Appeals & Grievances Implementation Specialist

Job not on LinkedIn

November 27

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $29.3k - $48.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛠️ Implementation Specialist

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MedImpact Healthcare Systems, Inc.

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Healthcare Insurance • Pharmaceuticals • SaaS

MedImpact Healthcare Systems, Inc. is a pharmacy benefit manager that works with health plans to make pharmacy benefits more accessible and affordable for members. The company serves over 20 million members and handles more than $40 billion annually in pharmacy transactions. MedImpact provides a variety of services including medication reminders, home delivery, and more to empower individuals to manage their prescriptions effectively. By leveraging technology and resources, MedImpact aims to offer a better choice within the pharmacy benefits market and supports health solutions in ensuring convenient and reliable access to medications for its members.

1001 - 5000 employees

Founded 1988

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

💰 $1.4M Seed Round on 2013-09

📋 Description

• Implementation of new Appeals and Grievances clients • Maintenance of Business for process application updates as they relate to timers and notifications • Vendor Oversight monitoring • Performance Guarantee tracking and oversight • Application configuration and testing of each client’s Appeal and/or Grievance program • Interfacing with clients for requirements gathering • Coordinating the implementation of Appeals & Grievances processes per regulatory requirements • Managing the creation and maintenance of all associated notifications • Coordinating client implementations and system conversions by working closely with IT services and various departments • Attending MedImpact implementation meetings to gather business requirements and share information • Serving as subject matter expert on implementation activities and processes related to MedImpact’s Appeals and Grievances products and services • Managing vendor activities including productivity, quality, and reporting

🎯 Requirements

• BS/BA and 3+ years’ experience or equivalent combination of education and experience • Advanced knowledge of MS Office / Word, Excel PowerPoint, Visio, and Outlook • Experience as a user of multiple business software applications • Advance working knowledge of key business applications such as MedOptimize, MedAccess, and others as applicable to the role preferred but not required • Current and unrestricted State Pharmacy Technician License required and/or National Pharmacy Technician certification preferred.

🏖️ Benefits

• 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