Principal, Process Architecture & Delivery

MedImpact•San Diego, CA

2d•Hybrid

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! Job Description Summary : The Principal, Business Process Architecture and Delivery will develop and implement initiatives to make our PBM and Software as a Service (SaaS) offerings market leading with an emphasis on claims and clinical processes and systems. You will lead project teams and partner with business and operations leaders, clinicians, technical partners and dedicated project leaders to identify and design operational improvements, efficiencies and best practices within prioritized work streams to improve PBM and SaaS offerings, facilitate PBM integration and to optimize operational and clinical practices. In this role you will lead initiatives to shape the future of the organization. While addressing immediate business needs, you will create and implement improvements to claims, clinical and operational practices supported by technology in line with strategic goals.

Requirements

Bachelor’s or Doctorate Degree in Pharmacy or Bachelor’s Degree in Business, Operations, Engineering or Information Services or equivalent combination of education and experience.
10+ years of experience in PBM, managed healthcare, insurance or consulting to these organizations required along with 8 years of SME in respective areas.
4+ years supervisory experience.
Experience with pharmacy benefit management software.
Proficient with MS Suite (Word, Excel, Visio, Outlook, Project) and SmartSheets to create data strategy roadmaps, manage priorities and share vision for organization growth.
Experience with system modernization, data conversion and integration of operating platforms
Experience in creating business process flow and business requirements documentation that feed software architecture and system design documentation
Sound knowledge of industry standard best practices and innovations in the realm of data platform
Extensive knowledge of strategy setting, program requirements, product development and project management methodologies
Demonstrated analytical and logical reasoning
Adept in problem solving and change management
Demonstrated ability to be client focused, responsive, flexible, and positive
Ability to work effectively with external partners/vendors to implement new solutions.
Proven ability to work as a team player and collaborate effectively with peers
Excellent time management skills and ensure deadlines are met.
Demonstrated ability to influence others in meeting enterprise goals.
Excellent organizational and communication skills (both written and verbal).
Ability to apply industry best practices in local solution designs.
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 public.
Excellent listening, written, verbal and telephone communication skills are essential.
Ability to relay technical information in a non-technical manner
Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
Analytical – Synthesizes complex or diverse information; Collects and researches data; Identifies data relationships and dependencies; uses intuition and experience to analyze data and relationships; designs workflows and procedures.
Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness; Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas and information in a manner that gets others' attention.
Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests.
Technical Skills – Demonstrates required skills; Adapts to new technologies; Troubleshoots technical problems; Uses technology to increase productivity; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others; Exhibits ability to learn and apply new skills; Keeps abreast of current developments; Displays understanding of how job relates to others.
While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear.
The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl.
The employee must occasionally lift and/or move up to 25 pounds.
Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus.

Nice To Haves

SaaS experience highly desirable.
Experience delivering SaaS products and services
Experience in healthcare industry is a plus.
Experience in data science, machine learning and AI is a plus.
Experience working with agile methodology is a plus.

Responsibilities

Develop and maintain a deep understanding of the core business and clinical processes by working with business and operations leaders, clinicians, analysts and enterprise architects to build and maintain business capability models and value streams.
Be a strong influencer and change agent to implement improvements to technology and business and operating models to improve service, quality and efficiency of the products and services we offer.
Communicate both internally and externally the competitive advantages of our claims and clinical platforms and improvement roadmaps in the PBM and SaaS marketplaces.
Evaluate and quantify the health and maturity of business capabilities across the enterprise
Facilitate discussions with operations, clinical, technical and business leaders to identify current and future priorities that inform the improvement plan or roadmap
Collaborate with operations, clinical, technical and business leaders and project managers to develop improvement strategies tied to key business performance metrics and translate these strategies and technology objectives into an actionable roadmap
Leveraging Agile methodology, collaborate with the technology leaders to translate optimized operational, clinical and business practices into clear business requirements for technology implementation.
Participate in the Technology roadmap reviews to evaluate and approve technology deliverables that align with the strategic goals of the projects.
Organize plans and partner with business, technical, clinical and operational leaders to implement changes to business processes including launches of new technologies
Mentor others and help drive the maturity of the enterprise business process architecture practice
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.
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; and ensure client commitments are met in a timely manner.