Government Programs Analyst II

Exemption Status:United States of America (Exempt)

$60,987 - $80,808 - $100,628

“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 Government Programs Analyst II is responsible for conducting data development, pricing analysis and quantifying the impact of various benefit designs on client utilization and costs.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Continuously improve, develop and maintain existing queries and models in support of departmental and company objectives
• Understand benefit designs and adjust analyses as necessary based on clients’ customized plans
• Interpret and effectively communicate pharmacy benefit claims processing issues
• Analyzing pharmacy claims, trend and utilization for clients
• Create and build reporting packages as required by government entities for insurance clients
• Maintain and write customized data-mining queries that produce meaningful and actionable results within recurring reports utilized by senior staff members, executives, client services and clients
• Maintain up-to-date technical knowledge of financial tools, market conditions, and trends
• Reconcile existing transactions/reports through cross-referencing of incoming and outgoing data
• Perform peer reviews of client deliverables
• Produce monthly reports, which include key metrics, financial results, and variance reporting
• Share subject matter expertise with team members and within the organization
• Develop and maintain reporting SOP's for standardized and custom processes
• Drive the development and implementation of initiatives to improve processes and procedures
• Create and distribute the monthly financial metrics and reporting packets.
• Other duties as assigned

Supervisory Responsibilities

This job has 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

For consideration, candidates will need a Bachelor’s degree from a four-year college or university in business, mathematics, statistics or other financial discipline; and a minimum of 3 years of financial and statistical reporting experience or equivalent combination of job related experience and education. Moderate understanding of Medicare Part D, Medicaid and Exchange lines of business required. At least 2 years of programming experience using SQL or SAS required.

Healthcare insurance/claims experience, Crystal reporting experience and SQL or SAS certification are preferred.

Computer Skills

To perform this job successfully, an individual must be competent with Microsoft Word, Excel, and Outlook software. At least 2 years of programming experience using SQL or SAS required.

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/VeteransOSHA/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.