MedImpact Healthcare Systems, Inc.

Product Manager

• Responsible for reviewing, analyzing, evaluating, defining, planning, and managing specialty products and services that includes new development and enhancements to existing products and services as well as the complete lifecycle for the delivery of entirely new products and services.
• Leads and mentors the efforts of a multi-disciplinary Product Team throughout various stages of the product development lifecycle, and may be required to lead, guide, mentor, train and develop more junior product managers.
• Defines and manages metrics to effectively measure the success of product and service deliverables.
• Actively researches and stays abreast of specialty trends in the marketplace to ensure the product’s competitive position.
• Following outlined product development and management processes, manages the overall scoping, planning, business requirements definition and delivery of products and services to customers from idea inception through design, development, delivery, ongoing support and enhancement and potentially retirement across the full product lifecycle.
• Provides subject matter expertise and best practices related to product development and process management, and is the Product Expert for assigned products, applications and services.
• Coordinates and participates in user acceptance testing efforts to ensure the delivered product meets the required functionality, user interface and performance requirements.

RSS Specialty Product Manager, II

Project Manager

• Working within the Government Programs and Services (GPS) department, the Project Manager provides leadership, organization, and coordination for new fee-for-service Medicaid client implementations.
• Responsible for creating, coordinating, and executing complete project plans and associated documentation.
• Lead multi-disciplinary project teams through all phases of the new client on-boarding and implementation lifecycle.
• Partner closely with internal and external client stakeholders to ensure successful client implementations occur according to contractual requirements.

Project Manager III

• Define and drive the strategic roadmap for the organization’s Medicaid solutions;
• Serve as the primary product leader responsible for prioritizing enhancements;
• Identify opportunities to expand our Medicaid capabilities;
• Act as a senior product strategist within Agile/Scrum teams;
• Partner closely with engineering leadership to drive development throughput;
• Provide oversight and guidance to other Product Managers and Analysts;
• Support the successful implementation and onboarding of new Medicaid clients;
• Collaborate with implementation teams to translate client requirements;
• Ensure the product roadmap reflects both client needs and internal optimization opportunities;
• Work closely with compliance, finance, and regulatory teams;
• Engage with Medicaid clients and industry groups;

Principal, Medicaid Product Management Strategy and Delivery

Consultant

• Develop, write, and edit proposal responses of moderate to advanced complexity
• Analyze each RFP and RFI assigned
• Complete each RFP and RFI assigned
• Manage internal communication related to each project
• Utilize proposal database, processes, and SMEs to write, research, and coordinate proposal responses
• Complete color team reviews aligned with internal timelines
• Work with proposal management and sales to implement edits
• Develop proposal attachments as required
• Proofread and perform quality assurance checks on all documents
• Complete multiple complex projects with competing deadlines
• Provide proposal management and information support

Proposal Consultant II

Data Engineer

• Orchestrates and leads several functional areas within the data platform under Technology Services
• Works at the strategic level for optimizing and streamlining processes and defining data platform design and strategy roadmaps
• Responsible for evolving and modernizing the enterprise Business Intelligence reporting platform and data infrastructure
• Oversees enterprise projects from the initiation phase through production readiness and capability management
• Drives AI innovation by leveraging data for predictive analytics to internal and external customers
• Directs the modernization of the Business Intelligence (BI) reporting ecosystem
• Manages and leads subordinates in the management and administration of data platform

Director, Data Platform Design – Strategy

Business Analyst

• Uses statistical analysis and other data analysis methods to work with leadership team to support internal and external clients.
• Assists with implementations by extracting, analyzing and reconciling MedImpact’s data to previous vendor’s data, and researches any discrepancies identified.
• Presents results to internal and external stakeholders, with possible solutions.
• Sets up and documents parameters for standard reporting packages in accordance with defined reporting protocols and enterprise standards.
• Creates ad hoc reports utilizing database and software applications.
• Gathers requirements for new report and system development, resolves ambiguities and conflicts, ensures requirements are complete, and communicates progress to internal and external customers as necessary.

Business Analyst III

Sales

• Lead all aspects of territory management of the assigned territory
• Work with brokers, consultants, prospective clients and related sales & marketing initiatives
• Develop solid business relationships with prospects
• Execute strategies and sales tactics in areas like territory planning
• Maintain a detailed prospect CRM database by qualifying leads
• Organize and conduct sales presentations, site visits and product demonstrations
• Foster ongoing mutually beneficial relationships with national and regional consultants

Sales Director – Self-Insured

• Uses statistical analysis and other data analysis methods to work with leadership team to support internal and external clients
• Assists with implementations by extracting, analyzing and reconciling MedImpact’s data to previous vendor’s data, and researches any discrepancies identified
• Presents results to internal and external stakeholders, with possible solutions
• Sets up and documents parameters for standard reporting packages in accordance with defined reporting protocols and enterprise standards
• Creates ad hoc reports utilizing database and software applications
• Gathers requirements for new report and system development, resolves ambiguities and conflicts
• Assists with Sprint Management and testing
• Adheres to strict procedural and quality standards, including thorough & accurate documentation and validation protocols

Business Analyst IV

Events

• Analyzes and reconciles PDE entries rejected by CMS, including adjustments related to eligibility, TrOOP, cost sharing, gap discounts and LICS status.
• Identifies gaps in the benefit and formulary design structure and ensures prompt resolution of all setup issues that impact claims adjudication.
• Identifies trends and markers of problematic claims data and conducts root cause analysis.
• Defines and documents requirements for technical specifications, data requirements, and procedures for analysis, reconciliation, and validation.
• Maintains current understanding of customers' Medicare Part D coverage and benefit plans for accurate data preparation.