MedImpact Healthcare Systems, Inc. · 3 months ago
Principal Government Programs (State Medicaid)
United States
Full-time
Remote
Lead/Staff
$101K/yr - $177K/yr
10+ years expMedImpact Healthcare Systems, Inc. is a leading Pharmacy Benefits Management solution provider focused on improving healthcare outcomes. The Principal, Government Programs will represent the company's Government Program and Services Department to key government customers, establishing relationships and acting as a subject matter expert in Medicaid and Medicare/Medicaid programs.
Health CarePharmaceutical
No H1B
Responsibilities
Participates in the development and implementation of short and long term strategies in order to gain access to prospective MCO and State leadership for purposes of improving the prospect’s knowledge of MedImpact’s differentiated products and services, as well as MedImpact’s proven capability to manage drug spend
Drives networking activities; participates in conferences, speaking opportunities, state-specific Medicaid leadership meetings
Participates in the development and implementation of short and long term strategies to increase new government program business. Maintains awareness of current and future industry trends, including the regulatory environment, customer needs, opportunities and issues. Transforms knowledge into results-generating strategies and business development plans
Supports the sales process for all Medicaid, MMP and Marketplace MCOs, actively participates in prospect meetings and best and final presentations
Serves as the key MedImpact SME for Medicaid, MMP and Marketplace, utilizing a deep understanding of these programs as they relate to prescription drug benefit management
Represents MedImpact to key government customers regarding policy information while working closely with corporate compliance to ensure consistent application of law, rules and regulations relative to program development and deployment. Meets with assigned clients on a routine basis to review regulatory changes and associated MedImpact solutions and support. Ensures an effective, positive representation of the corporate image
Maintains a thorough understanding of MedImpact’s programs and services provided to Medicaid, MMP and Marketplace customers. Provides direction on the potential impact of new or potential regulatory requirements relative to these business lines. Works closely with key business units to review complex regulatory and legislative issues that may impact MedImpact’s business services and operational processes
Works with Government Programs & Services management to provide information on business requirements of potential program or business development opportunities that align with both client and MedImpact business goals, specific regulated program objectives, performance metrics and financial goals
Reviews new and pending legislation and regulatory materials relative to Medicaid, MMP and Marketplace with an emphasis on prescription drug management
Builds strong customer, industry consultant and vendor relationships. Develops relationships with federal and state agencies and other key stakeholders
Qualification
Required
Bachelor's degree (or equivalent combination of education and experience)
10+ years' progressive experience in a healthcare related Managed Care Organization and/or State Agency including 8 years as a subject matter expert
In-depth knowledge of governmental programs (CMS, Medicaid, Medicare, and Market Place/Public Exchanges)
4 years of supervisory experience required
Solid computer skills with Microsoft Office/Outlook, industry-related databases and use of the internet
Preferred
Advanced degree preferred (Ph.D., MBA, M.S., MPA, MPH)
Prior work experience within the Centers for Medicare and Medicaid Services (CMS) a plus
Supervisory experience may be substituted with 5 years of MedImpact experience plus an external leadership training program and internal mentorship with a seasoned leader (VP+ level) that must completed within the first 12 months in the new position
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
Company
MedImpact Healthcare Systems, Inc.
MedImpact is the nation’s largest independent health solutions and pharmacy benefit company, serving commercial health plans, government programs, self insured/employer groups, and millions of consumers.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$1.38M2013-09-19Seed· $1.38M
Leadership Team
Frank Bunton
VP, CISO (Chief Information Security Officer)
Larry Biggs
Manager, Information Security
Recent News
Pharmacy Benefit Management Institute®
2025-09-26
2025-09-12
Company data provided by crunchbase