ensuring that records for each network pharmacy are complete and up-to-date. Ensures that ineligible providers are excluded from network participation as required by state and federal regulations; Adheres to unit guidelines for escalation of issues, including provider non-compliance; Follows unit protocol for notifying management of potential fraud, waste, and abuse. Ensures that critical issues related to pharmacy credentialing and continuing network participation are recognized, documented, and addressed according to department guidelines; Performs report preparation, participation in special projects, problem resolution and other activities that support the provider auditing process. Supervisory Responsibilities No supervisory responsibilities Client Responsibilities This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients. 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 accommodation may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience BS/BA and 2+ years’ experience or equivalent combination of education and experience Computer Skills Intermediate to advanced skill set in MS Office (Word, Excel, PowerPoint, Project, and Outlook) required. Familiarity with relational database systems and SQL software front ends such as Business Objects highly desirable. Intermediate to advanced skill set in MedAccess, MedOptimize and SalesForce preferred. Strong aptitude to learn and adapt to new programs. Certificates, Licenses, Registrations Pharmacy Technician license or national certification highly desired, but not required. Possession of a valid driver’s license and ability to provide a certificate of insurance indicating adequate auto insurance limits (as defined by MedImpact Healthcare Systems, Inc.). Other Skills and Abilities Ability to read and interpret hand-written prescriptions. Knowledge of medications and standard dosages. Strong knowledge of the practice of pharmacy, including statutory laws, regulations, and methods of filling and filing prescriptions. Ability to work independently with minimal direction and strong decision-making ability. Strong organizational and follow-through skills. Strong interpersonal and oral and written communication skills with the ability to maintain tact and diplomacy in difficult situations. Requires technically complex analysis and a high degree of accuracy, carrying with it high consequence of error for MedImpact and its customers. It relies upon business knowledge, including industry concepts and practices, technical skills, and prior experience to plan and accomplish goals. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Mathematical Skills Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Work Location This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders. Working Hours This is a full-time non-exempt position requiring one to be able to work overtime from time to time in order to get the job done. Therefore, one must have the ability to work nights, weekends or on holidays as required. This may be changed at any time to meet the needs of the business. The typical working hours for this position are Monday through Friday from 8:00am to 5:00pm. Travel This position may require domestic travel for up to two (2) weeks at a time. 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. MedImpact was founded more than three decades ago by a pharmacist and independent drug store owner who saw firsthand how families struggled with the high cost of prescriptions, and how it impacted their lives, financial security, and health. So, he started MedImpact to make prescription benefits understandable and accessible. While we have grown to be one of the leading PBMs in America, we remain as committed to these principles today as we did when it all began.

Pharmacy auditing
Credentialing
Claims analysis
Fraud detection
Regulatory compliance
Report preparation
Customer service
MS Office
MedAccess
SalesForce
Verified Source
Posted 5 months ago
MedImpact Healthcare Systems, Inc.

Consumer Digital Solutions Manager

MedImpact Healthcare Systems, Inc.San Diego, CAFull-time
View Job
Compensation$72K - 120K a year

Lead the development and lifecycle management of consumer digital healthcare products, collaborate cross-functionally to implement digital strategies, and drive user experience improvements. | Requires 5+ years experience with product management, strong proficiency in MS Office and business applications like Salesforce, Jira, Confluence, and ability to collaborate across business and IT teams. | Exemption Status United States of America (Exempt) $71,614 - $95,784 - $119,953 “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! Summary Job Description In this role, you will play a pivotal part in delivering a re-imagined consumer digital solutions portfolio that enhances business performance and end user experiences. You will collaborate with cross-functional teams, leverage insights and consumer centric design, to oversee the implementation of digital strategies to meet organizational goals. If you are passionate about healthcare, problem-solving, and creating impactful digital experiences, this is an exciting opportunity to grow and make a difference in a forward-thinking environment. Essential Duties and Responsibilities include the following. Other duties may be assigned. • Responsible for new product development and life-cycle management from ideation to launch, including end-of-life planning to deliver a market leading consumer digital asset portfolio • Responsible for rapid prototyping and piloting emerging technologies to test viability before full-scale implementation • Stay current with Pharmacy Benefit Management, healthcare industry, digital health trends to incorporate learnings into product design and planning • Act as a Voice of Customer to inform personas, roadmaps, backlog prioritization of web, mobile and connected devices assets • Design user journeys that address user pain points, unmet needs and optimize touch points to balance clinical value, technology feasibility and business impact • Lead cross-functional teams to drive alignment and continuous improvement for on-time delivery of high-quality products and user experience • Expand omni-channel communication tools and campaigns to strengthen our mobile first strategy • Responsible for implementing analytics and measurement capabilities to build reporting dashboards • Acts as an SME while supporting internal training and external client demo’s highlighting product features, benefits and effectively resolving consumer, client challenges • Contribute to the go-to-market strategies, positioning and launch plans, in coordination with marketing communication, sales, operations and external agency teams • Model and cultivate behaviors that achieve business success, including collaboration, accountability, and ownership Supervisory Responsibilities No supervisory responsibilities Client Responsibilities This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients. 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 BS/BA and 5+ years’ experience or equivalent combination of education and experience, and 2 years' of SME in respective areas Computer Skills Strong proficiency with MS Office / Word, PowerPoint, Excel, Visio and Outlook to create complex documents, manage schedules, and analyze data. Working knowledge of key business applications such as Figma, Google Analytics, Salesforce, and Jira, Confluence. Certificates, Licenses, Registrations None required Other Skills And Abilities • Ability to effectively recognize complex problems and apply analytic and critical thinking skills to innovate solutions. Ability to exercise sound judgment and decision-making. Ability to collaborate on cross-functional projects and liaise with stakeholders on both the business and IT divisions of the organization. Demonstrated ability to positively interact with clients, and staff of all levels, a willingness to take accountability for achieving service commitments and a demonstrated ability to achieve results. • Demonstrates ability to appear for work on time, follow directions from a supervisor, interact well with co-workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment. Reasoning Ability • Ability to define problems, collect data, establish facts, and draw valid conclusions. • Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Mathematical Skills • Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Language Skills • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. • Ability to write reports, business correspondence, and procedure manuals. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Work Location This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders. Working Hours This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonable meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm. Travel This position requires domestic travel of up to 10% of the time. 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.

Product Lifecycle Management
Agile & Scrum Methodologies
Salesforce
Jira
Confluence
Google Analytics
Figma
MS Office Suite (Excel, PowerPoint, Word, Visio)
Verified Source
Posted 6 months ago
MH

Business Digital Solutions Manager

MedImpact Healthcare Systems, Inc.San Diego, CAFull-time
View Job
Compensation$85K - 145K a year

Lead strategic vision and roadmap execution for healthcare platform ecosystem, prototype emerging technologies, drive product digitization and automation, enhance analytics and reporting, and collaborate cross-functionally for successful product delivery and market launch. | 7+ years experience with 4 years SME in relevant areas, strong proficiency in MS Office and business applications like Salesforce and Jira, excellent problem-solving and communication skills, and ability to collaborate across business and IT teams. | Exemption Status United States of America (Exempt) $85,356 - $115,232 - $145,107 “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! Summary Job Description In this role, you will lead asset development and market entry initiatives related to our core platform ecosystem, empowering payors, providers, pharmacists and other external stakeholders. This role requires business process understanding, technical and product design expertise to deliver scalable, market leading, user centric digital solutions. The ideal candidate will have a proven track record in digital healthcare and a passion for digital transformation. Essential Duties and Responsibilities include the following. Other duties may be assigned. • Maintain and execute the strategic vision and roadmap of our healthcare platform ecosystem • Responsible for rapid prototyping and piloting emerging technologies to test viability before full-scale implementation • Identify and execute product digitization, business process automation and asset integration opportunities to create scale, speed to market and a seamless end user experience • Expand data visualization, predictive analytics, and reporting footprint across assets • Propose continuous improvement opportunities based on platform and user analytics • Contribute to the annual user satisfaction survey • Act as a liaison between technology, UI/UX, clinical, business and operations teams to ensure on-time delivery of high-quality products and user experience • Contribute to the go-to-market strategies, pricing, positioning and launch plans, in coordination with marketing communication, sales enablement and external agency teams • Stay current with pharmacy benefit management, healthcare industry, digital health trends to incorporate learnings into product design and planning • Model and cultivate behaviors that achieve business success, including collaboration, accountability, and ownership Supervisory Responsibilities No supervisory responsibilities Client Responsibilities This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients. 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 BS/BA and 7+ years’ experience or equivalent combination of education and experience, and 4 years' of SME in respective areas Computer Skills Strong proficiency with MS Office / Word, PowerPoint, Excel, Visio and Outlook to create complex documents, manage schedules, and analyze data. Working knowledge of key business applications such as Figma, Google Analytics, Salesforce, and Jira, Confluence. Certificates, Licenses, Registrations None required; Product and Digital certifications are a plus Other Skills And Abilities • Ability to effectively recognize complex problems and apply analytic and critical thinking skills to innovate solutions. Ability to exercise sound judgment and decision-making. Ability to collaborate on cross-functional projects and liaise with stakeholders on both the business and IT divisions of the organization. Demonstrated ability to positively interact with clients, and staff of all levels, a willingness to take accountability for achieving service commitments and a demonstrated ability to achieve results. • Demonstrates ability to appear for work on time, follow directions from a supervisor, interact well with co-workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment. Reasoning Ability • Ability to define problems, collect data, establish facts, and draw valid conclusions. • Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Mathematical Skills • Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Language Skills • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. • Ability to write reports, business correspondence, and procedure manuals. • Ability to effectively present information to top management, public groups, and/or boards of directors. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Work Location This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders. Working Hours This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonable meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm. Travel This position requires domestic travel of up to 10% of the time. 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.

Product Lifecycle Management
Project & Program Management
Salesforce (GovCloud, Service Cloud, etc.)
Agile & Scrum Methodologies
Business Process Improvement
Data Analysis & Reporting
Stakeholder Engagement
Technical Documentation
Risk Management
MS Office Suite, Jira, Confluence, Figma, Google Analytics
Verified Source
Posted 6 months ago

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