MedImpact
Pharmacy Benefit 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. Responsible for leading analytical activities for assigned segments of rebate payments and reporting; including ability to analyze large data sets to identify trends, opportunities and troubleshoot issues which may arise. Monitor rebates received from aggregator to validate results and follows up on discrepancies. Reviews client contracts to properly determine rebate requirements for each client; ensures rebate requirements are coded into rebate database application that is used to determine minimum yield based on rebate guarantees. Maintains and adheres to the policies & procedures of all processes pertaining to rebate guarantee management, rebate allocation and rebate payments. Allocates rebate dollars appropriately for each client and coordinates with the accounting department in reporting the amounts of rebates to be paid to each client. Participates in clients calls regarding rebate amounts earned and addresses any issues. Identify and help execute quality improvement initiatives and/or strategic initiatives for Trade Analytics department to ensure high performance, high quality, efficient and consistent methods are in place, understood, and adhered to by segment area. Demonstrated ability to manage multiple priorities and deadlines with minimal supervision. 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 5+ 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. SQL experience required. This position requires an intermediate level expertise of SQL, including building or modifying queries and the ability to understand and interpret complex data quickly and accurately to support the payment process. 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 effectively present information and respond to questions from groups of managers, clients, customers, and the general public. 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 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.
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. Responsible for leading analytical activities for assigned segments of rebate payments and reporting; including ability to analyze large data sets to identify trends, opportunities and troubleshoot issues which may arise. Monitor rebates received from aggregator to validate results and follows up on discrepancies. Reviews client contracts to properly determine rebate requirements for each client; ensures rebate requirements are coded into rebate database application that is used to determine minimum yield based on rebate guarantees. Maintains and adheres to the policies & procedures of all processes pertaining to rebate guarantee management, rebate allocation and rebate payments. Allocates rebate dollars appropriately for each client and coordinates with the accounting department in reporting the amounts of rebates to be paid to each client. Participates in clients calls regarding rebate amounts earned and addresses any issues. Identify and help execute quality improvement initiatives and/or strategic initiatives for Trade Analytics department to ensure high performance, high quality, efficient and consistent methods are in place, understood, and adhered to by segment area. Demonstrated ability to manage multiple priorities and deadlines with minimal supervision. 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 5+ 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. SQL experience required. This position requires an intermediate level expertise of SQL, including building or modifying queries and the ability to understand and interpret complex data quickly and accurately to support the payment process. 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 effectively present information and respond to questions from groups of managers, clients, customers, and the general public. 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 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.