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MedImpact

Independent PBM reducing prescription costs

Implementation Manager 2

Project ManagementConfirmed live in the last 24 hours
Full-time

About the Job

Requirements

  • A Bachelor of Science or Bachelor of Arts and at least 5 years of experience, or an equivalent combination of education and experience.
  • At least 2 years of subject-matter expertise in customer support or related account management in a healthcare or pharmacy benefits management environment.
  • At least 2 years of implementation experience, preferably in pharmacy benefits management, managed healthcare services organizations, insurance companies, or other health-related entities, or an equivalent combination of education and experience.
  • Experience using multiple business software applications.
  • Intermediate to advanced skills in Microsoft Office, including Word, Excel, PowerPoint, Project, and Outlook.
  • Ability to provide consultative support to clients face to face.
  • Outstanding numeric, verbal, written, logic, and analytical skills.
  • Ability to solve practical problems involving concrete variables and limited standardization, and to interpret written, oral, diagrammatic, or schedule-based instructions.
  • Ability to apply mathematical concepts such as probability and statistical inference, fractions, percentages, ratios, and proportions.
  • Ability to read and interpret business periodicals, professional journals, technical procedures, and government regulations; write reports, business correspondence, and procedure manuals; and present information and respond to questions.
  • Ability to meet the physical demands of the position, including sitting, talking, hearing, standing, walking, handling objects, reaching, occasionally lifting or moving up to 25 pounds, and maintaining the required close vision, color vision, and depth perception.
  • Ability to work the hours required to meet responsibilities and deadlines, including nights, weekends, or holidays when needed, and flexibility to accommodate changes to work hours.

Responsibilities

  • Develop client business relationships by delivering a positive onboarding experience, clarifying rules of engagement, orienting clients to company processes and services, communicating commitments and expectations to internal partners, and transitioning clients from implementation to ongoing business maintenance.
  • Follow procedural and quality standards, including accurate documentation, testing protocols, claims analysis, and understanding client technical and service specifications; use experience, judgment, business and systems knowledge, and technical skills to plan and accomplish goals.
  • Participate in and facilitate enterprise activities that improve processes, efficiency, and productivity.
  • Use project management skills to track milestones and deliverables, identify and communicate risk indicators promptly, and provide regular internal and external status updates to leadership.
  • Lead the implementation process, including documenting and obtaining sign-off on implementation questionnaires and related documents; communicating client commitments and expectations to internal partners; interpreting client requests; ensuring appropriate review and customer sign-off; leading site visits and conference calls; and facilitating conflict management and resolution when necessary.
  • Build client relationships by ensuring appropriate service and operational support during implementation and establishing clear rules of engagement and roles and responsibilities.
  • Educate clients about company systems and processes.
  • Use Salesforce to document client contacts, deliverables requiring follow-up, client information, issues, projects, and work requests; oversee assigned cases and meet due dates.
  • Manage projects in compliance with client service agreements and executed contracts to reduce risks to the company.
  • Maintain knowledge of state and government regulations related to pharmacy benefits management operations.
  • Partner with business units and teams to ensure accurate claims adjudication setup.
  • Understand, document, and communicate client technical and service specifications across the organization.
  • Analyze claims results and identify discrepancies, inaccuracies, anomalies, and unexpected consequences.
  • Take accountability for promptly resolving adjudication configuration issues identified during implementation.
  • Plan, prioritize, and organize work to deliver timely, high-quality results and efficiently use resources to achieve claims adjudication accuracy.
  • Ensure appropriate customer backup coverage during holidays, weekends, and other times.
  • Support core client and extended teams in meeting client needs and delivering reliable results during the transition from implementation to ongoing business maintenance.
  • Build positive relationships with internal and external customers and deliver sustainable, measurable, accurate, reliable, and timely results that meet or exceed customer expectations.
  • Respond promptly to service failures, resolve issues, and escalate concerns as appropriate.
  • Promote continuous improvement by following quality principles and participating in initiatives that contribute to service excellence.
  • Participate in professional development to stay current on pharmacy benefits management products, services, and technical enhancements.
  • Complete assigned special projects, which may include leading workgroups, overseeing projects or new system functionality development, and mentoring or training staff.

Desired Qualifications

  • A Pharmacy Technician license or national certification is desired.
  • Project Management Professional or Project Management Institute certification is desired.

About the Company

MedImpact

Independent PBM reducing prescription costs

MedImpact is an independent pharmacy benefit manager serving health plans, self-funded employers, and government entities. It designs and administers prescription drug benefits, including formulary management, benefit design, utilization management, claims processing, clinical programs, and specialty drug management to cut costs and improve health outcomes. It differentiates itself as independent (not owned by a payer or drugstore) with transparent and flexible pricing across a broad client base and end-to-end benefit management. Its goal is to lower prescription drug costs for clients while improving member health through data-driven, transparent, and comprehensive programs.

Company size
1,001-5,000
Company stage
Seed
Total funding
$2.8M
Headquarters
San Diego, CA
Founded
1989

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