Description

Configuration Analyst I

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!

The Scoop:

The Configuration Analyst provides support for the client configuration of benefits, pharmacy and formulary; supporting the intake, design, configuration, and in-unit testing of all change requests for assigned clients.

What You Get To Do: include the following. Other duties may be assigned.

• Applies pharmacy, formulary, and benefit configuration to effectuate change as specified in submitted change requests
• Ensures assigned due dates for submitted change requests are met
• Performs all workflow activities (preassessment, design, configuration and in-unit testing of Level 1 and 2 tasks)
• Acquires a thorough understanding of MedImpact system logic for claims adjudication, system constrainsts, conflicting benefit logic configurations, benefit coding table designs, plan – group – pharmacy carrier to benefit linking, to ensure proposed design satisfies the intended solution
• Troubleshoot and perform research on basic to moderately complex claims processing issues or customer inquiries and promptly responds to service failures, resolves issues, and escalates concerns as appropriate
• Ensures a consistent customer experience by proactively participating in configuration of plan design through consultation and collaboration with external clients, client team members, other internal business partners, to ensure that business requirements for change requests are clearly understood, documented, developed, communicated, tested, and delivered flawlessly
• Uses standardized methodology to ensure that appropriate rationale exists for non-standard designs and that all efforts are undertaken to prevent inefficient and non-sustainable configuration structures
• Perform in-unit testing and validation to confirm configuration design processes as expected and meets customer requirements and that all appropriate forms and documentation are fully and accurately completed
• Utilizes project planning, prioritizing, and organizational skills to ensure timely deliverables, high levels of quality, and efficient use of resources to achieve claims adjudication accuracy

Education and/or Experience

For consideration candidates will need an

• Associates degree (A.A.) from a College or university, or a minimum of three (3) years related experience and/or training, or equivalent combination of education and experience
• Previous healthcare or PBM experience desired
• Experience with pharmacy or medical claims analysis desired
• In-depth drug knowledge and terminology is a plus

Computer Skills

• Intermediate knowledge of MS Office / Word, PowerPoint, Outlook and MS Excel
• The ability to run SQL queries and script load

Certificates, Licenses, Registrations

Pharmacy Technician License or National Certification helpful.

Other Skills and Abilities

• Ability to gather business requirements and client specifications
• Demonstrated ability to positively interact with clients, internal customers, and peers
• Demonstrated willingness to take accountability for achieving service commitments and a demonstrated ability to achieve results
• Demonstrates ability to appear for work on time, follow directions from a supervisor, interact well with co-workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment

Travel

This position requires travel up to 10% of the time. Also, attendance maybe required at various local training sessions and/or meetings.

The Perks:

• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus

This position is eligible for Employee Referral Bonus at Level I

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.

EOE, M/F/D/V

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.