Manager, Configuration

MedImpact•Fremont, NE

2d•Onsite

About The Position

Provides direction and guidance to achieve departmental goals and objectives as related to Configuration Services. Responsible for leadership oversight of all core business functionality associated with (1) pharmacy benefit configuration; (2) Network Pharmacy Provider configuration; (3) Formulary configuration; (4) Configuration testing; (5) Eligibility management and all functions as related to the new and existing clients’ pharmacy benefit management programs. Manages configuration timeliness and quality to ensure accuracy of configuration operations and services provided to our customers. Serves as an interdepartmental liaison to assure open communication and collaboration with client facing teams to drive timely operational execution and service delivery as related to configuration functions.

Requirements

BS/BA degree or equivalent plus 5+ years of experience
1 year of SME in respective area(s)
3+ years of supervisory experience
Intermediate to advanced skill set in Visio and MS Office; Word, Excel, PowerPoint, Project and Outlook.
Basic Knowledge of SQL.
Superior working knowledge of “PBM” or other managed healthcare services to national and regional managed care organizations, insurance companies, and other health related entities.
Excellent interpersonal skills, written and verbal communication and group presentation skills.
Extensive understanding of the MedAccess system, POS claim adjudication, pharmacy benefit design, and formulary maintenance and the effect of changes within those systems to online client and member applications.
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 work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
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.
Building Effective Teams
Decision Quality
Informing
Confronting Direct Reports
Delegation
Organizational Agility
Customer Focus
Drive for Results
Political Savvy

Nice To Haves

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.
Pharmacy Technician License or National Certification preferred but not required.

Responsibilities

Manage assigned group (Configuration Specialists, Configuration Analysts, Testing & Validation Analysts, Lead Configuration Analyst, and Configuration Solution Architects) in the development, implementation, and maintenance of client-specific benefit designs focused on meeting the client’s satisfaction in the areas of Service Delivery, Performance Expectations, Claims Adjudication Accuracy, and Growth in Membership and Profitability.
Develops and implements operating plans for enhancing the business and meeting strategic objectives.
Provides day-to-day leadership and direction to provide exceptional service to clients by achieving service commitments, including developing and administering policies & procedures, business processes, quality standards, measurement criteria, project management standards, and operating budgets.
Provides recommendations for the acquisition/development or enhancement of tools and applications necessary to support the business in an efficient and quality manner.
Provides leadership in order to recruit, manage and retain the necessary resources to successfully perform the duties of the assigned work group(s).
Develops staff to meet the current and future needs of the organization.
Models and cultivates staff behaviors that achieve business success, including leadership skills, collaboration, accountability, and ownership.
Ensures that staff members are aware of business plan objectives, individual accountabilities, and the competencies critical to successful job performance.
Manages work group(s) to achieve service commitments, including sustainable, measurable, accurate, reliable, and timely execution of project deliverables.
Provides day-to-day leadership and direction including, developing and administering policies, business processes, quality standards, measurement criteria, and operating budgets.
Sets high standards and encourages new ideas for improving organizational performance.
Finds new ways to reduce the cost, improve efficiency, mitigate loss, and increase the profits.
Implements budgets and long term goals in order to ensure efficiency.
Ensures the financial objectives set by the company are met.
Leads and promotes continuous improvement by developing and documenting business processes, assigning roles and responsibilities, and measuring results.
Identifies and leads the improvement opportunities for assigned work group(s) and business processes.
Seeks out and actively participates in business initiatives that contribute to service excellence.
Partners with other Sav-Rx/MedImpact business units to effectively resolve customer issues and inquiries, implement new business, design solutions that meet the mutual needs of Sav-Rx and our customers.
Supports new product offerings and strategic sales & marketing efforts.
Actively participates as a key member of cross functional workgroups, teams, and committees as assigned.
Partner with Account Executives on client financial restitution activities, including report validation and documentation.
Help define the requirements for and promote system enhancements, including changes to POS logic, automated processes and applications enhancements necessary to enable staff to perform quality and efficient work practices.
Provides alternative solutions for more sustainable standard solutions and practices.
Identify and lead business process improvement activities.
Oversight responsibilities for all client team projects including other implementations identified as maintenance of business team responsibilities.
Ensure issues are resolved expeditiously and develop plan to resolve escalated issues.
Communicate directly with client management during periods of escalation.
Develop and maintain positive and productive business relationships with region’s clients at the key decision-maker levels.
Accountable for continuous improvement in customer satisfaction.
Support Sales Division and Account Executives with Request for Proposals & Best and Final Presentations.
Support Vice President and Account Executives with RFP responses as applicable for renewal business within region.