Performance Guarantee Analyst

Exemption Status:

United States of America (Exempt)

$60,987 - $80,808 - $100,628

“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

This position is responsible for ensuring data integrity and contractual compliance throughout the end-to-end operational reporting lifecycle for client performance guarantees. The analyst manages data collection, reporting, and business intelligence services to support informed decision-making, while overseeing financial assessments, forecasting of outcomes, and administration of contract documentation within internal systems. The role requires strong analytical and coordination skills to engage stakeholders and guarantee timely fulfillment of all performance guarantee deliverables.

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

• Execute and improve reporting processes by accurately calculating, tracking, and reporting performance guarantee outcomes, and developing reporting solutions aligned with strategic objectives.
• Analyze performance trends and validate reporting results with stakeholders to ensure clarity, accuracy, and strong data integrity.
• Conduct financial assessments and forecasting of performance outcomes based on contractual obligations, market trends, and historical data.
• Facilitate stakeholder engagement to gather reporting requirements and understand contractual obligations.
• Review financial assessments and ensure timely completion and prioritization of deliverables.
• Maintain contractual compliance by distributing performance guarantee contract change notifications promptly and accurately.
• Build collaborative relationships across the organization by providing consultation, analysis, and facilitation services.
• Serve as the primary contact for performance guarantee inquiries, offering user training, access management, and support for reporting and documentation.
• Respond to client inquiries regarding performance guarantee reporting by researching issues and collaborating with internal teams to ensure accurate and timely resolution.
• Maintain and update the internal performance guarantee system with accurate contract information and ensure data integrity.
• Maintain comprehensive documentation and communication logs for all performance guarantee activities.
• Actively participates as a member of cross functional workgroups, teams, and committees, as assigned.

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

SGA07 - BS/BA and 3+ years’ experience or equivalent combination of education and experience

Computer Skills

• Intermediate to expert Excel skills (pivot tables, advanced formulas)
• Familiarity with relational database management systems (RDBMS) and structured query language (SQL)
• Microsoft Suite (Word, PowerPoint, Outlook)
• Familiarity with Client Lifecycle Management tools
• Ability to learn and adapt to new systems quickly

Certificates, Licenses, Registrations

N/A

Other Skills and Abilities

• Ability to work independently with minimal supervision.
• Strong organizational, attention to detail, prioritization and follow-through skills. 
• Ability to navigate difficult situations and conversations.
• Ability to read and interpret contracts. 
• Skilled in identifying and solving issues and recommending process improvements.

The following are not required, but are preferred: 

Direct work experience within the Pharmacy Benefit Management (PBM), medical claims, or general healthcare insurance industry, demonstrating a strong foundational business knowledge of industry practices, terminology, and operations.

Reasoning Ability

                                   

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

• Ability to define problems, collect data, establish facts, and draw valid conclusions.

Mathematical Skills

     

• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.  Ability to apply concepts of basic algebra and geometry.

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.  Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Language Skills

• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

      

• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. 

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 may require domestic travel.

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.