Clinical Program Manager Analyst (Must be bi-lingual in Spanish)

Exemption Status:

“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

Summary:  

The Clinical Program Manager Analyst provides analytic/technical support to optimize the clinical quality and cost-effectiveness of drug and medical therapy, as applicable, for client plan sponsors and their members. Focuses on rational management of drug utilization by employing analytical tools and an evidence-based approach to achieve lower net cost, better health outcomes, and higher levels of satisfaction for plan sponsors, and their members. The CPM Analyst manages operational aspects of clinical account management, strategic initiatives, projects, and/or programs. This position focuses on supporting analytic, technical, and operational aspects of clinical management. The CPM Analyst works with the Client Team CPM to achieve overall clinical account and company financial goals. The CPM Analyst relies on data and performance indicators, as well as experience and judgment, to identify and promote performance improvement opportunities which attain the aligned goals of MedImpact and assigned clients.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Manages, contributes and assists in current priority, projects, programs or initiatives as defined by supervisor. Provides clinical subject matter expertise and combines with business operations knowledge to ensure clinical and business appropriateness and success;
• Assists with related analytic needs to support recommendations being considered by assigned clients that align with both the clients’ and MedImpact’s mutual goals of lower net costs and high clinical quality. The strategic recommendations may include: benefit design and formulary analysis and suggestions, provision of clinical drug information, client P&T support and participation, recommendations for rational drug formulary positioning, on-line system edits and restrictions, on-going clinical product evaluations, and recommendations regarding client pharmacy benefit utilization and performance trends;
• Supports clinical consultative services in accordance with contracted clinical services. The CPM Analyst is an integral part of designing, developing, and driving the clinical components of their assigned account team’s strategic and financial goals. The CPM Analyst’s focus will be centered on using a variety of analytical tools and clinical resources to identify opportunities which simultaneously improve the plan sponsor’s quality-focused and financial performance metrics;
• Supports analytics necessary for MedImpact’s evidence-based interventions and communication programs to clients. Provides documentation of recommendations for clinically appropriate and financially beneficial clinical initiatives (e.g. lower net cost, generic programs, QA programs, clinical and specialty programs, and applicable rebate management);
• Coordinates clinical utilization analyses in collaboration with the Clinical Program Manager (Client Team) and presentations to clients. Ensures timely and accurate review of plan data, according to policy, with appropriate intervention recommendations;
• Supports, implements, and maintains DUE, DUR, and QI programs to meet plan, HEDIS, and NCQA guidelines;
• Coordinates clinical support of Drug Formulary and Preferred Drug Lists during plan sponsor’s implementation and maintenance of business in collaboration with the Clinical Program Manager (Client Team);
• Supports recommended clinically appropriate initiatives to optimize the value of MedImpact’s rebate administration program for clients while delivering on the lower net cost goal;
• Supports MedImpact P&T Committee quarterly meetings and weekly FirstDataBank (FDB) drug updates.

Supervisory Responsibilities                                             

This job has no supervisory responsibilities.

Client Responsibilities

This is an internal facing position that requires collaborative service skills and interpersonal communication skills (listening/verbal/written).  One must be able to; Respond promptly to client and CPM (Client Team) needs; Solicit client feedback to improve service; Respond to requests for service and assistance from client and CPM (Client Team); Meet commitments for 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  

Pharm D and 3-5 years related experience and/or training; or equivalent combination of education and experience.

**Bilingual - Spanish is a MUST**

Computer Skills

To perform this job successfully, an individual should have knowledge of Microsoft Office Suite and a proficient knowledge of Access, Excel and relational databases.

Certificates, Licenses, Registrations

Valid Registered Pharmacist in any state.  Licensed in Puerto Rico is a plus

Other Skills and Abilities

• Analytical skills with Health Informatics experience preferred.
• Experience in promoting disease management and/or drug cost management programs preferred.

Language Skills

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.  Ability to write reports, policies and procedures, and business correspondence. Ability to effectively present information and respond to questions from groups of managers, clients, and customers in both English and Spanish is a MUST.

Work Location

This position is remote.

Working Hours

This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonable meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required.  Work hours 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 may require approximately 10% domestic travel and may require international travel in which case a valid passport and ability to leave the United States will be required.

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/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.