Full-Time

Implementation Manager 1-3

Multiple Teams

Posted on 10/14/2025

MedImpact

MedImpact

1,001-5,000 employees

Independent PBM reducing prescription costs

Compensation Overview

$85.4k - $145.1k/yr

No H1B Sponsorship

Remote in USA

Remote

Candidates must be based in the United States.

Category
Operations & Logistics (1)
Required Skills
Visio
Word/Pages/Docs
Salesforce
Excel/Numbers/Sheets
PowerPoint/Keynote/Slides
Requirements
  • A Bachelor’s Degree
  • Two (2) years customer support or related account management experience in a healthcare or a Pharmacy Benefits Management (PBM) environment (Level I)
  • Four (4) years customer support or related account management experience in a healthcare or a Pharmacy Benefits Management (PBM) environment (Level II and III)
  • Experience as a user of multiple business software applications is required
  • Pharmacy Technician license or national certification desired
  • Previous system implementation experience, preferably in (PBM) environment or managed healthcare services organizations, insurance companies, and other health related entities highly desirable (Level I)
  • Experience should include a minimum of and two (2) years implementation experience, preferably in (PBM) environment or managed healthcare services organizations, insurance companies, and other health related entities (Level II)
  • Experience should include a minimum of and three (3) years implementation experience, preferably in (PBM) environment or managed healthcare services organizations, insurance companies, and other health related entities (Level III)
  • Intermediate to advanced skill set in MS Office; Word, Excel, PowerPoint, Project and Outlook
  • Intermediate to advanced knowledge in Visio
  • Upon role acceptance successful completion of MedImpact Internal Certifications within one (1) year (i.e. MedAccess Certification and Service Excellence Certification)
Responsibilities
  • Develops and builds client business relationships by delivering a positive on-boarding experience
  • Adheres 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 goals
  • Participates and facilitates enterprise activities resulting in process improvements, improve efficiencies and productivity
  • Utilizes project management skills to track milestones and deliverables, timely recognition/notification of risk indicators and provide regular status updates to Leadership internally/externally
  • Leads the implementation process, including timely and accurate documentation/sign off of the Implementation Questionnaire and other related documents
  • If necessary facilitate conflict management and resolution
  • Builds client relationships by ensuring appropriate levels of service and operational support during the implementation process
  • Effectively educates the client to MedImpact systems and processes
  • Leverages Salesforce as the enterprise customer relationship management tool for documenting all client contacts and deliverables requiring follow-up
  • Manages the project in compliance with the client service agreement eliminating any risks to MedImpact for non-adherence
  • Partners with multiple business units and teams to ensure the accuracy of claims adjudication set ups
  • Understands, documents, and communicates clients’ technical and service specifications across the organization
  • Analyzes claims results and identifies discrepancies, inaccuracies, anomalies, and unexpected consequences
  • Takes accountability for expeditious resolution of adjudication configuration issues identified during the implementation process
  • Utilizes planning, prioritizing, and organizational skills to ensure timely deliverables, high levels of quality, and efficient use of resources to achieve claims adjudication accuracy
  • Ensures appropriate back up coverage for customers during holidays, weekends, and other times
  • Maintains commitment to operational goals in the face of obstacles
  • Actively supports members of the core client team, and members of the extended team, in successfully meeting client needs and delivering flawless fundamentals during the transition from implementation to maintenance of business
  • Collaborates and cultivates positive relationships with internal and external customers through delivery of sustainable, measurable, accurate, reliable, and timely results that meet or exceed customer expectations
  • Promptly responds to service failures, resolves issues, and escalates concerns as appropriate
  • Promotes continuous improvement by ensuring adherence to quality principles
  • Seeks out and actively participates in business initiatives that contribute to service excellence
  • Actively participates in continued professional development to stay up-to-date on the latest PBM products, services and technical enhancements
  • Completes special projects as assigned
Desired Qualifications
  • PMP or PMI Certification desired
  • Must be exceptionally consultative face to face with clients
  • Outstanding numeric, verbal, written, logic and analytical skills
  • Within one (1) year of job acceptance MedAccess certification or equivalent experience, Service Excellence Certification and Project Management 101 certification or equivalent training

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

Simplify Jobs

Simplify's Take

What believers are saying

  • GLP-1 market expansion captures $100B+ obesity drug category with high-margin services.
  • Captive insurance acquisitions unlock SMB market segment demanding cost transparency alternatives.
  • Sav-Rx labor union expertise provides premium pricing power in historically underserved segment.

What critics are saying

  • October 2025 Qilin ransomware breach of 160GB data triggers HIPAA fines and client exodus.
  • CVS Caremark and Express Scripts control 80% market share, crushing rebate negotiation leverage.
  • PBM transparency laws eliminate retained rebate revenue, compressing independent operator margins permanently.

What makes MedImpact unique

  • Largest independent PBM with 20M+ members and $40B annual pharmacy transactions.
  • Vertically integrated portfolio spanning PBM, captive insurance, TPA, and specialty management.
  • GLP-1 Benefit 360 combines capped pricing, lifestyle coaching, and dietitian access uniquely.

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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

Company News

The Associated Press
Mar 24th, 2026
MedImpact launches GLP-1 Benefit 360 to tackle obesity medication costs with capped pricing

MedImpact, the largest independent pharmacy benefits company in the US, has launched two solutions to manage rising GLP-1 medication costs whilst improving patient access: GLP-1 Benefit 360 and GLP-1 Direct Fund. GLP-1 Benefit 360 offers capped pricing for plans and members, integrated lifestyle support through the MedEmpower Fuel mobile app, and access to registered dietitians. The solution addresses the issue that over half of patients discontinue GLP-1 therapy within three months by providing personalised coaching at no additional cost. The GLP-1 Direct Fund allows healthcare payers to contribute set amounts toward direct-to-consumer pricing, offering members lower out-of-pocket costs whilst protecting plans from unpredictable cost increases. Both solutions bypass traditional high-cost pharmacy models to provide predictable pricing and clinical support.

MedImpact
Mar 16th, 2026
MedImpact Announces Acquisitions of Employer Insurance and Risk Management Companies | MedImpact

SRS Benefit Partners and MSL Captive Solutions provide alternative risk financing solutions that protect employers from sky-high administrative fees and renewals

Captive Review
Mar 16th, 2026
MedImpact acquires MSL Captive Solutions and SRS Benefit Partners from SRS

MedImpact acquires MSL Captive Solutions and SRS Benefit Partners from SRS. Acquisition of the two brands focused on medical stop-loss captive solutions by MedImpact Holdings extends its portfolio of care and coverage solutions MHW Benefit Partners (formerly SRS Benefit Partners) and MSL Captive Solutions have both been acquired by MedImpact Holdings Inc. Both businesses were previously owned by Strategic Risk Solutions. MedImpact is one of the US' largest independent health solutions and pharmacy benefit companies. MHW Benefit Partners helps small and mid-sized businesses, working independently or in groups, form, grow, and evolve captives, consortiums, and other employee benefit programmes. MSL Captive Solutions provides medical stop-loss insurance to protect self-insured employers from potentially catastrophic healthcare claims. Partnering with A-rated insurance companies, it underwrites individual employer stop-loss and captive programmes. Announcing the deals, MedImpact stated they expand its portfolio of care and coverage solutions, "providing employers with modular, cost-effective alternatives to traditional insurance carriers." "By integrating specialised risk management and alternative financing, MedImpact offers small and mid-sized businesses the transparency, flexibility, and cost control typically reserved for large, self-insured corporations," the company said. The two companies join MG Insurance as MedImpact's main risk management and underwriting brands, providing captive programmes and stop-loss protections. "Small and mid-sized businesses today struggle to manage runaway healthcare costs with the inflexible and opaque traditional insurance programmes," said Zach Johnson, MedImpact executive vice president. "We are putting power back in the hands of employers by giving them innovative alternatives, transparency, flexibility, and total control."

Captive Insurance Times
Mar 13th, 2026
MedImpact acquires MSL Captive Solutions and MHW Benefit Partners

Image: MedImpact_MHW Benefit Partners_MSL Captive Solutions_SRS Benefit Partners MedImpact acquires MSL Captive Solutions and MHW Benefit Partners. MedImpact Holdings, Inc., an independent health solutions and pharmacy benefit company, has acquired two risk management firms, MHW Benefit Partners and MSL Captive Solutions. The acquisitions expand MedImpact's portfolio of care and coverage solutions, providing small and mid-sized businesses with alternative financing and specialised risk management typically reserved for large, self-insured corporations. MHW Benefit Partners, formerly known as SRS Benefit Partners, assists businesses in the formation and evolution of captives, consortiums and other employee benefit programmes. MSL Captive Solutions specialises in medical stop-loss insurance, protecting self-insured employers from catastrophic healthcare claims. The firm partners with A-rated insurance companies to underwrite individual employer stop-loss and captive programmes. Commenting on the acquisitions, Zach Johnson, executive vice president at MedImpact, says: "Small and mid-sized businesses today struggle to manage runaway healthcare costs with the inflexible and opaque traditional insurance programmes. We are putting power back in the hands of employers by giving them innovative alternatives, transparency, flexibility, and total control." With the addition of these firms, MedImpact now offers a full suite of risk management and underwriting solutions, including captive programmes and stop-loss protections provided by MHW Benefit Partners, MSL Captive Solutions and MG Insurance. These services are integrated alongside third-party administration through Verdegard, transparent networks via PNOA and drug savings programmes through Ray Savings Solutions and Birdi. Based in San Diego, MedImpact has operated for more than 35 years, delivering tools and services designed to make healthcare more affordable and predictable for employers.

Business Wire
Mar 12th, 2026
MedImpact Expands Portfolio of Health Solutions with Acquisition of Two Employer Insurance and Risk Management Companies

MedImpact expands portfolio of health solutions with acquisition of two employer insurance and Risk Management companies. SRS Benefit Partners and MSL Captive Solutions provide alternative risk financing solutions that protect employers from sky-high administrative fees and renewals SAN DIEGO-(BUSINESS WIRE)-MedImpact Holdings, Inc., the nation's largest independent health solutions and pharmacy benefit company, today announced the acquisition of two innovative risk management firms: MHW Benefit Partners (formerly SRS Benefit Partners) and MSL Captive Solutions. MedImpact expands portfolio of health solutions with acquisition of two employer insurance and risk management companies share. These acquisitions expand MedImpact's portfolio of care and coverage solutions, providing employers with modular, cost-effective alternatives to traditional insurance carriers. By integrating specialized risk management and alternative financing, MedImpact offers small and mid-sized businesses the transparency, flexibility, and cost control typically reserved for large, self-insured corporations. * MHW Benefit Partners helps businesses, working independently or in groups, form, grow, and evolve captives, consortiums, and other employee benefit programs. These programs offer small and mid-sized businesses greater control over costs and transparency into plan administration than they have today. * MSL Captive Solutions provides medical stop-loss insurance to protect self-insured employers from potentially catastrophic healthcare claims. Partnering with A-rated insurance companies, it underwrites individual employer stop-loss and captive programs. With these acquisitions, MedImpact now offers employers a full suite of care, coverage, and risk management solutions that include: * Third-Party Administration (TPA): Integrated self-funded and level-funded programs through Verdegard. * Transparent Networks: Nationwide, direct-contracted provider access through PNOA. * Drug Savings & Clinical Programs: Advanced, high-touch clinical programs and specialty drug management through MedImpact, Ray Savings Solutions, and Birdi. * Risk Management & Underwriting: Captive programs and stop-loss protections provided by MHW Benefit Partners, MSL Captive Solutions, and MG Insurance. * Member Care & Fulfillment: High-touch home delivery via Birdi and member advocacy through Verdegard's Advanta program. Employers may choose these solutions individually or in custom bundles designed to meet their needs. "Small and mid-sized businesses today struggle to manage runaway healthcare costs with the inflexible and opaque traditional insurance programs," said Zach Johnson, MedImpact Executive Vice President. "We are putting power back in the hands of employers by giving them innovative alternatives, transparency, flexibility, and total control." About MedImpact MedImpact is the nation's largest independent health solutions and pharmacy benefit company. For more than 35 years, MedImpact has delivered innovative tools and services that make healthcare more predictable, personal, and affordable. To learn more, visit us online, follow us on LinkedIn, or contact us at [email protected].

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