Program Analyst

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!

The Scoop:

The Program Analyst I provides operational maintenance and technical, analytical and reconciliation activities to support different aspects of ePrescribing (eRx), electronic prior authorization (ePA) and Formulary Benefit operations. In this key role, the analyst will be responsible for monitoring daily program-specific error reports, identifying service or technical gaps and driving to solutions. The Program Analyst will have direct oversight and accountability for managing and implementing existing and new client implementations under the direction of the eRx Manager. The analyst will act as subject matter expert on the prescribing program related member directory, formulary extract and real-time messaging specific questions from internal users. This team member will collaborate with Configuration Services team to implement the program for client's internal and external stakeholders to create best-in-class solutions that integrate technology, information, and business processes.

What You Get To Do:

• Monitors and manages daily program error reports and reconciles the error related to formulary or benefit issues through cross-functional collaboration
• Performs various analyses and tests related to the program and system changes and enhancements using existing or ad hoc queries as necessary to extract real-time transaction data
• Actively participates in the Salesforce case queue monitoring and troubleshoots requests from creation to implementation.
• Supports eRx Manager in vendor case management, vendor reporting and archiving for both eRx and ePA product offerings
• Assists with vendor and client billing issues
• Maintains working level knowledge of NCPDP and X12 standards and industry best practices within designated programs. Works with client teams and client shared services business partners to provide real-time transaction analysis and understand claim adjudication
• Writes SQL queries from scratch to extract specific information, validates data, and prepares analysis reports for marketing, financial and program support
• Partners with internal and external business partners in the development of new or enhanced applications
• Supports monthly operational activities, implementation support and acts as subject matter expert (SME) for client on-boarding
• Creates and maintains program document such as release notes, client oversight and communication, and distribute client-ready material, reference guides, FAQs, Sales/Marketing materials, etc.
• Maintain relationship with Configuration Services, Account Management, Client Services and Formulary Services teams to resolve program related issues
• Establishes and maintains working knowledge of configuration designs, partnering with adjudication services and configuration services to stay current to latest system enhancements which may affect the designated programs

Education and/or Experience

For consideration candidates will need a Bachelor's degree in computer science, business administration, information or related program and three (3) to four (4) years of analysis, benefit coding or configuration experience required in Healthcare, Pharmacy Benefit Management (PBM) preferred, Pharmacy systems management and claims processing, claims auditing, data analysis, testing and validation or related Managed Healthcare experience; or an equivalent combination of education and experience.

Computer Skills

• To perform this job successfully, an individual should have excellent MS Office Suite Word and Excel skills
• Experience with creating SQL queries. Ability to learn MedImpact's proprietary software and new business application solutions

Other Skills and Abilities

• Ability to gather business requirements from internal users and business partners
• Maintains commitment to operational goals in the face of obstacles. Collaborates and cultivates positive relationships with internal and external customers through delivery of sustainable, measurable, accurate, reliable, and timely results that meet or exceed customer expectations
• Demonstrated ability to effectively balance a high volume of work and a variety of tasks; ability to prioritize urgent issues effectively
• Demonstrates strong analytic, verbal, and written communication skills
• Excellent problem resolution, team building, judgment, and decision-making skills
• Ability to understand financial numbers and analyze client invoicing
• Ability to understand electronic claim and prior authorization transactions preferred

Travel

• This position may require limited travel periodically
• Attendance may also be required at various local training sessions and/or meetings

The Perks:

• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus

This position is eligible for Employee Referral Bonus at Level I

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.

EOE, M/F/D/V

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.