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Principal, Process Architecture & Delivery
Principal, Process Architecture & DeliveryMedImpact Healthcare Systems, Inc. • San Diego, CA, United States
Principal, Process Architecture & Delivery

Principal, Process Architecture & Delivery

MedImpact Healthcare Systems, Inc. • San Diego, CA, United States
[job_card.variable_days_ago]
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  • [job_card.full_time]
[job_card.job_description]

### Exemption Status : United States of America (Exempt)### $132,323 - $186,576 - $240,828“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!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 Principal, Business Process Architecture and Delivery will develop and implement initiatives to make our PBM and Software as a Service (SaaS) offerings market leading with an emphasis on claims and clinical processes and systems. You will lead project teams and partner with business and operations leaders, clinicians, technical partners and dedicated project leaders to identify and design operational improvements, efficiencies and best practices within prioritized work streams to improve PBM and SaaS offerings, facilitate PBM integration and to optimize operational and clinical practices. In this role you will lead initiatives to shape the future of the organization. While addressing immediate business needs, you will create and implement improvements to claims, clinical and operational practices supported by technology in line with strategic goals.
  • Essential Duties and Responsibilities
  • include the following. Additional duties may be assigned.
  • Develop and maintain a deep understanding of the core business and clinical processes by working with business and operations leaders, clinicians, analysts and enterprise architects to build and maintain business capability models and value streams.
  • Be a strong influencer and change agent to implement improvements to technology and business and operating models to improve service, quality and efficiency of the products and services we offer.
  • Communicate both internally and externally the competitive advantages of our claims and clinical platforms and improvement roadmaps in the PBM and SaaS marketplaces.
  • Evaluate and quantify the health and maturity of business capabilities across the enterprise
  • Facilitate discussions with operations, clinical, technical and business leaders to identify current and future priorities that inform the improvement plan or roadmap
  • Collaborate with operations, clinical, technical and business leaders and project managers to develop improvement strategies tied to key business performance metrics and translate these strategies and technology objectives into an actionable roadmap
  • Leveraging Agile methodology, collaborate with the technology leaders to translate optimized operational, clinical and business practices into clear business requirements for technology implementation.
  • Participate in the Technology roadmap reviews to evaluate and approve technology deliverables that align with the strategic goals of the projects.
  • Organize plans and partner with business, technical, clinical and operational leaders to implement changes to business processes including launches of new technologies
  • Mentor others and help drive the maturity of the enterprise business process architecture practice
  • Supervisory Responsibilities
  • Manages assigned staff in the segment area. Responsible for the overall direction, coordination, and evaluation of the unit. 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.
  • Client Responsibilities
  • This is an internal and external client facing position that requires excellent customer service skills andinterpersonal communication skills (listening / verbal / written). One must be able to manage difficult oremotional client situations; respond promptly to client needs; solicit client feedback to improve service; and ensure client commitments are met in a timely manner.
  • 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
  • Bachelor’s or Doctorate Degree in Pharmacy or Bachelor’s Degree in Business, Operations, Engineering or Information Services or equivalent combination of education and experience. 10+ years of experience in PBM, managed healthcare, insurance or consulting to these organizations required along with 8 years of SME in respective areas. 4+ years supervisory experience. Experience with pharmacy benefit management software. SaaS experience highly desirable.
  • Computer Skills
  • Proficient with MS Suite (Word, Excel, Visio, Outlook, Project) and SmartSheets to create data strategy roadmaps, manage priorities and share vision for organization growth.
  • Experience with system modernization, data conversion and integration of operating platforms
  • Experience in creating business process flow and business requirements documentation that feed software architecture and system design documentation
  • Experience delivering SaaS products and services
  • Experience in healthcare industry is a plus.
  • Experience in data science, machine learning and AI is a plus.
  • Certificates, Licenses, Registrations
  • None required
  • Other Skills and Abilities
  • Sound knowledge of industry standard best practices and innovations in the realm of data platform
  • Extensive knowledge of strategy setting, program requirements, product development and project management methodologies
  • Demonstrated analytical and logical reasoning
  • Adept in problem solving and change management
  • Demonstrated ability to be client focused, responsive, flexible, and positive
  • Ability to work effectively with external partners / vendors to implement new solutions.
  • Proven ability to work as a team player and collaborate effectively with peers
  • Excellent time management skills and ensure deadlines are met.
  • Demonstrated ability to influence others in meeting enterprise goals.
  • Excellent organizational and communication skills (both written and verbal).
  • Experience working with agile methodology is a plus.
  • Reasoning Ability
  • Ability to apply industry best practices in local solution designs. 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, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages,

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