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 Principal Pricing and Analytics provides oversight for pharmacy network activities focusing on the alignment of pharmacy and client network strategies. This role is responsible for the integrity of financial true-ups advanced analytics and high-level reporting to drive organizational revenue and cost savings. The Principal manages relationships with internal and external stakeholders and oversees the analysis of large-scale claim data to optimize pricing configurations and ensure all contractual guarantees are met.

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

• Orchestrates pharmacy network strategies to fulfill corporate initiatives support product offerings and grow revenue streams through complex data analytics using a deep understanding of PBM industry technical skills and team collaboration;

• Governs all pharmacy network activities including the execution of pharmacy and client true-ups analytics and performance reporting;

• Directs comprehensive analyses to identify enhanced revenue opportunities through strategic network configurations and monthly client performance evaluations;

• Translates complex pharmacy transaction data into actionable insights to ensure all pharmacy and client contract guarantees are met;

• Leads the development of automated reporting tools to streamline the reconciliation of pricing data and enhance departmental efficiency;

• Monitors and calibrates performance for all clients adjusting pricing structures to maximize revenue while maintaining market competitiveness;

• Spearheads the implementation of strategic pricing initiatives in collaboration with cross-functional teams;

• Manages the rigorous tracking and monitoring of pricing benchmarks to ensure consistent alignment with contractual obligations;

• Provides expert guidance on network performance and pricing trends to internal stakeholders and senior management;

• Engineers advanced analytical models to forecast the financial impact of proposed network changes or pricing adjustments;

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

BA/BS Degree; 10 years related experience and 8 years of SME in respective area(s); (or equivalent combination of education and experience)

Computer Skills

Advanced SQL knowledge Expert Microsoft Excel and Golden (SQL query tool)

Certificates Licenses Registrations

None required.

Reasoning Ability

• Ability to interpret a variety of instructions furnished in written oral diagram or schedule form.

• Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.

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 general business periodicals professional journals technical procedures or governmental regulations.

• Ability to write reports business correspondence and procedure manuals.

Competencies To perform the job successfully an individual should demonstrate the following competencies:

• Business Acumen
• Directing Others
• Organizational Agility
• Conflict Management
• Drive for Results
• Political Savvy
• Customer Focus
• Innovation Management
• Strategic Agility
• Decision Quality
• Managerial Courage

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 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.

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 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 may be 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.