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Director, Pharmacy Network Administration

Director, Pharmacy Network Administration

MedImpactSan Diego, CA, US
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Director, Pharmacy Network Administration

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 healthcare. 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

Summary

The Director, Pharmacy Network Administration develops and promotes the overall vision, goals, objectives, and strategies for assigned work groups in line with the overall organization strategic priorities. Directs the staff, assets, processes, and work activities of assigned work groups to ensure the highest quality service levels are maintained and business unit goals are aligned, and all strategy is in compliance with all legal, federal, and state regulations, as with the strategic direction of corporate initiatives. Develops and executes plans to achieve client, pharmacy, and customer commitments. Relies upon extensive experience, judgment, business & systems knowledge, and technical skill to plan and accomplish goals.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Responsible for pharmacy network profitability and providing high quality, comprehensive pharmacy network management services to book of business consisting of specified pharmacy chains or provider type, including maintaining the appropriate access, mix, and geographical distribution of network providers for Retail, Long Term Care, Mail Order, Specialty, Home Infusion, and / or Indian Tribe networks;
  • Partners with client teams and internal and external stakeholders to develop network strategies to achieve growth plans, rate requirements, access standards, and network performance commitments;
  • Collaborates with Pharmacy Network Strategy and Network Operations Management staff to implement new networks, enhance existing networks, and evaluate network performance & alignment with business objectives;

Supervisory Responsibilities

Manages assigned staff in the segment area. Responsible for the overall direction, coordination, and evaluation of the unit. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Supports and enforces all company policies and procedures in a fair and consistent manner, taking corrective action whenever necessary.

Client Responsibilities

This is an internal and external client-facing position that requires excellent customer service skills and interpersonal communication skills. One must be able to; manage difficult or emotional client situations; respond promptly to client needs; solicit client feedback to improve service; respond to requests for service and assistance from clients; meet commitments to clients.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education and / or Experience

BA / BS Degree or equivalent; plus 10 years' related experience; 10 years of SME in respective area(s); (or equivalent combination of education and experience); and 8 years supervisory experience; Supervisory experience may be substituted with 10 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader at the Director level or above that must be completed within 12 months in new position.

Computer Skills

Experienced in Microsoft Office Suite word processing software, Excel. SQL and Access Database highly desired.

Other Skills and Abilities

  • Candidate must demonstrate strong leadership skills and be able to lead diverse teams. Extensive knowledge of PBM or Healthcare industry. Proficient with personal computers and MS Office. Strong project management, financial acumen, quantitative, analytical, verbal and written communication skills. Candidate must be detail-oriented, organized and have a sense of urgency to meet deadlines and the ability to direct and manage multiple concurrent priorities.
  • Reasoning Ability

  • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
  • Ability to define problems, collect data, establish facts, and draw valid conclusions.
  • Mathematical Skills

  • Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.
  • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
  • Language Skills

  • Ability to read, analyze, and interpret the most complex documents.
  • Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
  • Verbal Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
  • Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
  • Competencies To perform the job successfully, an individual should demonstrate the following competencies :

  • Business Acumen
  • Directing Others
  • Organizational Agility
  • Conflict Management
  • Drive for Results
  • Political Savvy
  • Customer Focus
  • Innovation Management
  • Strategic Agility
  • Decision Quality
  • Managerial Courage
  • Physical Demands

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. Visual acuity to 20 inches required. The employee must occasionally lift and / or move up to 25 pounds.

    Work Environment

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

    The noise level in the work environment is usually moderate (examples : business office with computers and printers, light traffic).

    Work Location

    This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.

    Working Hours

    This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, at weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8 : 00am to 5 : 00pm.

    Travel

    This position requires no travel, however attendance may be required at various local conferences and meetings, and travel to the Home Office occasionally.

    This position requires domestic travel of up to 25% of the time.

    The Perks :

  • Medical / Dental / Vision / Wellness Programs
  • Paid Time Off / Company Paid Holidays
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