Exemption Status:

“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

The Pharmacy Relations Manager is responsible for the management of the Puerto Rico pharmacy network, including Retail, Long Term Care, Mail Order, Specialty, Home Infusion, and/or Indian Tribe networks. Responsible for maintaining the integrity of the network and executing strategic initiatives. Cultivates effective relationships with pharmacy provider representatives, client representatives and internal stakeholders, including adhered to agreed-upon rules of engagement and roles & responsibilities.

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

• Manages and supports the Puerto Rico pharmacy network to ensure adherence to the terms of the pharmacy contractual documents, PBM client business requirements, and state or federal regulatory requirements. 

• Execute strategic contracting initiatives and rate negotiations and oversee aspects of the pharmacy enrollment process.  

• Responsible for developing and implementing strategic initiatives to support the Puerto Rico pharmacy network and clients

• Identify opportunities to provide pharmacy education and support on pricing, credentialing, attestations, and other network related activities; Develop and deliver high-impact presentations to internal and external leadership and executives. 

• Maintains oversight of the pharmacy network data to ensure the quality of the network

• Support day-to-day network operations including, 835 set-ups, payment inquiries, grievances and issues

• Regularly visit Puerto Rico pharmacies to forge connections and build trust. Identify key pharmacies to build and maintain strategic partnerships with.

• Responsible for researching and resolving complex network issues, including rate discrepancies and conflicts between pharmacy relationships and business needs.

• Partners with other MedImpact business units to effectively resolve customer issues and inquiries, implement new business, design solutions that meet the mutual needs of MedImpact and our customers. Promptly responds to service failures, resolves issues, and escalates concerns as appropriate. Supports new product offerings and strategic marketing efforts. Actively participates as a key member of cross functional workgroups, teams, and committees as assigned;

• Develop and distribute pharmacy communications to meet internal and client requests.

• Attend industry conferences and client events.

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; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

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

Education and/or Experience

BS/BA degree or equivalent plus 5-7 years of related experience. PBM, pharmacy, and network management experience are required.

Computer Skills

To perform this job successfully, an individual should have knowledge of SQL, Golden, and Microsoft Access; Microsoft Office and Outlook; Microsoft PowerPoint.

Certificates, Licenses, Registrations

None required.

Other Skills and Abilities

• Bilingual proficiency in English and Spanish, with the ability to communicate effectively both verbally and in writing.
• Project coordination experience within a corporate environment coordinating multiple teams with constant deadlines and driving project processes.

• Strong written and in-person communication using clear, simple language that all stakeholders can understand.
• Previous experience working directly with customers and strong presentation skills.
• Detail oriented with a high degree of accuracy and follow through.
• Ability to understand and interpret contract language and negotiate favorable contract terms.
• Previous experience as a pharmacy technician is preferred.

Reasoning Ability

• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.

• Ability to define problems, collect data, establish facts, and draw valid conclusions.

Mathematical Skills

• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Language Skills

• Bilingual proficiency in English and Spanish, with the ability to communicate effectively both verbally and in writing.

• Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.

• Ability to write routine reports and correspondence.  Ability to speak effectively before groups of customers or employees of organization.
• 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:

Building Effective Teams

Decision Quality

Informing

Confronting Direct Reports

Delegation

Organizational Agility

Customer Focus

Drive for Results

Political Savvy

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 accommodation 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 and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.

Work Environment

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

This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).

Work Location

This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders. Must be located in Puerto Rico.

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 and be able to work nights, at weekends or on holidays as required.  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 domestic travel of up to 35% 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.