“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 DescriptionSummary (insert high level key accountabilities for role)
Responsible for establishing plans, determining priorities, prescribing the processes and coordinating the staff resources needed to achieve objectives of Verdegard Administrators, LLC within MedImpact Health and Wellness’s overall operating plans and policies.
Verdegard Administrators, LLC consists of Verdegard Administrators LLC, Verdegard PBM LLC, and Priority Consulting LLC.
Works collaboratively with MedImpact Health and Wellness’s Executive leadership in strategic planning, business/market planning, goal setting and developing a long-term success initiative for Verdegard. This position has direct oversight for TPA Operations (Claims, Call Center, Health Services), Client Finance, Sales, and Account Management.
This role will be responsible to grow the company’s brand awareness and obtain third party administration sales opportunities & grow the overall TPA business.
Will have P&L responsibility and drive the growth and expansion of the business. Responsible for setting and achieving revenue goals and meeting both revenue and EBITDA targets.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Oversees/leads all functions/operations of Verdegard Administrators.
- Oversees the financial results of Verdegard Administrators (budgets, forecasts, financial statements, etc.).
- Works with MedImpact Health and Wellness’s Leadership (parent company) team to determine the strategic planning, business mapping, market outlines, budgeting, goal setting, etc. for Verdegard.
- Interacts regularly with MedImpact Health and Wellness’s Executive team and individual department heads to determine Verdegard Administrators’ operating priorities, and procedures to implement same.
- Ensures that the development, implementation and administration of departmental business plans & budgets are consistent with overall Verdegard Administrators strategic planning initiatives.
- Ensures Verdegard Administrators’ compliance with all relevant rules, regulations and laws.
- Design and directs implementation and execution of operating and service policies, guidelines, and practices for the enterprise.
- Continually investigates and introduces operational process improvement measures and presents suggestions to President for consideration.
- Strives to ensure operations move forward & stay current while maximizing innovation
Supervisory Responsibilities
Manages assigned staff in the functional area. Responsible for the overall direction, coordination, and evaluation of the Verdegard companies. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Supports and enforces all company policies and procedures in a fair and consistent manner, taking corrective action whenever necessary. Models and cultivates staff behaviors that achieve business success, including leadership skills, collaboration, accountability, and ownership. Ensures that staff members are aware of business plan objectives, individual accountabilities, and the competencies critical to successful job performance. Carries out management responsibilities in accordance with the organization's policies and applicable laws.
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 accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
A Bachelor’s Degree in business related major or related field of study; 15+ years insurance operations experience, third-party administration (TPA) experience or PBM experience; 12+ years in a leadership capacity; only requires additional breadth of experience to be considered for next step in career path.
Computer Skills
- Basic PC knowledge including MS Office Suite strongly preferred
Certificates, Licenses, Registrations
Completion of insurance coursework i.e., CPCU, IIA strongly preferred.
Other Skills and Abilities
- Knowledge of distribution system and regulatory environment(s) preferred.
- Must be a consummate team player, putting others before self, and actively engage stakeholders at all levels.
- Must be customer focused, both internal and external to the company. Strong Interpersonal skills required.
- Solid Verbal and Written Communications Skills required
Reasoning Ability –
- Ability to define problems, collect data, establish facts, and draw valid conclusions.
- Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
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 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 effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
Competencies -
- Business Acumen
- Directing Others
- Organizational Agility
- Conflict Management
- Drive for Results
- Political Savvy
- Customer Focus
- Innovation Management
- Strategic Agility
- Decision Quality
- Managerial Courage
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 accommodations 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 accommodations 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 must work on-site at the Tempe location for purposes of providing adequate support to internal clients; being available for face-to-face interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as for facilitation of quick and effective decisions through collaboration with stakeholders. Remote work is not an option for these purposes.
Working Hours
This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonable meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, 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 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 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.
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.
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.
Top Skills
Similar Jobs
What you need to know about the Boston Tech Scene
Key Facts About Boston Tech
- Number of Tech Workers: 269,000; 9.4% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Thermo Fisher Scientific, Toast, Klaviyo, HubSpot, DraftKings
- Key Industries: Artificial intelligence, biotechnology, robotics, software, aerospace
- Funding Landscape: $15.7 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Summit Partners, Volition Capital, Bain Capital Ventures, MassVentures, Highland Capital Partners
- Research Centers and Universities: MIT, Harvard University, Boston College, Tufts University, Boston University, Northeastern University, Smithsonian Astrophysical Observatory, National Bureau of Economic Research, Broad Institute, Lowell Center for Space Science & Technology, National Emerging Infectious Diseases Laboratories