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 Data Integration Project Manager (State Medicaid FFS Implementations) is a leader within the Fee-for-Service Implementations organization responsible for overseeing all data-related activities for new government healthcare client implementations primarily focused on Medicaid Fee-For-Service pharmacy programs. This role ensures that historical and operational data is accurately converted validated documented and transitioned into production environments to support operational readiness and long-term program stability. Serving as the central point of accountability for data readiness the manager coordinates across internal technology operations and client teams to establish data quality traceability compliance and monitoring prior to go-live. The position requires a strategic yet execution-focused approach combining deep data management expertise with strong organizational and communication skills to translate complex data initiatives into clear plans risks and outcomes for internal stakeholders and government clients.

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

• Own and oversee all data-related workstreams for new client implementations including data conversion data validation historical data loading and transition to steady-state operations.
• Define and execute data conversion strategies that ensure accurate migration of historical Medicaid pharmacy data including claims eligibility clinical and rebate-related datasets as applicable.
• Partner with implementation project managers to integrate data activities into overall implementation plans milestones dependencies and readiness assessments.
• Serve as the primary point of accountability for data readiness at go-live ensuring data completeness integrity reconciliation and acceptance criteria are met.
• Collaborate closely with data engineering application infrastructure and operations teams to coordinate ETL processes data pipelines and secure data transfers (e.g. SFTP).
• Establish and maintain detailed data documentation including source-to-target mappings data dictionaries transformation logic reconciliation results and operational runbooks.
• Ensure data is properly configured for ongoing monitoring auditing and support enabling smooth post-implementation operations and rapid issue detection.
• Facilitate data validation testing and reconciliation activities with internal teams and external clients including defect triage and resolution tracking.
• Identify data-related risks early in the implementation lifecycle and proactively develop mitigation strategies to prevent downstream operational issues.
• Support client-facing discussions related to data requirements data quality historical data availability and implementation tradeoffs communicating complex topics clearly and confidently.
• Promote standardization and re-usability of data conversion frameworks tools templates and processes across implementations to improve efficiency and reduce cost.
• Ensure all data handling practices comply with applicable regulatory contractual and security requirements associated with government healthcare programs.

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

• This position requires experience with Medicaid or Government health with a strong preference for Medicaid Fee-For-Service experience.

• BS/BA and 6 years of experience (or equivalent combination)

• 2 years as a Subject Matter Expert (SME) in relevant areas

Computer Skills

Proficient with Microsoft Office (Word/Excel/PowerPoint) MS Outlook and MS Project. Must be proficient with Project Scheduling Software. Familiarity with MedImpact developed applications helpful (MedAccess MedResponse etc.)

Certificates Licenses Registrations

None required; PMP certification is highly desired

Other Skills and Abilities

• Experience in all phases of software development lifecycle and IT infrastructure deployments preferred

• Prior experience in PBM pharmaceutical or managed healthcare industry is a plus

• Must have good negotiation skills well-developed facilitation and collaboration skills

• Proven leader and team player

• Strong client management skills

• Ability to work in a matrix management organization

• Driven and committed to overcome obstacles and deliver the project on time

• Delivery-focused yet flexible and creative when called upon

Reasoning Ability

• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

• Ability to define problems collect data establish facts and draw valid conclusions.

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 read analyze and interpret the most complex documents.

• Ability to respond effectively to the most sensitive inquiries or complaints.

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 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 10 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.

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 reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights at 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 maybe required at various local conferences and meetings.

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.