Principal Government Programs

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

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

• Participates in the development and implementation of short and long term strategies in order to gain access to prospective MCO and State leadership for purposes of improving the prospect’s knowledge of MedImpact’s differentiated products and services, as well as MedImpact’s proven capability to manage drug spend.

• Drives networking activities; participates in conferences, speaking opportunities, state-specific Medicaid leadership meetings. 

• Participates in the development and implementation of short and long term strategies to increase new government program business. Maintains awareness of current and future industry trends, including the regulatory environment, customer needs, opportunities and issues. Transforms knowledge into results-generating strategies and business development plans.

• Supports the sales process for all Medicaid, MMP and Marketplace MCOs, actively participates in prospect meetings and best and final presentations.

• Serves as the key MedImpact SME for Medicaid, MMP and Marketplace, utilizing a deep understanding of these programs as they relate to prescription drug benefit management.

• Represents MedImpact to key government customers regarding policy information while working closely with corporate compliance to ensure consistent application of law, rules and regulations relative to program development and deployment. Meets with assigned clients on a routine basis to review regulatory changes and associated MedImpact solutions and support.  Ensures an effective, positive representation of the corporate image.

• Maintains a thorough understanding of MedImpact’s programs and services provided to Medicaid, MMP and Marketplace customers.  Provides direction on the potential impact of new or potential regulatory requirements relative to these business lines. Works closely with key business units to review complex regulatory and legislative issues that may impact MedImpact’s business services and operational processes.

• Works with Government Programs & Services management to provide information on business requirements of potential program or business development opportunities that align with both client and MedImpact business goals, specific regulated program objectives, performance metrics and financial goals.

• Reviews new and pending legislation and regulatory materials relative to Medicaid, MMP and Marketplace with an emphasis on prescription drug management. 

• Builds strong customer, industry consultant and vendor relationships. Develops relationships with federal and state agencies and other key stakeholders

Education and/or Experience                                             

Bachelor’s degree (or equivalent combination of education and experience);  Advanced degree preferred ( Ph.D., MBA, M.S., MPA, MPH).  10+ years’ progressive experience in a healthcare related Managed Care Organization and/or State Agency including 8 years as a subject matter expert.  Must have  in-depth knowledge of governmental programs (CMS, Medicaid, Medicare, and Market Place/Public Exchanges). Prior work experience within the Centers for Medicare and Medicaid Services (CMS) a plus.

4 years of supervisory experience required.  Supervisory experience may be substituted with 5 years of MedImpact experience plus an external leadership training program and internal mentorship with a seasoned leader (VP+ level) that must completed within the first 12 months in the new  position.

Computer Skills

Solid computer skills with Microsoft Office/Outlook, industry-related databases and use of the internet.

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.