“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 DescriptionSummary
The Director, Business Intelligence (BI) and Reporting Platform is a pivotal leadership role responsible for defining and executing the organization's data delivery strategy to drive operational efficiency and client value. The Director will lead the BI function, ensuring all analytics, reporting, visualization tools and platform are secure, accurate, and aligned with strategic business outcomes. This role balances team leadership, platform governance, and continuous alignment with internal business and clinical partners and external customers, while also leading the integration of multiple BI teams into a single cohesive unit. Crucially, the Director will iterate and deliver on the MedImpact BI Reporting vision, evolving standard reports into advanced analytics, including predictive and prescriptive modeling and AI integration, to provide deep, strategic insights and actionable recommendations to internal and external customers
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Strategic Leadership & Business Alignment
- Own the BI Reporting Vision: Iterate, prioritize, and communicate the multi-year One Reporting roadmap, ensuring all development efforts move beyond standard reporting to include predictive analytics, prescriptive recommendations, and AI third party data integration.
- Drive Strategic Outcomes: Spearhead the delivery of advanced analytics capabilities (such as utilization trend forecasting, benefit and network optimization simulations, identification of non-adherence risks), and fraud waste and abuse identification that provide actionable recommendations to address identified clinical and savings opportunities.
- Executive Advocacy: Serve as the primary IT liaison for BI, presenting insights and roadmaps to senior leadership and key business partners (Finance, Claims, Client Services, and Clinical Analytics). Secure the necessary CapEx and OpEx funding for platform evolution and maintenance and team growth.
- Data Governance & Quality: Chair or actively participate in the Data Governance Committee to establish and enforce enterprise-wide standards for data definitions, security, and quality assurance, ensuring reports drive accurate business outcomes.
- Client & Stakeholder Management: Translate complex business requirements into technical BI deliverables, ensuring that all reporting adheres to external client needs and regulatory standards (e.g., HIPAA, CMS, WCAG).
Platform Management & Architectural Governance
- Platform Oversight: Direct the design and maintenance of the BI reporting architecture, ensuring the platform achieves high availability, scalability, and optimal integration with underlying data sources.
- Project Leadership: Oversee significant technical projects, including the planned transition from multiple legacy platforms to a single environment, focusing on project timelines, risk mitigation and internal and external change management.
- AI Integration: Partner with the AI and platform teams in building out the infrastructure and APIs necessary to integrate in-house built AI models and external data science tools into the reporting platform environment, supporting AI-guided data analysis and dashboard creation.
- Security & Compliance: Oversee the implementation of security protocols (RBAC, data masking, encryption) within the BI environment to meet all internal policies and external compliance requirements.
Team Management & Operational Excellence
- Team Integration & Morale: Champion the cultural integration of consolidated BI reporting teams and technologies into a single, cohesive unit. Proactively manage team morale, resolve conflicts, and foster a unified culture of data excellence throughout the platform deployment.
- Team Leadership: Lead and mentor a specialized team including BI Developers, BI Platform Administrators, and Analytics & Reporting Specialists. Establish clear roles and responsibilities to separate development work from platform maintenance.
- Operational Governance: Implement and enforce a structured process for the report lifecycle, including promotion from Sandbox to User Acceptance Testing and final deployment to Production.
- Performance Optimization: Oversee the administration team's efforts in capacity planning, load balancing, and server tuning to ensure the BI platform delivers high performance.
- Talent Strategy: Champion the recruitment and development of technical staff proficient in advanced analytics and AI model consumption, ensuring the team can translate member, clinical, and claims data into quantifiable opportunities that drive strategic business solutions.
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 and/or Experience
BA/BS Degree or equivalent; plus 10 years’ related experience; 10 years of SME in respective area(s); (or equivalent combination of education and experience); and 8 years supervisory experience; Supervisory experience may be substituted with 10 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader at the Director level or above that must be completed within 12 months in new position.
Computer Skills
- Strong command of SQL and deep familiarity with data modeling concepts.
- Experience with BI platforms (e.g., Apache Superset, Cognos and Tableau) is highly desirable.
- Experience in integrating AI models into BI platform and reporting
Certificates, Licenses, Registrations
None required.
Other Skills and Abilities
- Proven ability to build and deliver an advanced analytics roadmap that includes predictive, prescriptive, and AI capabilities, translating complex models into clear, actionable business recommendations.
- Demonstrated ability in change management to drive successful adoption of new technologies across a large organization, overcoming technical and cultural resistance.
- Proven ability to manage complex organizational change, merge diverse technical teams, and actively optimize team morale during periods of high-stress change or migration.
- Ability to discuss and make decisions regarding data pipelines, performance optimization, and server infrastructure with Infrastructure and DBA teams.
- Unwavering commitment to data quality, security, and regulatory compliance in a sensitive healthcare environment (PBM/HIPAA).
- Excellent written and verbal communication skills, with the ability to translate complex technical issues into clear business impact statements for executive leadership.
Reasoning Ability
- Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.
- Ability to define problems, collect data, establish facts, and draw valid conclusions.
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.
- Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.
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 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 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 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.
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.
Top Skills
What We Do
MedImpact, an independent, trend-focused pharmacy benefit manager (PBM), is the nation’s largest privately held PBM, serving health plans, self-funded employers and government entities. Our business model is unique. We focus on effectively managing client pharmacy benefits to promote Lower Cost and Better Care through One Source. Our model aligns us with our clients. We help promote prescribing of lower-net-cost, medically appropriate drugs with fulfillment at the most appropriate participating pharmacy providing competitive pricing, good value and high-quality service.
