The Business Systems Analyst III acts as a liaison between end-users and the IT development team to analyze business needs and translate them into functional specifications. They are responsible for driving projects to completion, managing service requests, and ensuring software solutions align with business strategies.
The Business Systems Analyst acts as a liaison between end-users and technical teams to analyze complex business needs and formulate system solutions. They are responsible for documenting requirements, leading projects to completion, and performing user acceptance testing to ensure software enhancements meet business goals.
The Clinical Account Executive manages client relationships by implementing and optimizing clinical programs within PBM offerings. They provide expert clinical guidance, analyze performance data, and ensure alignment with client healthcare objectives.
The Account Executive is responsible for managing and maintaining client relationships with Covered Entities to ensure satisfaction, account growth, and retention. They act as the primary point of contact, providing support, monitoring contract performance, and implementing sales strategies for up-selling.
The Account Manager is responsible for leading operational aspects of client servicing, including implementation, relationship management, and renewals. They ensure consistent customer satisfaction by managing client expectations, resolving adjudication issues, and delivering successful project outcomes.
The Growth Marketing Manager will develop and execute growth marketing strategies targeting the employer segment within the PBM industry. They will manage multi-channel campaigns, produce thought leadership content, and collaborate with sales and product teams to optimize performance.
The Clinical Account Executive manages client relationships by implementing and optimizing clinical programs within PBM offerings. They serve as the primary clinical point of contact, providing expert guidance and data-driven strategies to ensure client satisfaction and regulatory compliance.
The Instructional Designer designs, develops, and implements training programs for internal and external clients using e-learning and instructor-led formats. They also document processes, create supporting media, and monitor federal Medicaid policy updates to ensure training content remains current.
The Instructional Designer II designs, develops, and evaluates training programs and e-learning content to facilitate skill acquisition for internal users. They collaborate with subject matter experts to translate complex technical information into engaging learning materials while managing project timelines and delivery methods.
Responsible for the execution of annual accreditation, clinical quality, and UR licensure assessment processes to maintain NCQA and URAC standards. Coordinates with internal partners and delegated entities to monitor compliance, perform audits, and implement quality improvement recommendations.
The Clinical Quality Pharmacist performs clinical audits of Prior Authorization and Appeals staff to ensure compliance with regulatory and accreditation standards. This role also involves creating quality reports, managing inter-rater reliability testing, and identifying opportunities for process improvement.
The Implementation Manager is responsible for managing the transition of new business into MedImpact by collaborating with internal teams and external clients. They ensure project deliverables meet service agreements, maintain high client satisfaction, and facilitate the successful delivery of revenue.
The Financial Analyst II supports the organization's FP&A, financial reporting, month-end close, budgeting, and forecasting processes. This role analyzes financial and operational data to produce reporting packages, dashboards, and financial models for leadership and internal stakeholders.
The Manager of Clinical Quality Monitoring and Oversight directs clinical monitoring activities, including retrospective case audits and delegation oversight, to ensure compliance with regulatory and accreditation standards. They manage a multidisciplinary team and serve as a second-level clinical authority, representing the department in cross-functional and client-facing meetings.
The Clinical Solutions Manager oversees the operational workflows for clinical products, including business analysis, implementation, and project management. They act as a subject matter expert and liaison between departments to ensure strategic initiatives meet corporate operational excellence and revenue goals.
The Clinical Operations Pharmacist provides analytic and technical support to optimize clinical quality and cost-effectiveness of drug therapy for client plan sponsors. The role manages operational aspects of clinical programs and collaborates with stakeholders to identify performance improvement opportunities.
The Clinical Account Executive manages client relationships by implementing and optimizing clinical programs within PBM offerings. They provide expert clinical guidance, analyze performance data, and collaborate with internal teams to ensure client satisfaction and strategic alignment.
The Account Executive manages complex client relationships, overseeing business strategy, financial goals, and contract renewals. They lead client teams to ensure service excellence, operational efficiency, and sustainable growth within their assigned book of business.
The Principal, Business Intelligence Architect leads the design, implementation, and enhancement of BI solutions while serving as a subject matter expert for the Medicaid Fee-For-Service team. This role manages staff and collaborates with cross-functional stakeholders to translate complex business needs into scalable, high-quality data reporting solutions.
Supervises a configuration team to ensure the accuracy, timeliness, and quality of client-specific benefit designs. Acts as an interdepartmental liaison and represents the configuration services department in project teams and client meetings.
The analyst performs in-depth testing and validation of pharmacy benefit configurations to ensure accuracy and adherence to business requirements. They also analyze claims adjudication results, document findings, and collaborate with internal and external stakeholders to resolve discrepancies.
The Appeals and Grievances Coordinator I manages the intake, processing, and notification of appeal and grievance requests while ensuring compliance with regulatory standards. The role involves performing outreach, maintaining accurate documentation, and collaborating with internal and external clients to resolve issues within established turnaround times.
The Appeals Clinical Specialist independently conducts clinical reviews of medical records and medication requests to make benefit coverage determinations. They ensure all appeal processes comply with regulatory, accreditation, and organizational standards while supporting cost-effective drug therapy.
The Staff Accountant III performs advanced accounting functions, including preparing financial reports, analyzing trends, and managing key accounting functions like cash and investments. They also drive process improvement initiatives, mentor less experienced staff, and ensure compliance with GAAP and Sarbanes-Oxley requirements.
The Principal, Formulary Consulting is responsible for developing and executing strategies to optimize rebate yields and reduce drug spend through formulary management and contract alignment. They serve as a subject matter expert for internal and external stakeholders, leading formulary strategy and managing complex rebate modeling.
The specialist creates and maintains pharmacy prior authorization guidelines and medication request forms while providing technical support to clinical teams. They also manage the quality assurance process for medical exception guidelines and serve as a subject matter expert for internal and external stakeholders.
The Manager of Trade Emerging Markets coordinates market event activities across Trade Relations to ensure pricing impacts are accurately understood and operationalized. This role also supports the management of emerging market products by tracking milestones, facilitating cross-functional alignment, and documenting key decisions.
The Principal is responsible for developing and managing rebate analytics strategies to deliver enterprise-wide value and pricing transformations. They will lead cross-functional teams, manage client and vendor relationships, and ensure the accuracy and timeliness of financial reporting.
The Director of Rebate Economics leads the development and operation of strategic analytics, financial performance, and pricing strategies for rebate outcomes. This role partners with executive leadership and cross-functional teams to implement innovative pricing structures and optimize enterprise financial performance.
The Director is responsible for directing underwriting and economic strategy for complex trade and emerging market initiatives to support client value and EBITDA performance. This role leads cross-functional teams to develop financial models, evaluate program impacts, and ensure operational execution of pharmaceutical strategies.
The Clinical Account Executive II manages clinical projects and pharmacy coverage for state Medicaid agencies to optimize drug therapy quality and cost-effectiveness. The role also serves as a team lead, providing guidance to junior staff and coordinating clinical strategies to meet client service level agreements.
Provides strategic support to state clients and manages cross-functional teams to ensure compliance with agreement terms and program standards. Focuses on maintaining customer satisfaction, executing revenue growth, and overseeing operational delivery for Medicaid Fee-For-Service programs.
Lead and manage all operational aspects of servicing and retaining clients while managing the transition of new business into the company. Ensure consistent customer satisfaction and successful project delivery throughout the client life cycle.
Lead all aspects of territory management to achieve sales targets by building relationships with brokers, consultants, and prospective clients. Work cross-functionally to manage RFPs, pricing, and onboarding to ensure successful client implementation.
