MedImpact
Pharmacy Benefits Management Analyst
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
Essential duties and responsibilities include the following. Other duties may be assigned.
Creates client reports specified by contracts and submit data to the client plans. Creates group client reports and other pertinent data for clients as requested; Reviews data and reporting created by other team members, providing support and approval as needed.
Builds unique SQL queries to understand and interpret complex data quickly and accurately.
Utilizes creative approaches with data analysis and interpretation, managing and adapting data to meet the unique needs of immediate requests.
Develops superior customer relations within Trade Relations department and others across organization by proactively addressing any issue; may serve as a primary contact for escalations and resolutions.
Continuous improvement mindset, always looking for new ways to best meet internal and external requirements with a focus on improving departmental KPIs and metrics.
Performs Quality Control functions as requested by management. Establish and maintain controls for internal and external audit functions, maintain the highest control environment as possible.
Prepares ad hoc analysis to identify customer, plan or drug performance as required. Communicate with internal and external parties to determine appropriate analysis needs and provide necessary data for business decisions.
Prepares State and Customer audit requests as required. Interprets contract and request language to determine and provide specific requested data. Ability to pull data from various sources, ensure accuracy and review requests for completion on a timely basis.
Other duties as assigned.
Supervisory responsibilities
No supervisory responsibilities
Client responsibilities
This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills. 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
BS / BA and 3+ years' experience or equivalent combination of education and experience, and 4 years' of SME in respective areas
Computer Skills
To perform this job successfully, an individual should have strong knowledge of Microsoft Office Suite software including Word, Excel, and Access. Demonstrated SQL experience required.
Other Skills and Abilities
Excellent communication skills (both verbal and written), analytical and financial reasoning skills. Requires experience in operational application of database applications, accounting, finance, or data analysis.
Demonstrated attention to detail and leading quality or process improvement initiatives.
Understanding of Pharmacy Benefit Management process or managed healthcare experience.
Demonstrated track record of approaching all projects with a continuous improvement mindset, always looking for new ways to best meet internal and external requirements with a focus on improving departmental KPIs and metrics.
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 calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.
Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Competencies
Composure
Decision Quality
Organizational Agility
Problem Solving
Customer Focus
Drive for Results
Peer Relations
Time Management
Dealing with Ambiguity
Learning on the Fly
Political Savvy
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 accommodation may be made to enable individuals with disabilities to perform the essential functions.
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 no travel however attendance may be required at various local conferences and meetings less than 10% 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, please submit your resume.
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