Program Manager III

Exemption Status:United States of America (Exempt)

$98,327 - $135,200 - $172,073

“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

The Program Manager III works in one of three areas: Value Based Care (VBC), Government Programs & Services or PDP (MedGenerations) and is responsible for analyzing, creating new requirements, planning, and delivering updates for assigned programs and related services.
For GPS & MedGenerations specifically, the Program Manager works within one or more regulated market lines of business – Medicare Part D, Marketplace, Prescription Drug Plan (PDP) or the Medicaid plans including: Medicaid Fee for Services (FFS), Medicaid Managed Care (MMCO), Children’s Health Insurance Plan (CHIP).

Essential Duties and Responsibilities include the following. Other duties may be assigned.
• Drives the development of the overall strategy and roadmap, research, requirements, and coordination for assigned programs. For Value Based Care, the focus is on the development of tech-enabled solutions for clients.
o Follows outlined program management processes to manage the overall scope, planning, business requirements, implementation and delivery of software updates and other related requirements to assigned programs. Ensures business requirements are properly translated into customer deliverables. Schedules product release timelines with IT department. Coordinates product development schedules and releases to production.
• Drives appropriate work process improvement activities.
• New Products: Defines and documents business requirements for new products or services, through market analysis or other innovation strategy. Interfaces with end-users and business analysts to define business rules as they apply to processes and procedures; documents business requirements and develops work- flow diagrams, functional hierarchies, process models, revenue models and fee schedules. Prepares program development objectives and schedules all phases of program development and introduction to clients. Schedules product release timelines with the IT department. Coordinates technical product development and releases to production.
• Keeps current with and reviews state and/or federal requirements and regulations related to assigned programs to ensure that programs support client regulatory compliance.
• Provides day-to-day management and coordination of deliverables, issue tracking, and compliance issues for assigned programs. Ensures timely delivery of reports. Communicates to both internal and external clients on status, schedules, and changes.
• Coordinates the efforts of multi-disciplinary teams throughout various stages of the program development life-cycle. Manages large-scale, strategic, complex projects from start to finish and effectively leads project teams comprised of multiple business units.
• Develops client communications as needed to explain MedImpact response and/or changes in client responsibilities (related to drug benefit management). Attends client calls as needed to understand and address questions or issues for assigned programs.
• Maintains documentation for assigned programs including: Program Descriptions, Report Guides, Policies, Procedures, Work Instructions, training materials, etc.
• Serves as an expert resource for the line of business or for Government Programs and Services the focus will be onat least one regulated market, in addition to being a subject matter expert in assigned programs. Educates clients on program features. Provides expertise and training to other departments.
• Mentors less experienced program management team members and aids in cross training.
• Defines metrics to effectively measure the success of program and service processes and deliverables.
• Vendor oversight: if applicable for owned programs and services, monitors vendor operations, ensures appropriate metrics and PG’s are in place, and coordinates vendor changes as appropriate with MedImpact automation and/or work processes.
Education and/or Experience
Bachelor's degree (or equivalent combination of education and experience) along with at least 8 - 12+ years’ related job experience. Prior experience must include project management responsibilities. Prior experience in a role with leadership responsibilities is highly desirable. Previous experience in the healthcare, pharmacy, or pharmaceutical industries is desirable but not required.

Computer Skills
To perform this job successfully, an individual should have:
• Advanced knowledge of Microsoft Office software (Outlook, Word, Excel and PowerPoint)
• Advanced knowledge of MS Project and Visio
• Intermediate knowledge of at least one content management system (e.g. SharePoint, Confluence, wiki)
• Demonstrated ability to learn new software tools

Skills that are desirable but not required:
• SQL query development
• Golden32 or other equivalent database browsing software
• Excel macro programming
Certificates, Licenses, Registrations
PMP or other project management certification, desired, but not required.
Other Skills

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.