Principal, Process Architecture & Delivery

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 Principal, Business Process Architecture and Delivery will develop and implement initiatives to make our PBM and Software as a Service (SaaS) offerings market leading with an emphasis on claims and clinical processes and systems. You will lead project teams and partner with business and operations leaders, clinicians, technical partners and dedicated project leaders to identify and design operational improvements, efficiencies and best practices within prioritized work streams to improve PBM and SaaS offerings, facilitate PBM integration and to optimize operational and clinical practices. In this role you will lead initiatives to shape the future of the organization. While addressing immediate business needs, you will create and implement improvements to claims, clinical and operational practices supported by technology in line with strategic goals.

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

• Develop and maintain a deep understanding of the core business and clinical processes by working with business and operations leaders, clinicians, analysts and enterprise architects to build and maintain business capability models and value streams.

• Be a strong influencer and change agent to implement improvements to technology and business and operating models to improve service, quality and efficiency of the products and services we offer.

• Communicate both internally and externally the competitive advantages of our claims and clinical platforms and improvement roadmaps in the PBM and SaaS marketplaces.

• Evaluate and quantify the health and maturity of business capabilities across the enterprise

• Facilitate discussions with operations, clinical, technical and business leaders to identify current and future priorities that inform the improvement plan or roadmap

• Collaborate with operations, clinical, technical and business leaders and project managers to develop improvement strategies tied to key business performance metrics and translate these strategies and technology objectives into an actionable roadmap

• Leveraging Agile methodology, collaborate with the technology leaders to translate optimized operational, clinical and business practices into clear business requirements for technology implementation.

• Participate in the Technology roadmap reviews to evaluate and approve technology deliverables that align with the strategic goals of the projects.

• Organize plans and partner with business, technical, clinical and operational leaders to implement changes to business processes including launches of new technologies

• Mentor others and help drive the maturity of the enterprise business process architecture practice

Supervisory Responsibilities                                             

Manages assigned staff in the segment area. Responsible for the overall direction, coordination, and evaluation of the unit. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Supports and enforces all company policies and procedures in a fair and consistent manner, taking corrective action whenever necessary.

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; and ensure client commitments are met in a timely manner.

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                                            

Bachelor’s or Doctorate Degree in Pharmacy or Bachelor’s Degree in Business, Operations, Engineering or Information Services or equivalent combination of education and experience. 10+ years of experience in PBM, managed healthcare, insurance or consulting to these organizations required along with 8 years of SME in respective areas. 4+ years supervisory experience. Experience with pharmacy benefit management software. SaaS experience highly desirable.

Computer Skills

• Proficient with MS Suite (Word, Excel, Visio, Outlook, Project) and SmartSheets to create data strategy roadmaps, manage priorities and share vision for organization growth.

• Experience with system modernization, data conversion and integration of operating platforms
• Experience in creating business process flow and business requirements documentation that feed software architecture and system design documentation
• Experience delivering SaaS products and services
• Experience in healthcare industry is a plus.
• Experience in data science, machine learning and AI is a plus.

Certificates, Licenses, Registrations

None required

Other Skills and Abilities                                                    

• Sound knowledge of industry standard best practices and innovations in the realm of data platform
• Extensive knowledge of strategy setting, program requirements, product development and project management methodologies
• Demonstrated analytical and logical reasoning
• Adept in problem solving and change management
• Demonstrated ability to be client focused, responsive, flexible, and positive
• Ability to work effectively with external partners/vendors to implement new solutions.
• Proven ability to work as a team player and collaborate effectively with peers
• Excellent time management skills and ensure deadlines are met.
• Demonstrated ability to influence others in meeting enterprise goals.
• Excellent organizational and communication skills (both written and verbal).
• Experience working with agile methodology is a plus.

Reasoning Ability

Ability to apply industry best practices in local solution designs. 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.

Mathematical Skills

Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.  Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

Language Skills

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.  Ability to write reports, business correspondence, and procedure manuals.  Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the public.  Excellent listening, written, verbal and telephone communication skills are essential.  Ability to relay technical information in a non-technical manner

Competencies                                              

To perform the job successfully, an individual should demonstrate the following competencies:

• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.

• Analytical – Synthesizes complex or diverse information; Collects and researches data; Identifies data relationships and dependencies; uses intuition and experience to analyze data and relationships; designs workflows and procedures.

• Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others' attention.

• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.

• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.

• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests.

• Technical Skills – Demonstrates required skills; Adapts to new technologies; Troubleshoots technical problems; Uses technology to increase productivity; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others; Exhibits ability to learn and apply new skills; Keeps abreast of current developments; Displays understanding of how job relates to others.

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.

While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus.

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 quiet.

Work Location

This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.

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 may require domestic travel as well as attendance 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/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.