Principal, Adjudication Product Management
MedImpact Healthcare Systems, Inc., San Diego, California, United States, 92189
### Exemption Status:United States of America (Exempt)### $114,622 - $160,472 - $206,321“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, Adjudication Product Management leads the overall strategy, goals, and objectives for MedImpact’s Laker Adjudication Platform. This position will be the product lead and will drive initiatives with the Laker product management team and IT.
Creating, maintaining, and executing on the product(s) strategic vision and roadmap by serving as a trusted partner to business and technical owners, including but not limited to, Operations, Clinical, Account/Client Management, IT, and Customer Service.The position’s focus will be to lead the creation and support of key adjudication products from inception to execution and document and prioritize critical product features that impact bottom line performance. Working across the organization the Principal, Adjudication Product Management focuses on delivering products that provide meaningful value to users and customers of our PBM and Software as a Service (SaaS) offerings. Works with a range of internal partners and external partners, gathering their perspectives throughout product roadmap creation and evolution.**Essential Duties and Responsibilities** include the following. Other duties may be assigned.* This position is responsible for leading the strategy and execution of product enhancements and end-of-life planning for existing claims and adjudication products and services from concept through deployment. Ensures products and services are successful, meet corporate operational excellence criteria and support revenue goals.* Leads the research, development, and implementation of adjudication products and services. Identifies, analyzes, monitors, and suggests actions for products and services that materially contribute to overall mission and strategy of the company.* Evaluates new product development opportunities and existing product enhancements based on regulatory and/or client need.
Leads product feature prioritization with business and technical stakeholders to ensure product features are prioritized appropriately.* Develop business cases from internal and external clients for new product builds or enhancements of existing products. Collaborate with IT stakeholders to obtain high level and detailed budget estimates to support business cases and system development.* Leads the conceptualization, design, product development and implementation of approved new and expanded products & services utilizing industry standard methodologies for product lifecycle management. Working with business owners, IT stakeholders, and Product Readiness to ensure proper product documentation and testing of systems before solutions are moved to the production environment, including that required for product release, training, and postproduction support.* Responsible for the execution of simultaneous products under development, from product concept and approval through deployment. This will include ownership or support of product strategy definition and roadmap; development of marketing and product requirements documents with prioritized features and corresponding justification in partnership with business owners and technical stakeholders; prototype development; and development of strong voice of the customer and competitive intelligence. This position will interface with other areas within the company, including but not limited to IT, Sales & Marketing, Operations, Finance/Analytics and Project Management.* Provides product management oversight for assigned products and services, including annual strategic product planning; revenue and expense budgeting and forecasting; pricing; support of product and sales material development; product training, assessment, and support; RFP support; and product demonstrations.* Serves as the primary subject matter expert for cross functional business units for claims and adjudication product development and management.* Conducts market and regulatory analysis by retrieving information from a variety of sources, including but not limited to proprietary databases, Internet, focus groups and other data sources.
Utilizes information retrieved to conduct research and analysis and presents results to leadership and product teams.* Completes all documentation throughout the product or project lifecycle, including creating business cases, business plans, business requirements, and product roadmaps.**Supervisory Responsibilities**
May Manage 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; 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 accommodation may be made to enable individuals with disabilities to perform the essential functions.**Education and/or Experience**BA/BS Degree; 8+ years related experience and 8+ years of SME in respective area(s); (or equivalent combination of education and experience) with at least 4+ years leading individual contributors and leaders of leaders; which may be substituted with an appropriate mix of leadership experience and 5 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (VP+ level) that must completed within 12 months in new position.**Computer Skills**To perform this job successfully, an individual should have knowledge of Microsoft Office Suite, Microsoft Project and a working knowledge of systems platforms and new technologies.**Certificates, Licenses, Registrations**Product Management Certification (e.g. AIPMM, PDMA, Pragmatic Institute) preferred.Project Management Professional and Certified Scrum Master certification preferred.NCT-NCPDP Telecommunication Standard certification required**Other Skills and Abilities*** #J-18808-Ljbffr
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, Adjudication Product Management leads the overall strategy, goals, and objectives for MedImpact’s Laker Adjudication Platform. This position will be the product lead and will drive initiatives with the Laker product management team and IT.
Creating, maintaining, and executing on the product(s) strategic vision and roadmap by serving as a trusted partner to business and technical owners, including but not limited to, Operations, Clinical, Account/Client Management, IT, and Customer Service.The position’s focus will be to lead the creation and support of key adjudication products from inception to execution and document and prioritize critical product features that impact bottom line performance. Working across the organization the Principal, Adjudication Product Management focuses on delivering products that provide meaningful value to users and customers of our PBM and Software as a Service (SaaS) offerings. Works with a range of internal partners and external partners, gathering their perspectives throughout product roadmap creation and evolution.**Essential Duties and Responsibilities** include the following. Other duties may be assigned.* This position is responsible for leading the strategy and execution of product enhancements and end-of-life planning for existing claims and adjudication products and services from concept through deployment. Ensures products and services are successful, meet corporate operational excellence criteria and support revenue goals.* Leads the research, development, and implementation of adjudication products and services. Identifies, analyzes, monitors, and suggests actions for products and services that materially contribute to overall mission and strategy of the company.* Evaluates new product development opportunities and existing product enhancements based on regulatory and/or client need.
Leads product feature prioritization with business and technical stakeholders to ensure product features are prioritized appropriately.* Develop business cases from internal and external clients for new product builds or enhancements of existing products. Collaborate with IT stakeholders to obtain high level and detailed budget estimates to support business cases and system development.* Leads the conceptualization, design, product development and implementation of approved new and expanded products & services utilizing industry standard methodologies for product lifecycle management. Working with business owners, IT stakeholders, and Product Readiness to ensure proper product documentation and testing of systems before solutions are moved to the production environment, including that required for product release, training, and postproduction support.* Responsible for the execution of simultaneous products under development, from product concept and approval through deployment. This will include ownership or support of product strategy definition and roadmap; development of marketing and product requirements documents with prioritized features and corresponding justification in partnership with business owners and technical stakeholders; prototype development; and development of strong voice of the customer and competitive intelligence. This position will interface with other areas within the company, including but not limited to IT, Sales & Marketing, Operations, Finance/Analytics and Project Management.* Provides product management oversight for assigned products and services, including annual strategic product planning; revenue and expense budgeting and forecasting; pricing; support of product and sales material development; product training, assessment, and support; RFP support; and product demonstrations.* Serves as the primary subject matter expert for cross functional business units for claims and adjudication product development and management.* Conducts market and regulatory analysis by retrieving information from a variety of sources, including but not limited to proprietary databases, Internet, focus groups and other data sources.
Utilizes information retrieved to conduct research and analysis and presents results to leadership and product teams.* Completes all documentation throughout the product or project lifecycle, including creating business cases, business plans, business requirements, and product roadmaps.**Supervisory Responsibilities**
May Manage 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; 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 accommodation may be made to enable individuals with disabilities to perform the essential functions.**Education and/or Experience**BA/BS Degree; 8+ years related experience and 8+ years of SME in respective area(s); (or equivalent combination of education and experience) with at least 4+ years leading individual contributors and leaders of leaders; which may be substituted with an appropriate mix of leadership experience and 5 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (VP+ level) that must completed within 12 months in new position.**Computer Skills**To perform this job successfully, an individual should have knowledge of Microsoft Office Suite, Microsoft Project and a working knowledge of systems platforms and new technologies.**Certificates, Licenses, Registrations**Product Management Certification (e.g. AIPMM, PDMA, Pragmatic Institute) preferred.Project Management Professional and Certified Scrum Master certification preferred.NCT-NCPDP Telecommunication Standard certification required**Other Skills and Abilities*** #J-18808-Ljbffr