Manager, Clinical Account Management Operations

Exemption Status : United States of America (Exempt)

Make sure to apply with all the requested information, as laid out in the job overview below.

$110,714 - $155,000 - $199,286

Note : Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.

A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.

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

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

• Manages and leads team of CPMAs by overseeing their hiring, training, development and mentoring in order to achieve company, client, regional account team and personal objectives;
• Manages, contributes and assists in current priority projects, programs or initiatives as defined by supervisor. Provides clinical subject matter expertise and combines with business operations knowledge to ensure clinical and business appropriateness and success;
• Assists with related analytic needs to support recommendations being considered by assigned clients that align with both the clients’ and MedImpact’s mutual goals of lower net costs and high clinical quality.
• The strategic recommendations may include : benefit design and formulary analysis and suggestions, provision of clinical drug information, client P&T support and participation, recommendations for rational drug formulary positioning, on-line system edits and restrictions, on-going clinical product evaluations, and recommendations regarding client pharmacy benefit utilization and performance trends;
• Supports clinical consultative services in accordance with contracted clinical services. The CPM Analyst is an integral part of designing, developing, and driving the clinical components of their assigned account team’s strategic and financial goals.
• The CPM Analyst’s focus will be centered on using a variety of analytical tools and clinical resources to identify opportunities which simultaneously improve the plan sponsor’s quality-focused and financial performance metrics;
• Supports analytics necessary for MedImpact’s evidence-based interventions and communication programs to clients. Provides documentation of recommendations for clinically appropriate and financially beneficial clinical initiatives (e.
• g. lower net cost, generic programs, QA programs, clinical and specialty programs, and applicable rebate management);
• Coordinates clinical utilization analyses in collaboration with the Clinical Program Manager (Client Team) and presentations to clients.
• Ensures timely and accurate review of plan data, according to policy, with appropriate intervention recommendations;
• Supports, implements, and maintains DUE, DUR, and QI programs to meet plan, HEDIS, and NCQA guidelines;
• Coordinates clinical support of Drug Formulary and Preferred Drug Lists during plan sponsor’s implementation and maintenance of business in collaboration with the Clinical Program Manager (Client Team);
• Supports recommended clinically appropriate initiatives to optimize the value of MedImpact’s rebate administration program for clients while delivering on the lower net cost goal;
• Supports MedImpact P&T Committee quarterly meetings and weekly FirstDataBank (FDB) / MediSpan drug updates.

Supervisory Responsibilities

Manages assigned staff in the department. 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.

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 accommodations may be made to enable individuals with disabilities to perform the essential functions.

Client Responsibilities

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening / verbal / written).

One must be able to respond promptly to client needs; solicit client feedback to improve service; respond to requests for service and assistance from clients;

meet commitments to clients; manage difficult or emotional client situations.

Education and / or Experience

Pharm. D from an accredited program; 5 years of related managed care experience; or equivalent combination of education and experience.

Three years of supervisory experience required; 4 years of MedImpact specific experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (Director+) must be completed within 12 months in new position may substitute for the supervisory requirement.

Computer Skills

To perform this job successfully, an individual should have knowledge of Microsoft Office Suite and a working knowledge of relational databases.

Certificates, Licenses, Registrations

Valid Registered Pharmacist license in the State of California or equivalent state.

Other Skills and Abilities

• Management and / or analytical skills with health informatics experience preferred.
• Experience in promoting disease management or prescription drug cost management programs preferred.

Reasoning Ability

Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

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 general business periodicals, professional journals, technical procedures, or governmental regulations.

Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Competencies

To perform the job successfully, an individual should demonstrate the following competencies :

Problem Solving : Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions;

Works well in group problem solving situations; Uses reason even when dealing with emotional topics.

Business Acumen : Understands business implications of decisions; Displays orientation to profitability; Demonstrates knowledge of market and competition;

Aligns work with strategic goals.

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.

• Managing People : Includes staff in planning, decision-making, facilitating and process improvement; Takes responsibility for subordinates' activities;
• Makes self available to staff; Provides regular performance feedback; Develops subordinates' skills and encourages growth;
• Solicits and applies customer feedback (internal and external); Fosters quality focus in others; Improves processes, products and services;

Continually works to improve supervisory skills.

Strategic Thinking : Develops strategies to achieve organizational goals; Understands organization's strengths & weaknesses;

Identifies external threats and opportunities; Adapts strategy to changing conditions.

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 accommodations 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 listen. The employee is occasionally required to stand;

walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and / or move up to 35 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 accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

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, 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 may require approximately 10% domestic travel and may require international travel in which case a valid passport and ability to leave the United States will be required.

The Perks :

• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• Incentive Compensation
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus

To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to www.

medimpact.com / careers.

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market.

MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.

Equal Opportunity Employer, Male / Female / Disabilities / Veterans

OSHA / ADA :

To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and / or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer :

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification.

They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

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