Manager, Program Management

Manager, Program Management

$89,164 - $122,000 - $156,036

"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:

The Manager, Program Management is responsible for the development and implementation of programs and/or services provided to the Company's clients. Manages and oversees the staff related to this effort. Provides ongoing maintenance and support of program and services by providing subject matter expertise on assigned programs and by providing program and project management leadership across the company including business operations and information technology. The Manager, Program Management may work within one or more regulated market lines of business - Medicare Part D, Marketplace, Prescription Drug Plan (PDP) or the Medicaid plans including: Medicaid Fee for Services (FFS), Medicaid Managed Care (MMCO), Children's Health Insurance Plan (CHIP), or Value Based Care.

What You Get To Do: includes the following. Other duties may be assigned.

• Manages and retains the necessary resources to successfully perform the duties for program management and other related teams
• Provides day-to-day management of team, including developing and administering department policies and procedures and establishing quality standards and measuring performance results
• Plans and manages day-to-day department activities and continually develops and monitors performance goals
• Ensures that deliverables are on time, within budget, and meets the implementation timeframes expected by MedImpact's internal and external customers and regulatory state or federal entities
• Regularly reviews and understands related state and federal regulations and guidance and provide comprehensive assessments of regulations and related guidance to develop MedImpact programs and service offerings
• Executes and manages projects to ensure timely and quality implementation of program deliverables
• Collects, summarizes, and compiles implementation progress metrics and develop overall implementation project progress reports
• Provides guidance to staff to overcome implementation roadblocks
• Develops high-level business requirement documentation, project scope documentation, project plans, task lists and policy and procedure documentation
• Executes and manages projects to ensure timely and high-quality implementations of business and system processes that are in compliance with all applicable regulations and guidelines
• Works in line with Company policies and procedures and all applicable laws and regulations
• Develops and maintains program requirements, project plans and related internal and external communications
• Determines feasible project start and implementation dates, reviews project deliverables, and develops and maintains accurate project information throughout all projects
• Responsible for completeness of all project documentation throughout the project lifecycle and for obtaining appropriate approvals at each phase of the project
• Interfaces with MedImpact business operations and information technology personnel and project team members in managing project deliverables
• Communicates program and service requirements, secures resource needs, and prioritizes work for business and IT divisions
• Communicates with staff to outline work plan, assign duties and responsibilities
• Coordinates and interfaces with other departments for project transition
• Provides program subject matter expertise and issue management through written communications and discussions with Client Services, Account Management and with clients
• Assists with training of staff regarding project/product output and development of supporting materials and documentation
• Manager, Program Management for Medicaid Programs: reviews and understands State and Federal Medicaid Information Technology Architecture (MITA) requirements and guidance relative to PBMs for the purposes of orienting internal IT resources supporting specific State FFS program requirements
• Performs other projects as assigned

Education and/or Experience

For consideration candidates will need

Manager, Program Management for all Programs (except Medicaid):

• Bachelor's degree (or equivalent combination of education and experience)
• Five (5) years' of comparable experience in the job duties listed
• Prior experience should include a minimum of two (2) years' management or supervisory duties at a PBM, State Medicaid Agency, State IT Enterprise System, Medicaid Management Information System (MMIS), Enterprise Electronic Data Interchange (EDI), and/or State FFS PBM in the program management or operations area
• Experience should include working with enterprise-scale solutions, including: State IT Enterprise Systems, State FFS Medicaid Pharmacy Benefit Management System (PBMS), Medicaid Management Information System (MMIS), and Healthcare Electronic Data Interchange (EDI)
• Must have a strong working knowledge of State FFS IT Enterprise systems, State EDI, MMIS, and/or PBM project management experience in managing State FFS projects
• 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 ) for current active employees

Computer Skills

• To perform this job successfully, an individual should have a solid working knowledge of Microsoft Office Suite with an emphasis on Word, Excel, MS Access, and Project
• Manager, Program Management for Medicaid Programs in addition to the above requirements ideally should have (1) Demonstrated understanding and experience with the Agile Method desired, (2) Understanding of common enterprise architecture frameworks and principals desired including MITA (Medicaid Information Technology Architecture)

Certificates, Licenses, Registrations

PMP Certificate, not required, but preferred

Other Skills and Abilities

• Extensive knowledge of specific program(s) requirements and project management methodologies, practices, and system development methodologies
• Ability to work effectively with clients, internal departments, and vendors to implement new programs
• Must successfully manage and organize projects in a fast-paced environment

Travel

This position may require occasional travel and attendance at local conferences and meetings.

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.