Manager, Client Performance Guarantee Reporting
Job Description
Manager, Client Performance Guarantee Reporting
$78,444 - $105,900 - $133,356
"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!
The Scoop:
Manage the daily operations of the Client Performance and Reporting Department, which includes a team of Performance and Database Analysts. The day-to-day operations involve the calculation of client performance, monitoring client reporting procedures, adhering to client reporting deadlines, quality control of client performance reporting standards. Special projects related to performance measurement systems.
What You Get To Do:
• Design long term operational, technical and strategic solutions to effectively manage and accurately report client performance metrics;
• Lead a team to maintain and enhance operational information, effective analysis and modeling through development and implementation of business solutions and data driven reporting;
• Identify and establish solutions, standards and manage procedures for the quality and timeliness of work performed within the department;
• Day-to-day management of a team of analysts providing leadership, training, coaching, mentoring and next level support;
• Develop, translate and execute policies, business processes and standards into objectives ;
• Ensures that deliverables meet the quality levels expected by internal and external customers;
• Responsible for automating the reporting requirements for the department and coordinating efforts with the onsite COGNOS business intelligence team;
• Responsible for assisting in client resolution regarding failed performance guarantee metrics including historical trending, analysis and reporting;
• Responsible for "Performance Guarantee (PG) Reporting" which includes, but is not limited to the following:
o Prepare responses to support new and renewal business including metric standards, criteria, penalties and total risk
o Participate in internal prospective client and client implementation handoff meetings
o Manage the internal communication process for new and renewal metrics
o Facilitation and collection of metric results from internal department process owners and oversight of client reports on a monthly, quarterly and/or annual basis
o Quarterly and annual metric reconciliations to determine penalty payouts and related communications with account teams and clients
o Support process in researching performance failure to identify process improvement within the organization, and client communications in conjunction with the account team
• Serve as Product Owner of the Performance Guarantee Management System (PGMS) which includes, but is not limited to the following:
o Provides subject matter expertise and best practices related to product development and process management, and is the product expert following outlined product development and management processes, directs the overall scoping, planning, business requirements definition and delivery of products and services to customers from idea inception through design, development, delivery, ongoing support and enhancement and potentially retirement across the full product lifecycle
o Continues to assess and address functional specifications, non-functional requirements and operational readiness
o Monitors the overall development schedule to ensure the on-time delivery of software development initiatives
o Champions the rapid adoption of new application features by conducting demonstrations and producing materials such as tutorials, release notes, help guides, and FAQ's
o Coordinates and participates in user acceptance testing efforts to ensure the delivered product meets the required functionality, user interface and performance requirements
Supervisory Responsibilities
Responsible for managing assigned staff in the department. 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.
Education and/or Experience
For consideration candidates will need:
• Bachelor's degree (B.A.) from a four-year college or university and a minimum 5 years' experience in a similar field experience such as contract management, healthcare or medical insurance, or equivalent combination of education and experience
• Minimum of 3 years previous experience managing and/or supervising a staff with responsibility for interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems is required
• Leadership experience may be substituted with four (4) years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (Dir )
• A solid understanding of Medicare Part D is helpful
Computer Skills
Strong proficiency with personal computers and MS Office products to include intermediate to advanced working knowledge of Microsoft Suite including Access. Familiarity with SQL and Cognos is preferred. Strong aptitude to learn and adapt to new programs.
Other Skills and Abilities
Ability to read and interpret contracts. Strong analytical skills required. Prior pharmacy benefit management experience is ideal.
Travel
This position may require occasional domestic travel.
The Perks:
• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus
This position is eligible for Employee Referral Bonus at Level II
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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Date Posted
06/30/2023
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