Principal, Medicaid Product Management Strategy and Delivery
San Diego, CA - USA
Job Summary
Exemption Status:
United States of America (Exempt)$114622 - $160472 - $206321Pay 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
ThePrincipal Medicaid Product Strategyand Delivery is a senior product and domain leadership role responsible for guiding the strategic evolution delivery and operational success of the organizations Medicaid platform and related servicessupporting Fee-for-Service (FFS) Medicaid programs.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Define and drive the strategic roadmap for the organizationsMedicaid solutions aligning technology investments with client needs regulatory requirements and market opportunities.
- Serve as the primary product leader responsible for prioritizing enhancements that improveour Medicaid capabilities program flexibility client onboarding efficiency and operational performance.
- Identify opportunities to expand our Medicaid capabilities including support forValue-Based Contracting models and evolving Medicaid program requirements.
- Act as a senior product strategist within Agile/Scrum teams managing product backlogs and ensuring that requirements are well defined prioritized and aligned with strategic objectives.
- Partner closely with engineering leadership todrive development throughput remove delivery obstacles and ensure high-quality releases.
- Provide oversight and guidance to other Product Managers and Business Systems Analysts contributing to the Medicaid product roadmap.
- Support the successful implementation and onboarding of new Medicaid clients utilizing MedImpact systems and solutions ensuring system configuration workflows and data requirements are properly defined.
- Collaborate with implementation teams to translate client requirements into scalable product capabilities rather than one-off custom solutions whenever possible.
- Ensure the Medicaid systems and solutions supportsmooth transitions from implementation into ongoing operational production environments.
- Partner with GPS Fee-For-Service and Operations leadership to identify operational inefficiencies and translate those opportunities into technology improvements.
- Ensure the product roadmap reflects bothclient needs and internal operational optimization opportunities.
- Work closely with compliance finance and regulatory teams to ensure system capabilities align withclient and industry requirements and evolving federal and state policies.
- Engage with Medicaid clients industry groups and internal stakeholders to stay informed about evolving Medicaid program requirements and industry trends.
- Contribute to pre-sales discussions and RFP responses by providing product and technical insight.
Supervisory Responsibilities
Manages assigned staff in the segment area. Responsible for the overall direction coordination and evaluation of the unit. Carries out supervisory responsibilities in accordance with the organizations policies and applicable laws. Responsibilities include interviewing hiring and training employees; planning assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Supports and enforces all company policies and procedures in a fair and consistent manner taking corrective action whenever necessary.
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; 8 years related experience and 8 years of SME in respective area(s); (or equivalent combination of education and experience) with at least 4 years leading individual contributors and leaders of leaders; which may be substituted with an appropriate mix of leadership experience and 5 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (VP level) that must completed within 12 months in new position.
Computer Skills
Strong proficiency with MS Office / Word PowerPoint Excel Visio and Outlook to create complex documents manage schedules and analyze data. Experience with Microsoft project management tools preferred. Working knowledge of key business applications such as SQL and SalesForce.
Certificates Licenses Registrations
Project Management Professional (PMP) Certification preferred.
Other Skills and Abilities
- Ability to effectively recognize complex problems and apply analytic and critical thinking skills to innovate solutions.
- Ability to exercise sound judgment and decision-making.
- Ability to collaborate on cross-functional projects and liaise with stakeholders on both the business and IT divisions of the organization.
- Ability to define requirements and prepare and maintain detailed product/project plans and related financial analysis.
- Demonstrated ability to positively interact with clients and staff of all levels a willingness to take accountability for achieving service commitments and a demonstrated ability to achieve results.
Reasoning Ability
- Ability to define problems collect data establish facts and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
Mathematical Skills
- Ability to work with mathematical concepts necessary to assess product costs and recommend pricing algorithms. 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 legal documents or governmental regulations. Ability to write reports business correspondence and procedure manuals. Ability to effectively present information and respond to questions from groups of managers clients customers and the general public.
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 domestic travel of up to 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
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.
About Company
MedImpact Healthcare Systems fills the prescription for keeping its customers' bottom line in healthy condition. The company provides and manages prescription benefit programs for self-insured employers, health plans, unions, insurers, third-party administrators and others, covering s ... View more