Government Programs Operations Analyst II

Exemption Status:

United States of America (Exempt)

$71,614 $95,784 $119,953

“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.

• Lead operational functions related to Medicare Part DEGWP and Medicaid business; triaging account team inquiries; performing operational tasks involving government programs business.
• Maintain knowledge of MedicareEGWPaudit regulations and processes and assist in facilitating the implementation of necessary action.
• Collaborate with the extended client services team, as well as other internal stakeholders, to achieve client satisfaction.
• Work with internal departments to acknowledge and respond timely to incoming requests; assists the team with triage of issues; manages and tracks requests and projects.
• Participate in work groups as requested to support department or interdepartmental initiatives.
• Perform useracceptance testing on system enhancements including creation of test plans, documentation, and communication of test results.
• Assist in product implementation as needed.
• Support operational task related to government programs processes and products.
• Perform Compliance and program communications to plans.
• Identify, analyze, and resolve projectrelated problems and obstacles, using critical thinking and collaboration to implement effective solutions.
• Coordinate with internal teams, fostering communication and accountability to ensure processproject alignment.
• Draft clear, professional internal and external communications to address inquiries, escalate issues, and provide timely updates.
• Ensure effective resolution by coordinating with relevant teams, tracking progress, and following up until closure.
• Perform various operational oversight activities.
• Other duties as assigned.

• Supervisory Responsibilities

  No supervisory responsibilities

  Client Responsibilities

  This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listeningverbalwritten). 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, andor ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  Education andor Experience

  BSBA and 5+ years’ experience or equivalent combination of education and experience, and 2 years of SME in respective areas

  Computer Skills

  To perform this job successfully, an individual should have:

  • Advanced knowledge of Microsoft Office software (Outlook, Word, Excel, and PowerPoint)
  • Intermediate knowledge of at least one content management system (e.g., SharePoint, Confluence, wiki)
  • Demonstrated ability to learn new software tools.

  • Certificates, Licenses, Registrations

    None Required

    Other Skills and Abilities

    • Demonstrate ability to manage multiple priorities and deadlines.
    • A well organized and selfdirected individual who can work with a minimal amount of supervision.
    • Capability to efficiently complete tasks in a fastpaced environment.
    • Strong attention to detail

    • Reasoning Ability

      • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

      • • Ability to define problems, collect data, establish facts, and draw valid conclusions.

        • Mathematical Skills

          • Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

          • Language Skills

            • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
            • Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

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

              Composure

              Decision Quality

              Organizational Agility

              Problem Solving

              Customer Focus

              Drive for Results

              Peer Relations

              Time Management

              Dealing with Ambiguity

              Learning on the Fly

              Political Savvy

              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 and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift andor move up to 25 pounds.

              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.

              This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).

              Work Location

              This position works onsite 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 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 domestic travel.

              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.comcareers

                MedImpact, is a privatelyheld 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 highvalue solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.

                Equal Opportunity Employer, MaleFemaleDisabilitiesVeterans

                OSHAADA:

                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, andor 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.