Demo

Director, Sales & Operations

MedImpact
Tempe, AZ Full Time
POSTED ON 3/4/2025
AVAILABLE BEFORE 6/4/2025

Exemption Status :

United States of America (Exempt)

108,457 - $151,840 - $195,222

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

Position Summary :

With one of the largest healthcare networks in the nation, Provider Networks of America (PNOA) delivers convenience, access, and savings to members, and a streamlined experience for providers. Our flexible approach, deep expertise, and direct contract model allows PNOA to offer custom network solutions, hassle-free claims administration, and hands-on support to members and providers.

The Director of Sales & Operations role is responsible for selling our PPO products, the development of the strategic direction of PNOA, and is accountable for the management of contracting and network management activities. Responsible for developing the network and negotiating and administering contracts.

Sales responsibilities include selling our products to Commercial Group Health TPA's, Health and Welfare Trust Plans, Workers Compensation TPA's, Insurance Carriers, Network Aggregators, Bill Review Platforms, and Self-funded Employer Groups.

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

  • Directly manages both Sales and a Contracting Team, providing leadership and mentoring to their direct reports.
  • Identify new revenue producing clients and close new sales
  • Create and implement sales plans that successfully achieve business objectives
  • Meet sales objectives and targets at profitable rates and moves prospects into implementation.
  • Responsible for accurate and timely contract loading and submissions.
  • Drive departmental staffing plan, budget, policies and procedures, training programs, and other development as necessary to ensure success.
  • Stay informed on marketplace changes and competitive value propositions that will influence network participation and effectiveness.
  • Identifying and implementing alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
  • Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal / external partners / customers to resolve highly complex and / or escalated issues.
  • Manages key provider relationships and is accountable for critical interface with providers and business staff.
  • Ensures the provider network meets the health care needs of Plan members.
  • Augments and modifies the existing provider network to accommodate new products or clients as necessary.
  • Leads team in a manner conducive to ongoing growth and expanded knowledge of associates.
  • Coach team members in the use of data and appropriate analytical tools that support improved quality.
  • Support team members in the identification and creative problem resolution for improved processes and expanded use of technology.
  • Systematically keeps staff informed of policy and procedural changes affecting program and administrative operations.

Supervisory Responsibilities

Manages assigned staff in PNOA. Responsible for the overall direction, coordination, and evaluation of the assigned team. 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.

Client Responsibilities

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; 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.

Must be articulate and able to work directly with senior management as a high-level expert. Ability to multi-task and prioritize in an ever-changing environment. The ability to work in an open team environment and be a team player with all levels of staff and management is required.

Education and / or Experience

Bachelor's degree required in Business or health related disciplines such as Healthcare Administration or Healthcare management or equivalent combination education and experience. Master's Degree preferred. Minimum 10 years of progressive business management and negotiation experience; minimum 8 years as a SME in sales and operations; minimum of 5 years management experience managing teams and project management; minimum of 5 years Managed Care Provider Contracting experience.

Previous experience in senior sales role with demonstrated ability to meet or exceed targets

Computer Skills

Strong proficiency with MS Office / Word, PowerPoint, Excel, Project, Visio and Outlook to create complex documents, manage schedules, and analyze data.

Other Skills and Abilities

Communication, both written and verbal, must be clear, concise, and easily understood by multiple levels within the organization. Ability to ask questions freely, even in uncomfortable situations or where the question may make others uncomfortable.

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.

Reasoning Ability

Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

Language Skills

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, legal documents, 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.

Competencies

To perform the job successfully, an individual should demonstrate the following competencies :

Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures.

Design - Generates creative solutions; Translates concepts and information into images; Uses feedback to modify designs; Demonstrates attention to detail.

Problem Solving - Analyzes problems logically to identify root causes, seeks input from a wide range of sources, asks insightful questions and formulates effective solutions.

Planning - Produces realistic, effective plans with clear actions and objectives, workable timelines and specific methods to measure progress, taking into account overall goals, required resources and potential obstacles.

Technical Skills - Assesses own strengths and weaknesses; Pursues training and development opportunities; Strives to continuously build knowledge and skills; Shares expertise with others.

Business Knowledge - Demonstrates clear understanding of the nature of the businessits products and services, goals, market, competitors and challenges.

Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.

Communication - Expresses self clearly and effectively in face-to-face interactions, presentations and written documents, and employs active listening skills to ensure productive interactions.

Responsiveness - Responds promptly, appropriately and effectively to requests, feedback and new developments, making sure that all relevant concerns and requirements are understood and addressed.

Interpersonal Effectiveness - Demonstrates good people skills by showing a commitment to teamwork, resolving conflicts effectively and with respect for others' viewpoints, respecting differences and building strong relationships and networks.

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.

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.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and / or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus.

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.

While performing the duties of this job, the employee is in an office setting and is exposed to moderate noise (examples : business office with computers and printers, light traffic).

Working Hours

This is an exempt level position requiring one to work the hours needed to get the job done. Therefore, one must have the flexibility to work beyond traditional hours and be able to work late evenings, weekends and / or on holidays as required to support clients and to work with teams in different time zones. This may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8 : 00 AM to 5 : 00 PM PST.

Position Location

This position is located in Tempe, Arizona.

Travel

This position requires domestic travel of up to 50% of the time with little or no advance notice.

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.

    Salary : $108,457 - $151,840

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