MedImpact

Serves as an Executive Sponsor for Medicaid State Fee for Service opportunities.. Responsible for ensuring contractual alignment with requirements for Medicare Part D, Managed Medicaid and Medicaid Fee for Service clients.. Review, interpret and provide internal guidance on operationalizing proposed, adopted, and promulgated state and federal regulation for Marketplace, Medicare, Managed Medicaid and Fee for Service Medicaid.. Juris Doctorate degree or Paralegal certificate preferred. Requires prior experience with Medicare Part D, Managed Medicaid, Marketplace Exchange and CMS CDAG and formulary processes

government

Principal, Government Policy and Strategy

$110,214 - $153,300 - $198,386

"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!

The Scoop:

The Principal, Government Policy and Strategy represents MedImpact's Government Program and Services (GPS) Department to key government customers, prospects and internal stakeholders and is a subject matter expert in Managed Care Government Programs. Serves as an Executive Sponsor for Medicaid State Fee for Service opportunities. Will collaborate with Regulatory Compliance and Legal to ensure alignment on interpretation and execution of policy. Provides strategic and tactical advice, consultation, and counsel in alignment with department and company objectives. Responsible for ensuring contractual alignment with requirements for Medicare Part D, Managed Medicaid and Medicaid Fee for Service clients. Develops relationships with state, federal, and regional stakeholders.

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

* Reviews new and pending legislation and regulatory materials relative to Medicaid, MMP and Marketplace with an emphasis on prescription drug management* Review, interpret and provide internal guidance on operationalizing proposed, adopted, and promulgated state and federal regulation for Marketplace, Medicare, Managed Medicaid and Fee for Service Medicaid. Work to ensure company programs meet State and Federal regulations* Serves as a as key liaison between GPS, and MedImpact Regulatory Compliance and Legal Departments to ensure alignment on interpretation and execution of policies as necessary* Determine requirements and gives internal direction on internal system changes to monitor for new federal and state legislation, contractual updates, and other related regulatory guidance* Evaluate and document consequences and risk in determining cost of compliance for new legislation, policy, and state or federal guidelines* Advise Government Programs, Compliance and Legal regarding contractual requirements on Managed Care and Government Programs, including Policy & Procedure documentation, and operational process adjustments that are deemed necessary for each program to be compliant with the client contract and reviewed regulatory requirements* Resource for Request for Proposal (RFP) response interpretation and development* Research regulation in states where MedImpact is a new vendor* Interfaces cross functionally to consult in support of key initiatives

Education and/or Experience

For consideration candidates will need a

* Bachelor's Degree required; advanced degree preferred* Ten (10) years of experience in Managed Care and Government Programs is required; or equivalent combination of education and experience

Leadership experience may be substituted with five (5) years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (VP+) for current active employees

Computer Skills

Proficient in Microsoft Office Suite products, including Access, Visio, Excel, Word, and others.

Certificates, Licenses, Registrations

Juris Doctorate degree or Paralegal certificate preferred

Other Skills and Abilities

* Prior senior professional level experience in Managed Care or Government Programs* Requires broad experience with overall PBM functions across all applicable business lines including commercial, healthcare reform, Medicare, and Medicaid* Requires prior experience with Medicare Part D, Managed Medicaid, Marketplace Exchange and CMS CDAG and formulary processes* Strong communication skills both written and verbal

Travel

Travel to MedImpact office locations and client or prospect sites as may be required to support the mission of this position and the needs of MedImpact and on a frequency determined to be appropriate.

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 III

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.
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