Magellan Health jobs in San Diego, CA - 77 jobs

**Summary**The Vice President, Clinical Data & Analytics is an enterprise leader responsible for defining and executing MedImpact's clinical analytics vision: Proactive, Individualized, Whole-Person, and Sustainable/Scalable Care. Reporting directly to the Chief Medical Officer, this role leads the strategy, infrastructure, and delivery of advanced analytics that power MedImpact's clinical programs, client reporting, and enterprise differentiation. The Vice President will drive analytic insights that improve PMPM performance, reduce total cost of care, elevate HEDIS and CAHPS measures, and articulate MedImpact's clinical value proposition in client partnerships and RFPs. This role is foundational to enabling evidence-based, data-driven decisions across the enterprise, integrating PBM, specialty pharmacy, and medical data to achieve measurable clinical and financial impact.**Essential Duties and Responsibilities** include the following. Other duties may be assigned.**Clinical Analytics Strategy & Value Creation*** Lead development of an enterprise clinical analytics roadmap that unifies PBM, pharmacy, and medical data assets into a cohesive intelligence platform.\* Design and implement analytics frameworks that directly measure and improve PMPM savings, total cost of care, and member health outcomes.* Partner with the Chief Medical Officer and executive leadership to quantify and communicate MedImpact's value to clients through advanced outcomes reporting and HEOR analyses. Build predictive and prescriptive models to identify high-value interventions, optimize medication use, and support population health management.* Use data-driven insights to shape clinical program innovation, targeting key quality levers including HEDIS, Star Ratings, and CAHPS performance.**Client & Market Differentiation*** Develop robust, client-facing reporting and analytics packages that articulate MedImpact's clinical and economic impact.* Provide sales and marketing teams with data narratives and dashboards that strengthen the clinical sales proposition and enhance RFP competitiveness.* Represent Clinical Data & Analytics in client engagements, showcasing MedImpact's ability to deliver measurable outcomes and financial value.* Leverage benchmarking and comparative analytics to position MedImpact as a top-performing, outcomes-driven PBM partner. **Health Economics & Outcomes Research (HEOR)*** Lead all HEOR initiatives within the Clinical Division, demonstrating the value of MedImpact programs in improving adherence, reducing utilization, and optimizing total cost of care.* Develop and publish outcomes studies that support client retention and industry thought leadership.* Partner with Product and Innovation teams to incorporate HEOR findings into program design and ROI measurement. **Data Integration & Enterprise Enablement*** Create a unified, scalable data infrastructure that supports real-time analytics, predictive modeling, and clinical decision intelligence across the MedImpact enterprise.* Champion data interoperability, governance, and automation to improve analytic efficiency and reliability.* Integrate data sources across MedImpact, Birdi, and Aspen Health to enable a whole-person, enterprise-level understanding of clinical impact. **Leadership & Collaboration*** Build and lead a high-performing analytics team that blends expertise in clinical informatics, biostatistics, data science, and visualization.* Foster collaboration across Clinical Operations, Product, and Sales to ensure analytics are actionable, strategic, and aligned with enterprise objectives.* Serve as a thought partner to senior executives**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 (listening/verbal/written). 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*** Bachelor's degree in Health Informatics, Epidemiology, Biostatistics, Data Science, Public Health, or related field or equivalent required; Master's preferred; plus 15 years' related experience; 15 years of SME in respective area(s); (or equivalent combination of education and experience); and 12 years supervisory experience; Supervisory experience may be substituted with 12 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader at the Vice President level or above that must be completed within 12 months in new position.* PhD, MD, PharmD, or equivalent advanced degree strongly preferred**Experience*** 10+ years of experience in healthcare analytics, population health, managed care, PBM, or payer environments.* Proven success in leading enterprise analytics or HEOR functions with measurable impact on cost of care, quality, and client outcomes.* Deep understanding of pharmacy and medical data integration, predictive modeling, and advanced statistical methods.* Experience supporting commercial teams with data-driven insights for RFPs, renewals, and client value storytelling,**Computer Skills*** Expertise in total cost of care analytics, PMPM modeling, and performance benchmarking.* Proficiency in visualization and analytic platforms (Power BI, Tableau, SQL, Python, R)* Exceptional communication skills with the ability to translate complex data into compelling strategic narratives.* Demonstrated ability to lead and inspire cross-functional teams in a matrixed environment.**Certificates, Licenses, Registrations**None required.**Other Skills and Abilities*** Demonstrated ability to lead and inspire cross-functional teams in a collaborative environment* Demonstrated improvement in PMPM savings and total cost of care reduction.* Advancement of MedImpact's HEDIS, CAHPS, and outcomes-based quality metrics.* Growth in client retention and RFP win rates tied to analytic differentiation.* Successful integration of analytics capabilities across MedImpact's enterprise entities.Strength of data-driven culture and analytic maturity across the Clinical Division.**Reasoning Ability** * Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.,) in its most difficult phases. Ability to deal with a variety of abstract and concrete variables.* Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.**Mathematical Skills** * Ability to work with concepts such as limits, rings, quadratic and differential equations, and proofs of theorems.* Ability to comprehend and apply principles of advanced calculus, modern algebra, and advanced #J-18808-Ljbffr

A leading healthcare technology provider is seeking a Principal in Business Process Architecture and Delivery in San Diego. The role focuses on optimizing PBM and SaaS offerings through strong leadership in project teams and operational improvements. Candidates should possess over 10 years of experience in managed healthcare, robust analytical skills, and a strong familiarity with Agile practices. This role requires effective communication with both clients and internal teams, aiming to enhance product and service delivery. #J-18808-Ljbffr

Manager, Software Engineering page is loaded Manager, Software EngineeringApply locations San Diego, CA time type Full time posted on Posted 3 Days Ago job requisition id JR101882Exemption Status:United States of America (Exempt)$115,142 - $161,200 - $207,257 “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. Creates and manages complex project plans by effectively leveraging resources and managing project scope based on available information; troubleshoots issues and provides timely resolutions; guides the software development process based on prior experience, research and analysis of current and future best practices. Provides technical guidance that strikes a balance with the need to deliver on a deadline and still meet long-term strategic objectives. Monitors and directs software development to demonstrate solution design meets standard architecture considerations and approvals to include: (1) standard database structures, (2) code standards, (3) common components and reusable programs (4) security and performance levels, (5) system interfaces and dependencies. Participates on cross functional project teams (internal and external) to deliver quality solutions that meet client's business requirements. Gains a solid understanding of business requirements to support the development, testing, and production readiness efforts. Oversees the effort to create and improve product releases through continuous integration and automation. Looks for ways to automate and improve current processes/solutions within the software development lifecycle (SDLC). Assist in the assessment of current legacy systems and provide recommendations for implementing state of the art systems using the latest software and technologies. Creates and implements action plans to mitigate risks and resolve issues, working with representatives from stakeholders across the company. Manages conflicting priorities and multiple projects effectively. Participates in and leads teams in appropriate SDLC technical artifact creation. • Develops and promotes the overall vision, goals, objectives and strategies for the Software Engineering team in-line with the Information Technology Business Unit's goals and objectives. Provides day-to-day management and supervision for software engineering team by directing and coordinating activities consistent with established goals, objectives, and policies. Mentors team members from both a technical and professional career enhancement perspective by offering constructive feedback. Makes effective hires, develops and trains employees, coaches for optimal performance, gives team members regular performance feedback. Takes appropriate corrective action as needed to promote optimal employee performance and low staff turnover. Develops and maintains solid working relationships with employees and management in crossfunctional areas. Provides hands-on design guidance and documentation as needed. Keeps up-to-date with emerging IT trends and technologies and the industry's best practices. 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 (listening/verbal/written). 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 accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience BS/BA degree or equivalent plus 5+ years of experience; 1 year of SME in respective area(s); and 3+ years of supervisory experience; 4 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (Dir+) that must completed within 12 months in new position may substitute for the supervisory experience requirement. Computer Skills Solid working knowledge, understanding and hands-on experience with the tools used throughout the software development lifecycle to include the following: Proficient with MS Suite (Word, Excel, Visio, Outlook, Project) to create documentation, manage schedules, and analyze data. Software architecture and design skills to guide the development of solutions that are secure, scalable, and reliable Background required with the following applications: Oracle RDBMS and UNIX platforms o Using JIRA for work management Web Services (SOAP and REST) Depending upon area of Application Development the following skills are required: Skills specific to Data Exchange/EDI o Experience with B2B Integration technology such as Informatica DX, IBM B2B Sterling Integrator o Knowledge of job scheduling technology such as UC4 Familiarity with B2B data transmission protocols using Secure Managed File Transfer (MFT) technology such as Axway MFT, Informatica MFT Familiarity with industry standards such as ASC X12, HIPAA EDI, NCPDP, HL7 Skills for other App Dev Teams o Experience with Java Web Technology (JEE) Experience with Java frameworks such as Spring, JPA/Hibernate, and JSF o Experience working with Web Containers such as Tomcat, JBOSS, IBM Websphere o Familiarity with Web2.0 technology and Javascript Frameworks such as AngularJS o Familiarity with Portal Standards (JSR 168, JSR 286) and portal containers such as Liferay o Familiarity with Business Process Management (BPM) concepts and technologies such as IBM BPM Certificates, Licenses, Registrations None required Other Skills and Abilities Sound knowledge of industry standard best practices, development lifecycle processes and methodologies. Experience using agile methodology is a plus. Thorough understanding of quality management for large, complex initiatives Experienced in the use of metrics to drive decision making and process change Strong skills in manual and automated unit testing of data-driven back-end applications with high transaction throughput Excellent written, verbal, and presentation communication skills Proven ability to manage competing priorities in a fast-paced environment Self-motivated, able to work independently and thrive in a fast-paced, multi-tasking, high productivity environment Action-oriented, decisive approach to work required, with the willingness to take a hands-on role to ensure the deliverables are met on time Demonstrated positive and win-win attitude required, along with good negotiation and conflict resolution skills Proven experience and expertise in delivering high quality enterprise applications Proven experience working with vendors, contractors and/or outsourced teams. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Mathematical Skills Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. 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: Building Effective Teams Decision Quality Informing Confronting Direct Reports Delegation Organizational Agility Customer Focus Drive for Results Political Savvy 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 hear. The employee is regularly 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 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 accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Work Location This position must work on-site at the San Diego Headquarters for purposes of providing adequate support to internal clients; being available for face-to-face interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as for facilitation of quick and effective decisions through collaboration with stakeholders. Remote work is not an option for these purposes. Working Hours This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonable 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 requires no travel however attendance maybe required at various local conferences and meetings. 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 ************************* 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/VeteransOSHA/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. About MedImpact Who is MedImpact? MedImpact was founded more than three decades ago by a pharmacist and independent drug store owner who saw firsthand how families struggled with the high cost of prescriptions, and how it impacted their lives, financial security, and health. So he started MedImpact to make prescription benefits understandable and accessible. While we have grown to be one of the leading PBMs in America, we remain as committed to these principles today as we did when it all began. #J-18808-Ljbffr

## Manager, Trade Analytics (Must have PBM Rebate or Financial experience)### Exemption Status:United States of America (Exempt)### $115,142 - $161,200 - $207,257“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!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****Summary**The Manager, Trade Analytics leads rebate analytics strategies and provides operational oversight for MedImpact through forecast and trend management solutions. The position will be responsible for managing various strategic improvement initiatives within the department to continuously improve our client rebate reporting, rebate trends, rebate allocations and rebate payments. The position will interact with internal and external stakeholders to deliver value and support of these initiatives.**Essential Duties and Responsibilities** include the following:* Responsible for leading and directing client analytical activities for assigned segment of rebate management; including ability to analyze large data sets to identify trends, opportunities and troubleshoot issues which may arise.* This position requires a medium level expertise of SQL, including building unique queries and the ability to understand and interpret complex data quickly and accurately. The position will be expected to be creative with data analysis and interpretation, managing and adapting data to meet the unique needs of immediate requests.* Manage the training, workflow, and deliverables for assigned segment area analysts, including on the job training for analytical techniques, industry knowledge and best practices. Serve as both a team lead and individual contributor, in varying capacities throughout required tasks.* Lead quality improvement initiatives and/or strategic initiatives for Trade Analytics department to ensure high performance, high quality, efficient and consistent methods are in place, understood, and adhered to by segment area.* Develop and review statistical analysis and forecasting models according to the client, business, and management's needs including recommendations for policy, procedure, control, or action.* Continuous improvement mindset, always looking for new ways to best meet internal and external requirements with a focus on improving departmental KPIs and metrics.* Demonstrated ability to manage multiple priorities and deadlines with minimal supervision. Requires experience in developing and maintaining custom client deliverables, delivery schedules, ad-hoc reporting, and other high-touch client needs.* Represents the Trade Analytics group to senior management and cross functional teams by effectively communicating business decisions and rationale.* Represents the Trade Analytics group to high-touch clients through participation in client calls regarding rebates earned and addressing any questions or issues as they arise.* Keep up to date with industry and regulatory changes.* Other duties may be assigned.**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 (listening/verbal/written). 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**BS/BA degree or equivalent plus 5+ years of experience; 1 year of SME in respective area(s); and 3+ years of supervisory experience; 4 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (Dir+) that must completed within 12 months in new position may substitute for the supervisory experience requirement.**Computer Skills**To perform this job successfully, an individual should have strong knowledge of Microsoft Office Suite software including Word, Excel, and Access. Moderate SQL experience required.**Other Skills and Abilities*** Possess proven leadership skills, excellent communication skills (both verbal and written), analytical and financial reasoning skills Insert skills and abilities.* Requires experience in operational application of database applications, accounting, finance, or data analysis.* Demonstrated attention to detail and leading quality or process improvement initiatives.* Requires the ability to represent MedImpact at the enterprise level with proper business decisions.**Reasoning Ability** * Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.* Ability to define problems, collect data, establish facts, and draw valid conclusions.**Mathematical Skills** * Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.* 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 reports, business correspondence, and procedure manuals.**Competencies** To perform the job successfully, an individual should demonstrate the following competencies:* Building Effective Teams* Decision Quality* Informing* Confronting Direct Reports* Delegation* Organizational Agility* Customer Focus* Drive for Results* Political Savvy**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 #J-18808-Ljbffr

Exemption Status:United States of America (Non-Exempt)$22.99 - $30.35 - $37.71 “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. Weekly Drug Updates for Commercial clients Reviews weekly drug update projects, participate and assist in weekly formulary maintenance Attends Client meetings Monitors/updates Drug Rules and Auto coding rules per client requests Researches and responds to client inquiries; escalates to managers/pharmacists for complex issues Weekly Drug Updates for Medicare Part D formularies. Reviews weekly drug update projects, and participate and assist in weekly formulary maintenance Researches and responds to client inquiries; escalates to managers/pharmacists for complex issues Formulary mailbox and salesforce cases management Triages inquiries; serves as a resource for troubleshooting basic issues; escalates to managers/pharmacists for complex issues Drafts client communication to be reviewed by management; customizes templates with client instructions including clarification of roles/ responsibilities between MedImpact and the client; prepares routine client responses to email and salesforce case queries. Monthly and Pre-Plan Year ASCII Submissions Uploads CMS status tracking and responses, updates version numbers within Formulary Service's database Processes and distributes formulary ASCII submissions files to clients Uploads ASCII files to Health Plan Management System (HPMS)for standard formularies collaborating with the assigned pharmacist; Negative Formulary Changes Process Enters negative formulary changes request into formulary platform tool for standard formularies; Uploads and submits negative changes request into HPMS for Standard formularies; Processes and performs quality control for “Future Formulary Change Files” and distribute to clients for website posting; Formulary Pre-plan Year Process Reviews with the client the Formulary Implementation Questionnaire (IQ) and clarifies any questions/issues; Builds the formulary framework based on the client's implementation questionnaire for review by pharmacists; Prepare basic formulary parameters (rules) into the spreadsheet, this includes “temporary” or “special coding”; Provides audit support for claims analysis and sending client communications Performs Prior Authorization (PA) processing as needed during times of staffing shortages or absences. Works to gain a solid understanding of Formulary and PBM operations through on-the-job training, in-house educational opportunities and related external seminars or coursework. Supervisory Responsibilities This job has no supervisory responsibilities. 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 client situations. 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. Education and/or Experience Associate's degree or Certified Pharmacy Technician CPT (or equivalent combination of education and experience required). Bachelor's degree preferred. At least 1+ year pharmacy (or) 1+ year PBM industry experience working with Medicare Part D and Prior Authorization. Computer Skills To perform this job successfully, an individual should have a good working knowledge of Microsoft Office Suite (Word/Excel/Outlook) and good familiarity working with databases. Certificates, Licenses, Registrations Current Pharmacy Technician License and/or CPhT certification without restriction preferred. Other Skills and Abilities Basic PBM knowledge, Drug Information and Prior Authorization experience preferred; Familiarity with National Drug Data Provider products a plus; Medicare Part D formulary knowledge desired; Good written/verbal communication skills; good interpersonal skills as well as the ability to work cohesively with a team; Must be able to juggle multiple priorities; follow through to completion on all tasks and be detail oriented; 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. Mathematical Skills Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, ratios, area, circumference, and volume. Ability to apply concepts of basic algebra. Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively to customers and employees of organization. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Competencies To perform the job successfully, an individual should demonstrate the following competencies: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy 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 hear. The employee is frequently required to use hands to finger, handle, or feel. The employee is occasionally required to stand; walk and reach with hands and arms. The employee must occasionally lift and/or move up to 10 pounds. 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. 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 a non-exempt position requiring one to be able to work overtime occasionally in order to get the job done. Therefore, one must have the ability to work nights, weekends or on holidays as required. This may be changed at any time to meet the needs of the business. The typical working hours for this position are Monday through Friday from 8:00am to 5:00pm. Travel - This position requires no travel however attendance maybe required at various local conferences and meetings. 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 ************************* 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/VeteransOSHA/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.

Exemption Status:United States of America (Non-Exempt)$19.11 - $24.65 - $30.19 “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 DescriptionMedImpact's Managed Care Pharmacy Residency Program is a one-year program that develops future managed care leaders by building a strong foundation of knowledge in both clinical and managed care principles. By working across multiple teams serving all lines of business, the diverse experience gained will amply prepare the resident for a career in managed care pharmacy.The Managed Care Pharmacy Resident provides support to the Government Programs and Services (GPS) team and other departments through managed care learning experiences (rotations) and longitudinal projects. The rotations/projects will include a breadth of disciplines including clinical operations, utilization and formulary management, clinical account services, quality assurance and improvement, government program management, analytics and research.Essential Duties and Responsibilities include the following. Other duties may be assigned. Perform cost savings and member impact analyses after learning benefit design and utilization management strategies. Contribute to clinical quality programs, such as Drug Utilization Review (DUR), Transitions of Care and other initiatives to improve HEDIS and CMS Star Ratings. Support clients by developing and implementing quality and cost savings initiatives and managing custom formularies across all lines of business. Participate in the management of government programs to evaluate and facilitate regulatory programs. Perform quality program oversight and develop quality improvement initiatives while supporting oversight audits. Evaluate prior authorization requests and understand the regulatory requirements governing prior authorization reviews, which includes four hours of weekly staffing. Assist in P&T material preparation and weekly drug updates. Present at MedImpact P&T Committee meetings. Develop presentation skills to lead meetings while learning to manage projects and navigate corporate complexities. Conduct a longitudinal research project designed for presentation at AMCP Annual Meeting. Education and/or Experience PharmD from an ACPE-accredited school of pharmacy Minimum GPA of 3.0 Managed Care experience preferred Certificates, Licenses, Registrations Must obtain Registered Pharmacist license in state of residence and Kentucky by October 1st of the program year. Other Skills and Abilities Strong analytical and problem-solving capabilities Excellent communication and presentation skills Ability to work independently and as part of a team Knowledge of PBM operations, drug formulary systems, and healthcare regulations Reasoning Ability Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.,) in its most difficult phases. Ability to deal with a variety of abstract and concrete variables. Ability to define problems, collect data, establish facts, and draw valid conclusions. Language Skills - Choose up to 1 from each drop-down list. Ability to effectively present information to top management, public groups, and/or boards of directors. Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy 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 hear. The employee is regularly 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 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 accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Working Hours This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonable 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 requires domestic travel of up to 25% of the time. Please include Letter of Intent AND Curriculum Vitae (CV) in Workday along with submission of application. Official transcript must be emailed directly from pharmacy school to ******************************. Three letters of recommendation must be emailed directly from letter writers to ******************************. 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 ************************* 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/VeteransOSHA/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.

### Exemption Status:United States of America (Exempt)### $95,717 - $132,808 - $169,898“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!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.* Gains a thorough understanding of functional requirements for new software requests. Works with Business Systems Analysts to understand and clarify software requirements and translate into working software.* Designs, develops and performs testing of software to meet functional requirements.* Practices good software engineering techniques and standards to reduce coding errors and ensures robustness and efficiency of work products.* Partners with software team in the development of the software engineering processes.* Works to identify and resolves technical or product problems.* Participates in software project meetings and provides status reports.* Translates technical designs into working software.* Maintains existing applications by enhancing software and troubleshooting issues.* Collaborates with team members and partners with others as needed to ensure successful completion of assigned software development tasks.* Participates in code reviews and incorporates recommendations.* Applies software engineering and Object Oriented Design principles in creating UML diagrams and technical design documents for software components.* Partners with team members and technical project lead to ensure component design fits in with the overall solution.* Adopts new techniques and technologies.* Initiates attendance at job related training to keep skills current; maintains current understanding of the industry's best practices.* Assists with mentoring and training of less experienced IT staff members.**Supervisory Responsibilities** No supervisory responsibilities.**Client Responsibilities**This is an internal (and external to IT) client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). 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 accommodations may be made to enable individuals with disabilities to perform the essential functions.**Education and/or Experience** Bachelor's degree (or equivalent) and 5+ years' related experience in the essential job functions listed. Prior PBM or healthcare experience is helpful but not required.**Computer Skills** - Demonstrable skills required in the following areas:* Excellent working knowledge of a variety of currently used programming languages such as JAVA, SQL, PL/SQL, etc. Thorough knowledge of software methodologies, distributed networking, databases, communications, and multiprocessing applications* ORACLE (latest version) RDBMS; UNIX and/or Windows environments* Scripting, Shell Scripting* Object Oriented Analysis and Design (OOAD)* Familiarity with Service Oriented Architecture (SOA)* Familiarity with Distributed Software Architecture* Web Application Architecture* Tools such as: JSF, Tomcat, Apache, JPA with Hybernate, J2EE, JSP/SERVLET, Struts, XML* Agile and Waterfall methodologies; requirements gathering; flow diagrams* Good familiarity with JAVA design and development, design patterns, complete application development lifecycle, and at least one scripting language* Familiar with database interfacing and relational database management systems (RDBMS such as Oracle or similar)* Familiar with Object Oriented and procedural languages* Familiar with UNIX/Linux command level experience and Shell scripting and build automation knowledge* JAVA Scripting**Certificates, Licenses, Registrations**None required**Other Skills and Abilities** * Demonstrated ability to work collaboratively on project teams and/or matrix-managed teams.* Ability to appropriately schedule and prioritize multiple projects to ensure timely and effective delivery of IT solutions.* Excellent written and verbal communications skills with emphasis on translating technical concepts to non-technical audiences.* Results oriented and ability to juggle multiple concurrent projects with changing priorities and deadlines* Familiarity with PBM business model (plans, programs, and practices) as well as pharmaceutical practices (nomenclature, medications) helpful.**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.**Mathematical Skills** Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.**Reasoning Ability** Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.**Competencies** To perform the job successfully, an individual should demonstrate the following competencies:* Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.* Business Acumen - Understands business implications of decisions; Displays orientation to profitability; Demonstrates knowledge of market and competition; Aligns work with strategic goals.* Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.* Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals. Completes tasks on time or notifies appropriate person with an alternate plan.* Initiative - Volunteers readily; Undertakes self-development activities; Seeks increased #J-18808-Ljbffr

**Summary**The Director, Business Intelligence (BI) and Reporting Platform is a pivotal leadership role responsible for defining and executing the organization's data delivery strategy to drive operational efficiency and client value. The Director will lead the BI function, ensuring all analytics, reporting, visualization tools and platform are secure, accurate, and aligned with strategic business outcomes. This role balances team leadership, platform governance, and continuous alignment with internal business and clinical partners and external customers, while also leading the integration of multiple BI teams into a single cohesive unit. Crucially, the Director will iterate and deliver on the MedImpact BI Reporting vision, evolving standard reports into advanced analytics, including predictive and prescriptive modeling and AI integration, to provide deep, strategic insights and actionable recommendations to internal and external customers**Essential Duties and Responsibilities** include the following. Other duties may be assigned.**Strategic Leadership & Business Alignment*** **Own the BI Reporting Vision:** Iterate, prioritize, and communicate the multi-year One Reporting roadmap, ensuring all development efforts move beyond standard reporting to include predictive analytics, prescriptive recommendations, and AI third party data integration.* **Drive Strategic Outcomes:** Spearhead the delivery of advanced analytics capabilities (such as utilization trend forecasting, benefit and network optimization simulations, identification of non-adherence risks), and fraud waste and abuse identification that provide actionable recommendations to address identified clinical and savings opportunities.* **Executive Advocacy:** Serve as the primary IT liaison for BI, presenting insights and roadmaps to senior leadership and key business partners (Finance, Claims, Client Services, and Clinical Analytics). Secure the necessary CapEx and OpEx funding for platform evolution and maintenance and team growth.* **Data Governance & Quality:** Chair or actively participate in the **Data Governance Committee** to establish and enforce enterprise-wide standards for data definitions, security, and quality assurance, ensuring reports drive accurate business outcomes.* **Client & Stakeholder Management:** Translate complex business requirements into technical BI deliverables, ensuring that all reporting adheres to external client needs and regulatory standards (e.g., HIPAA, CMS, WCAG).**Platform Management & Architectural Governance*** **Platform Oversight:** Direct the design and maintenance of the BI reporting architecture, ensuring the platform achieves high availability, scalability, and optimal integration with underlying data sources.* **Project Leadership:** Oversee significant technical projects, including the planned transition from multiple legacy platforms to a single environment, focusing on project timelines, risk mitigation and internal and external change management.* **AI Integration:** Partner with the AI and platform teams in building out the infrastructure and APIs necessary to integrate in-house built AI models and external data science tools into the reporting platform environment, supporting AI-guided data analysis and dashboard creation.* **Security & Compliance:** Oversee the implementation of security protocols (RBAC, data masking, encryption) within the BI environment to meet all internal policies and external compliance requirements.**Team Management & Operational Excellence*** **Team Integration & Morale:** Champion the cultural integration of consolidated BI reporting teams and technologies into a single, cohesive unit. Proactively manage team morale, resolve conflicts, and foster a unified culture of data excellence throughout the platform deployment.* **Team Leadership:** Lead and mentor a specialized team including BI Developers, BI Platform Administrators, and Analytics & Reporting Specialists. Establish clear roles and responsibilities to separate development work from platform maintenance.* **Operational Governance:** Implement and enforce a structured process for the report lifecycle, including promotion from Sandbox to User Acceptance Testing and final deployment to Production.* **Performance Optimization:** Oversee the administration team's efforts in capacity planning, load balancing, and server tuning to ensure the BI platform delivers high performance.* **Talent Strategy:** Champion the recruitment and development of technical staff proficient in advanced analytics and AI model consumption, ensuring the team can translate member, clinical, and claims data into quantifiable opportunities that drive strategic business solutions.**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 (listening/verbal/written). 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*** Strong command of SQL and deep familiarity with data modeling concepts.* Experience with BI platforms (e.g., Apache Superset, Cognos and Tableau) is highly desirable.* Experience in integrating AI models into BI platform and reporting**Certificates, Licenses, Registrations**None required.**Other Skills and Abilities*** Proven ability to build and deliver an advanced analytics roadmap that includes predictive, prescriptive, and AI capabilities, translating complex models into clear, actionable business recommendations.* Demonstrated ability in change management to drive successful adoption of new technologies across a large organization, overcoming technical and cultural resistance.* Proven ability to manage complex organizational change, merge diverse technical teams, and actively optimize team morale during periods of high-stress change or migration.* Ability to discuss and make decisions regarding data pipelines, performance optimization, and server infrastructure with Infrastructure and DBA teams.* Unwavering commitment to data quality, security, and regulatory compliance in a sensitive healthcare environment (PBM/HIPAA).* Excellent written and verbal communication skills, with the ability to translate complex technical issues into #J-18808-Ljbffr

Exemption Status:United States of America (Exempt)$108,515 - $152,464 - $196,412 “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 Summary The Drug Classification & Maintenance Pharmacist participates in the development and maintenance of Core Formulary Processes focusing on the Formulary Maintenance Weekly Drug Update activities including Proxy and CUI maintenance related to the Part D MedImpact Standard and Custom formularies and other functions as required Essential Duties and Responsibilities include the following. Other duties may be assigned. • Principal SME Pharmacist on CMS Part D drug eligibility and placement. Maintains and oversees appropriate Part D assignment and CUI mappings of drugs consistent within utilization management groupings of drugs. Reviews new drug categorization changes to customize, implement, and integrate with MedImpact formulary products as appropriate. Monitors drug vendor and regulatory bodies for operational or strategic market changes. Collaborates with the MedImpact National Drug Data File (NDDF) Team as well as MedImpact Drug Information Services to ensure success. • Performs complex data analytics based upon external drug data provided to MedImpact by FDB, MediSpan, RXNorm and CMS FRF. • Acts as a clinical and analytical subject matter expert on areas pertaining to Part D drug mapping and classification and supports development and implementation of mapping and PPDL programs. • Responsible for interpretation and implementation of CMS guidance related to each of the Part D PPDL drug lists. Maintains Formulary Services' CMS Part D Pre-Processing Drug Lists (PPDL) which include weekly review and yearly update CMS_PPDL Drug Lists: The accurate maintenance of lists is essential to CMS Part D compliance and accurate claim adjudication. • Processes the monthly / yearly CMS FRF and NIH's RxNorm drug update files to ensure accurate and compliant file submission to CMS. • Serves as Drug Data Management's designated contact for communication to NIH's RxNorm for general inquiries and data correction requests. • Masters a variety of analytical and quality control tools to ensure formulary drug data accuracy and integrity. Simultaneously engages in the activities and timelines for multiple CMS Plan years with differing and sometimes conflicting rules and regulations. • Contributes to and assists with current Drug Data Management and formulary enterprise priority projects, programs, or initiatives as defined by leadership. Coordinates inter- and intradepartmental project activities and groups as necessary to meet project goals and timeframes. • Provides internal consultation on CMS statutory regulations specific to Part D eligibility status and Part D related GPS programs PPDL drug lists. • Executes within the confines and timeframes provided by CMS which may include non-standard business hours. • Collaborate with MedImpact's Health Services advisors, Formulary Administration Pharmacists, IT partners, NDDF (FDB / MediSpan), Drug Information, Configuration Services team to ensure accurate drug mapping and classifications contents abide by Part D guidance. • Ensures that the mapping and classification changes occur in an appropriate, accurate, and timely manner based on drug data and Part D guidance. Supervisory Responsibilities No supervisory responsibilities 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; 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 PharmD and 3+ years' experience or equivalent combination of education and experience, and 1 year of SME in respective areas Computer Skills To perform this job successfully, an individual must have solid computer skills including Microsoft Office (Word/Excel), MS Outlook and familiarity with industry standard databases. Understand, create and execute basic SQL queries and relational databases Certificates, Licenses, Registrations Valid Registered Pharmacist license in the State of California or equivalent state Other Skills and Abilities Prior experience with Medicare Part D and CMS formulary submission and maintenance processes highly desirable. Operates with flexibility in a changing business and government regulated environment. Must be able to execute and deliver within the confines and timeframes provided by CMS which may include non-standard business hours. Must be able to establish a good working knowledge of MedImpact clients and operational departments and have ability to bridge departmental boundaries Prior experience in PBM formulary setup and maintenance, relational and analytical database management programs, as well as, familiarity with First Databank, Medi-Span and RxNorm drug files preferred. Assists in the development and promotion of the business unit's vision, goals, and objectives in support of the Company's overall objectives; Develop and further extend MedImpact's efficiency and accuracy of Formulary Enterprise applications, Part D drug lists, and government programs. Participates and supports audit processes as a clinical subject matter expert; provides necessary information, documentation and analysis required by audits; support departmental and corporate development of audit support infrastructure Provides direct consultation on drug mapping and classification maintenance operations, programs, and software for multiple line(s) of business managed within MedImpact's formulary management software. Support colleagues in a range of accountabilities by being versed in cross-functional operations within the department 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 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: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy 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. 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. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Work Location This position must work on-site at the San Diego Headquarters for purposes of providing adequate support to internal clients; being available for face-to-face interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as for facilitation of quick and effective decisions through collaboration with stakeholders. Remote work is not an option for these purposes. 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. 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 ************************* 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/VeteransOSHA/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.

Exemption Status:United States of America (Exempt)$68,571 - $93,600 - $118,628 “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 Summary Responsible for the execution of the annual accreditation and UR assessment process and work plan to maintain MedImpact accreditation and state UR licensure requirements. Coordinates with internal partners to accomplish assigned accreditation and compliance activities. Essential Duties and Responsibilities include the following. Other duties may be assigned. Performs accreditation and quality management related audits and activities with an emphasis on obtaining or maintaining accreditation and UR licensure. Participates in onsite audits/reviews, agency inquiries, and training employees, as needed. Performs ongoing monitoring to ensure the organization is meeting accreditation standards. Analyzes data, workflows, policies and procedures to assess program effectiveness. Interprets significance of routine-intermediate findings to identify areas of improvement, make and implement recommendations for improvement. Defines and documents accreditation and compliance process steps (i.e., policy and procedures) in accordance with current state, federal, and independent accreditation and UR licensing requirements. Communicates and consults with internal partners to assist with the implementation of accreditation and compliance recommendations for assigned area(s). Serves as accreditation subject-matter expert for all or specific program sections, to consult and update internal partners on accreditation efforts and requirements. May recommend and provide training to employees regarding accreditation and compliance requirements and procedures. Stays current with accreditation and regulatory requirements, as well as PA/UM programs in an effort to consult and provide a mutually beneficial resolution. Supervisory Responsibilities No supervisory responsibilities 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; 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 BS/BA and 5+ years' experience or equivalent combination of education and experience, and 3 years of SME in respective areas Computer Skills To perform this job successfully, an individual should have intermediate working knowledge of Microsoft Office Suite (Word/Excel/Access/Outlook) and Adobe Acrobat. Certificates, Licenses, Registrations Based on the clinical nature of the work, unencumbered healthcare related license is required. Examples of applicable licenses include Pharmacy Technician (CPT), Medical Assistant (MA), and/or Registered Nurse (RN). Other Skills and Abilities Experience managing operational projects from inception to completion as well as team leadership and facilitation responsibilities; Ability to gather requirements as well as prepare and maintain detailed product/project plans to support accreditation and quality management activities; Good interpersonal skills with the ability to work independently and as part of a cohesive team; Ability to work in a dynamic environment with constantly changing deliverables; 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. Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy 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. 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. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. 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. 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 ************************* 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/VeteransOSHA/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.

The Care Coordinator is responsible for attending to patients on the phone and in person. The incumbent will coordinate and organize appointments and documentation to facilitate the smooth running of the healthcare environment and support the delivery of quality patient care to the population we serve. ESSENTIAL DUTIES AND RESPONSIBILITIES: * Upholds and supports the mission, philosophy, objectives, policies and ethics of CHSI.Protects organization's value by keeping information confidential and complying with HIPAA regulations. * Translate for patients and Providers as necessary. * Per Providers order and/or under "standing orders" with the supervision of the RN, MA will perform clinical procedures within the California MA scope of practice. * Returns calls to patients and documents all communications in EHR; follows all guidelines of CHSI patient communication protocol. * Handle emergencies appropriately and seek qualified help when required per CHSI policy and protocols. * Ensures patient readiness prior to Provider entering the exam room. * Will chaperone/assist the patient with the Provider as required by policy. * Complete all required charting. Review Providers orders and ensures they are followed/completed. * Obtain patient's signature on all forms where it is required. * Maintains timeliness of specimens through the use of the laboratory report. * Will scan patients' paperwork in EHR as required. * Responsible for completing electronic health record (EHR) tasks per CHSI policy and processing all referrals; (i.e. referrals to any and all outside organizations, and following any and all specific guidelines required by these organizations). * Notifies patient of scheduled appointment date/location and instructions for type of referral, when applicable. * Responsible for processing all stat, urgent, and routine referrals per CHSI policy. * Utilize the referral report daily for timeliness and accuracy. * Refer pending referrals to Site Manager (SM) when timeliness exceeds policy and sends a weekly report on open/pending/closed referrals to the SM. * Follow the required guidelines determined by each individual insurance plan/program.(i.e. PACT (Family planning program), (PE) presumed eligibility, sliding fee discount program, state health plans, Managed Care, etc.) * Coordinates and schedules referral initial appointments and follow-up appointments as designated. * Interact with patients', physicians and other staff both within the Clinic and at outside facilities providing accurate, timely and responsive information. * Coordinate, processes, and routes all paperwork as required to meet physician and CHSI requirements. * Demonstrate courtesy and helpfulness toward patients and their families. * Responsible for participating in quality improvement projects/activities and accountable for quality and PCMH. * Perform all other duties as directed either formally or informally, verbally or in writing. SUPERVISORY RESPONSIBILITIES: There are no current supervisory duties required. KNOWLEDGE, SKILLS AND ABILITIES: * Bilingual (English/Spanish) required. Knowledge of medical terminology, procedures and diagnosis strongly preferred. * Must possess good customer service including verbal and written communication. * A high standard of professionalism and professional ethics and conduct is expected in speech, manner, attitude and appearance at all times. * Possess strong interpersonal skills and ability to work well with others. * Ability to deal effectively with changing situations and stressful environment. * Experience working with an electronic health records (EHR) system desirable. * Ability to perform tasks related to physical activity to complete the responsibilities of the position. EXPERIENCE AND EDUCATION: * High School graduate or equivalent (Back Office) * Medical Assistant Certificate required from an accredited school * Current American Heart Association (AHA) BLS Certificate required and must be maintained * Venipuncture, Injection and Phlebotomy Certifications required * One year or more of MA experience preferred Electronic Health Record (EHR) experience preferred

Exemption Status:United States of America (Exempt)$110,982 - $155,376 - $199,769 “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 Summary Using the industry's best practices for project management along with a solid working knowledge of the system development life cycle and IT Infrastructure deployment, the GPS Technical Project Manager III plans, directs, and coordinates Information Technology projects and programs related to Government Programs products and services to ensure that project goals are accomplished within prescribed time frames. The position is responsible for ensuring project goals and requirements are met on schedule, within budget and are successfully completed The Technical Project Manager III adheres and adapts to current processes. Identifies and recommends improvements to current practices. 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, including vision and scope, requirements analysis, solution, design, development, and implementation. Requires close partnership with internal/external client counterparts, Information Technology (IT), Government Programs and Services, the Enterprise and GPS Project Management Offices, Operations, Health Services, and other departments as needed throughout the duration of the project. The position works in partnership with the centralized GPS Department as well as with enterprise-wide functional leaders, stakeholders and project team members to manage complex Information Technology projects across multiple programs, including Medicaid programs (State FFS program, Medicare/Medicaid Program (MMP), Medicaid Managed Care (MMCO), Children's Health Insurance Plan (CHIP) as well as other public federally-facilitated or state-based programs. Essential Duties and Responsibilities include the following. Other duties may be assigned. Initiation Defines project objectives/goals; determines the scope of each project as well as the project charter. Coordinates with key project personnel for requirements, technical analysis, design, and documentation of solutions to meet business requirements and drive technical problem resolution. Facilitates and manages vendor selection process and vendor onboarding process. Planning/Development Develops and coordinates the project plan by identifying project deliverables, milestones, scheduling, and required tasks. Uses planning and analytical skills in support of requirements gathering, writing functional specifications, SQL queries and test plan development activities. Helps ensure solution design meets standard architecture considerations and approval to include Standard database structures, (2) Code standards (3) Common components and reusable programs, (4) Security and Performance levels, (5) System interfaces and dependencies. Helps ensure that infrastructure design meets standard architecture considerations for high availability, redundancy, and disaster recovery. Working with stakeholders and Resource Management, determines staffing requirements and allotment of available resources to each project phase. Works with assigned project staff and/or clients to gather and document project requirements. Communicates with project team to outline work plan, assign duties, responsibilities, and scope of authority. Ensures that all responsibilities are clearly communicated, from requirements gathering to working with QA department to ensure solid quality assurance plan. Production/Execution Facilitates regular project status meetings to assess progress versus milestones and identify areas of potential concern in adequate time in order to mitigate risk. Tracks projects and issues closely, fosters collaboration from both the business and technology groups and leads issue resolution meetings during projects. Manages risks throughout the project by identifying, communicating, tracking, and mitigating. Meets with project personnel to provide technical advice and to resolve problems. Ensures all follow-up action items are owned and closed out by the relevant owners Monitors/Controls Manages and monitors project status by establishing a regular meeting schedule with project teams. Directs and coordinates activities of project personnel to ensure project progress is on schedule and outstanding items or issues are successfully resolved. Creates and communicates regular status reports for management, clients, and the project team. Provides formal and ad-hoc updates to management as required. Prepares project status reports and keeps clients and others informed of project status and related issues. Ensures completeness of all project documentation throughout the project lifecycle and for obtaining appropriate approvals at each phase of the project. Participates in reviewing, monitoring, and gaining appropriate approvals for project documentation throughout the project lifecycle including Vision and Scope, Technical Specifications, Architecture Specifications and Objectives of the Project. Ensures completeness of all project documentation throughout the project lifecycle and for obtaining appropriate approvals at each phase of the project. Monitors and manages project constraints including scopes, cost, timeline, resources, and risks. Closing Assumes responsibility for delivery by ensuring all components of the project are successfully completed (including lessons learned documentation. Coordinates and interfaces with other departments for project transition. Other Mentor less experienced project managers. Strong emphasis on strategic thinking as it relates to the management of assigned projects and on-going use of the solution. Communicates well with technical and business stakeholders. Builds and maintains good working relationships with team members, vendors and other departments involved in projects. Supervisory Responsibilities No supervisory responsibilities 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; 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 BS/BA and 8+ years' experience or equivalent combination of education and experience, and 4 years of SME in respective areas This position requires experience with Medicaid or Government health, with a strong preference for Medicaid Fee-For-Service experience. Computer Skills Proficient with Microsoft Office (Word/Excel/PowerPoint), MS Outlook and MS Project. Must be proficient with Project Scheduling Software. Familiarity with MedImpact developed applications helpful (MedAccess, MedResponse, etc.) Certificates, Licenses, Registrations None required; PMP certification is highly desired Other Skills and Abilities Experience in all phases of software development lifecycle and IT infrastructure deployments preferred Prior experience in PBM, pharmaceutical, or managed healthcare industry is a plus Must have good negotiation skills, well-developed facilitation and collaboration skills Proven leader and team player Strong client management skills Ability to work in a matrix management organization Driven and committed to overcome obstacles and deliver the project on time Delivery-focused, yet flexible and creative when called upon Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to define problems, collect data, establish facts, and draw valid conclusions. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. Language Skills Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquiries or complaints. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy 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. The employee must occasionally lift and/or move up to 10 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. 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 maybe required at various local conferences and meetings. 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 ************************* 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/VeteransOSHA/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.

**Summary**The Director, IT Software Engineering oversees several functional areas within the Information Technology department. This position oversees enterprise projects from the initiation phase through production readiness. Works at the strategic level for optimizing and streamlining processes and defining technology roadmaps.**Essential Duties and Responsibilities** include the following. Other duties may be assigned.* Works in partnership with technical experts, architects, business analysts, and developers from external strategic partners and within IT to design and guide new software solutions and to revise or integrate with existing applications.* Manages and leads subordinate managers, software engineers, business system analysts, and quality assurance software engineers in the development and support of corporate business solutions in-line with client needs, including documentation and procedures.* Aligns and collaborates closely with internal departments and external strategic partnerships to direct multiple initiatives.* Creates and manages complex project plans by effectively leveraging resources and managing project scope based on available information; troubleshoots issues and provides timely resolutions; guides the software development process based on prior experience, research and analysis of current and future best practices.* Provides technical guidance that strikes a balance with the need to deliver on a deadline and still meet long-term strategic objectives.* Monitors and directs all software engineering functions to demonstrate solution design meets standard architecture considerations and approvals to include: (1) standard database structures, (2) code standards, (3) common components and reusable programs (4) security and performance levels, (5) system interfaces and dependencies.* Participates on cross functional project teams (internal and external) to deliver quality solutions that meet client's business requirements. Gains a solid understanding of business requirements to support the development, testing, and production readiness efforts.* Oversees the effort to create and improve product releases through continuous integration and automation. Looks for ways to automate and improve current processes/solutions within the software development lifecycle (SDLC).* Lead the assessment of current legacy systems, evaluate solutions in the marketplace, creates technical vision/roadmap for implementing state of the art systems and get buy-in from IT Leadership to execute.* Creates and implements action plans to mitigate risks and resolve issues, working with representatives from stakeholders across the company.* Manages conflicting priorities and multiple projects effectively.* Participates in and leads teams in appropriate SDLC technical artifact creation.* Develops and promotes the overall vision, goals, objectives and strategies for the Software Engineering team in-line with the Information Technology Business Unit's goals and objectives.* Provides day-to-day management and supervision for software engineering team by directing and coordinating activities consistent with established goals, objectives, and policies. Provides hands-on design guidance and documentation as needed.* Mentors team members from both a technical and professional career enhancement perspective by offering constructive feedback.* Makes effective hires, develops and trains employees, coaches for optimal performance, gives team members regular performance feedback. Takes appropriate corrective action as needed to promote optimal employee performance and low staff turnover.* Develops and maintains solid working relationships with employees and management in cross-functional areas.* Keeps up-to-date with emerging IT trends and technologies and the industry's best practices**Supervisory Responsibilities** * Software architecture and design skills to guide the development of solutions that are secure, scalable, and reliable* Background in: + Oracle RDBMS and UNIX platforms + Using JIRA for work management + Web Services (SOAP and REST)* Skills required for the POS Team: + Experience developing and managing high volume, real-time transaction processing systems + Experience with Object Oriented Programming languages such as C++ or Java + Familiarity with communication protocols such as NCPDP telecommunication standards* Skills for other Application Development Teams: + Experience with Java Web Technology (JEE) + Experience with Java frameworks such as Spring, JPA/Hibernate, and JSF + Experience working with Web Containers such as Tomcat, JBOSS, IBM Websphere + Familiarity with Web2.0 technology and Javascript Frameworks such as AngularJS + Familiarity with Portal Standards (JSR 168, JSR 286) and portal containers such as Liferay + Familiarity with Business Process Management (BPM) concepts and technologies such as IBM BPM* Sound knowledge of industry standard best practices, development lifecycle processes and* methodologies. Experience using agile methodology is a plus.* Extensive knowledge of strategy setting, program requirement and project management methodologies and system development methodologies.* Good problem solving, business analysis and project management, including conceptual and analytical skills.* Demonstrated ability to be client focused, responsive, flexible, positive and committed to delivering quality service and improvement in an environment of continuous change.* Ability to work effectively with external partners/vendors to implement new solutions.* Proven ability to work as a team player and develop solid work partnerships* Possess excellent time management skills and the consistently meet deadlines.* Demonstrated ability to influence others and facilitate meetings.* Excellent organizational and communication skills (both written and verbal).* Strong vendor and client management skills and experience in matrix management organization**Reasoning Ability** * 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 BonusMedImpact was founded more than three decades ago by a pharmacist and independent drug store owner who saw firsthand how families struggled with the high cost of prescriptions, and how it impacted their lives, financial security, and health. So, he started MedImpact to make prescription benefits understandable and accessible. While we have grown to be one of the leading PBMs in America, we remain as committed to these principles today as we did when it all began. #J-18808-Ljbffr

Exemption Status:United States of America (Exempt)$131,188 - $183,664 - $236,139 “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. Work with Application Development & Support teams as a data science and AI subject matter expert and architect to develop scalable AI solutions. Design and develop predictive and prescriptive 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. Design, develop, and test code at all layers to make AI systems work end to end. Create and maintain system design document. 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. Initiate and drive projects to completion independently, assuming full responsibility and end-to-end accountability for end-product delivery. Promote and enable adoption of technical advancements in Data Science; elevate the art of Data Science practice at MedImpact. Act as a thought partner to senior leaders to prioritize and scope projects, provide recommendations and evangelize data-driven business decisions in support of strategic goals. Partner with cross-functional teams to initiate, lead or contribute to large scale strategic projects for team, department, and company. Provide technical guidance and mentorship to less-experienced team members on solution design as well as lead code/design reviews. Education and/or Experience BS/BA and 10+ years' experience or equivalent combination of education and experience, and 6 years of SME in respective areas 3+ years of experience in a technical leadership role leading data science and AI engineering teams. Proven track record of leading AI solutions from ideation to implementation, production, and value realization. 2+ years of experience in developing predictive and prescriptive analytics in pharmacy benefit management for various use cases, such as drug spend forecasting, health benefit plan performance optimization, and medication fraud/waste/abuse detection and prevention. Familiarity with healthcare data and systems. Knowledge of prior authorization and pharmacy benefit adjudication processes. Extensive experience with databases, SQL, and programming languages like Python or Java. Thorough knowledge of data science methodology, software development life cycle, and agile development best practices. Deep understanding of AI/ML/NLP principles, specifically with generative models. Proficiency with deep learning frameworks such as Pytorch, TensorFlow, MLP, Large Language Models, Generative AI, LangChain, HuggingFace. Strong understanding and exposure in Gen AI like transformers, LLMs, text embeddings. Experience with AI automation platforms. Knowledge of reinforcement learning in addition to supervised and unsupervised machine learning paradigms. Excellent problem-solving skills, with the ability to think critically and creatively to develop innovative AI solutions. Strong communication skills, with the ability to effectively convey complex technical concepts to a diverse audience. Proven ability to prioritize and plan multiple projects to ensure effective delivery on time and budget. Business acumen, understanding business implications of decisions, demonstrating knowledge of market and competition, and aligning work with strategic goals Reasoning Ability Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. 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 mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis. Language Skills Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. . Ability to read, analyze, and interpret the most complex documents. Work Location - Onsite - San Diego Travel - This position requires no travel however attendance maybe required at various local conferences and meetings. 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 ************************* 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/VeteransOSHA/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.

Independently coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties performed are either during face-to-face home visits or facility based depending on the assignment. Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Assists with orientation and mentoring of new team members as appropriate. May act as a team lead for non-licensed care coordinators. Provides care coordination to members with behavioral health conditions identified and assessed as requiring intensive interventions and oversight including multiple, clinical, social and community resources. Conducts in depth health risk assessment and/or comprehensive needs assessment which includes, but is not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters. Communicates and develops the care plan and serves as point of contact to ensure services are rendered appropriately (e.g., during transition to home care, back up plans, community based services). Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes. Develops, documents and implements plan which provides appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs. Acts as an advocate for members' care needs by identifying and addressing gaps in care. Performs ongoing monitoring of the plan of care to evaluate effectiveness. Measures the effectiveness of interventions as identified in the members care plan. Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes. Collects clinical path variance data that indicates potential areas for improvement of case and services provided. Works with members and the interdisciplinary care plan team to adjust plan of care, when necessary. Educates providers, supporting staff, members and families regarding care coordination role and health strategies with a focus on member-focused approach to care. Facilitates a team approach to the coordination and cost effective delivery to quality care and services. Facilitates a team approach, including the Interdisciplinary Care Plan team, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum. Collaborates with the interdisciplinary care plan team which may include member, caregivers, member`s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services. Utilizes licensed care coordination staff as appropriate for complex cases. Provides assistance to members with questions and concerns regarding care, providers or delivery system. Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources. Generates reports in accordance with care coordination goals. Other Job Requirements Responsibilities Associate's Degree in Nursing required for RNs, or Master's Degree in Social Work or Healthcare-related field, with an independent license, for Social Workers. Licensed in State that Services are performed and meets Magellan Credentialing criteria. 2+ years' post-licensure clinical experience. Experience in utilization management, quality assurance, home or facility care, community health, long term care or occupational health required. Experience in analyzing trends based on decision support systems. Business management skills to include, but not limited to, cost/benefit analysis, negotiation, and cost containment. Knowledge of referral coordination to community and private/public resources. Requires detailed knowledge of cost-effective coordination of care in terms of what and how work is to be done as well as why it is done, this level include interpretation of data. Ability to make decisions that require significant analysis and investigation with solutions requiring significant original thinking. Ability to determine appropriate courses of action in more complex situations that may not be addressed by existing policies or protocols. Decisions include such matters as changing in staffing levels, order in which work is done, and application of established procedures. Ability to establish strong working relationships with clinicians, hospital officials and service agency contacts. Computer literacy desired. Ability to maintain complete and accurate enrollee records. Effective verbal and written communication skills. General Job Information Title CISC Care Coordinator, Licensed Grade 24 Work Experience - Required Clinical Work Experience - Preferred Education - Required Associate - Nursing, Master's - Social Work Education - Preferred License and Certifications - Required DL - Driver License, Valid In State - Other, LISW - Licensed Independent Social Worker - Care Mgmt, LMHC - Licensed Mental Health Counselor - Care Mgmt, LMSW - Licensed Master Social Worker - Care Mgmt, LPCC - Licensed Professional Clinical Counselor - Care Mgmt, LPN - Licensed Practical Nurse - Care Mgmt, PSY - Psychologist - Care Mgmt, RN - Registered Nurse, State and/or Compact State Licensure - Care Mgmt License and Certifications - Preferred Salary Range Salary Minimum: $58,440 Salary Maximum: $93,500 This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing. Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

A leading healthcare technology firm in San Diego seeks a Director of Business Intelligence to lead the BI function. This pivotal role requires overseeing data delivery strategies and managing a specialized team to drive operational efficiency. The ideal candidate will have over 10 years of relevant experience, strong SQL skills, and a proven ability to develop advanced analytics capabilities. This position offers the opportunity to influence strategic outcomes while ensuring compliance and data quality. #J-18808-Ljbffr

Exemption Status:United States of America (Exempt)$60,987 - $80,808 - $100,628 “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 Summary *The ideal candidate will be Bilingual English/Spanish and based in Puerto Rico* The Provider Relations Contract Analyst Puerto Rico is responsible for relationship management with pharmacies in support of plan sponsors, strategic initiatives and operational projects, pharmacy network contracting efforts and processes, and pharmacy network operations. Essential Duties and Responsibilities include the following. Other duties may be assigned. Regularly visit Puerto Rico pharmacies to forge a connection and build trust Work with pharmacies to provide education and support on pricing, credentialing, recredentialing, attestations, and any other network related activities Assist Account Management in client plan benefit and network preparation with area pharmacies Prepare, schedule, and present at quarterly pharmacy meetings Review pharmacy contract setup to ensure compliance with pharmacy network agreements Support pharmacy audits and network compliance initiatives Support daily credentialing, re-credentialing, and contracting operations Implement changes to ensure compliance with all company policies and procedures as well as regulatory requirements Research and problem solve to resolve claim issues and concerns Respond to and track requests, inquiries, and communications with network pharmacies Collaborate with cross-functional teams on pharmacy-related matters Develop, review and distribute pharmacy communications to meet internal and client requests Investigate specific issues related to regulatory requirements through literature or internet resources Resolve dissatisfaction among providers within limits of authority Maintain current provider data to ensure the quality of the network Run reports and support data analysis to produce meaningful and actionable results to answer key business questions Monitor, track, and report pharmacy compliance with guiding government regulations and internal policies and procedures Track project tasks and deliverables to ensure timelines are met Collaborate with Implementation Managers on specific project assignments. Other duties may be assigned. 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; 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 accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience BS/BA and 3+ years' experience or equivalent combination of education and experience Computer Skills To perform this job successfully, an individual should have knowledge of SQL, Microsoft Access and Quest Analytics; Microsoft Office and Outlook. Other Skills and Abilities Working knowledge and understanding of Insurance, pharmacy and/or healthcare contracting and/or claims experience. Data query, data analysis and presentation skills Project coordination experience within a corporate environment coordinating multiple teams with constant deadlines and driving project processes. Strong written and in-person communication using clear, simple language that all stakeholders can understand. Previous experience working directly with customers and good presentation skills. Ability to work independently and support project / issue resolution. Previous experience as a pharmacy technician is preferred. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Mathematical Skills Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Language Skills Candidate must be fluent in English and Spanish. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. 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: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy 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 hear. The employee is regularly 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 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 accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. 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 reasonable 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 requires domestic travel of up to 25% of the time. 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 ************************* 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/VeteransOSHA/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.

Exemption Status:United States of America (Exempt)$101,277 - $139,256 - $177,234 “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 Summary The PBM business is a data-intensive business with much of MedImpact's value to its clients deriving from the careful organization, processing and availability of applications. As an integral part of the Information Technology Infrastructure group, the Principal, Network Engineering, plays a key, visible role within the MedImpact IT department and in support of Business Operations. The IT Principal, Network Engineering provides subject matter expertise at the highest technical level within the organization and is called upon to work on multiple concurrent special projects by understanding requirements, problems, performing root cause analysis, researching solutions and guiding IT owners in the implementation of solutions. Essential Duties and Responsibilities include the following. Other duties may be assigned. Provides individual contribution as well as technical leadership in the following areas: Identifying & translating ambiguous, unstated and understated business needs into holistic technical solutions Researches, identifies, plans, evangelizes and socializes appropriate new technologies and technical solutions with IT as well as with business stakeholders High-level as well as detailed design and specification of technical solutions Represents MedImpact IT as a technology subject-matter expert internally and externally (with clients & partners) as necessary Mentors and guides other technical personnel on technology, techniques and best-practices Assists in MedImpact IT recruitment efforts with candidate-interviews Identifies, documents and helps protect MedImpact intellectual property where appropriate Leads “matrixed” teams when necessary without formal supervisory authority within the context of a specific situation or a project. No permanent supervisory functions required Interfaces with clients to understand needs and concerns, suggests solutions and may manage sensitive customer-relationship situations with patience and maturity Suggests refinements to current or institutes new IT policies and procedures Creates, monitors, and maintains a robust company infrastructure that supports application availability and performance by responding internal and external customer requests and assignments from management. Provides data analysis and troubleshoots networking and application issues. Assists with related task planning, training and technical direction of other Network Engineers or IT engineers and developers. Provides technical leadership and advice for the company's use of networking and related technologies. Provides leadership and guidance on large, complex and cross functional projects and tasks. Researches and recommends current and trending network technologies that offer the organization ways to improve its level of service to customers and maintains its leading edge over competitors Assists in the resolution of application performance and availability issues by leveraging the network to provide relevant information to issue resolution. Provides network performance tuning and capacity planning services; leads conversions and upgrades. Develops documentation for the assessment and automation of repeatable processes. Drives the development of (and adherence to) network security standards, methods and practices. Assists in maintaining plans for disaster recovery and failover capabilities and testing. Maintains security according to company guidelines and works closely with the IT Security team to develop additional robust solutions. Documents findings and recommendations for use in decision making and further system design. Provides peer reviews for work produced by Network Engineers, Systems Engineers, and Application Support. Develops, documents, automates, and assesses network administration processes while looking for ways to improve current processes and streamline efforts. Trains others on the IT Network Engineering Team. Acts as a mentor to less experienced Networking staff and/or staff in other IT functions. Supervisory Responsibilities No supervisory responsibilities 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; 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;8+ years related experience and 8+ years of SME in respective area(s); (or equivalent combination of education and experience). Computer Skills Excellent working knowledge of a variety of networking technologies. Efficient troubleshooting skills Thorough knowledge of network communication protocols MedImpact's legacy systems knowledge (preferred) Hardware architecture, disk arrays, drives and hardware capacity requirements. Oracle relational database architecture, design and maintenance High-level proficiency with relevant software, operating systems, and related technologies such as: Windows, Linux, Checkpoint, Citrix Netscalers, Cisco ACI, and UNIX among others Experience with network design, development, and operational support Strong proficiency in supporting applications from the network perspective and diagnosing performance issues Solid working knowledge of current network technologies and application monitoring tools. Certificates, Licenses, Registrations CCIE, AWS/Azure, CompTIA Network+ Other Skills and Abilities Analytical-thinking, critical-reasoning, and problem-solving skills as applied to complex business technology subject areas Written, verbal and presentation skills to educate, inform and facilitate decision-making Planning and organization skills to conceive and execute small projects and work-efforts independently Demonstrate the ability to initiate and influence change by effectively collaborating with and managing both IT functional areas and business partners in a “matrixed” environment, leveraging informal authority to drive results Technical trouble-shooting and root-cause analysis skills in service-disruption scenarios Ability to work independently and as a cohesive team member with excellent interpersonal skills. Good verbal, written communication and presentation skills. Excellent organizational, attention to detail, and follow-up skills. Must be available for on-call work as needed. Reasoning Ability Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. 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 apply mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis. Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. Language Skills Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. 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: 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. 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. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Work Location This position must work on-site at the San Diego Headquarters for purposes of providing adequate support to internal clients; being available for face-to-face interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as for facilitation of quick and effective decisions through collaboration with stakeholders. Remote work is not an option for these purposes. 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 domestic travel of up to 10% of the time. 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 ************************* 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/VeteransOSHA/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.

Exemption Status:United States of America (Exempt)$71,614 - $95,784 - $119,953 “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 The Project Manager will use the industry's best practices for project management along with a solid working knowledge of the project management life cycle, the Project Manager plans, directs, and coordinates Account Management projects to ensure that project goals are accomplished within prescribed time frames. The position is responsible for ensuring project goals and requirements are met on schedule, within budget and are successfully completed. The Project Manager adheres and adapts to current processes. Identifies and recommends improvements to current practices. Handles escalated issues and demonstrates appropriate escalation of issues as needed. Leads major Client projects and may handle some projects internal to Account Management as assigned. Works independently, relies on experience, judgment, business applications & systems knowledge, and technical skill to plan and accomplish goals. A wide degree of creativity and latitude is expected. Lead and direct the work of others related to projects Essential Duties and Responsibilities include the following. Other duties may be assigned. Initiation Defines project objectives/goals; determines the scope of each project as well as the project charter. Coordinates with key project personnel for requirements, technical analysis, design, and documentation of solutions to meet business requirements and drive technical problem resolution. Planning/Development Develops and coordinates the project plan by identifying project deliverables, milestones, scheduling, and required tasks. Uses planning and analytical skills in support of requirements gathering, writing functional specifications, understanding current system functionality and processes, and test plan development activities. Helps ensure solution design meets client requirements and MedImpact standards. Working with stakeholders and Resource Managers, determines staffing requirements and allotment of available resources to each project phase. Works with assigned project staff and/or clients to gather and document project requirements. Communicates with project team to outline work plan, assign duties, responsibilities, and scope of authority. Ensures that all responsibilities are clearly communicated, from requirements gathering to working with testing teams to ensure solid quality assurance plan. Production/Execution Manages the day-to-day operational aspects of a project and scope by tracking to the project plan. Effectively sets and manages client expectations by establishing a positive and productive working relationship with clients. Defining, understanding, and taking into account cross-project dependencies and their impact to the individual projects as it relates to the system, resources, and time frames. Facilitates regular project status meetings to assess progress versus milestones, and identify areas of potential concern in adequate time in order to mitigate risk. Tracks projects and issues closely, fosters collaboration from both the client and internal groups and leads issue resolution meetings during projects. Manages risks throughout the project by identifying, communicating, tracking and mitigating. Meets with project personnel to provide technical advice and to resolve problems. Ensures all follow-up action items are owned and closed out by the relevant owners Monitors/Controls Manages and monitors project status by establishing a regular meeting schedule with project teams. Directs and coordinates activities of project personnel to ensure project progress is on schedule and outstanding items or issues are successfully resolved. Creates and communicates regular status reports for management, clients and the project team. Provides formal and ad-hoc updates to management as required. Prepares project status reports and keeps clients and others informed of project status and related issues. Ensures completeness of all project documentation throughout the project lifecycle and for obtaining appropriate approvals at each phase of the project. Participates in reviewing, monitoring, and gaining appropriate approvals for project documentation throughout the project lifecycle including: Vision and Scope, Functional Specifications, Architecture Specifications and Objectives of the Project. Ensures completeness of all project documentation throughout the project lifecycle and for obtaining appropriate approvals at each phase of the project. Closing/Post Release Activities Assumes responsibility for delivery by ensuring all components of the project are successfully completed. Determines downstream impacts and creates/executes the deployment plan. Manages and monitors issues generated by projects after “go-live” during the rollout and maintenance period. Identifies training needs for Clients, Business users, Contact Center as well as Operations personnel. Coordinates configuration management and deployment of the project. Interfaces with other departments for project transition. Other Builds and maintains good working relationships with project client, team members and other departments. Mentors Account Mangers in project management methodologies. Supervisory Responsibilities No supervisory responsibilities 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; 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 accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience BS/BA and 5+ years' experience or equivalent combination of education and experience, and 2 years' of SME in respective areas Computer Skills Proficient with Microsoft Office (Word/Excel/PowerPoint), MS Outlook and MS Project. Must be proficient with Project Scheduling Software such as MS Project and Smartsheets. Familiarity with MedImpact developed applications helpful (MedAccess, MedResponse, etc.) Certificates, Licenses, Registrations None required; PMP certification is highly desired. Other Skills and Abilities · Must have good negotiation skills, well-developed facilitation and collaboration skills · Proven leader and team player · Strong client management skills · Ability to work in a matrix management organization · Driven and committed to overcome obstacles and deliver the project on time · Delivery-focused, yet flexible and creative when called upon Reasoning Ability · Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. · 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 add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs. · 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 respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community. Competencies To perform the job successfully, an individual should demonstrate the following competencies: Composure Decision Quality Organizational Agility Problem Solving Customer Focus Drive for Results Peer Relations Time Management Dealing with Ambiguity Learning on the Fly Political Savvy 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 hear. The employee is regularly 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 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 accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic). Work Location This position must work on-site at the San Diego Headquarters (or other company location) for purposes of providing adequate support to internal clients; being available for face-to-face interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as for facilitation of quick and effective decisions through collaboration with stakeholders. Periodic scheduled remote work may be permitted as allowed under the department's policy and with management approval. Working Hours This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonable 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 requires no travel however attendance maybe required at various local conferences and meetings. 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 ************************* 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/VeteransOSHA/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.