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Architecture • san diego ca
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Principal, Process Architecture & Delivery
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MedImpactSan Diego, CA, US- serp_jobs.job_card.full_time
Principal, Business Process Architecture And Delivery
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 : 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 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; 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
Other Skills and Abilities
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, 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 public. Excellent listening, written, verbal and telephone communication skills are essential. Ability to relay technical information in a non-technical manner
Competencies
To perform the job successfully, an individual should demonstrate the following competencies :