Exemption Status:United States of America (Exempt)
$72,291 - $99,400 - $126,509
“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
Supervises the Configuration Services Testing & Validation team. Responsible for ensuring that Configuration Services meets or exceeds established standards of quality, including reliability, usability, and performance.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Supervises the Testing & Validation Analyst team in the execution of their responsibilities to ensure fully validated, accurate configuration in support of development, implementation, and maintenance of business. Accomplishes results by coaching and developing employees, and planning, assigning and monitoring work and by implementing and adhering to productivity standards.
- Responsible for interviewing and recommending candidates for hire, evaluating performance, and enforcing departmental guidelines, policies, and performance standards. Monitors adherence to company guidelines and policies, administers employee corrective action, and makes termination recommendations. Models and cultivates staff behaviors that achieve business success, including leadership skills, collaboration, accountability, and ownership. Ensures that staff members are aware of business plan objectives, individual accountabilities, and the competencies critical to successful job performance.
- Drives continuous quality improvement initiatives by defining best practices for the validation of design objectives, processes and procedures including data sets, test scenarios, expected results and acceptance criteria for projects and tasks.
- Performs complex analysis of business systems and requirements in order to develop appropriate test plans to ensure quality standards are met.
- Develops requirements, analyzes and develops workflows and data logic flows outlining business actions and/or processes.
- Designs, develops, deploys and maintains quality based control systems and procedural guides to ensure the staging of defect free configuration projects.
- Provides day-to-day leadership and direction to provide exceptional service to clients, including administering policies, business processes, quality standards, measurement criteria, and daily task management of testing and validation requests.
- Ensures that deliverables are on time, within budget, and meet the quality levels expected by MedImpact's internal and external customers. Ensures that Configuration Services, on behalf of MedImpact, is meeting service agreement requirements.
- Monitors client service continuum including proactive and reactive components. Resolves escalated issues, while ensuring ongoing issues are resolved expeditiously.
- Collaborates with business partners to validate the accuracy of configuration in support of maintenance of business, new client implementations and special projects.
- Helps to define the requirements for and promote system enhancements, including changes to POS logic, automated benefits processes and SalesForce enhancements. Provides alternative solutions for more sustainable standard solutions and practices.
Supervisory Responsibilities
Supervise assigned staff in the segment area. Responsible for the overall direction, coordination, and evaluation of this 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 accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Bachelor’s degree and at least three (3) plus years’ related experience, two (2) of which should be testing and validation experience required in Pharmacy Benefit Management (PBM), Pharmacy, or Managed Healthcare; or the equivalent combination of education and experience. Experience with pharmacy or medical claims analysis required. A minimum of one (1) year of previous experience supervising a staff with responsibility for interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems preferred. 3 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (Mgr+) B13 that must completed within 12 months in new position may substitute for the supervisory experience requirement.
Computer Skills
Advanced knowledge of MS Office / Word, Excel, Access, Project, and Outlook. Experienced user of multiple business software applications and working knowledge of key technical applications such as SQL, Oracle based platforms, and Golden 32. Experience in SQL queries and writing test plans/ cases. Demonstrated ability to understand complex business systems with hierarchical order of data processing and program logic flows based on business rules.
Certificates, Licenses, Registrations
None required.
Other Skills and Abilities
Great technical depth and knowledge of Quality Assurance methodologies and practical application. Ability to research, assess, audit, and apply information to practices and standards. Strong analytical and problem solving ability and in-depth understanding of PBM regulations and related CMS guidance. Requires proven leadership skills, an ability to lead and drive projects and represent the team and or manager when called upon as a Subject Matter Expert.
Excellent skills in written and oral communication; organization/prioritization; decision-making; problem analysis and resolution; negotiation; team building; and leadership. Ability to maintain a high degree of confidentiality using, tact, discretion, and professionalism in all aspects of the job. Strong attention to detail and follow-through skills.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Mathematical Skills
Ability to work with mathematical concepts such as probability and statistical inference. Ability to calculate and apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Language Skills
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. 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:
Results-Oriented Management - Translates vision and objectives into concrete action steps, sets priorities for use of resources by focusing on actions with optimal impact for the business, identifies obstacles to plans and takes steps to resolve them, communicates and implements realistic, effective plans with clear objectives and milestones.
Team Leadership - Fosters teamwork by clearly communicating goals and direction, building team spirit, encouraging positive working relationships, and encouraging individuals to take on new roles that draw fully on their talents.
Mentorship - Encourages people to develop their talents and pursue their goals, gives people opportunities to take on new roles and responsibilities when appropriate, offers constructive feedback, helps the individual construct a career development program following up as appropriate, and puts people in contact with others and with resources that will help them develop further.
Business Knowledge - Demonstrates clear understanding of the nature of the business -- its products and services, goals, market, competitors and challenges.
Continuous Improvement - Identifies new possibilities for improvements in products, services and processes, continually works to improve overall value and customer satisfaction, uses measurements to track effectiveness and drive improvement efforts, and finds better ways to use existing technologies and resources.
Problem Solving - Analyzes problems logically to identify root causes, seeks input from a wide range of sources, asks insightful questions and formulates effective solutions.
Communication -Expresses self clearly and effectively in face-to-face interactions, presentations and written documents, and employs active listening skills to ensure productive interactions.
Interpersonal Effectiveness - Demonstrates good people skills by showing a commitment to teamwork, resolving conflicts effectively and with respect for others’ viewpoints, respecting differences and building strong relationships and networks.
Initiative - Proactively gathers and analyzes information, assesses situations and identifies challenges and opportunities, sees what needs to be done and takes appropriate action.
Adaptability - Adjusts quickly to evolving situations by integrating new information, remaining flexible, recognizing and implementing necessary changes and taking advantage of opportunities presented by new developments.
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 accommodations 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 frequently required to use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is in an office setting and is exposed to moderate noise (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 one to work the hours needed to get the job done. Therefore, one must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required. This may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00 AM to 5:00 PM.
Travel
This position may require domestic travel of up to 10% of the time. Attendance maybe also be required at various local training sessions and/or meetings.
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.
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.
