M

MedImpact

Independent PBM reducing prescription costs

Staff Accountant 3

Full-Time
$34.43 - $57.67+ Incentive compensation + 401(k) match + Employee referral bonus
Senior
Bachelor's
San Diego, CA, USA
HybridOn-site work is at the San Diego headquarters or another company location; remote work requires management approval.
AccountingFinancial Accounting

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, plus 2 years of subject matter expertise in the respective areas.
  • Strong working knowledge of MAS500 or equivalent accounting software and the Microsoft Office Suite.
  • Advanced knowledge and ability to apply generally accepted accounting principles (GAAP) concepts and rules.
  • Prior experience applying GAAP concepts and rules.
  • General ledger proficiency.
  • Ability to solve practical problems and deal with concrete variables where limited standardization exists.
  • Ability to interpret written, oral, diagrammatic, or scheduled instructions.
  • Ability to calculate figures and amounts, including discounts, interest, commissions, proportions, percentages, area, circumference, and volume, and apply basic algebra and geometry.
  • Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals.
  • Ability to write routine reports and correspondence and speak effectively before groups of customers or employees.
  • Ability to provide excellent customer service and interpersonal communication, including listening, verbal, and written communication; manage difficult or emotional client situations; respond promptly to client needs and service requests; solicit feedback to improve service; and meet commitments to clients.
  • Ability to work overtime, including nights, weekends, or holidays as required.
  • Ability to travel domestically up to 5% of the time.
  • Ability to work on-site in San Diego or another company location, or remotely with management approval based on business requirements; provide adequate internal client support and be available for regular coordination with employees, colleagues, clients, or vendors and stakeholder collaboration.
  • Ability to sit, talk, hear, stand, walk, handle objects, reach, and occasionally lift or move up to 25 pounds; maintain close vision, color vision, and depth perception.
Responsibilities
  • Use GAAP and controls to prevent or reduce the risk of potential misstatements or misappropriations.
  • Monitor compliance with GAAP, Sarbanes-Oxley requirements, internal controls, and company and departmental procedures.
  • Reconcile general ledger accounts.
  • Review, investigate, and correct errors and inconsistencies in financial entries, documents, and reports.
  • Compile and analyze financial information.
  • Prepare general ledger journal entries.
  • Perform the month-end close process and assist with monthly reporting packages, management financial briefings, and monthly financial reviews for the Board of Directors.
  • Train and mentor less experienced accountants, manage projects, and lead assigned meetings.
  • Prepare and distribute individual company variance reports; analyze financial information; and prepare balance sheets, profit and loss statements, and other reports, including 10-Ks and 10-Qs, to summarize and interpret current and projected financial position for management.
  • Audit contracts, orders, and vouchers, and prepare reports to substantiate individual transactions before settlement.
  • Maintain responsibility for key accounting functions, including cash, investments, accounts receivable, prepaids, fixed assets, internally developed software, notes receivable and payable, leases, deferred rent, accounts payable, customer advances, accrued expenses, income taxes, rebates, and payroll.
  • Manage internal resources to perform assigned duties within the Accounting group; assist with developing and administering policies, business processes, and quality standards; and develop and maintain cross-functional and interdepartmental relationships.
  • Work under deadlines and quickly resolve accounting challenges affecting multiple functional areas.
  • Identify issues, propose solutions, implement selected resolutions, and maintain solutions as appropriate.
  • Understand client needs and identify solutions to non-standard tasks and queries.
  • Provide solutions to a diverse range of complex problems.
  • Anticipate potential control issues, resolve them before they become audit findings, and interface effectively with audit staff.
  • Serve as a resource on GAAP and financial accounting standards.
  • Drive process improvement and simplification initiatives; create processes and procedures to improve efficiency; and develop and recommend enhancements to accounting methods and procedures.
  • Research accounting and financial reporting issues and communicate conclusions to management.
Desired Qualifications
  • Certified Public Accountant designation.

About the company

MedImpact is an independent pharmacy benefit manager (PBM) serving health plans, self-funded employers, and government entities. It designs and administers prescription drug benefits to lower costs and improve member health, including core PBM services, clinical programs, and specialty drug management. It operates at a large scale with transparency and flexible pricing, negotiating rebates and processing claims for clients. Its goal is to reduce prescription drug costs while improving health outcomes through data-driven, end-to-end benefit management.

Company Size

1,001-5,000

Company Stage

Seed

Total Funding

$2.8M

Headquarters

San Diego, California

Founded

1989

Get referred to MedImpact

See people who can refer or advise you

Simplify Jobs

Simplify's Take

What believers are saying

  • Claria launched September 29, 2026 with claim-level rebate transparency and PMPM guarantees.
  • HCG X won PBMI’s 2026 award after 80.6% PMPQ savings and 5:1 ROI.
  • September 24, 2026 hiring of Rebekah Gregg accelerates commercialization of new digital offerings.

What critics are saying

  • The planned Medical Card System purchase adds $2.2 billion second-lien debt in 2026.
  • Puerto Rico Medicare Advantage integration creates execution risk across regulators, networks, and claims systems.
  • If employers reject rebate-driven PBMs, MedImpact’s margin base shrinks and scale erodes.

What makes MedImpact unique

  • Claria’s four pricing models give buyers rebate, guarantee, and control choices.
  • MedImpact remains the largest independent PBM, serving 20 million members.
  • URAC’s 2026 perfect accreditation score signals disciplined operations and quality control.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Wellness Program

Unlimited Paid Time Off

Paid Vacation

401(k) Company Match

Life Insurance

Disability Insurance

Tuition Reimbursement

Employee Referral Bonus

Growth & Insights and Company News

Headcount

6 month growth

3%

1 year growth

12%

2 year growth

13%
Access Market Intelligence
Oct 2nd, 2026
MedImpact launches Claria, a new approach to transform PBM economics.

MedImpact launches Claria, a new approach to transform PBM economics. Serving more than 20 million members and processing more than $40 billion in pharmacy transactions annually, MedImpact has the scale, resources, technology, and solutions to provide payers a better choice in the market for pharmacy benefits and health solutions. MedImpact recently introduced Claria, an industry-first approach that transforms PBM economics by giving plan sponsors the increased transparency, control, and predictability they need to confidently manage pharmacy spend in today's healthcare landscape. The company believes payers should not choose between rebates, flexibility, and financial certainty. That's why Claria offers four configurable models, all with transparent pricing, to meet each organization's unique needs: * Claria Direct - Designed for organizations that want to maximize control over their pharmacy strategy, Claria Direct offers the ability to customize formularies, networks, dispensing channels, and value-added services. * Claria Assure - Offers modernized pricing strategies with the flexibility to customize program features all with the financial confidence of guarantees. * Claria One - A PMPM guarantee and a formulary strategy built around lower-cost therapeutic options designed for organizations seeking the highest level of financial accountability and cost management. * Claria Align - By guaranteeing a plan's PMPM spend dollar for dollar, Claria Align delivers the highest level of accountability in the portfolio and is designed to deliver the lowest pharmacy costs. In August 2026, Yahoo Finance reported that MedImpact was in talks to receive a $2.2 billion second-lien private credit loan to support the company's proposed acquisition of Medical Card System, a healthcare services organization. Medical Card System, owned by Kinderhook-backed MHH Healthcare, offers insurance plans and managed care for Medicare Advantage members in Puerto Rico. #MedImpact #PBM #Claria #pharmacybenefit #transparency #medicalcardsystem

The Mirror Democrat and Savanna Times-Journal
Sep 29th, 2026
MedImpact launches Claria(TM), a distinctively new approach to delivering pharmacy benefits.

MedImpact launches Claria(TM), a distinctively new approach to delivering pharmacy benefits. * 5 hrs ago MedImpact, the nation's largest independent pharmacy benefit and health solutions company, today introduced Claria(TM), an industry-first approach that transforms PBM economics by giving plan sponsors the increased transparency, control, and predictability they need to confidently manage pharmacy spend in today's healthcare landscape. "Claria provides a new way of delivering pharmacy benefits to our clients. It brings together the scale of MedImpact's organization to deliver competitive economics with the flexibility for clients to choose the model that meets their needs. Most importantly, Claria is designed to align our compensation with our clients' goals of managing pharmacy spend, controlling trend, and improving access to care," said MedImpact Executive Vice President Zach Johnson. "Plan sponsors gain visibility into the true net cost of medications, greater control over clinical strategies, and enhanced budget predictability." Predictability Without Compromise. Mycarrollcountynews believe payers should not have to choose between rebates, flexibility, and financial certainty. That's why Claria offers four configurable models, all with transparent pricing, to meet each organization's unique needs: * Claria Direct - Designed for organizations that want to maximize control over their pharmacy strategy, Claria Direct offers the ability to customize formularies, networks, dispensing channels, and value-added services. * Claria Assure - Offers modernized pricing strategies with the flexibility to customize program features all with the financial confidence of guarantees. * Claria One - A PMPM guarantee and a formulary strategy built around lower-cost therapeutic options designed for organizations seeking the highest level of financial accountability and cost management. * Claria Align - By guaranteeing a plan's PMPM spend dollar for dollar, Claria Align delivers the highest level of accountability in the portfolio and is designed to deliver the lowest pharmacy costs. Informed Decision Making. Claim-level rebate transparency provides visibility into the net cost of every medication, enabling more informed financial and clinical decision-making. Plan Control Over Pharmacy Strategy. Plans may implement formulary, utilization management, biosimilar, and network strategies based on their organization's needs. Aligned Incentives. Claria aligns PBM compensation with services and solutions rather than drug mix, creating a stronger partnership with a continued focus on managing cost, trend, and outcomes. Member Affordability. Mycarrollcountynews recognize that its clients value and prioritize affordable pharmacy benefits for their members. Claria will position MedImpact to lay the foundation that aligns and empowers Mycarrollcountynews to build pharmacy plans that prefer the lowest cost, and therapeutically appropriate medication now more than ever. "MedImpact has been an independent company for nearly 40 years, and we have been committed to delivering clarity and control to our clients since our inception," said Johnson. "With Claria, we are taking that commitment to an entirely new level and providing clients with even greater flexibility and freedom to navigate today's healthcare landscape." About MedImpact San Diego-based MedImpact Healthcare Systems, Inc. is the nation's largest independent health solutions, technology, and pharmacy benefit management provider. For 35 years, MedImpact has helped commercial and government healthcare payers improve member health, manage benefits, and reduce drug costs. Today, MedImpact serves more than 20 million members and processes more than $40 billion in pharmacy transactions annually. To learn more, visit Mycarrollcountynews online, follow Mycarrollcountynews on LinkedIn, or contact Mycarrollcountynews at [email protected]. Media gallery

MedImpact
Sep 24th, 2026
MedImpact names Rebekah Gregg Senior Vice President of Marketing and Digital Solutions.

MedImpact names Rebekah Gregg Senior Vice President of Marketing and Digital Solutions. Pharmacy benefits executive will help the company communicate its affordability, technology, and clinical solutions to a healthcare industry undergoing change SAN DIEGO, CA - September 24, 2026 - MedImpact, the nation's largest independent pharmacy benefit and health solutions company, has named Rebekah Gregg Senior Vice President of Marketing and Digital Solutions. Gregg joins as MedImpact brings to market new solutions that give healthcare payers greater visibility, choices, and control over pharmacy benefits and lower costs for both members and plans. "Rebekah has spent much of her career working closely with payers and knows what challenges our clients face, what they need, and how to communicate it clearly," said MedImpact Executive Vice President Zach Johnson. "Her timing is excellent. We have exciting work underway and she is the right person to help us bring new solutions to the market." Payers today are facing rising drug prices, new therapies with historically high price tags, changing regulatory and marketplace dynamics, and an affordability crisis for members at the counter. An independent company for nearly 40 years, MedImpact is taking bold action by re-engineering the drug supply chain and rolling out new technologies, formularies, models, and clinical programs. Rebekah's expertise will be critical in communicating the value of the company's innovative solutions to the marketplace. Gregg joins MedImpact from Pharmaceutical Strategies Group (PSG), an EPIC company, where she served as Chief Operating Officer. In that role, she oversaw marketing, research, and operations, and an analytics platform that was used by payers covering more than 16 million members. She also led the firm's research and satisfaction studies, giving her a close view of what plan sponsors look for in pharmacy benefit partners. Keep up to date on the latest in the industry. Press Releases Claria transforms PBM economics by giving plan sponsors the transparency, control, and predictability they need to maximize their investment in medications Press Releases HCG X program provides payers 80.6% PMPQ savings and a 5:1 ROI in year one Press Releases Leveraging supply chain innovation and award-winning lifestyle management program, new solutions deliver lower costs, improved clinical care, and greater member access Press Releases By re-engineering the drug supply chain and formularies, Patel and the MedImpact team are increasing transparency, predictability and affordability

MedImpact
Sep 11th, 2026
MedImpact wins 2026 PBMI Excellence Award for high-cost generics solution.

MedImpact wins 2026 PBMI Excellence Award for high-cost generics solution. HCG X program provides payers 80.6% PMPQ savings and a 5:1 ROI in year one SAN DIEGO, CA - September 11, 2026 - MedImpact, the nation's largest independent pharmacy benefits and health solutions company, today announced that HCG X(R), a clinically driven solution that delivers significant savings on high-cost generic (HCG) medications, has won the 2026 Pharmacy Benefit Management Institute(R)(PBMI) Excellence Award for Cost Containment. "Despite common misconceptions, not all generic drugs are inexpensive. In fact, some are much more costly than therapeutically equivalent products," said Arpit Patel, Senior Vice President, Trade Relations and Supply Chain. "As specialty drugs and GLP-1s cause pharmacy spend to spiral, our HCG solutions are delivering real savings with little to no member disruption." Using advanced analytics to track prices and claim costs for more than 2,000 drugs, HCG X excludes high-cost generics when there are clinically appropriate, lower-cost alternatives. After just one year using the HCG X program, clients experienced an average of 80.6% reduction in per member per quarter (PMPQ) spend-and greater than 5:1 ROI. One hundred percent of clients reported satisfaction with this solution, citing its value, level of support, and financial impact. "Our HCG solution is another example of our drive to lower costs without compromising access," continued Patel. "And it is further proof that payers shouldn't have to choose between lower costs and quality care." Each year, the PBMI Excellence Awards recognize organizations demonstrating innovation and leadership, and making a measurable impact on the pharmacy benefit management industry. MedImpact was also recognized in 2025 for its MedEmpower Fuel(R) personalized health and wellness app. Keep up to date on the latest in the industry. Press Releases Leveraging supply chain innovation and award-winning lifestyle management program, new solutions deliver lower costs, improved clinical care, and greater member access Press Releases By re-engineering the drug supply chain and formularies, Patel and the MedImpact team are increasing transparency, predictability and affordability Client News Biosimilars represent one of the most powerful opportunities to reduce specialty drug costs for payers and members and expand access to effective t Press Releases Strategic expansion strengthens proximity to major East Coast employers and payers while enhancing service for clients east of the Mississippi

Fox Business
Aug 13th, 2026
Nine major PBMs to display TrumpRx prescription drug prices from 2027

Nine pharmacy benefit managers will integrate TrumpRx prescription drug pricing into their benefit tools, effective 1 January 2027. The Pharmaceutical Care Management Association and participating PBMs—including CVS Health, Express Scripts, Humana, and OptumRx—will display cash prices from TrumpRx alongside plan coverage costs. The agreement covers commercial, Medicare, and Medicaid plans. Patients will see TrumpRx prices for all listed drugs, whether through presidential deals or standard pricing. CMS Administrator Dr Mehmet Oz said the commitment will help patients compare prices and find better deals. PCMA CEO David Marin stated the transparency will allow consumers to make better-informed choices about prescription drug costs. Some PBMs will use Real Time Benefit Tools to display pricing comparisons, whilst others may employ different methods.