Note: The job is a remote job and is open to candidates in USA. MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! The Manager, Benefit Design Administration & Testing is responsible for leading the successful administration, validation, and ongoing maintenance of benefit plan designs and associated pricing components across multiple lines of business.
Responsibilities
- Accountable for maintaining a comprehensive understanding of Medicare benefit design, administration, and regulatory requirements to ensure plan configurations meet client and compliance expectations
- Accountable for applying knowledge of Commercial Health Plan structures, operations, and benefit administration processes to support accurate and effective plan implementation
- Accountable for delivering high-quality benefit administration services through a minimum of five (5) years of PBM, healthcare operations, or related industry expertise
- Responsible for leading and developing team members while effectively managing workloads, competing priorities, project timelines, and service-level commitments
- Accountable for analyzing complex data, identifying trends, and making informed recommendations that support operational and business objectives
- Accountable for communicating effectively with clients, leadership, and cross-functional stakeholders through clear presentations, reporting, and written communications
- Responsible for fostering a culture of ownership, collaboration, continuous improvement, and operational excellence within the Benefit Design Administration and Testing team
- Accountable for ensuring accuracy, quality, compliance, and timely delivery of benefit configuration and testing activities while supporting organizational goals and client satisfaction
Skills
- BS/BA degree or equivalent plus 5+ years of experience; 1 year of SME in respective area(s); and 3+ years of supervisory experience; 4 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (Dir+) that must completed within 12 months in new position may substitute for the supervisory experience requirement
- Advanced proficiency in Microsoft Office Suite, including Excel (pivot tables, formulas, data analysis), Word, PowerPoint, Outlook, and Teams
- Experience with test management and defect tracking tools such as Smartsheet, Jira, Azure DevOps, or similar platforms
- Working knowledge of benefit administration, claims adjudication, PBM, and healthcare operations systems
- Ability to analyze and interpret large data sets using reporting and business intelligence tools such as Power BI, Tableau, or equivalent reporting solutions
- Experience developing, executing, and monitoring test plans, test cases, quality controls, and validation processes
- Experience in planning and execution of test plans and benefits design administration
- Proven experience in team development, coaching, and performance management
- History of effectively establishing and implementing workforce plans and staffing forecasts
- Ability to make decisions and solve problems under pressure
- Ability to apply common sense understanding to carry out simple one- or two-step instructions
- Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form
- 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
- Ability to write routine reports and correspondence
- Ability to speak effectively before groups of customers or employees of organization
- Ability to write reports, business correspondence, and procedure manuals
- Building Effective Teams
- Decision Quality
- Informing
- Confronting Direct Reports
- Delegation
- Organizational Agility
- Customer Focus
- Drive for Results
- Political Savvy
- Knowledge of SQL queries and database validation techniques for testing and troubleshooting preferred
Benefits
- Medical / Dental / Vision / Wellness Programs
- Paid Time Off / Company Paid Holidays
- 401K with Company match
- Life and Disability Insurance
- Tuition Reimbursement
- Employee Referral Bonus
Company Overview