Account Mgr I - San Diego, United States - MedImpact

Description

Exemption Status:

United States of America (Exempt)$58,642 - $77,700 - $96,758"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 teamWhy 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 solutionJob DescriptionAccount Manager I-IIIDevelops, builds, and maintains solid client business relationships beginning with a positive on-boarding experience and continuing throughout the life cycle of the client, including clear rules of engagement, orientation, and adherence to MedImpact processes and services, communication of client commitments and expectations to internal partners, and successful management of the client's day-to-day operations and new implementationsEnsures appropriate levels of service and operational support to assigned clients by understanding and championing clients' operating requirements throughout the organization, including client business model, targeted markets, benefit design objectives, pharmacy network composition, overall claims adjudication expectations, reimbursement methodologies, metrics, and reporting toolsProactively maintain and improve upon service performance levels and works across the organization to expeditiously resolve issues, escalate service recovery efforts, provide timely feedback to internal and external customers, raise customer satisfaction levels, and ensure that service gaps & lessons learned are incorporated into the client performance and planning strategy processesActively leads members of the core client team, and members of the extended team, in successfully meeting client needs and delivering flawless fundamentals during the business relationship management and renewal phasesAdheres to strict procedural and quality standards, including thorough and accurate documentation, testing protocols, claims analysis, and thorough understanding of client technical and service specifications.

Relies on experience, judgment, business & systems knowledge, and technical skill to plan and accomplish goalsLeads the implementation process for the onboarding of new business for existing clients, including timely and accurate documentation/sign off the Implementation Questionnaire and other related documents, communication of client commitments and expectations to internal partners, interpreting and providing context for client requests, ensuring appropriate review and customer sign-off, leading site visits, conference calls, and related responsibilities to ensure flawless implementationsUtilizes project management skills to track milestones and deliverables, timely recognition/notification of risk indicators and provide regular status updates to Leadership internally/externallyEffectively educates the client to MedImpact systems and processes to ensure that the client is fully oriented to MedImpactManages the client and consultant in compliance with the client service agreement eliminating any risks to MedImpact for non-adherencePartners with multiple business units and teams to ensure the accuracy of claims adjudication set upsUnderstands, documents, and communicates clients' technical and service specifications across the organizationAnalyzes claims results and identifies discrepancies, inaccuracies, anomalies, and unexpected consequencesTakes accountability for expeditious resolution of adjudication configuration issues identified during the implementation processCompletes special projects as assigned (such as leading workgroups, overseeing projects/development of new system functionality, mentoring/training staff, etc.)Provide regular feedback to management team regarding client requirement status and business development opportunities to improve operational efficienciesProactively identify and recommend solutions for client and operational improvementsSupervisory ResponsibilitiesThis job has no supervisory responsibilities.

Education and/or ExperienceFor consideration candidates will need:

Level I:
Bachelor's degree from four-year college or university or equivalent combination of education and experience and the following:A minimum of two (2) years of account management or related client/customer service experience in a healthcare (health insurer, managed care, third party administrator, PBM, or pharmacy) settingA minimum of one (1) plus years' proven and demonstrated experience with Project Management or Project Coordination using best practices for project methodologyTwo (2) years' internal MedImpact experience may substitute for this requirementMust be familiar with healthcare related state and government regulations such as Medicaid, CMS, etc

Level II:
Bachelor's degree from four-year college or universityA minimum of four (4) years of account management or related client services experience, and at least four (4) plus years' experience with Project Management or Project Coordination using best practices for project methodologyStrongly prefer that experience is in a healthcare, Pharmacy Benefit Management (PBM), managed healthcare service organization, insurance company, or other health related entity, or equivalent combination of education and experienceMust be familiar with healthcare related state and government regulations such as Medicaid, CMS, etc

Level III:

Bachelor's degree from four-year college or universityA minimum of six (6) years of account management or related client services experience, and at least six (6) plus years' experience with Project Management or Project Coordination using best practices for project methodologyStrongly prefer that experience is in a healthcare, Pharmacy Benefit Management (PBM), managed healthcare service organization, insurance company, or other health related entity, or equivalent combination of education and experienceMust be familiar with healthcare related state and government regulations such as Medicaid, CMS, etc.

Computer SkillsIntermediate to advanced skill set in MS Office, Word, Excel, PowerPoint, Project, and OutlookIntermediate to advanced knowledge in VisioExperience as a user of multiple business software applications is requiredCertificates, Licenses, RegistrationsPharmacy Technician license or national certification desired.

Successful completion of MedImpact Internal Certifications required within one (1) year of active employment in role (i.e., MedAccess Certification, Cognos, and Med Coaching Certification).Other Skills and AbilitiesMust be exceptionally consultative face to face with clientsOutstanding numeric, verbal, written, logic, and analytical skillsExcellent organization, written and verbal communication skillsMust possess the ability to effectively communicate proposed design solutions in a consultative manner, and provide input and guidance in a way that fosters understanding among internal partners and clientsGood business acumen and understanding of the business processes of PBM servicesGood decision-making skills, including expert problem-solving skills, problem analysis and discernment under pressureGood planning, organizing, prioritizing, negotiating, team building, and leadership capabilitiesDemonstrated ability to positively interact with clients at all levels of their organizationDemonstrated accountability for achieving service commitments and ability to deliver results under tight timelinesExcellent organization, written and verbal communication skillsTravelThis position requires domestic travel of up to 30% of the time.

The Perks:

Medical / Dental / Vision / Wellness ProgramsPaid Time Off / Company Paid HolidaysIncentive Compensation401K with Company matchLife and Disability InsuranceTuition ReimbursementEmployee Referral BonusTo 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/VeteransOSHA/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 abovestatements 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.