General Manager Affiliate Company

Exemption Status:

“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 Description

Summary

Responsible for establishing plans, determining priorities, prescribing the processes and coordinating the staff resources needed to achieve objectives of Provider Network of America LLC within MedImpact Health and Wellness’s (parent company) overall operating plans and policies.

Works collaboratively with MedImpact Health and Wellness’s Executive leaders in strategic planning, business/market planning, goal setting and developing a long-term success initiative for Provider Network of America LLC.

This position has direct oversight to PNOA Operations, including Account Management, Analytics, and Provider Contracting.

This role will be responsible to grow the company’s brand awareness. 

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

• Oversees/leads all functions/operations of Provider Network of America LLC.
• Oversees the financial results of Provider Network of America LLC.
• 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 Provider Network of America LLC.
• Interacts regularly with MedImpact Health and Wellness’s Executive team (parent company) and individual department heads to determine Provider Network of America LLC operating priorities, and procedures to implement same.
• Ensures that the development, implementation and administration of departmental business plans & budgets are consistent with overall Provider Network of America LLC strategic planning initiatives.
• Ensures Provider Network of America LLC 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.
• Completes other duties as assigned.

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.

Supervisory Responsibilities                                             

Manages assigned staff in the functional area. Responsible for the overall direction, coordination, and evaluation of Provider Network of America LLC.  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. 

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. Knowledge of distribution system and regulatory environment(s) preferred.

Computer Skills

• Basic PC knowledge including MS Office Suite strongly preferred

Other Skills and Abilities                                                    

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 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                                              

To perform the job successfully, an individual should demonstrate the following competencies:

• Adaptability - Adjusts quickly to evolving situations by integrating new information, remaining flexible, recognizing and implementing necessary changes and taking advantage of opportunities presented by new developments.

• Analytical - Synthesizes complex or diverse information; Collects and researches data; Uses intuition and experience to complement data; Designs work flows and procedures.

• Business Acumen - Understands business implications of decisions; Displays orientation to profitability; Demonstrates knowledge of market and competition; Aligns work with strategic goals.

• Communication - Expresses self clearly and effectively in face-to-face interactions, presentations and written documents, and employs active listening skills to ensure productive interactions.

• Continuous Improvement of Products and Processes - Identifies new possibilities for improvements in products, services and processes, continually works to improve overall value and customer satisfaction, uses measurements to track effectiveness and drive improvement efforts, and finds better ways to use existing technologies and resources.

• Influence - Persuades others of the value of an idea or course of action, enlists cooperation and support while maintaining positive work relationships, builds consensus by communicating effectively and demonstrating an understanding of others’ positions, and effectively motivates others to buy into projects and goals.

• Job-specific Expertise - Demonstrates solid command of relevant knowledge, skills, techniques and technologies, keeps current with recent developments and best practices in the field, and establishes self as the go-to person for up-to-date knowledge in his or her area.

• Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.

• Leadership - Exhibits confidence in self and others; Inspires and motivates others to perform well; Effectively influences actions and opinions of others; Accepts feedback from others; Gives appropriate recognition to others.

• Strategic Thinking - Develops strategies to achieve organizational goals; Understands organization's strengths & weaknesses; Analyzes market and competition; Identifies external threats and opportunities; Adapts strategy to changing conditions.

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.

Work Location

This position is remote. 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

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.  This 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 may require up to 20% domestic travel as well as attendance at local conferences and meetings.

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.