MedImpact Healthcare Systems, Inc.

Manager

• Support the Government Programs and Services Medicaid Fee-For-Service organization
• Analyze clients’ requirements and develop, execute, and monitor QA and testing strategies for implementations and enhancements
• Develop and manage processes ensuring products meet quality requirements
• Create and manage master testing plans and strategy documents
• Coordinate quality assurance testing processes including system and integration testing
• Identify and document issues, bugs, defects, and ensure prompt remediation

Fee-For-Service Testing Manager

Events

• Analyzes and reconciles PDE entries rejected by CMS
• Identifies gaps in the benefit and formulary design structure
• Defines and documents requirements for technical specifications, data requirements, and procedures
• Utilizes multiple company databases to obtain, record, and analyze complex claim information
• Maintains current understanding of customers' Medicare Part D coverage and benefit plans
• Recommends improvement in workflow processes
• Ensures continuous improvement of Medicare claims data through root cause analysis of errors
• Responsible for the establishment and maintenance positive working relationship with both internal and external customers
• Participates customer conference calls as the subject matter expert

Prescription Drug Event Analyst I

Technical Project Manager

• Plans, directs, and coordinates Information Technology projects and programs related to Government Programs products
• Ensures project goals and requirements are met on schedule and within budget
• Manages escalated issues and demonstrates appropriate escalation of issues as needed
• Leads the efforts of a multi-disciplinary project team through various stages of the project lifecycle
• Works in partnership with internal/external client counterparts and various departments throughout the project duration

Technical Project Manager III

Account Executive

• Provides client support services to clients and AE(s) in pursuit of the strategic goals of assigned client(s) and the respective Business Unit.
• Provides internal oversight and tracking of projects and client initiatives to include implementation support of new groups.
• Supports the RFP response process for client’s prospective groups, as well as coordination with Proposals and other internal teams as necessary to include completion of Account Renewal Forms, when applicable.
• Supports the AE with service contract process to ensure accurate and timely invoicing to assigned clients.
• Participates in benefit fairs as needed to support client’s sales initiatives to new groups.
• Assists with tracking and monitoring of client performance guarantees to include facilitation of root-cause analysis and corrective action plans.
• Working under the oversight of the Account Executive, assists with creation of internal and external presentations in support of client initiatives, projects and quarterly business and financial reviews.
• Tracks the delivery of contractual reporting requirements to clients as assigned.
• Assists AE with the contract document requests process for Non-Disclosure Agreements, Amendments, Work Orders, Exhibits, and notifications.
• Assists with monitoring client financial performance of client’s group business by utilizing internal pro-forma financial tools and forums.
• Builds strong and positive internal relationships with the account service matrix team in order to ensure service excellence and client retention.
• Coordinates with MedImpact subject matter experts to increase knowledge of MedImpact products, services, and industry information to be incorporated into client solutions, as necessary.
• Provides preparation and support for client business planning meetings, quarterly and annual business and financial review meetings, client leadership meetings, and internal team strategy planning discussions (as needed).

Associate Account Executive

Project Manager

• Provide leadership, organization and coordination for key initiatives related to MedImpact’s program and product offerings
• Create, coordinate and develop complete project plans and associated documentation
• Lead multi-disciplinary project teams through various stages of the project lifecycle
• Communicate with project staff to outline work plan, assign duties, responsibilities, and scope of authority
• Manage project progress by establishing regular meetings scheduled with project teams
• Create and communicate status reports for management, clients, and key stakeholders
• Track projects and issues closely, foster collaboration from both the business and technology groups and lead issue resolution meetings during projects

Project Manager III

Account Manager

• This position is responsible for leading and managing all operational aspects of servicing and retaining clients.
• Responsible for managing the transition of new business into MedImpact effectively, accurately, and timely.
• Ensures consistent customer satisfaction during the life cycle of the client from Conception, Implementation, Business Relationship Management and Renewal by leading and collaborating with their assigned client team, over 30 business units, and continually interacting with customers and consultants.
• The Account Manager is ultimately accountable for ensuring consistent customer satisfaction, delivering successful projects, building, and maintaining solid business relationships and successfully executing the delivery of additional revenue to MedImpact.
• Ensure products, services and project deliverables are consistent with client service agreements, appropriate service levels are achieved, project timelines and deliverables meet client requirements, issues are identified and resolved timely, and client satisfaction is achieved throughout the life cycle of the client relationship.

Account Manager I – III

Product Marketing

• Manages launch planning and ensures all product plan elements and operational readiness components are in place for a successful market launch.
• Responsible for the delivery of internal, subsidiary, and third-party products into PBM sales and account management teams, which includes new products, product extensions, and product enhancements.
• Synthesizes and creates compelling content for executive presentations, battle cards, feature matrices, market segment playbooks, SWOT, win-loss analysis, pricing comparisons, etc.
• Identifies, analyzes, and monitors existing product performance on a regular basis and suggests actions for products and services that materially contribute to overall mission and strategy of the company and product.

Product Marketing Manager

Administration

• Serve as first point of contact for clients for all Contact Center related requests and problem resolution
• Responsible for all aspects of service for assigned book of business, including member, pharmacy, physician, and client requests
• Operates as the liaison between multiple business areas in researching and resolving client specific issues, implementing process changes and new products, and training all staff members
• Develops and maintains excellent working relationships with clients
• Partners with various departments such as Configuration Services, Accounting, Pharmacy Networks, GPS and Account Managers to ensure that clients receive timely responses
• Stay current with and apply CMS requirements for Medicare Part D call center activities and understand how the company manages these regulations
• Provide consultation and recommendations for clients regarding the regulations and ensure all Contact Center processes provide high quality and compliant customer service
• Develop and implement strategic project planning that provides mutual performance objectives
• Communicate status reports for management, clients and the project team.
• Analyze data to improve strategic decision making and implementation

Client Administrator II

• The Account Executive is responsible for the success of the overall client business relationship of Complex Accounts, Strategic Key Accounts, and entire assigned book of business.
• Provides proactive and strategic support for achieving financial goals resulting from successful oversight of client deliverables, renewals and upsell activity.
• Manages all aspects of business relationships with minimal management involvement and exhibits a track record of performance that exceeds expectations.
• Ensures customer satisfaction, and effectively leads the account client team focusing on service, revenue, and operational efficiency as identified in strategic plans for the client and MedImpact.
• This position operates with a very high level of autonomy on complex business issues while requiring minimal management oversight.

Data Analyst

• Supports the delivery RFP/savings estimates, reporting, and billing processes
• Manages data file processes including intake, analysis, and quality control
• Collaborates with cross-functional teams to deliver data-driven insights

PBM Data Analyst I

Data Scientist

• Process and analyze structured and unstructured data, perform statistical modeling, and develop predictive analytics for various use cases such as drug spend forecasting, insurance plan performance optimization, medication fraud/waste/abuse detection and prevention, preventive care, and personalized treatment planning.
• Fine-tune and customize LLMs to simplify manual processes in healthcare systems, e.g., prior authorization rule extraction from guideline documents, data exchange file checking and error handling.
• Collaborate with domain experts to validate results and model performance.
• Develop and test code at all layers to make AI systems work end to end.
• Participate in design and code reviews and incorporates review feedback.
• Deploy and integrate AI systems into production environment.
• Build and maintain workflow frameworks that ensure AI performance monitoring and automated feedback loop for continuous improvement.
• Be curious and learn new technologies, keep skills current, stay on top of the industry’s best practices.
• Assist in mentoring and training less experienced team members.

Data Scientist III

Data Engineer

• Responsible for the development and administration of data pipelines, the data warehouse, and BI tools.
• Transform raw data into meaningful insights.
• Work closely with the business to gather requirements and translate into a viable solution to solve complex business challenges.
• Understand various database technology platforms and data relationships to develop robust reporting and analytic services.
• Adhere to and serve as a data warehouse resource for the organization.
• Present report data in Power BI in a meaningful way, accessible and clear for individuals at all levels of understanding.
• Develop queries, functions, stored procedures, and views to support reporting and data extraction.
• Significant experience developing reports and dashboards using Power BI and up to date with the current version of Power BI and its capabilities.
• Design, develop, and optimize complex SQL Server solutions, including stored procedures, SSIS packages, and views and other database objects.
• Participate in team-based problem solving and multidisciplinary team use of various data-driven process improvement techniques.
• Develop best practice procedures for end users to facilitate the use of reporting tools and applications.
• Practice good software engineering techniques and standards to reduce coding errors and ensure robustness and efficiency of work products.

Data Engineer – III

• The Account Executive is responsible for the success of the overall client business relationship of Complex Accounts, Strategic Key Accounts, and entire assigned book of business.
• Lead account teams, develop strategic plans, and drive revenue growth while ensuring client satisfaction.
• Coordinate with internal subject matter experts, Support implementation, and negotiate contracts.
• Build and maintain executive-level client relationships and provide ongoing strategic insights.