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San Diego, California, United States
Onsite
Not Available
“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!
Summary
The role of the Principal, Fee-For-Service Pharmacy Operations focuses on forging strong executive relationships with both internally and externally. Additionally, this position identifies areas within the business that can be optimized, streamlined, and improved in order to improve product offerings of the Company.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
• Leads key project teams to exceed current State Medicaid Fee-For-Service program requirements and expectations while coordinating with clinical program oversight
• Leads client implementations, FFS Medicaid rebate operations/teams as well as FFS Medicaid account and project management teams and other teams as assigned.
• Supports business relationship activities to enable the company to retain its State Medicaid FFS business customers. Serves as a company representative to key government customers and prospects
• Ongoing relationship management primarily focused on developing strong executive (C-suite) level relationships with State fee-for-service (FFS) executive leaders that are current MedImpact direct state contracting clients.
• Develops relationships by building trust and gaining knowledge of the business requirements of the organization.
• Interacts with applicable internal staff to develop solicitation strategies, identify business requirements, and lends support to the sales cycle when applicable.
• Identifies areas (operational, administrative, process, reporting etc.) enterprise-wide where improvements would enable the enterprise to improve delivery of a differentiated business proposition to current clients. These areas would drive increasing revenues or improved enterprise efficiencies (less error, less liability, improved operational process flows, enhanced data capture and interpretation, improved management oversight, etc.). Efficiencies will increase the potential for new FFS, or other Regulated Programs to select MedImpact as its PBM.
• Develops relationships with potential non-MedImpact client leadership to further understand their businesses and business requirements while also imparting an agreed upon MedImpact message or messages. Builds trust to the point that these leaders or their designated staff would attend MedImpact sponsored activities (program WebEx’s, client conference, receipt of marketing materials etc.).
• Specifically addresses questions in a solicitation that address how MedImpact supports the business of a potential client, or how MedImpact differs from its competitors, or similar types of solicitation questions. Insures that MedImpact aligns with the business objectives of the soliciting organization to facilitate development of a new or extended business relationship.
• Works with MedImpact Program Directors to provide information about business requirements of clients that align with both the Client’s and MedImpact’s direct state contracting business goals, specific regulated program objectives, and performance metrics when applicable.
• Recommends areas within MedImpact operations, and/or product/program process flows for investigation of workflow/documentation improvement.
• Participates in approved/designated EPP projects focused on MedImpact direct state contracting initiatives identified through business development opportunities that are presently not MedImpact clients.
Supervisory Responsibilities
Education and/or Experience
BA/BS Degree; 10+ 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
Working knowledge of Microsoft Office/Outlook, industry-related databases, and use of the internet.
Certificates, Licenses, Registrations
None Required. Licensed Pharmacist in CA or equivalent preferred.
Other Skills and Abilities
• Practical working knowledge of State Medicaid FFS programs, Federal Employee Programs, State Employee programs, Medicaid, CHIP, PIHP, PAHP, PCCM, HIO, Dual Eligible, Part D, Exchange, Basic Health Plans, SNP
• Strong familiarity with the government regulatory/compliance environment and current industry trends
• Expert knowledge of the industry’s concepts, practices, and procedures.
• Proven ability to influence and work cross-functionally across an enterprise.
• Leadership style that promotes innovation and collaboration and fosters commitment.
• Strong analytical and critical thinking skills. Must possess strategic agility and effective communication skills.
• Strong public speaking abilities, communication (verbal and written) skills, interpersonal skills, and organizational skills.
• Ability to scan and anticipate policy, regulatory and legislative activity for upcoming issues that may impact the industry
• Prefer candidate to have a good understanding of operational and administrative areas of MedImpact that impact the business requirements.
Reasoning Ability
Mathematical Skills
Language Skills
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 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 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 accommodations 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 reasonable meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, 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 50% of the time.
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.