Program Manager III

San Diego, CA, United States

Location: San Diego, CA Remote Location: # of openings: 1 Department: Employment duration: Full time Exemption Status: Exempt Relocation Assistance: N/A Added to system: 6/6/23 1:46 PM Job Code: 2510.230606.8228 Description Program Manager III

$98,327 - $135,000 - $172,073

“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 Program Manager III works in one of three areas: Value Based Care (VBC), Government Programs & Services or PDP (MedGenerations) and is responsible for analyzing, creating new requirements, planning, and delivering updates for assigned programs and related services.

For GPS & MedGenerations specifically, the Program Manager works 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).

What You Get To Do:

Drives the development of the overall strategy and roadmap, research, requirements, and coordination for assigned programs

For Value Based Care, the focus is on the development of tech-enabled solutions for clients Follows outlined program management processes to manage the overall scope, planning, business requirements, implementation and delivery of software updates and other related requirements to assigned programs

Ensures business requirements are properly translated into customer deliverables

Schedules product release timelines with IT department

Coordinates product development schedules and releases to production

Drives appropriate work process improvement activities

New Products: Defines and documents business requirements for new products or services, through market analysis or other innovation strategy

Interfaces with end-users and business analysts to define business rules as they apply to processes and procedures; documents business requirements and develops workflow diagrams, functional hierarchies, process models, revenue models and fee schedules

Prepares program development objectives and schedules all phases of program development and introduction to clients

Schedules product release timelines with the IT department

Coordinates technical product development and releases to production

Keeps current with and reviews state and/or federal requirements and regulations related to assigned programs to ensure that programs support client regulatory compliance

Provides day-to-day management and coordination of deliverables, issue tracking, and compliance issues for assigned programs

Ensures timely delivery of reports

Communicates to both internal and external clients on status, schedules, and changes

Coordinates the efforts of multi-disciplinary teams throughout various stages of the program development lifecycle

Manages large-scale, strategic, complex projects from start to finish and effectively leads project teams comprised of multiple business units

Develops client communications as needed to explain MedImpact response and/or changes in client responsibilities (related to drug benefit management)

Attends client calls as needed to understand and address questions or issues for assigned programs

Maintains documentation for assigned programs including Program Descriptions, Report Guides, Policies, Procedures, Work Instructions, training materials, etc.

Serves as an expert resource for the line of business or for Government Programs and Services the focus will be on at least one regulated market, in addition to being a subject matter expert in assigned programs

Educates clients on program features

Provides expertise and training to other departments

Mentors less experienced program management team members and aids in cross training

Defines metrics to effectively measure the success of program and service processes and deliverables

Vendor oversight: if applicable for owned programs and services, monitors vendor operations, ensures appropriate metrics and PGs are in place, and coordinates vendor changes as appropriate with MedImpact automation and/or work processes

Supervisory Responsibilities

This job has no supervisory responsibilities.

Education and/or Experience

For consideration candidates will need:

Bachelor's degree (or equivalent combination of education and experience)

At least eight (8) to (12+) years’ related job experience

Prior experience must include project management responsibilities

Prior experience in a role with leadership responsibilities is highly desirable

Previous experience in the healthcare, pharmacy, or pharmaceutical industries is desirable but not required

Computer Skills

To perform this job successfully, an individual should have:

Advanced knowledge of Microsoft Office software (Outlook, Word, Excel, and PowerPoint)

Advanced knowledge of MS Project and Visio

Intermediate knowledge of at least one content management system (e.g., SharePoint, Confluence, wiki)

Demonstrated ability to learn new software tools

Skills that are desirable but not required:

SQL query development

Golden32 or other equivalent database browsing software

Excel macro programming

Certificates, Licenses, Registrations

PMP or other project management certification, desired, but not required.

Other Skills and Abilities

Excellent communication skills (written/verbal)

Proven ability to plan and facilitate effective meetings

Skilled at business requirements gathering and ability to prepare and maintain detailed project plans

Ability to manage multiple projects simultaneously and prioritize competing demands

Advanced presentation skills with the ability to present information at varying levels of abstraction depending on audience

Good organization skills and attention to detail

Basic process improvement skills (e.g., tools and practices from agile, lean, six sigma)

Basic to intermediate product management skills

Strong problem-solving skills to handle: (1) problems that span a single area (2) problems that span multiple areas, and (3) facilitate across functional teams in developing solutions

Ability to effectively lead and influence cross-functional as well as virtual teams including remote participants

Travel

This position may require occasional travel. Attendance may be required at local or remotely-held industry conferences, training, and/or client 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 I

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.

#J-18808-Ljbffr