Manager, Benefits Design Administration & Testing

MedImpact Healthcare Systems, Inc.•San Diego, CA

5d•$92,730 - $162,277•Onsite

About The Position

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! Summary The Manager, Benefit Design Administration & Testing is responsible for leading the successful administration, validation, and ongoing maintenance of benefit plan designs and associated pricing components across multiple lines of business. This role oversees a team of testing professionals, ensuring the accurate implementation of client requirements, regulatory compliance, and operational excellence. The Manager drives quality assurance initiatives, manages workflow and staffing strategies, supports client implementations and benefit changes, and fosters continuous process improvement to enhance scalability, efficiency, and service delivery. This position serves as a key liaison among Operations, Product, Technology, Account Management, and Client teams to ensure benefit configurations are implemented accurately and meet business and client expectations

Requirements

BS/BA degree or equivalent plus 5+ years of experience; 1 year of SME in respective area(s); and 3+ years of supervisory experience; 4 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (Dir+) that must completed within 12 months in new position may substitute for the supervisory experience requirement.
Advanced proficiency in Microsoft Office Suite, including Excel (pivot tables, formulas, data analysis), Word, PowerPoint, Outlook, and Teams.
Experience with test management and defect tracking tools such as Smartsheet, Jira, Azure DevOps, or similar platforms.
Working knowledge of benefit administration, claims adjudication, PBM, and healthcare operations systems.
Ability to analyze and interpret large data sets using reporting and business intelligence tools such as Power BI, Tableau, or equivalent reporting solutions.
Experience developing, executing, and monitoring test plans, test cases, quality controls, and validation processes.
Familiarity with software development lifecycle (SDLC), Agile methodologies, user acceptance testing (UAT), and quality assurance best practices.
Experience utilizing workflow management, project management, and collaboration tools to manage team deliverables and testing activities.
Ability to create dashboards, performance metrics, and executive-level reporting to support operational decision-making.
Strong technical aptitude with the ability to learn and support new systems, technologies, and automation tools
Experience in planning and execution of test plans and benefits design administration.
Proven experience in team development, coaching, and performance management
History of effectively establishing and implementing workforce plans and staffing forecasts
Ability to make decisions and solve problems under pressure
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 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.
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Ability to write reports, business correspondence, and procedure manuals.
Building Effective Teams
Decision Quality
Informing
Confronting Direct Reports
Delegation
Organizational Agility
Customer Focus
Drive for Results
Political Savvy

Nice To Haves

Knowledge of SQL queries and database validation techniques for testing and troubleshooting preferred.

Responsibilities

Accountable for maintaining a comprehensive understanding of Medicare benefit design, administration, and regulatory requirements to ensure plan configurations meet client and compliance expectations.
Accountable for applying knowledge of Commercial Health Plan structures, operations, and benefit administration processes to support accurate and effective plan implementation.
Accountable for delivering high-quality benefit administration services through a minimum of five (5) years of PBM, healthcare operations, or related industry expertise.
Responsible for leading and developing team members while effectively managing workloads, competing priorities, project timelines, and service-level commitments.
Accountable for analyzing complex data, identifying trends, and making informed recommendations that support operational and business objectives.
Accountable for communicating effectively with clients, leadership, and cross-functional stakeholders through clear presentations, reporting, and written communications.
Responsible for fostering a culture of ownership, collaboration, continuous improvement, and operational excellence within the Benefit Design Administration and Testing team.
Accountable for ensuring accuracy, quality, compliance, and timely delivery of benefit configuration and testing activities while supporting organizational goals and client satisfaction.