MedImpact Healthcare Systems, Inc

Principal, Account Management

MedImpact Healthcare Systems, Inc$114K — $206K *
US-AnywhereRemote in San Diego, CA
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • BA/BS Degree; 8+ years related experience and expertise in relevant areas.
  • 4+ years of experience leading teams; management experience a must.
  • Intermediate to advanced computer skills, proficient in MS Office/Outlook.
  • Working knowledge of health benefits and government prescription programs, ideally in pharmacy benefits management.
  • Strong consultative selling, negotiation, and interpersonal skills are essential.

Responsibilities

  • Manage an Account Team, developing state-specific business plans aligned with program goals.
  • Direct quality monitoring of products and services to the State, ensuring training and coaching for team members.
  • Utilize project management skills to track milestones and communicate risks to leadership.
  • Identify resources to maximize business goals and ensure sustainable growth and profitability.
  • Cultivate strong relationships with key State contacts and executive decision-makers.
  • Analyze industry trends to align the State's strategy with market demands.
  • Resolve escalated client issues and perform comprehensive performance reviews to identify necessary action points.

Benefits

  • Medical, Dental and Vision coverage
  • Generous Paid Time Off policy including Company Paid Holidays
  • Incentive Compensation
  • 401K with Company match
  • Life and Disability Insurance
  • Tuition Reimbursement
  • Employee Referral Bonus
Full Job Description
Exemption Status:
United States of America (Exempt)

$114,622 - $160,472 - $206,321

"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.

Job Description

Summary

The Principal, Account Management provides proactive and strategic support to a state client as well as manages products produced by a team of clinical and operational staff including Finance, Implementation, Call Center and Business Operations. Works to ensure compliance with the terms and conditions of the Agreement and oversees program requirements, standards, policies, and performance. Coordinates and oversees program activities for Regulatory, Corrective Action Plans and Monitoring, and audit support. This role ensures consistent customer satisfaction, delivering successful projects, building and maintaining solid business relationships and successfully executing the delivery of additional revenue to MedImpact.

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

  • Manages an Account Team and the development of state-specific business plans focused on the State program's goals, performance expectations, growth in membership and objectives. Ensures that deliverables are on time, within budget, and meet the quality levels expected by MedImpact's internal and external customers.
  • Provides direction and management over Key teams to monitor the quality of products and services being offerred to the State. Coordinates training of new staff members and provides on-going coaching to existing Account Management teams.
  • Utilizes project management skills to track milestones and deliverables, timely recognition/notification of risk indicators and provide regular status updates to Leadership internally/externally.
  • Optimizes potential for sustainable growth and profitability. Identifies and aligns required resources to achieve business goals in book-of-business.
  • Develop and maintain solid business relationships with assigned contacts at the State, including pharmacy director(s), executive and key decision-maker levels.
  • Researches and analyzes trends and competitive practices to ensure the State's strategy is placed in context of program requirements, industry and marketplace demands.
  • Monitors service continuum including proactive and reactive components. Resolves escalated issues, while ensuring ongoing issues are resolved expeditiously. Performs 360o review of performance on account, from operational service delivery to relationship management. Identifies gaps and sources of corrective action to ensure milestones are met.
  • Collaborates with leaders in Operations, IT, Health Services, sales and the other Directors of Account Management to create and improve processes to better serve the client.
  • Analyzes claims results and identifies discrepancies, inaccuracies, anomalies, and unexpected consequences. Reports on performance measures, performance guarantees, and client initiatives.
  • Takes accountability for expeditious resolution of adjudication configuration issues identified.
  • Completes special projects as assigned (such as leading workgroups, overseeing projects/development of new system functionality, mentoring/training staff, etc.)
  • Provides regular feedback to management team regarding client requirement status and business development opportunities to improve operational efficiencies.
  • Proactively identifies and recommends solutions for client and operational improvements.


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; 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, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

BA/BS Degree; 8+ years related experience and 8+ years of SME in respective area(s); (or equivalent combination of education and experience) with at least 4+ years leading individual contributors and leaders of leaders; which may be substituted with an appropriate mix of leadership experience and 5 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (VP+ level) that must completed within 12 months in new position.

Computer Skills

Intermediate to advanced computer skills; proficient with MS Office/Outlook and the use of databases.

Certificates, Licenses, Registrations

None required

Other Skills and Abilities

  • Working knowledge of the health benefits arena, government prescription programs, preferably in pharmacy benefits management required;
  • Knowledge of healthcare products and contracts preferred;
  • Consultative selling and negotiation skills;
  • Demonstrated experience creating and delivering presentations using;
  • Strong verbal, written, interpersonal, presentation, persuasion and consulting skills required;
  • Good interpersonal skills, excellent communication, writing and presentation skills


Reasoning Ability

  • 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 apply concepts such as fractions, percentages, ratios, and proportions to practical situations.


  • Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance.


Language Skills

  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.


  • Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.


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

Business Acumen

Directing Others

Organizational Agility

Conflict Management

Drive for Results

Political Savvy

Customer Focus

Innovation Management

Strategic Agility

Decision Quality

Managerial Courage

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 accommodation 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 and/or 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 accommodation 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 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 the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, at 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 requires domestic travel of up to 25% of the time.

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

About MedImpact Healthcare Systems, Inc

MedImpact Healthcare Systems, Inc. is a pharmacy benefit management (PBM) company headquartered in San Diego, California. The company provides PBM services to health plans, self-funded employers, and government entities. MedImpact manages pharmacy benefits for over 50 million members nationwide. The company was founded in 1989 and has grown to become one of the largest PBMs in the United States. MedImpact's services include formulary management, drug utilization review, and claims processing. The company also offers specialty pharmacy services and clinical programs to help manage chronic conditions.
Learn more about MedImpact Healthcare Systems, Inc
Size
2,000 employees
Industry
Founded
1989

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