Exemption Status:

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

Summary

The Performance Guarantee (PG) Reporting and Financial Analyst manages the daily operations of the Client PG Reporting. This position is responsible for gathering data analysis and preparation of client performance guarantee report packages on a monthly quarterly and annual basis. The day-to-day operations involve the calculation of client performance monitoring client reporting procedures adhering to client reporting deadlines quality control of client performance reporting standards. Special projects related to performance measurement systems.

This role interacts with internal business units to ensure data reported is accurate and timely including identification of financial impact for missed metrics and client reconciliation financial reports.

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

• Design long-term operational technical and strategic solutions to effectively manage and accurately report client performance metrics.

• Develop translate and execute policies business processes and standards into objectives.

• Ensures that deliverables meet the quality levels expected by internal and external customers.

• Responsible for automating the reporting requirements for the department and coordinating efforts with the onsite COGNOS business intelligence team.

• Performs ad-hoc analyses as requested and needed by business owners or in support of identified business objectives with special focus on pharmacy network set-up and performance.

• Analyzes data/results to ensure completeness and accuracy of metric reporting to clients. Provides timely written report summary to clients.

• Interprets and analyzes data outputs to explain possible anomalies that exist within the data to management and external clients.

• Interprets and reviews Contract language for penalty calculation of non-performance of service agreement requirements.

• Develops prioritizes and manages analytical components required for client reporting regarding performance including creation of client reports for new and existing clients based upon terms identified in the client contract.

• Participates in internal communication process for new and renewal metrics.

• Partners with other MedImpact business units to effectively resolve customer issues and inquiries implement new business processes and design solutions that meet the mutual needs of MedImpact and its customers.

• Utilizes planning prioritizing and organizational skills to effectively manage the assets tools and processes necessary to achieve business objectives and ensuring timely completion reporting and delivery of reports to client.

• Promotes continuous improvement by ensuring adherence to quality principles. Seeks out and actively participates in business initiatives that contribute to service excellence.

• Actively participates as a member of cross functional workgroups teams and committees as assigned.

• Attends department and/or company sponsored training programs and meetings as needed.

• Identify and establish solutions standards and manage procedures for the quality and timeliness of work performed within the department.

• Responsible for assisting in client resolution regarding failed performance guarantee metrics including historical trending analysis and reporting.

• Responsible for Performance Guarantee (PG) Reporting which includes but is not limited to the following:

• Prepare responses to support new and renewal business including metric standards criteria penalties and total risk.
• Participate in internal prospective client and client implementation handoff meetings.
• Manage the internal communication process for new and renewal metrics.
• Facilitation and collection of metric results from internal department process owners and oversight of client reports on a monthly quarterly and/or annual basis.
• Quarterly and annual metric reconciliations to determine penalty payouts and related communications with account teams and clients;.
• Support process in researching performance failure to identify process improvement within the organization and client communications in conjunction with the account team.

• Supports the Request for Proposal (RFP) process by providing network analyses that are accurate and responsive to RFP questions. Organizes work to provide complete and accurate analyses in order to meet RFP deadlines.

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 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

Computer Skills

Strong proficiency with personal computers and MS Office products to include intermediate to advanced working knowledge of Microsoft Suite including Access. Familiarity with SQL and Cognos is preferred. Strong aptitude to learn and adapt to new programs

Certificates Licenses Registrations

N/A

Other Skills and Abilities

• Insert skills and abilities Prior pharmacy benefit management experience is ideal
• Ability to read and interpret contracts
• Strong analytical skills required
• Basic understanding of concept of financial risk
• High level technical skills and thorough understanding of business analysis. Familiarity with relational databases
• Broad knowledge of financial statistical and health analytic principles required.

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 add subtract multiply and divide in all units of measure using whole numbers common fractions and decimals. Ability to compute rate ratio and percent and to draw and interpret bar graphs.

• 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 effectively present information to top management public groups and/or boards of directors.

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 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 may require domestic travel.

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 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.