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

Summary

The External Compliance Support (ECS) Manager I manages and oversees compliance auditing activities conducted by external entities such as MedImpact's clients, consultant auditors (hired by MedImpact clients), or regulatory authorities. This position manages requests received from clients undergoing audits to support those regulatory audits. The Manager supports compliance audits of MedImpact by its clients and regulatory bodies such as CMS, state departments of insurance, and others.

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

• Collaborates with identified subject matter experts to ensure compliance audit activities are conducted effectively and efficiently. Ensures notification, scope, and timelines of scheduled compliance audits are appropriately communicated to organization.
• Coordinates support activities with internal operational areas. Oversees remediation, including corrective action plans, for all audits under ECS management. Maintains corporate records of materials provided and received in compliance audit support activities.

• Evaluates compliance audit requests to determine scope, applicability, and impact on organization. Reviews any applicable regulatory requirements and contractual requirements. Advises the appropriate internal audit support members of any applicable regulatory, contractual requirements or previous corrective action pertinent to the compliance audit activity.
• Develops and maintains standard compliance auditing information on various topics that can be utilized by external entities performing compliance audits on MedImpact.
• Develops and maintains guidelines of standard materials to support specific compliance auditing as requested by external entities. Maintains corporate records of materials provided to support compliance auditing activities, including the specifications utilized to create data reports.
• Oversees and manages a formalized follow-up session with appropriate internal audit support members, and leadership as appropriate, including follow-up on findings (e.g., corrective action plans). Works with affected areas to ensure findings are addressed and within stated timelines.
• Prepares and presents compliance audit findings, corrective actions, and other relevant information to leadership.
• Assists the Corporate Compliance Officer with compliance program initiatives as well as educates and trains employees.
• Assists with the accreditation efforts (URAC and others) as needed to include information gathering. Ensures standards are met; supports compliance assurance efforts related to MedImpact and subsidiary organizations.
• Maintains accurate and timely records in tools used for tracking and reporting.
• Other duties as assigned.

Supervisory Responsibilities

No supervisory responsibilities

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 and 5+ years' experience or equivalent combination of education and experience, and 2 years of SME in respective areas

Computer Skills

Intermediate knowledge of MS Office (Word, Excel, Access, PowerPoint) and Outlook. Familiarity with SalesForce (CRM tool). Aptitude to learn new programs.

Certificates, Licenses, Registrations

CHC, PMP, or CPhT (or any combination) preferred but not required.

Other Skills and Abilities

• Basic knowledge of healthcare audit management.
• Excellent communications skills (verbal and written).
• 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.
• Demonstrates solid command of relevant knowledge, skills, techniques, and technologies, keeps current with recent developments and best practices in the field, and establishes self as the go-to person for up-to-date knowledge in his or her area.
• Functions as a valuable team member by engaging in collaborative decision making and problem solving, constantly contributes positively as a team member, shares credit when appropriate and encourages teammates to use their knowledge and skills.
• Expresses self clearly and effectively in face-to-face interactions, presentations, and written documents, and employs active listening skills to ensure productive interactions.

Reasoning Ability

• Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Mathematical Skills

• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.

Language Skills

• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.

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

• Composure
• Decision Quality
• Organizational Agility
• Problem Solving
• Customer Focus
• Drive for Results
• Peer Relations
• Time Management
• Dealing with Ambiguity
• Learning on the Fly
• 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. Close vision (clear vision at 20 inches or less)

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.

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.

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 less than 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.