Exemption Status:United States of America (Exempt)
$68,860 - $92,100 - $115,340
“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.
- Analyzes disputed data and works with drug manufacturers to fairly and accurately resolve disputes.
- Assists clients with Pharmacy audits providing requested information and support.
- Assisting with payment posting, collections, and maintaining all client service agreements.
- Executes billing processing for over 800 manufacturers per program; performs quality assurance activities and corrects any errors prior and post invoice generation within timelines required under contract.
- Invoicing practices, including pre-invoicing review for fee for service, managed care, diabetic supply and supplemental rebate programs.
- Review drug rebate claims for errors that will impact invoicing.
- Performs provider audits in order to verify product and quantity dispensed.
- Sends out past due notices to drug manufacturers.
- Main point of contact for State for all rebate programs.
- Performs monthly and quarterly financial reconciliation with the State.
- Fulfills client requests for reporting, invoicing and any other rebate related needs.
- Attends meetings and conference calls as needed.
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; 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
For consideration, candidates will need a Bachelor’s degree from a four-year college or university; and 5+ years of directly related experience or equivalent combination of job related experience and education; Prior background should include at least 2+ years in rebate experience; Prior experience is required in rebate billing, accounting, finance or contract management.
Computer Skills
To perform this job successfully, an individual must be competent with Microsoft Word, Excel, and Outlook software. The individual is expected to develop competence with MedInvoice rebate system or other business intelligence software, as well as with proprietary systems/databases used by MedImpact.
Other Skills and Abilities
Possess excellent communication skills (both verbal and written), analytical and/or financial reasoning skills. Familiar with service contracts and contract interpretation. Strong knowledge of pharmacy services with an emphasis on the managed health care environment.
Language Skills
Ability to read, comprehend and interpret complex documents such as legal agreements, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to effectively to speak effectively before groups of business partners or employees of the organization.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. Ability to work with mathematical concepts such as algebra. Ability to apply these skills to practical situations.
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 – Adjusts quickly to evolving situations by integrating new information, remaining flexible, recognizing and implementing necessary changes and taking advantage of opportunities presented by new developments.
- Analytical – Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures.
- Influence – Persuades others of the value of an idea or course of action, enlists cooperation and support while maintaining positive work relationships, builds consensus by communicating effectively and demonstrating an understanding of others’ positions, and effectively motivates others to buy into projects and goals.
- Interpersonal Skills – Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others’ ideas and tries new things.
- Judgement – Displays willingness to make decisions, exhibits sound and accurate judgement supports and explains reasoning for decisions, including people in decision making process; makes timely decisions.
- Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
- Organizational Understanding – Demonstrates clear understanding of organizational structure, mission, goals and values, including awareness of the goals, processes and needs of other functions in the organization.
- Quality Focus – Demonstrates a personal investment in ensuring the quality of products and/or services, going the extra mile to meet or exceed standards.
- Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit.
- Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
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.
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 an exempt level position requiring one to work the hours needed to get the job done. Therefore one must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required. This 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 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/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.
What We Do
MedImpact, an independent, trend-focused pharmacy benefit manager (PBM), is the nation’s largest privately held PBM, serving health plans, self-funded employers and government entities. Our business model is unique. We focus on effectively managing client pharmacy benefits to promote Lower Cost and Better Care through One Source. Our model aligns us with our clients. We help promote prescribing of lower-net-cost, medically appropriate drugs with fulfillment at the most appropriate participating pharmacy providing competitive pricing, good value and high-quality service.
