MedImpact Healthcare Systems, Inc.
External Compliance Support Manager I
MedImpact Healthcare Systems, Inc., San Diego, California, United States, 92189
### Exemption Status:United States of America (Exempt)### $71,614 - $95,784 - $119,953“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!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****Summary**The External Compliance Support (ECS) Manager I manages and oversees compliance auditing activities conducted by external entities such as MedImpact’s clients, consultant auditors (hired by MedImpact clients), or regulatory authorities.
This position manages requests received from clients undergoing audits to support those regulatory audits.
The Manager supports compliance audits of MedImpact by its clients and regulatory bodies such as CMS, state departments of insurance, and others.**Essential Duties and Responsibilities** include the following. Other duties may be assigned.* Collaborates with identified subject matter experts to ensure compliance audit activities are conducted effectively and efficiently. Ensures notification, scope, and timelines of scheduled compliance audits are appropriately communicated to organization.* Coordinates support activities with internal operational areas.
Oversees remediation, including corrective action plans, for all audits under ECS management.
Maintains corporate records of materials provided and received in compliance audit support activities.* Evaluates compliance audit requests to determine scope, applicability, and impact on organization.
Reviews any applicable regulatory requirements and contractual requirements. Advises the appropriate internal audit support members of any applicable regulatory, contractual requirements or previous corrective action pertinent to the compliance audit activity.* Develops and maintains standard compliance auditing information on various topics that can be utilized by external entities performing compliance audits on MedImpact.* Develops and maintains guidelines of standard materials to support specific compliance auditing as requested by external entities.
Maintains corporate records of materials provided to support compliance auditing activities, including the specifications utilized to create data reports.* Oversees and manages a formalized follow-up session with appropriate internal audit support members, and leadership as appropriate, including follow-up on findings (e.g., corrective action plans).
Works with affected areas to ensure findings are addressed and within stated timelines.* Prepares and presents compliance audit findings, corrective actions, and other relevant information to leadership.* Assists the Corporate Compliance Officer with compliance program initiatives as well as educates and trains employees.* Assists with the accreditation efforts (URAC and others) as needed to include information gathering.
Ensures standards are met; supports compliance assurance efforts related to MedImpact and subsidiary organizations.* Maintains accurate and timely records in tools used for tracking and reporting.* 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 (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 accommodation may be made to enable individuals with disabilities to perform the essential functions.**Education and/or Experience**BS/BA and 5+ years’ experience or equivalent combination of education and experience, and 2 years of SME in respective areas**Computer Skills**Intermediate knowledge of MS Office (Word, Excel, Access, PowerPoint) and Outlook.
Familiarity with SalesForce (CRM tool).
Aptitude to learn new programs.**Certificates, Licenses, Registrations**CHC, PMP, or CPhT (or any combination) preferred but not required.**Other Skills and Abilities*** Basic knowledge of healthcare audit management.* Excellent communications skills (verbal and written).* 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.* Demonstrates solid command of relevant knowledge, skills, techniques, and technologies, keeps current with recent developments and best practices in the field, and establishes self as the go-to person for up-to-date knowledge in his or her area.* Functions as a valuable team member by engaging in collaborative decision making and problem solving, constantly contributes positively as a team member, shares credit when appropriate and encourages teammates to use their knowledge and skills.* Expresses self clearly and effectively in face-to-face interactions, presentations, and written documents, and employs active listening skills to ensure productive interactions.**Reasoning Ability**
* Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
Ability to deal with problems involving a few concrete variables in standardized situations.* Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.**Mathematical Skills**
* Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.* 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 effectively present information and respond to questions from groups of managers, clients, customers, and the general public.* Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.**Competencies** To perform the job successfully, an individual should demonstrate the following 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 accommodation may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this Job, the employee #J-18808-Ljbffr
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!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****Summary**The External Compliance Support (ECS) Manager I manages and oversees compliance auditing activities conducted by external entities such as MedImpact’s clients, consultant auditors (hired by MedImpact clients), or regulatory authorities.
This position manages requests received from clients undergoing audits to support those regulatory audits.
The Manager supports compliance audits of MedImpact by its clients and regulatory bodies such as CMS, state departments of insurance, and others.**Essential Duties and Responsibilities** include the following. Other duties may be assigned.* Collaborates with identified subject matter experts to ensure compliance audit activities are conducted effectively and efficiently. Ensures notification, scope, and timelines of scheduled compliance audits are appropriately communicated to organization.* Coordinates support activities with internal operational areas.
Oversees remediation, including corrective action plans, for all audits under ECS management.
Maintains corporate records of materials provided and received in compliance audit support activities.* Evaluates compliance audit requests to determine scope, applicability, and impact on organization.
Reviews any applicable regulatory requirements and contractual requirements. Advises the appropriate internal audit support members of any applicable regulatory, contractual requirements or previous corrective action pertinent to the compliance audit activity.* Develops and maintains standard compliance auditing information on various topics that can be utilized by external entities performing compliance audits on MedImpact.* Develops and maintains guidelines of standard materials to support specific compliance auditing as requested by external entities.
Maintains corporate records of materials provided to support compliance auditing activities, including the specifications utilized to create data reports.* Oversees and manages a formalized follow-up session with appropriate internal audit support members, and leadership as appropriate, including follow-up on findings (e.g., corrective action plans).
Works with affected areas to ensure findings are addressed and within stated timelines.* Prepares and presents compliance audit findings, corrective actions, and other relevant information to leadership.* Assists the Corporate Compliance Officer with compliance program initiatives as well as educates and trains employees.* Assists with the accreditation efforts (URAC and others) as needed to include information gathering.
Ensures standards are met; supports compliance assurance efforts related to MedImpact and subsidiary organizations.* Maintains accurate and timely records in tools used for tracking and reporting.* 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 (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 accommodation may be made to enable individuals with disabilities to perform the essential functions.**Education and/or Experience**BS/BA and 5+ years’ experience or equivalent combination of education and experience, and 2 years of SME in respective areas**Computer Skills**Intermediate knowledge of MS Office (Word, Excel, Access, PowerPoint) and Outlook.
Familiarity with SalesForce (CRM tool).
Aptitude to learn new programs.**Certificates, Licenses, Registrations**CHC, PMP, or CPhT (or any combination) preferred but not required.**Other Skills and Abilities*** Basic knowledge of healthcare audit management.* Excellent communications skills (verbal and written).* 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.* Demonstrates solid command of relevant knowledge, skills, techniques, and technologies, keeps current with recent developments and best practices in the field, and establishes self as the go-to person for up-to-date knowledge in his or her area.* Functions as a valuable team member by engaging in collaborative decision making and problem solving, constantly contributes positively as a team member, shares credit when appropriate and encourages teammates to use their knowledge and skills.* Expresses self clearly and effectively in face-to-face interactions, presentations, and written documents, and employs active listening skills to ensure productive interactions.**Reasoning Ability**
* Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
Ability to deal with problems involving a few concrete variables in standardized situations.* Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.**Mathematical Skills**
* Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.* 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 effectively present information and respond to questions from groups of managers, clients, customers, and the general public.* Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.**Competencies** To perform the job successfully, an individual should demonstrate the following 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 accommodation may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this Job, the employee #J-18808-Ljbffr