Exemption Status:

United States of America (Exempt)

$64,269 - $87,568 - $110,866

“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, mentors, and provides supervisory guidance and oversight to formulary administration specialists;

• Oversees the staff that manages the operational formulary processes, configuration and implementation activities for all Commercial, Part D, Medicaid, and Marketplace lines of business and Enterprise Formulary System. This includes technical and workflow support, intake assessment and assignment, and quality review of formulary work product prior to implementation and client distribution.

• Coordinates inter and intra-departmental and external inquiries and requests surrounding the past plan year audits, the current plan year maintenance and the future plan year build concurrently;

• Provides formulary-specific documentation of maintenance activities to clients and regulatory bodies as appropriate. Ensures compliance with policies and procedures and how-to guides for Formulary Administration and Strategy ;

• Maintain and update policies and procedures

• Maintain and update job aids for Formulary Administration Specialists

• Manages and contributes to current priority projects, programs, or initiatives as defined by leadership. Coordinates inter and intra-departmental project activities and groups as necessary to meet project goals and timeframes;

• Provides direct client consultation on designated Formulary Administration and Strategy formulary maintenance operations, programs, and software;

• Assists in the delivery of appropriate, accurate, and consistent client specific formulary claims adjudication, formulary flat files, Plan Finder file, and other related program materials.

• Responsible for accurate and timely task estimation and status reporting to Formulary Administration and Strategy  management. Executes within the confines and timeframes provided by CMS which may include non-standard business hours.

• Other reasonable tasks related to this job or to tasks in other departments that may be within the individual’s skill set, as needed by management.

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.

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 posit