Manager, Configuration Services

Exemption Status:
United States of America (Exempt)

$78,444 - $105,900 - $133,356

"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

Position Summary:

Provides direction and guidance to achieve departmental goals and objectives as related to Configuration Services. Responsible for leadership oversight of all core business functionality associated with (1) pharmacy benefit configuration; (2) Network Pharmacy Provider configuration; and (3) Formulary configuration and all functions as related to the new and existing clients' pharmacy benefit management programs. Manages configuration timeliness and quality to ensure accuracy of configuration operations and services provided to our customers. Serves as an interdepartmental liaison to assure open communication and collaboration with client facing teams to drive timely operational execution and service delivery as related to configuration functions.

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

Manage assigned group (Configuration Specialists, Configuration Analysts, Testing & Validation Analysts, Lead Configuration Analyst, and Configuration Solution Architects) in the development, implementation, and maintenance of client-specific benefit designs focused on meeting the client's satisfaction in the areas of Service Delivery, Performance Expectations, Claims Adjudication Accuracy, and Growth in Membership and Profitability.
Develops and implements operating plans for enhancing the business and meeting strategic objectives. Provides day-to-day leadership and direction to provide exceptional service to clients by achieving service commitments, including developing and administering policies & procedures, business processes, quality standards, measurement criteria, project management standards, and operating budgets.
Provides recommendations for the acquisition/development or enhancement of tools and applications necessary to support the business in an efficient and quality manner.
Provides leadership in order to recruit, manage and retain the necessary resources to successfully perform the duties of the assigned work group(s). Develops staff to meet the current and future needs of the organization. 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.
Manages work group(s) to achieve service commitments, including sustainable, measurable, accurate, reliable, and timely execution of project deliverables. Provides day-to-day leadership and direction including, developing and administering policies, business processes, quality standards, measurement criteria, and operating budgets. Sets high standards and encourages new ideas for improving organizational performance.
Finds new ways to reduce the cost, improve efficiency, mitigate loss, and increase the profits. Implements budgets and long term goals in order to ensure efficiency. Ensures the financial objectives set by the company are met.
Leads and promotes continuous improvement by developing and documenting business processes, assigning roles and responsibilities, and measuring results. Identifies and leads the improvement opportunities for assigned work group(s) and business processes. Seeks out and actively participates in business initiatives that contribute to service excellence.
Partners with other MedImpact business units to effectively resolve customer issues and inquiries, implement new business, design solutions that meet the mutual needs of MedImpact and our customers. Supports new product offerings and strategic sales & marketing efforts. Actively participates as a key member of cross functional workgroups, teams, and committees as assigned.
Partner with Account Executives on client financial restitution activities, including report validation and documentation.
Help define the requirements for and promote system enhancements, including changes to POS logic, automated processes and applications enhancements necessary to enable staff to perform quality and efficient work practices. Provides alternative solutions for more sustainable standard solutions and practices.
Identify and lead business process improvement activities.
Oversight responsibilities for all client team projects including yearly Part D re-implementations and other implementations identified as maintenance of business team responsibilities.
Ensure issues are resolved expeditiously and develop plan to resolve escalated issues. Communicate directly with client management during periods of escalation.
Develop and maintain positive and productive business relationships with region's clients at the key decision-maker levels. Accountable for continuous improvement in customer satisfaction.
Support Sales Division and Account Executives with Request for Proposals & Best and Final Presentations. Support Vice President and Account Executives with RFP responses as applicable for renewal business within region.

Supervisory Responsibilities

Manages supervisory, exempt, and non-exempt employees.The Manager is responsible for the overall direction, coordination, and evaluation of these units.Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Develops staff to meet the current and future needs of the organization.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.Carries out management responsibilities in accordance with the organization's policies and applicable laws.

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; Respond promptly to client needs; solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients; Manage difficult or emotional client situation.

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 five (5) years related experience in a healthcare or PBM environment; or equivalent combination of education and experience. A minimum of two (2) years of previous experience managing and/or 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.

Computer Skills

Intermediate to advanced skill set in Visio and MS Office; Word, Excel, PowerPoint, Project and Outlook. Basic Knowledge of SQL.

Certificates, Licenses, Registrations

Pharmacy Technician License or National Certification preferred but not required.

Other Skills and Abilities

Superior working knowledge of "PBM" or other managed healthcare services to national and regional managed care organizations, insurance companies, and other health related entities. Excellent interpersonal skills, written and verbal communication and group presentation skills. Extensive understanding of the MedAccess system, POS claim adjudication, pharmacy benefit design, and formulary maintenance and the effect of changes within those systems to online client and member applications.

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 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:

Customer/Client Focus - Shows solid grasp of characteristics and needs of both internal and external customers, interacts directly with customers, takes personal responsibility to ensure that customers' concerns and needs are fully understood and addressed, and follows up to ensure customer satisfaction.

Continuous Improvement of Products and Processes - 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.

Visionary Leadership - Displays passion and optimism; Inspires respect and trust; mobilizes others

to fulfill the vision; Provides vision and inspiration to peers and subordinates.

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.

Problem Solving - Analyzes problems logically to identify root causes, seeks input from a wide range of sources, asks insightful questions and formulates effective solutions.

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.

Change Management - Exemplifies a positive, proactive response to change, fully grasps and articulates the envisioned results of the change process, keeps others informed about events and trends that may impact the organization, and involves others in the change process to maximize buy-in and minimize stress.

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.

Business Acumen - Understands business implications of decisions; Displays orientation to profitability; Aligns work with department goals.

Personal Effectiveness - Responds to changing circumstances and challenges, takes initiative and creates new solutions and ideas, plans and organizes skillfully to maintain a high level of productivity, and pursues ongoing professional development.

Negotiation - Maintains focus on both the goals and the process of negotiation, asserts own objectives while demonstrating concern for others' priorities and perspectives, and effectively negotiates for results.

Political Savvy - Recognizes issues of power and politics that may impact a project or decision and handles them with diplomacy and ease; skillfully deals with roadblocks in order to facilitate progress while maintaining good working relationships.

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 10 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 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.

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).

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 requires domestic travel of up to 25% 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.

Equal Opportunity Employer, Male/Female/Disabilities/Veterans
OSHA/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.