Client Services, Business Systems Analyst III

MedImpact Healthcare Systems, Inc.•San Diego, CA

23h•Remote

About The Position

Serves as a technical member of the client team, ensuring timely and accurate service delivery as a liaison between assigned client(s), client team members, and IT staff. Collaborates with internal and external stakeholders to create best-in-class solutions that integrate technology, information, and business processes, matching appropriate technology solutions to business needs. Identifies, plans, develops, implements, and maintains business systems solutions that support client operational needs. Maintains a current understanding of client file layouts, relationships, and logic and how they operate in MedImpact business applications. Provides technical consultation to the client team and related internal stakeholders. Writes detailed descriptions of user needs, program functions, and steps required to develop or modify business systems. Translates requirements into business, system, and functional requirements and partners with IT Developers in translating requirements into design specifications. Develops queries to research, gather data, and identify solutions. Performs various types of analysis related to business and system changes/enhancements (gap, impact, risk, etc.). Actively participates in the creation and monitoring of service and trouble requests from creation to implementation. Creates and maintains related documentation/material pertinent to identified changes, such as work, data or process flows, analytical reports, decision support structures, use cases, as well as business rules, report design/mock-ups, etc. Ensures that the systems section of the client MedManual is current and properly documented. Creates and maintains project plans including task identification, prioritization, and sequencing of project tasks, test plans, and user acceptance testing. Participates in developing and executing communication and training plans relevant to implemented changes. Utilizes planning, prioritizing, and organizational skills to ensure timely deliverables, high levels of quality, and efficient use of resources to achieve reporting timeliness and accuracy. Maintains commitment to operational goals in the face of obstacles. Collaborates and cultivates positive relationships with internal and external customers through delivery of sustainable, measurable, accurate, reliable, and timely results that meet or exceed customer expectations. Promptly responds to service failures, resolves issues, and escalates concerns as appropriate. Promotes continuous improvement by ensuring adherence to quality principles. Seeks out and actively participates in business initiatives that contribute to service excellence. Actively participates in continued professional development to stay up to date on the latest technical and information management enhancements and data management best practices.

Requirements

Bachelor's degree from four-year college or university and three (3) to five (5) years of related experience required in Pharmacy Benefit Management (PBM), Pharmacy, Managed Healthcare or similar role; or an equivalent combination of education and experience.
Strong proficiency with MS Office / Word, PowerPoint, Excel, Visio and Outlook to create complex documents, manage schedules, and analyze data.
Business user of multiple software applications/processing systems.
Working knowledge of key business application such as SQL coding, Oracle forms, Golden 32, MedOptimize, Visio, knowledgeable of UNIX operating systems.
Ability to effectively balance a high volume of work and a variety of tasks; ability to prioritize urgent issues effectively.
Strong analytic, verbal and written communication skills.
Detail-oriented with high degree of accuracy and organizational skills.
Able to effectively work as a team player as well as independently.
Excellent investigative, problem resolution, judgment and decision-making skills required.
Excellent presentation and consultative skills, working with internal and external clients at various levels in the organization.
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.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
Ability to apply concepts of basic algebra and geometry.
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 general public.
Strong PC skills in Microsoft Office Suite, MS Outlook, and intermediate knowledge of Excel.
Familiar with relational databases and industry specific software.
Solid working knowledge of current assigned state and federal regulatory requirements and related company training initiatives required.
Strong listening skills and ability to convey regulatory compliance information, verbally and in writing, in an easy to understand format to employees of organization.

Nice To Haves

This position is not eligible for Sponsorship.

Responsibilities

Collaborates with internal and external stakeholders to create best-in-class solutions that integrate technology, information, and business processes.
Matches appropriate technology solutions to business needs.
Identifies, plans, develops, implements, and maintains business systems solutions that support client operational needs.
Maintains current understanding of client file layouts, relationships, & logic and how they operate in MedImpact business applications.
Provides technical consultation to the client team and related internal stakeholders.
Writes detailed descriptions of user needs, program functions, and steps required to develop or modify business systems.
Translates requirements into business, system & functional requirements and partners with IT Developers in translating requirements into design specifications.
Develops queries to research, gather data and identify solutions.
Performs various types of analysis related to business and system changes/enhancements (gap, impact, risk etc.).
Actively participates in the creation and monitoring of service and trouble requests from creation to implementation.
Creates and maintains related documentation/material pertinent to identified changes, such as work, data or process flows, analytical reports, decision support structures, use cases, as well as business rules, report design/mock-ups, etc.
Ensures that the systems section of the client MedManual is current and properly documented.
Creates and maintains project plans including task identification, prioritization, and sequencing of project tasks, test plans, and user acceptance testing.
Participates in developing and executing communication and training plans relevant to implemented changes.
Utilizes planning, prioritizing, and organizational skills to ensure timely deliverables, high levels of quality, and efficient use of resources to achieve reporting timeliness and accuracy.
Maintains commitment to operational goals in the face of obstacles.
Collaborates and cultivates positive relationships with internal and external customers through delivery of sustainable, measurable, accurate, reliable, and timely results that meet or exceed customer expectations.
Promptly responds to service failures, resolves issues, and escalates concerns as appropriate.
Promotes continuous improvement by ensuring adherence to quality principles.
Seeks out and actively participates in business initiatives that contribute to service excellence.
Actively participates in continued professional development to stay up to date on the latest technical and information management enhancements and data management best practices.
Monitor state and federal regulations, sub-regulatory guidance, and any other applicable communications distributed by regulatory bodies.
Analyze information for dissemination to appropriate internal operational areas and, where appropriate, prepare overviews and other documentation to serve as compliance guidance in relation to implementation of specified requirements.
Interfaces with internal operational areas on compliance matters impacting MedImpact’s initiatives.
Oversee internal implementation efforts relating to new legislation in concert with the Counsel, Legislative Services.
Communicates to appropriate business units to ensure modifications are implemented as appropriate to ensure organization meets state and federal regulatory requirements.
Manage state regulatory reporting for initial and updated reporting and submission requirements.
Work with internal subject matter experts, licensing, and outside counsel as appropriate.
Develop documentation on best practice and establish ongoing processes and parameters to fully support the initial regulatory reporting and overall client support of regulatory reporting requests.
Develop and maintain state regulatory reporting repository (PBMSource) and C360 and serve as subject matter expert for applicability, scope, and reporting parameters according to state regulatory requirements.
Independently interface with clients and legal counsel on matters relating to compliance with applicable laws or regulations with standard summaries and potential challenges.
Assist with the development and review of organization’s policies and procedures in relation to state or federal regulations.
Identifies needed policies and procedures in order to demonstrate compliance with applicable requirements and works with appropriate internal operational units to ensure creation and maintenance of needed documentation.
Ensure policies and procedures are revised to address regulatory changes.
Work directly with the Compliance Officer to support the Corporate Compliance Program in relation to new or amended requirements.
Manage various organizational committees and/or work groups to disseminate federal and state compliance information.
Maintains records, as appropriate, to memorialize decisions, direction, actions, and ensures information is retrievable.
Keep up to date on the industry’s best practices and regulatory changes through PCMA and PBMSource.
Lead and manage complex organizational corporate projects. (examples – NQTL, Website Accessibility, Consumer Protection Act).
Develop and present training to departments across the organization in relation to enacted state or federal laws that impact multiple lines of business and presents updates on initiatives to the Corporate Compliance Committee.
Development and implementation of strategic initiatives relating to emerging state and federal regulations.