Program Manager II

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 Program Manager II works in one of three areas:  Value Based Care, Government Programs and Services or PDP (MedGenerations) and is responsible for analyzing, creating new requirements, planning, and delivering updates for assigned programs and related services.

For GPS & MedGenerations specifically, the Program Manager works within one or more regulated market lines of business – Medicare Part D, Marketplace, Prescription Drug Plan (PDP) or the Medicaid plans including: Medicaid Fee for Services (FFS), Medicaid Managed Care (MMCO), Children’s Health Insurance Plan (CHIP).

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

• Drives the development of the overall strategy and roadmap, research, requirements, and coordination for assigned programs. For Value Based Care, the focus is on the development of tech-enabled solutions for clients.

• Follows outlined program management processes to manage the overall scope, planning, business requirements, implementation and delivery of software updates to assigned programs. Ensures business requirements are properly translated into customer deliverables. Schedules product release timelines with IT department. Coordinates product development schedules and releases to production.

• Drives appropriate work process improvement activities.

• Keeps current with and reviews state and/or federal requirements and regulations related to assigned programs to ensure that programs support client regulatory compliance.
• Provides day-to-day management and coordination of deliverables, issue tracking, and compliance issues for assigned programs. 
• Ensure timely delivery of reports. Communicate to both internal and external clients on status, schedules, and changes.
• Coordinates the efforts of multi-disciplinary teams throughout various stages of the program development life-cycle. 
• Manages moderately complex projects from start to finish and effectively leads project teams comprised of multiple business units.
• Develops client communications as needed to explain MedImpact response and/or changes in client responsibilities (related to drug benefit management). 
• Attend client calls as needed to understand and address questions or issues for assigned programs.
• Maintains documentation for assigned programs – for example, Program Descriptions, Report Guides, Policies, Procedures, Work Instructions, training materials, etc. 
• Serves as a knowledgeable resource for at least one regulated market, in addition to being a subject matter expert in assigned programs.
• Educates clients on program features. Provides expertise and training to other departments. 
• Defines metrics to effectively measure the success of program and service processes and deliverables.
• Vendor oversight:  if applicable for assigned programs and services, monitors vendor operations, ensures appropriate metrics and PG’s are in place, and coordinates vendor changes as appropriate with MedImpact automation and/or work processes

Supervisory Responsibilities

This job has 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: respond promptly to client needs; solicit client feedback to improve service; respond to requests for service and assistance from clients; meet commitments to clients; manage difficult or emotional client situations.

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

This position normally requires a bachelor’s degree (or equivalent combination of education and experience) along with at least 5 - 8+ years’ related job experience.  Prior experience must include project management responsibilities.  Previous experience in the healthcare, pharmacy, or pharmaceutical industries, desirable but not required.

Computer Skills

To perform this job successfully, an individual should have:

• Intermediate to advanced knowledge of Microsoft Office software (Outlook, Word, Excel and PowerPoint)

• Intermediate knowledge of MS Project and Visio

• Intermediate knowledge of at least one content management system (e.g. SharePoint, Confluence, wiki) 

• Demonstrated ability to learn new software tools

Skills that are desirable but not required:

• SQL query development

• Golden32 or other equivalent database browsing software

• Excel macro programming

Reasoning Ability

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.

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.

Language Skills

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.  Ability to write routine reports and correspondence.  Ability to speak effectively before groups of customers or employees of organization.

Certificates, Licenses, Registrations

PMP or other project management certification, desired, but not required.

Other Skills and Abilities

• Excellent communication skills (written/verbal).
• Proven ability to plan and facilitate effective meetings.
• Skilled at business requirements gathering and ability to prepare and maintain detailed project plans
• Ability to manage multiple projects simultaneously and prioritize competing demands.
• Advanced presentation skills with the ability to present information at varying levels of abstraction depending on audience
• Good organization skills and attention to detail.
• Basic process improvement skills (e.g. tools and practices from agile, lean, six sigma)
• Basic to intermediate product management skills
• Must have strong problem-solving skills to handle: (1) problems that span a single area (2) problems that span multiple areas, and (3) ability to facilitate across functional teams to develop solutions
• Ability to effectively participate on and influence cross-functional as well as virtual teams including remote participants.

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

• Adaptability - Adjusts quickly to evolving situations by integrating new information, remaining flexible, recognizing and implementing necessary changes and taking advantage of opportunities presented by new developments.

• Change Management - Exemplifies a positive, proactive response to change, fully grasps and articulates the envisioned results of the change process, keeps others informed about events and trends that may impact the organization, and involves others in the change process to maximize buy-in and minimize stress. 

• Communication -Expresses self clearly and effectively in face-to-face interactions, presentations and written documents, and employs active listening skills to ensure productive interactions.

• Customer and Quality Focus - Actively demonstrates a personal concern for understanding client needs, ensuring the quality of products and services, maintains a high level of customer satisfaction, and contributes to continuous improvement of products and processes.

• Decision-making - Gathers input from affected parties and available experts, assesses risks and benefits, and makes timely decisions based on sound reasoning.

• Influence - Persuades others of the value of an idea or course of action, enlists cooperation and support while maintaining positive work relationships, builds consensus by communicating effectively and demonstrating an understanding of others’ positions, and effectively motivates others to buy into projects and goals.

• Interpersonal Effectiveness - Demonstrates good people skills by showing a commitment to teamwork, resolving conflicts effectively and with respect for others’ viewpoints, respecting differences and building strong relationships and networks.

• Planning - Produces realistic, effective plans with clear actions and objectives, workable timelines and specific methods to measure progress, taking into account overall goals, required resources and potential obstacles. 

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 www.medimpact.com/careers

MedImpact, 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.