“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 Principal, Government Programs represents MedImpact’s Government Program and Services Department to key government customers and prospects. Leveraging past experiences, this position establishes and builds solid work relationships with MCO and State fee for service (FFS) executive and operational leaders. Acts as the enterprise lead Subject Matter Expert (SME) in Medicaid, and Marketplace plans for assigned regions. Reviews and interprets current and future policies, develops relationships as necessary with state, federal, and regional stakeholders for purposes of educating oneself and internal staff members. Participates in enhancing existing enterprise strategies, business development opportunities, products and services relative to MedImpact’s Medicaid, and Marketplace lines of business based on impending public policy changes and other market demands.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Leads staff of program managers and other staff in the management and oversight of regulatory programs
- Participates in the development and implementation of short and long term strategies in order to gain access to prospective MCO and State leadership for purposes of improving the prospect’s knowledge of MedImpact’s differentiated products and services, as well as MedImpact’s proven capability to manage drug spend.
- Drives networking activities; participates in conferences, speaking opportunities, state-specific Medicaid leadership meetings.
- Maintains awareness of current and future industry trends, including the regulatory environment, customer needs, opportunities and issues. Transforms knowledge into results-generating strategies and business development plans.
- Supports the sales process for all Medicaid and Marketplace MCOs, actively participates in prospect meetings and best and final presentations.
- Serves as the key MedImpact SME for Medicaid and Marketplace, utilizing a deep understanding of these programs as they relate to prescription drug benefit management, including Drug Utilization Review (DUR) and SUPPORT Act requirements.
- Represents MedImpact to key government customers regarding policy information while working closely with corporate compliance to ensure consistent application of law, rules and regulations relative to program development and deployment. Meets with assigned clients on a routine basis to review regulatory changes and associated MedImpact solutions and support. Ensures an effective, positive representation of the corporate image.
- Maintains a thorough understanding of MedImpact’s programs and services provided to Medicaidand Marketplace customers. Provides direction on the potential impact of new or potential regulatory requirements relative to these business lines. Works closely with key business units to review complex regulatory and legislative issues that may impact MedImpact’s business services and operational processes.
- Works with Government Programs & Services management to provide information on business requirements of potential program or business development opportunities that align with both client and MedImpact business goals, specific regulated program objectives, performance metrics and financial goals.
- Reviews new and pending legislation and regulatory materials relative to Medicaid and Marketplace with an emphasis on prescription drug management.
- Builds strong customer, industry consultant and vendor relationships. Develops relationships with federal and state agencies and other key stakeholders
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; 8+ years related experience and 8+ years of SME in respective area(s); (or equivalent combination of education and experience) with at least 4+ years leading individual contributors and leaders of leaders; which may be substituted with an appropriate mix of leadership experience and 5 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (VP+ level) that must completed within 12 months in new position.
Computer Skills
Solid computer skills with Microsoft Office/Outlook, industry-related databases and use of the internet.
Certificates, Licenses, Registrations
PharmD preferred.
Other Skills and Abilities
- Solid working knowledge of PBM industry, healthcare, and government programs.
- Possess proven leadership skills, excellent communication skills (both verbal and written), analytical and financial reasoning skills.
- Demonstrated attention to detail and experience leading quality improvement initiatives.
- Expected to manage multiple projects simultaneously and prioritize competing demands
- Ability to effectively manage virtual teams including remote participants
Reasoning Ability
- 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.
Language Skills
- Ability to effectively present information to top management, public groups, and/or boards of directors.
- Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
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 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 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 15% 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.
