The Manager, Data Operations leads a technical team responsible for the accuracy, security, and integrity of client eligibility and accumulator data. This role oversees SFTP operations, coding automations, and change control processes while serving as a Scrum Master and primary technical point of contact for clients.
The Business Analyst serves as the primary liaison between Data Operations and business-facing teams to triage, track, and resolve file-related or data issues. They are responsible for conducting impact analyses, maintaining status dashboards, and ensuring proactive communication with all stakeholders.
The PBM Claims Adjudication Specialist is responsible for building and maintaining client eligibility and accumulator files to ensure data accuracy. This role involves developing coding automations, managing SFTP connections, and applying deep adjudication expertise to resolve complex client issues.
The Director serves as the lead strategist for emerging pharmacy trends, pipeline intelligence, and cost-of-care optimization. They are responsible for developing trend mitigation roadmaps and leading clinical evaluations for the Pharmacy & Therapeutics Committee.
The VP of Strategic Growth is responsible for driving revenue and market expansion by managing sales cycles and strengthening relationships with brokers, consultants, and employers. This role oversees the RFP process and collaborates cross-functionally to align sales efforts with company growth objectives.
The Patient Care Advocate acts as a liaison between patients and healthcare providers to resolve complex pharmacy benefit issues and ensure members receive appropriate care. They are responsible for managing cases end-to-end, providing guidance on coverage and financial assistance, and maintaining accurate documentation of all interactions.
The Director of Client Implementations leads the onboarding and renewal process for clients while serving as a key escalation point for complex issues. They are responsible for mentoring the implementation team, fostering cross-functional collaboration, and ensuring performance goals are met.
The Associate Data Engineer is responsible for maintaining the reliability and performance of the Snowflake data warehouse and upstream data ingestion pipelines. This role involves monitoring daily loads, troubleshooting data issues, and assisting in the development of new data models and automation initiatives.
The Data Scientist will design, build, and validate machine learning models to analyze pharmacy, claims, and clinical data for improved decision-making. They will also develop analytical tools and dashboards while ensuring data quality and identity resolution across fragmented systems.
The Information Security Manager is responsible for operating and enhancing the enterprise security and compliance program within a Microsoft-centric environment. Key duties include managing identity and access, security monitoring, incident response, and leading efforts toward HITRUST CSF certification.
The AVP of Formulary Strategy leads the vision, architecture, and governance of the organization's formulary program to ensure clinical and financial soundness. This role manages therapeutic category placement, oversees P&T committee activities, and aligns formulary design with rebate dynamics and client goals.
