Principal, Account Management

Principal, Account Management

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 Principal, Account Management provides proactive and strategic support to a state client as well as manages a team of clinical and operational staff including Finance, Implementation, Call Center and Business Operations. Works to ensure compliance with the terms and conditions of the Agreement and oversees program requirements, standards, policies, and performance. Coordinates and oversees program activities for Regulatory, Corrective Action Plans and Monitoring, and audit support. This role ensures consistent customer satisfaction, delivering successful projects, building and maintaining solid business relationships and successfully executing the delivery of additional revenue to MedImpact

Leads the Annual Program and associated Plans, ensure retention and oversee contract renewels.

What You Get To Do:

• Manages an Account Team and the development of state-specific business plans focused on the State program's goals, performance expectations, growth in membership and objectives
• Ensures that deliverables are on time, within budget, and meet the quality levels expected by MedImpact's internal and external customers
• Provides direction and management over Key teams to monitor the quality of products and services being offerred to the State
• Coordinates training of new staff members and provides on-going coaching to existing Account Management teams
• Utilizes project management skills to track milestones and deliverables, timely recognition/notification of risk indicators and provide regular status updates to Leadership internally/externally
• Optimizes potential for sustainable growth and profitability
• Identifies and aligns required resources to achieve business goals in book-of-business
• Develop and maintain solid business relationships with assigned contacts at the State, including pharmacy director(s), executive and key decision-maker levels
• Determines where to make "focused investments" for each account
• Researches and analyzes trends and competitive practices to ensure the State's strategy is placed in context of program requirements, industry and marketplace demands
• Monitors service continuum including proactive and reactive components
• Resolves escalated issues, while ensuring ongoing issues are resolved expeditiously
• Performs 360o review of performance on account, from operational service delivery to relationship management
• Identifies gaps and sources of corrective action to ensure milestones are met
• Collaborates with leaders in Operations, IT, Health Services, sales and the other Directors of Account Management to create and improve processes to better serve the client
• Analyzes claims results and identifies discrepancies, inaccuracies, anomalies, and unexpected consequences
• Reports on performance measures, performance guarantees, and client initiatives
• Takes accountability for expeditious resolution of adjudication configuration issues identified
• Coordinates information for appeals and grievances (meetings and hearings)
• Participates in hearings as appropriate
• Completes special projects as assigned (such as leading workgroups, overseeing projects/development of new system functionality, mentoring/training staff, etc.)
• Provides regular feedback to management team regarding client requirement status and business development opportunities to improve operational efficiencies
• Proactively identifies and recommends solutions for client and operational improvements

Education and/or Experience

For consideration candidates will need

• Bachelor Art or Science degree in Business Administration or related field (or equivalent combination of education and experience); Master's degree preferred
• Must have a minimum of ten (10) years of experience in analyzing and managing complex government contracts, subcontracts, and related contractual documents or comparable experience
• Two (2) years pharmacy program management experience
• A minimum of two (2) years of previous experience managing and/or supervising professional level staff
• Prior experience should include overall project coordination between the clinical and operational aspects in support of a company's clients as well as advising clients' regarding policy and technical initiatives

Computer Skills

Intermediate to advanced computer skills; proficient with MS Office/Outlook and the use of databases.

Other Skills and Abilities

• Working knowledge of the health benefits arena, government prescription programs, preferably in pharmacy benefits management required
• Knowledge of healthcare products and contracts preferred
• Consultative selling and negotiation skills
• Demonstrated experience creating and delivering presentations using
• Strong verbal, written, interpersonal, presentation, persuasion and consulting skills required
• Good interpersonal skills, excellent communication, writing and presentation skills essential

Travel

This position requires domestic travel of up to 25-50% of the time with little or no advance notice.

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 III

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