Exemption Status:

United States of America (Non-Exempt)

$46,249 - $60,115 - $73,981

“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:

Ensures service delivery applications are complete and accurate through thorough analyses and testing. Collaborates with internal and external stakeholders to create best-in-class solutions that integrate technology, information, and business processes. Matches appropriate technology solutions to internal and external business needs. Identifies, plans, develops, implements, and maintains business requirements that support client operational needs. Writes detailed descriptions of user needs, program functions, and steps required to develop or modify business systems. Writes detailed and thorough testing plans and risk management documents; conducts testing in accordance with test plans and ensures service readiness criteria are met prior to deployment of new or changed software. Provides advanced claims adjudication analysis and subject matter expertise related to the use of key business applications. Utilizes multiple databases and software applications to accomplish accurate and timely results within tight time frames. Relies on experience, judgment, business applications & systems knowledge, and technical skill to plan and accomplish goals.

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

• Performs various types of analyses and tests related to business and system changes/enhancements (gap, impact, risk etc.).
• Actively participates in the creation and monitoring of service and trouble requests from creation to implementation.
• Creates and maintains related documentation/material pertinent to identified changes, such as work, data or process flows, analytical reports, decision support structures, use cases, as well as business rules, report design/mock-ups, etc. Participates in developing and executing communication and training plans relevant to implemented changes.
• Creates and maintains project and test plans including task identification, prioritization, and sequencing of tasks, test plans, and user acceptance testing. Works with business partners to develop and execute test plans for application changes.
• Writes and maintains detailed documentation of application user testing & validation activities including client specifications, expected outcomes, testing methodology & processes, test results, recommendations, version control, and configuration design.
• Analyzes user test results and identifies discrepancies, inaccuracies, anomalies, and unexpected consequences. Makes recommendations and develops solutions to enhance the accuracy of Application system changes and configuration setups.
• Works with client teams and client shared services business partners to provide advanced claims adjudication analysis. Provides guidance and input in the development of specifications. Creates and executes systems queries to extract claims adjudication information, validate data, and prepare complex variance and disruption analysis reports.
• Partners with internal and external business partners in the development of new or enhanced applications, systems tools, and other systems solutions. Adheres to standard documentation, testing, and sign-off procedures for the development of new functionalities.
• Utilizes planning, prioritizing, and organizational skills to ensure timely deliverables, high levels of quality, and efficient use of resources to deliver on time and within budget.
• Maintains commitment to operational goals in the face of obstacles. Collaborates and cultivates positive relationships with internal and external customers through delivery of sustainable, measurable, accurate, reliable, and timely results that meet or exceed customer expectations. Promptly responds to service failures, resolves issues, and escalates concerns as appropriate.
• Promotes continuous improvement by ensuring adherence to quality principles. Seeks out and actively participates in business initiatives that contribute to service excellence.
• Writes and maintains detailed documentation of query requests including internal/external customer specifications, expected outcomes, validation methodology, version control, and query parameters. Maintains library of standard queries and provides consultation services to internal business partners about query options.
• Responsible for the business support and product life cycle of key business applications. Troubleshoots operating issues to ensure prompt resolution of issues resulting in application downtime. Serves as subject matter expert of designated applications for business users.
• Completes special projects and assignments (such as design reviews, gathering requirements for complex technical projects, mentoring/training staff, etc.)

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 or emotional 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

BS/BA and 2+ years’ experience in system analysis, systems quality, configuration or data analysis in Healthcare Administration, Third Party Administration, Managed Healthcare or similar role or equivalent combination of education and experience

Computer Skills

Strong proficiency with MS Office / Word, PowerPoint, Excel, Visio and Outlook to create complex documents, manage schedules, and analyze data. Experience using business applications such as Precis Technologies, AllWorx and other operations systems required following training. Experience creating SQL queries in support of troubleshooting, design and prioritization required for Level II and for Level III.

Certificates, Licenses, Registrations

None required.

Other Skills and Abilities

Ability to effectively balance a high volume of work and a variety of tasks; ability to prioritize urgent issues effectively. Strong analytic, verbal and written communication skills. Detail-oriented with high degree of accuracy and follow through. Excellent problem resolution, team building, judgment, and decision making skills. Self-starter with the ability to work independently or as part of a team. Ability to influence others, lead small workgroups, and coordinate service requests throughout the organization. Ability to gather business requirements and client specifications.

Demonstrates ability to appear for work on time, follow directions from a supervisor, interact well with co-workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment.

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. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

Language Skills

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

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

• 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; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus.

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.

While performing the duties of this Job, the employee is in an office setting and is exposed to moderate noise (examples: business office with computers and printers, light traffic).

Work Location

This position must work on-site at the Tempe, Arizona 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. Remote work is not an option for these purposes.

Working Hours

This is a full-time non-exempt position requiring one to be able to work overtime from time to time 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 www.medimpact.com/careers

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego,

California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.

Equal Opportunity Employer, Male/Female/Disabilities/Veterans

OSHA/ADA:

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

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

Disclaimer:

The above

statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

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