Clinical Program Coordinator Fee For Service

Exemption Status:
United States of America (Non-Exempt)
$45,984 - $60,699 - $75,415
"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."
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 Description
Clinical Program Coordinator Fee For Service
$45,985 - $60,700 - $75,415
Summary:
The Clinical Program Coordinator coordinates the implementation and ongoing operational functions for MedImpact Fee-For-Service (FFS) Clinical Programs. Reviews program configurations to ensure adherence with design requirements. Collaborates with clinical staff and performs analysis of completed configurations in a pre-production environment to ensure that they function as intended and meet client program requirements. Execute and maintain ongoing operations of Clinical Programs. Adheres to procedural and quality standards, including thorough and accurate documentation and testing protocols.
Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Identify, delineate and coordinate tasks, timelines, and deliverables to ensure effective and efficient implementation and management of Clinical Programs, products and services. Programs/products include, but are not limited to, Retrospective Drug Utilization Review (RetroDUR) Program and FFS Maximum Allowable Cost (MAC) Program .

• Serve as the primary administrator of the Clinical Programs post-sale.
• Collaborate with stakeholders to ensure that client program expectations are achieved through up-front clarification of specifications, design reviews, validation audits, and best practice coding guidelines.
• Utilizes planning, prioritizing, and organizational skills to ensure timely deliverables, high levels of quality, and efficient use of resources to achieve program accuracy.
• Promotes continuous improvement by ensuring adherence to quality principles. Seeks out and actively participates in business initiatives that contribute to service excellence.
• Duties specific to RetroDUR Programs :
  • Perform pre-analysis on established clinical interventions and produce reports in the RetroDUR application
  • Coordinate and execute quarterly and/or monthly selected clinical interventions
  • Produce all deliverables following timelines and due dates. Communicate with clients or client team for approval, if necessary
  • Collaborate with clinical staff to establish new clinical interventions in the RetroDUR application
  • Perform post-analysis and prepare outcome reporting
• Duties specific to FFS MAC Program:
  • Perform pre-analysis for monthly and/or weekly MAC pricing maintenance following pre-established proprietary algorithm
  • Receive and process MAC appeal requests
  • Coordinate manual review of MAC pricing review with clinical staff
  • Maintain MAC pricing in point-of-sale system
  • Produce all deliverables following timelines and due dates

Education and/or Experience
Associates degree minimum; 3-5 years experience and/or education in product support, project coordination, and/or business analysis in health care or related environment; or equivalent combination of education and experience.
Computer Skills
To perform this job successfully, an individual should have knowledge of MS Office Suite.
Certificates, Licenses, Registrations
Pharmacy Technician license required.
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.
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.