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

Job Description

Project Manager II (Fee-for-Service Medicaid Implementations): $85,357 - $115,232 - $147,107

Project Manager III (Fee-for-Service Medicaid Implementations): $102,260 - $140,608 - $178,956

Summary

Working within the Government Programs and Services (GPS) department, the Project Manager provides leadership, organization, and coordination for new fee-for-service Medicaid client implementations. This role is responsible for creating, coordinating, and executing complete project plans and associated documentation, while leading multi-disciplinary project teams through all phases of the our new client on-boarding and implementation lifecycle.

Projects may span complex government programs including Medicaid (FFS, MMP, MMCO), CHIP, and federally-facilitated or state-based marketplace exchange programs. The Project Manager partners closely with internal and external client stakeholders, including Implementation Management, IT, Account Management, Operations, Health Services, and clients, to ensure successful client implementations occur according to our client contractual requirements.

This role may be filled at Level 2 or Level 3, depending on qualifications and experience. Level 3 assumes broader scope, increased complexity, and additional leadership responsibilities beyond those of Level 2.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

Project Planning & Execution

• Develops and maintains comprehensive project plans, including scope, timelines, resources, risks, dependencies, and deliverables
• Leads cross-functional project teams through all phases of the project lifecycle, from initiation through completion
• Establishes and maintains project artifacts such as charters, scope documents, business requirements, testing plans, and success metrics
• Tracks project progress against milestones and proactively identifies risks and issues
• Facilitates issue resolution and risk mitigation across business and technology teams
• Ensures adherence to PMO standards, best practices, and regulatory requirements

Stakeholder & Client Engagement

• Serves as a primary point of contact for internal and external clients
• Communicates project status, risks, and dependencies through regular meetings and written reporting
• Manages expectations, resolves conflicts, and maintains strong client relationships
• Collaborates with stakeholders to align project outcomes with business objectives

Resource & Risk Management

• Works with stakeholders and resource managers to determine staffing needs and allocate resources appropriately
• Identifies downstream impacts to systems, operations, and timelines and develops mitigation plans
• Manages project risks through identification, communication, tracking, and resolution

The Project Manager II independently manages complex projects or workstreams within defined programs and frameworks including:

• Manages assigned projects with moderate to high complexity
• Partners closely with senior leaders and subject matter experts for decision-making and escalation
• Produces detailed project documentation and ensures accuracy and completeness
• Executes projects within established methodologies and governance structures
• Provides input into project planning, scope definition, and risk mitigation strategies

The Project Manager III operates with greater autonomy, strategic influence, and leadership impact, often overseeing multiple, highly complex, or enterprise-critical initiatives. The Project Manager III responsibilities include all Level II responsibilities, plus:

• Leads highly complex, cross-program or enterprise-wide initiatives
• Reviews and evaluates project proposals, prioritization, funding constraints, and resource strategies
• Establishes work plans, staffing models, and delivery approaches across multiple project phases
• Assumes accountability for end-to-end project delivery and outcomes
• Provides performance feedback on project team members to management
• Mentors and supports the development of less-experienced project managers
• Assists in building PMO capability, including interviewing, onboarding, and training PMO staff
• Communicates effectively with executive leadership, adapting messaging to varying levels of abstraction
• Drives continuous improvement of project management practices and governance

Supervisory Responsibilities        

No supervisory responsibilities

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

• Must have experience participating in and/or leading facets of a fee-for-service Medicaid client implementation as a member of the organization that is performing the implementation activities
• Project Manager II
  • Bachelor’s degree (BS/BA) and 7+ years of relevant experience (or equivalent combination)
  • 4+ years as a subject matter expert in relevant areas
• Project Manager III
  • Bachelor’s degree (BS/BA) and 9+ years of relevant experience (or equivalent combination)
  • 6+ years as a subject matter expert in relevant areas

This position requires experience as an active stakeholder contributing, as part of a vendor organization, to the implementation of a Medicaid Fee-for-Service Program

Computer Skills

To perform this job successfully, an individual should be proficient in Microsoft Office (Access, Excel, Word, and PowerPoint) and Microsoft Project.

Certificates, Licenses, Registrations

PMP certification required and Six Sigma/Lean background desired, not required. PMP certification should ideally be obtained within first 12-months of employment.

Other Skills and Abilities

• Excellent working knowledge and experience in the role of Project Manager of complex business projects that include both business process, service delivery and information technology solutions
• Experience in all phases of systems development lifecycles and/or business process engineering methodology
• Ability to effectively present information and respond to questions from groups of managers, employees, and clients
• Experience operating in a matrix management organization
• Experience in PBM, pharmaceutical or managed health care industry a plus
• Executes and delivers within the confines and timeframes provided by regulatory agencies
• Advanced presentation skills with the ability to present information at varying levels of abstraction depending on audience
•  Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
• Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.
• Develops workable implementation plans; Communicates changes effectively; Builds commitment and overcomes resistance; Prepares and supports those affected by change; Monitors transition and evaluates results.
• Understands business implications of decisions; Displays orientation to profitability; Demonstrates knowledge of market and competition; Aligns work with strategic goals.
• Treats people with respect; Keeps commitments; inspires the trust of others; Works with integrity and ethically; Upholds organizational values.

Reasoning Ability

• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.

• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

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

Composure

Decision Quality

Organizational Agility

Problem Solving

Customer Focus

Drive for Results

Peer Relations

Time Management

Dealing with Ambiguity

Learning on the Fly

Political Savvy

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 works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). 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.  

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 15% 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.

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.