Pharmacy Resident - Managed Care

MedImpact Healthcare Systems Inc.; San Diego (CA); On-site; USD 26,000 - 42,000; Full time

Benefits offered by this job

Medical / Dental / Vision / Wellness

Paid Time Off / Holidays

Incentive Compensation

401K with Company match

Life and Disability Insurance

Tuition Reimbursement

Employee Referral Bonus

Job summary

MedImpact Healthcare Systems, Inc. is seeking a Doctor of Pharmacy to join our managed care residency program. The one-year program develops leaders across clinical operations, formulary management, and analytics, with rotations among GPS and other teams.

The role emphasizes strong analytical, communication, and presentation skills, plus the ability to work independently and with cross-functional teams. On-site at our San Diego headquarters with travel as needed.

Qualifications

• PharmD from an ACPE-accredited school of pharmacy.
• Must obtain Registered Pharmacist license in residence and Kentucky by October 1 of the program year.
• Strong analytical and problem-solving capabilities.

Responsibilities

• Perform cost savings and member impact analyses after learning benefit design and utilization management strategies.
• Contribute to clinical quality programs, such as Drug Utilization Review (DUR), Transitions of Care and other initiatives to improve HEDIS and CMS Star Ratings.
• Support clients by developing and implementing quality and cost savings initiatives and managing custom formularies across all lines of business.
• Participate in the management of government programs to evaluate and facilitate regulatory programs.
• Perform quality program oversight and develop quality improvement initiatives while supporting oversight audits.
• Evaluate prior authorization requests and understand the regulatory requirements governing prior authorization reviews, which includes four hours of weekly staffing.
• Assist in P&T material preparation and weekly drug updates.
• Present at MedImpact P&T Committee meetings.
• Develop presentation skills to lead meetings while learning to manage projects and navigate corporate complexities.
• Conduct a longitudinal research project designed for presentation at AMCP Annual Meeting.

Skills

Analytical thinking

Problem-solving

Communication skills

Presentation skills

Teamwork

PBM knowledge

Education

PharmD from ACPE-accredited school of pharmacy

Tools

Microsoft Office Suite

Job description

Exemption Status: United States of America (Non-Exempt) $19.11 - $24.65 - $30.19 “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.

Why join MedImpact?

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! 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

MedImpact’s Managed Care Pharmacy Residency Program is a one-year program that develops future managed care leaders by building a strong foundation of knowledge in both clinical and managed care principles. By working across multiple teams serving all lines of business, the diverse experience gained will amply prepare the resident for a career in managed care pharmacy. The Managed Care Pharmacy Resident provides support to the Government Programs and Services (GPS) team and other departments through managed care learning experiences (rotations) and longitudinal projects. The rotations/projects will include a breadth of disciplines including clinical operations, utilization and formulary management, clinical account services, quality assurance and improvement, government program management, analytics and research.

Essential Duties and Responsibilities

• Perform cost savings and member impact analyses after learning benefit design and utilization management strategies.
• Contribute to clinical quality programs, such as Drug Utilization Review (DUR), Transitions of Care and other initiatives to improve HEDIS and CMS Star Ratings.
• Support clients by developing and implementing quality and cost savings initiatives and managing custom formularies across all lines of business.
• Participate in the management of government programs to evaluate and facilitate regulatory programs.
• Perform quality program oversight and develop quality improvement initiatives while supporting oversight audits.
• Evaluate prior authorization requests and understand the regulatory requirements governing prior authorization reviews, which includes four hours of weekly staffing.
• Assist in P&T material preparation and weekly drug updates.
• Present at MedImpact P&T Committee meetings.
• Develop presentation skills to lead meetings while learning to manage projects and navigate corporate complexities.
• Conduct a longitudinal research project designed for presentation at AMCP Annual Meeting.

Other duties may be assigned.

Supervisory Responsibilities

No supervisory responsibilities

Education and/or Experience

• PharmD from an ACPE-accredited school of pharmacy

Computer Skills

• Proficiency with Microsoft Office Suite

Certificates, Licenses, Registrations

• Must obtain Registered Pharmacist license in state of residence and Kentucky by October 1st of the program year.

Other Skills and Abilities

• Strong analytical and problem-solving capabilities
• Excellent communication and presentation skills
• Ability to work independently and as part of a team
• Knowledge of PBM operations, drug formulary systems, and healthcare regulations
• Reasoning Ability
• Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs, musical notes, etc.,) in its most difficult phases.
• Ability to deal with a variety of abstract and concrete variables
• Ability to define problems, collect data, establish facts, and draw valid conclusions
• Mathematical Skills
• Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry
• 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 to top management, public groups, and/or boards of directors
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations

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.
• Ability to maintain clear near visual acuity at approximately 20 inches or less (i.e., “close vision”) to accurately read fine print, view computer screens, and handle small objects.
• Requires adequate color vision and depth perception to support safety and precision in detail-oriented tasks.

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.

Working Hours

This is a full-time non-exempt position requiring one to be able to work overtime from time to time to get the job done. Therefore, one must have the ability to work nights, weekends or on holidays as required. This may be changed at any time to meet the needs of the business. The typical working hours for this position are Monday through Friday from 8:00am to 5:00pm.

Travel

This position requires domestic travel of up to 25% of the time.

Benefits and 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

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

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

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.

About MedImpact

MedImpact was founded more than three decades ago by a pharmacist and independent drug store owner who saw firsthand how families struggled with the high cost of prescriptions, and how it impacted their lives, financial security, and health. So, he started MedImpact to make prescription benefits understandable and accessible. While we have grown to be one of the leading PBMs in America, we remain as committed to these principles today as we did when it all began.