Client Services Business Analyst, Medicaid Fee-for-Service III

Exemption Status United States of America (Exempt) $83,426 - $114,712 - $145,997 "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. Job Description 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! Essential Functions and Responsibilities Collaborates with internal and external stakeholders to create best-in-class solutions that integrate technology, information, and business processes. Matches appropriate technology solutions to business needs. Identifies, plans, develops, implements, and maintains business systems solutions that support client operational needs. Maintains current understanding of client file layouts, relationships, & logic and how they operate in MedImpact business applications. Provides technical consultation to the client team and related internal stakeholders. Writes detailed descriptions of user needs, program functions, and steps required to develop or modify business systems. Translates requirements into business, system & functional requirements and partners with IT Developers in translating requirements into design specifications. Develops queries to research, gather data and identify solutions. Performs various types of analysis related to business and system changes/enhancements (gap, impact, risk etc.). Actively participates in the creation and monitoring of service and trouble requests from creation to implementation. Creates and maintains related documentation/material pertinent to identified changes, such as work, data or process flows, analytical reports, decision support structures, use cases, as well as business rules, report design/mock-ups, etc. Ensures that the systems section of the client MedManual is current and properly documented. Creates and maintains project plans including task identification, prioritization, and sequencing of project tasks, test plans, and user acceptance testing. Participates in developing and executing communication and training plans relevant to implemented changes. Utilizes planning, prioritizing, and organizational skills to ensure timely deliverables, high levels of quality, and efficient use of resources to achieve reporting timeliness and accuracy. Maintains commitment to operational goals in the face of obstacles. Collaborates and cultivates positive relationships with internal and external customers through delivery of sustainable, measurable, accurate, reliable, and timely results that meet or exceed customer expectations. Promptly responses to service failures, resolves issues, and escalates concerns as appropriate. Promotes continuous improvement by ensuring adherence to quality principles. Seeks out and actively participates in business initiatives that contribute to service excellence. Actively participates in continued professional development to stay up to date on the latest technical and information management enhancements and data management best practices. Supervisory Responsibilities This job has 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 respond promptly to client needs; solicit client feedback to improve service; respond to requests for service and assistance from clients; meet commitments to clients; manage difficult or emotional client situations. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education And/or Experience Bachelor's degree from four-year college or university and four (4) years of Business System Analysis experience required in Pharmacy Benefit Management (PBM), Pharmacy, Managed Healthcare or similar role; or an equivalent combination of education and experience. Computer Skills Strong proficiency with MS Office / Word, PowerPoint, Excel, Visio and Outlook to create complex documents, manage schedules, and analyze data. Business user of multiple software applications/processing systems. Working knowledge of key business application such as SQL coding, Oracle forms, Golden 32, MedOptimize, Visio, knowledgeable of UNIX operating systems. Certificates, Licenses, Registrations None currently required. Other Skills And Abilities Ability to effectively balance a high volume of work and a variety of tasks; ability to prioritize urgent issues effectively. Strong analytic, verbal and written communication skills. Detail-oriented with high degree of accuracy and organizational skills. Able to effectively work as a team player as well as independently. Excellent investigative, problem resolution, judgment and decision-making skills required. Excellent presentation and consultative skills, working with internal and external clients at various levels in the organization. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Mathematical Skills Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. 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 While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is frequently required to use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand, walk and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. 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. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. While performing the duties of this job, the employee is in an office setting and is exposed to moderate noise (examples: business office with computers and printers, light traffic). Working Hours This is an exempt level position requiring one to work the hours needed to get the job done. Therefore one must have the flexibility to work beyond traditional hours and be able to work nights, weekends or on holidays as required. Typical core business hours are Monday through Friday from 8:00 a.m. to 5:00 p.m. Travel This position requires domestic travel of up to 20% 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 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 To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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. #J-18808-Ljbffr MedImpact Healthcare Systems, Inc.