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Pharmacist Formulary Rebate Optimization

MedImpact Healthcare Systems
Full-time
Remote
United States

Exemption Status:

United States of America (Exempt)

$104,342 - $146,600 - $188,858

“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.

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

Job Description

Responsibilities include working with assigned clients, the MedImpact Account team, external vendors and internal MedImpact departments to identify client specific opportunities and to financially evaluate those opportunities and present recommended strategies to the client.  This role analyzes large data sets to identify opportunities; conducts benchmarking analyses; reviews, tracks rebate performance and models rebate opportunities; ensures client contract terms related to financial performance are monitored and tracked; and identifies and implements new opportunities and strategies to assist clients in meeting their financial goals.     

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

  • Proactively identifies client specific financial strategies to manage plan costs.
  • Models clinical rebate opportunities and present opportunities to assigned clients.
  • Proactively recommends formulary strategies to maximize clinically appropriate rebate opportunities.
  • Monitors and adheres to contractual requirements associated with Trade Relations.
  • Analyzes client specific financial data including rebates, clinical programs, and benefits data and develops and presents relevant reporting to clients.
  • Benchmarks client financial performance versus similar clients and available industry data.
  • Monitors and interprets contracts to identify MedImpact and client obligations related to rebate financial terms. Tracks performance to determine if contract requirements are being met and develops strategies to address financial shortfalls.
  • Proactively works with client teams to close gaps in client performance including formulary compliance and formulary optimization.  Supports client teams in clarifying MedImpact’s position related to contract disputes.
  • Analyzes very large data sets to proactively identify areas of opportunity including identifying clients that are not optimizing their rebate performance.  Develops and implements strategies to address these opportunities and tracks results.
  • Develops custom and ad hoc reports for clients; interprets and presents information to clients including appropriate recommendations based on the data.
  • Builds strong and collaborative working relationships with other members of the Trade Relations department, Account Team, Financial Analytics Team and other MedImpact departments to deliver value to clients and generate revenue and reduced risk for MedImpact.

Supervisory Responsibilities

No supervisory responsibilities

Client Responsibilities

This is an external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written).  One must be able to; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients; Manage difficult or emotional client situations.

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 accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience  

Pharm.D. from an accredited school of pharmacy (or equivalent combination of education (such as Registered Pharmacist (RPh.) and experience) along with 5 + years’ experience in the job duties listed.

Computer Skills

To perform this job successfully, an individual should have good knowledge of Microsoft Office Suite software including Word and Access.  Must have strong Excel skills.

Certificates, Licenses, Registrations

Registered Pharmacist in any US state.

Other Skills and Abilities

Solid working knowledge of PBM industry, healthcare, and government programs. Possess proven leadership skills, excellent communication skills (both verbal and written), analytical and financial reasoning skills. Requires experience in operational application of database applications, accounting, finance, or data analysis.  Demonstrated attention to detail and experience leading quality improvement initiatives. Requires the ability to represent MedImpact at the enterprise level with proper business decisions.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Location

This position is remote.

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. 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 occasional domestic travel of up to 5% - 10% 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

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego,
California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.

Equal Opportunity Employer, Male/Female/Disabilities/Veterans

OSHA/ADA:

To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer:

The above
statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.