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Manager, Configuration Services

4 months ago


San Diego, United States MedImpact Healthcare Systems Full time

Exemption Status:
United States of America (Exempt)

$78,444 - $105,900 - $133,356

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**:

- Position Summary:

- Provides direction and guidance to achieve departmental goals and objectives as related to Configuration Services. Responsible for leadership oversight of all core business functionality associated with (1) pharmacy benefit configuration; (2) Network Pharmacy Provider configuration; and (3) Formulary configuration and all functions as related to the new and existing clients’ pharmacy benefit management programs. Manages configuration timeliness and quality to ensure accuracy of configuration operations and services provided to our customers. Serves as an interdepartmental liaison to assure open communication and collaboration with client facing teams to drive timely operational execution and service delivery as related to configuration functions.
- Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Manage assigned group (Configuration Specialists, Configuration Analysts, Testing & Validation Analysts, Lead Configuration Analyst, and Configuration Solution Architects) in the development, implementation, and maintenance of client-specific benefit designs focused on meeting the client’s satisfaction in the areas of Service Delivery, Performance Expectations, Claims Adjudication Accuracy, and Growth in Membership and Profitability.
- Develops and implements operating plans for enhancing the business and meeting strategic objectives. Provides day-to-day leadership and direction to provide exceptional service to clients by achieving service commitments, including developing and administering policies & procedures, business processes, quality standards, measurement criteria, project management standards, and operating budgets.
- Provides leadership in order to recruit, manage and retain the necessary resources to successfully perform the duties of the assigned work group(s). Develops staff to meet the current and future needs of the organization. Models and cultivates staff behaviors that achieve business success, including leadership skills, collaboration, accountability, and ownership. Ensures that staff members are aware of business plan objectives, individual accountabilities, and the competencies critical to successful job performance.
- Manages work group(s) to achieve service commitments, including sustainable, measurable, accurate, reliable, and timely execution of project deliverables. Provides day-to-day leadership and direction including, developing and administering policies, business processes, quality standards, measurement criteria, and operating budgets. Sets high standards and encourages new ideas for improving organizational performance.
- Finds new ways to reduce the cost, improve efficiency, mitigate loss, and increase the profits. Implements budgets and long term goals in order to ensure efficiency. Ensures the financial objectives set by the company are met.
- Leads and promotes continuous improvement by developing and documenting business processes, assigning roles and responsibilities, and measuring results. Identifies and leads the improvement opportunities for assigned work group(s) and business processes. Seeks out and actively participates in business initiatives that contribute to service excellence.
- Partners with other MedImpact business units to effectively resolve customer issues and inquiries, implement new business, design solutions that meet the mutual needs of MedImpact and our customers. Supports new product offerings and strategic sales & marketing efforts. Actively participates as a key member of cross functional workgroups, teams, and committees as assigned.
- Partner with Account Executives on client financial restitution activities, including report validation and documentation.
- Identify and lead business process improvement activities.
- Oversight responsibilities for all client team projects including yearly Part D re-implementations and other implementations identified as maintenance of bus