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MedImpact

Independent PBM reducing prescription costs

Account Manager 1-3

Account ManagementPosted on Nov 12
Full-timeRemote in USA

About the Job

Requirements

  • Level I requires a bachelor's degree from a four-year college or university, or an equivalent combination of education and experience, and at least two years of account management or related client/customer service experience in a healthcare setting.
  • Level I requires at least one year of proven project management or project coordination experience using project methodology best practices; two years of internal MedImpact experience may substitute for this requirement.
  • Level I candidates must be familiar with healthcare-related state and government regulations such as Medicaid and CMS.
  • Level II requires a bachelor's degree from a four-year college or university, at least four years of account management or related client-services experience, and at least four years of project management or project coordination experience using project methodology best practices.
  • Level II candidates must be familiar with healthcare-related state and government regulations such as Medicaid and CMS.
  • Level III requires a bachelor's degree from a four-year college or university, at least six years of account management or related client-services experience, and at least six years of project management or project coordination experience using project methodology best practices.
  • Level III candidates must be familiar with healthcare-related state and government regulations such as Medicaid and CMS.
  • Candidates must have intermediate to advanced skills in Microsoft Office, Word, Excel, PowerPoint, Project, and Outlook; intermediate to advanced knowledge of Visio; and experience using multiple business software applications.
  • Pharmacy Technician licensure or national certification is desired; MedImpact internal certifications, including MedAccess Certification, Cognos, and Med Coaching Certification, must be completed within one year of active employment in the role.
  • Candidates must be exceptionally consultative in face-to-face client interactions and have strong numerical, verbal, written, logical, and analytical skills.
  • Candidates must be able to communicate proposed design solutions consultatively and provide input and guidance that fosters understanding among internal partners and clients.
  • Candidates must have business acumen and understand the business processes of pharmacy benefit management services.
  • Candidates must have decision-making and problem-solving skills, including problem analysis and discernment under pressure.
  • Candidates must have planning, organizing, prioritizing, negotiating, team-building, and leadership capabilities.
  • Candidates must be able to interact positively with clients at all levels of their organizations and be accountable for service commitments and results under tight timelines.

Responsibilities

  • Develop, build, and maintain client business relationships from onboarding through the client lifecycle, including establishing rules of engagement, orienting clients, following company processes and services, communicating client commitments and expectations to internal partners, and managing day-to-day operations and new implementations.
  • Ensure appropriate service and operational support by understanding and championing clients’ operating requirements across the organization, including their business models, targeted markets, benefit design objectives, pharmacy network composition, claims adjudication expectations, reimbursement methodologies, metrics, and reporting tools.
  • Maintain and improve service performance, resolve issues across the organization, escalate service recovery efforts, provide timely feedback to internal and external customers, improve customer satisfaction, and incorporate service gaps and lessons learned into client performance and planning strategies.
  • Lead core and extended client-team members in meeting client needs and delivering effective service during business relationship management and renewal phases.
  • Follow procedural and quality standards for 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.
  • Lead implementation and onboarding of new business for existing clients, including completing 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, and leading site visits and conference calls.
  • Use project management skills to track milestones and deliverables, identify and communicate risk indicators promptly, and provide regular status updates to internal and external leadership.
  • Educate clients on MedImpact systems and processes so they are fully oriented to the company.
  • Manage clients and consultants in compliance with client service agreements and mitigate risks from non-adherence.
  • Partner with multiple business units and teams to ensure accurate claims-adjudication setups.
  • Understand, document, and communicate clients’ 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.
  • Complete assigned special projects, such as leading workgroups, overseeing projects or development of new system functionality, and mentoring or training staff.
  • Provide regular feedback to the management team on client-requirement status and business-development opportunities that could improve operational efficiency.
  • Identify and recommend solutions for client and operational improvements.

Desired Qualifications

  • For Levels II and III, healthcare, pharmacy benefit management, managed healthcare services, insurance, or other health-related experience is strongly preferred.
  • Pharmacy Technician license or national 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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