The Data Measurement & Reporting Advisor supports account management and clinical teams by ensuring the accuracy, usability, and availability of client data. This role involves compiling data models, performing advanced analytical guidance, and implementing governance procedures to improve data integrity.
The representative will handle high-volume inbound calls to assist patients with medication orders, benefits, and billing inquiries. They are responsible for maintaining patient confidentiality and providing empathetic, professional support while adhering to structured workflows.
The Medical Director will lead the development and execution of clinical strategies for high-risk members, focusing on scalable programs and AI-enabled solutions. They will partner across departments to translate clinical and business priorities into measurable performance goals and actionable implementation plans.
The analyst will improve data quality within the Provider Book of Record system by collaborating with business partners and IT. Responsibilities include writing business requirements, performing data analysis, and developing automation capabilities to ensure reliable provider data.
The Counsel provides enterprise-wide legal support for commercial transactions, focusing on procurement, technology, and vendor management. They are responsible for drafting and negotiating complex agreements while advising business stakeholders on legal risks and compliance.
You will design, build, and support secure customer identity solutions using Auth0 and Okta while partnering with application teams for integrations. Additionally, you will manage identity infrastructure through automation, GitOps, and CI/CD practices to ensure scalable and secure sign-in experiences.
The Technical Coaching Lead Representative provides technical and procedural coaching to claims processors to improve performance and quality outcomes. They analyze KPIs, facilitate training, and partner with supervisors to drive process improvements and ensure accurate claim resolutions.
The Lead Data Analyst translates business needs into actionable data requirements and integrated solutions while partnering with cross-functional teams. They are responsible for data profiling, solution validation, and identifying opportunities for business process automation to drive measurable outcomes.
The Senior Advisor provides strategic leadership for user acceptance testing, business integration testing, and operational readiness within Individual Dental Operations. This role defines testing strategies, manages complex testing initiatives, and oversees the development of automated testing solutions to ensure high-quality business outcomes.
This role leads and drives product and growth strategies for Individual & Family Plans (IFP) Dental, aligning cross-functional stakeholders to deliver high-impact outcomes. The principal is responsible for optimizing the product portfolio through market analysis, competitive intelligence, and the development of new value propositions.
The Accounts Receivable Manager oversees receivable activities for a specific provider book of business and partners with the Provider Relations Executive to improve provider experience. They are responsible for monitoring performance guarantees, conducting root cause analysis on claims issues, and developing action plans to resolve discrepancies.
The Lead Analyst manages complex claims systems projects, implementations, and data configuration within the adjudication engine. They also provide subject matter expertise to internal departments and lead external client communications to ensure process optimization and data integrity.
The Ethics & Compliance Counsel will manage the company's conflict of interest program and provide legal guidance on ethics, anti-bribery, and corporate conduct. They will also conduct internal investigations, develop compliance training, and partner with cross-functional stakeholders to mitigate organizational risks.
The Staff Pharmacist will perform remote order entry, verification, and medication reconciliation while providing clinical support to hospital care teams. They are responsible for assessing medication appropriateness and maintaining compliance with pharmacy laws and safety standards.
The Senior Manager leads a team of Implementation Managers to deliver successful onboarding and renewal strategies for complex national clients. They serve as a strategic advisor to stakeholders, driving operational excellence and resolving high-profile escalations to ensure client retention and growth.
The Sales Support Analyst provides technical expertise and pre-sales support to assist the sales team in driving new business and retention. They manage the RFP process, coordinate with internal business units, and develop benefit solutions while ensuring compliance and financial accuracy.
The Communications Lead will translate complex interoperability initiatives and technical milestones into clear, audience-specific messaging for internal and external stakeholders. They will manage communication operations, including drafting executive presentations and collaborating with cross-functional teams to ensure consistent strategic messaging.
Advise management and clients on complex clinical program and benefit matters, serving as a subject matter expert and strategic partner to internal and external stakeholders. Lead strategic projects and client benefit implementations, coordinate requirements and timelines, and identify operational improvements that support cost, quality, and customer satisfaction.
The role involves building a robust pipeline of SME sales opportunities through proactive prospecting and broker engagement. You will manage the end-to-end sales cycle for assigned opportunities while collaborating with regional sales managers to drive growth.
The Staff Pharmacist interprets and verifies prescriptions, contacts prescribers and patients to expedite orders, and ensures accurate medication compounding and dispensing. They also provide clinical counseling to patients, manage quality assurance, and oversee pharmacy technicians.
The Staff Pharmacist interprets prescriptions, verifies information with prescribers, and consults with patients regarding medication use and potential interactions. They also provide quality assurance oversight for pharmacy technicians and maintain production and service levels.
The Business Product Owner serves as the strategic lead for claims intake management, acting as the primary liaison between operations, technology, and product teams. They are responsible for defining business requirements, managing the product backlog, and ensuring stakeholder alignment to drive operational efficiency.
The Proposal Project Specialist manages the end-to-end proposal development process for custom bids, including research, writing, and cross-functional coordination. They also facilitate requirements compliance, ensure on-time delivery, and contribute to process improvement initiatives.
Lead and develop a team of attorneys to provide strategic legal guidance for pharmacy network operations within the PBM business. Serve as the primary legal advisor on regulatory, transactional, and operational matters while partnering with business leaders to support strategic initiatives.
The Vice President will lead a national sales organization to expand access to home infusion and specialty pharmacy services by developing growth strategies and new markets. They are responsible for hiring and coaching sales teams, managing sales forecasting and budgets, and strengthening relationships with healthcare providers.
The Senior Director of Sales & Business Development leads the enterprise sales organization to drive growth across specialty pharmacy, home infusion, and telepharmacy service lines. This role establishes comprehensive sales strategies, cultivates executive-level partnerships, and collaborates across functional teams to ensure sustainable revenue growth and client success.
The Client Account Executive builds and maintains relationships with customers, brokers, and carriers to ensure effective service delivery and account health. They also manage implementation milestones, resolve service issues, and provide data-driven insights to support customer benefit programs.
The Senior Advisor leads complex contract negotiations with hospitals, transplant centers, and cellular therapy providers to maintain a high-quality, competitively positioned network. They are responsible for managing a portfolio of 40 to 50 facilities, ensuring financial performance, and coordinating with internal stakeholders to execute network strategies.
The Senior Advisor will independently drive product initiatives to grow profitable volume and enhance the customer experience for Express Scripts Pharmacies. Responsibilities include identifying new solutions, evaluating feasibility, developing business cases, and managing projects across cross-functional teams.
The RN Health Coach provides personalized, data-driven health coaching and support to patients via video and telephone to improve wellness outcomes. They perform clinical screenings, develop health improvement plans, and collaborate with matrix partners to support client-specific wellness strategies.
The Staff Pharmacist interprets prescriptions, verifies information with prescribers, and consults with patients regarding medication use and drug interactions. They also provide oversight to pharmacy technicians and ensure quality assurance for order processing.
The Client Service Executive manages a book of business by building client relationships and delivering end-to-end service solutions. They act as an internal liaison to resolve escalated issues and analyze account metrics to drive client satisfaction and persistency.
Interpret and verify prescriptions, contact prescribers or patients to resolve prescription questions, and support timely order processing. Counsel patients on medication use and potential interactions, address order or dispensing issues, maintain quality and service levels, and assist with training pharmacists.
Lead a regional nursing team to deliver high-quality infusion care while ensuring clinical excellence and operational efficiency. Collaborate with cross-functional teams to drive strategic pharmacy initiatives and maintain compliance with regulatory standards.
The role is responsible for defining and advancing the enterprise data and analytics architecture strategy, target states, and multi-year roadmaps. It involves leading architecture for data platforms, integration, and AI/ML capabilities while influencing cross-domain alignment across the organization.
Lead the design, engineering, and implementation of complex CICS infrastructure solutions to support enterprise business objectives. Provide technical leadership for large-scale mainframe initiatives while ensuring the availability and reliability of critical systems.
The Medical Director performs medical necessity reviews, case management, and claims resolution while providing clinical insight through peer review and consultation. They also serve as a clinical educator and mentor to support quality outcomes and regulatory compliance within a matrix environment.
The Senior Director will lead the strategy, delivery, and modernization of technology platforms supporting Claims and Intelligence Solutions. They are responsible for driving AI-enabled software development, ensuring operational excellence, and aligning technology investments with enterprise business outcomes.
The Senior Advisor leads the design and deployment of AI-powered tools, automated reporting, and sales intelligence solutions to drive business performance. They act as a strategic partner to leadership, transforming complex data into actionable insights to support growth and account management effectiveness.
The clinician serves as a consistent point of contact for members, providing real-time crisis de-escalation, risk assessment, and personalized clinical support. They manage a queue of telephonic calls and scheduled appointments while documenting progress and collaborating with internal teams to ensure seamless care transitions.
The Director serves as the business owner for the Enterprise Legal Management platform, driving strategy, governance, and optimization. They will partner with cross-functional teams to deliver scalable technology solutions and improve legal operations performance.
The Director will lead the Legal organization's budgeting, forecasting, and financial planning processes while developing reporting and analytics to drive strategic decision-making. They will also establish financial governance and leverage legal technology to improve transparency and operational performance.
The resident will collaborate with health plan clients and account teams to develop and execute clinical strategies that improve member outcomes and optimize pharmacy spend. Responsibilities include analyzing pharmacy trends, supporting formulary management, and participating in cross-functional workgroups to implement innovative healthcare solutions.
The Senior Director will lead the development and execution of enterprise clinical AI and technology strategies to improve clinical quality, operational efficiency, and patient outcomes. They will partner across cross-functional teams to translate complex clinical needs into scalable, AI-enabled solutions while providing executive-level leadership and governance.
Perform specialized evidence-based medical case reviews to determine medical necessity using company software. Conduct peer-to-peer consultations with referring providers to discuss treatment appropriateness and recommend alternative services.
The Staff Pharmacist interprets and verifies physician prescriptions while consulting with patients on medication use and potential drug interactions. They also provide quality assurance oversight for pharmacy technicians and collaborate with prescribers to expedite order processing.
The pharmacist will perform remote order entry, verification, and clinical counseling for multiple hospital clients. They are responsible for maintaining clinical excellence, ensuring regulatory compliance, and documenting all interventions within pharmacy information systems.
The Senior Account Executive will own and execute account strategy for complex payer clients to drive growth, retention, and solution expansion. They will lead cross-functional teams and serve as a senior escalation point to ensure exceptional client outcomes and contractual alignment.
Lead territory strategy and execution to drive specialty pharmacy growth and strengthen relationships with healthcare providers. Collaborate with clinical and operational partners to improve patient access and deliver exceptional customer outcomes.
The Senior Account Executive will lead territory strategy to drive specialty pharmacy growth and strengthen relationships with healthcare providers and referral sources. They will collaborate with clinical and operational partners to improve patient access and deliver exceptional customer outcomes.
Conduct specialized evidence-based medical case reviews to determine medical necessity using company software. Perform peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative services.
The Senior Advisor will lead complex analytics initiatives to support pharmacy and clinical outcomes research while partnering with stakeholders to generate actionable insights. They are responsible for designing program evaluations, analyzing large healthcare claims datasets, and mentoring junior team members.
The associate performs basic technical and administrative tasks within pharmacy operations, including inspecting incoming shipments and packing outgoing items. They work under direct supervision to ensure accurate processing of pharmacy production duties.
The Senior Principal AI Business Partner shapes AI investment, portfolio prioritization, and delivery standards across business units. They act as a strategic advisor to executive sponsors, framing complex AI problems and overseeing the design and execution of enterprise-scale AI solutions.
The Sr. Account Executive will drive sales objectives and expand access to oncology specialty pharmacy care across the New England territory. Responsibilities include building relationships with oncology practices, delivering educational content, and managing territory strategy through data analysis and Salesforce documentation.
The Senior Director leads the design and industrialization of enterprise-wide data and digital product solutions using a centralized medallion architecture. They are responsible for integrating AI and automation to accelerate modeling cycles and ensure all assets are reusable, scalable, and production-ready.
Perform specialized evidence-based medical case reviews to determine medical necessity using company software. Conduct peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative services.
Perform specialized evidence-based medical case reviews to determine medical necessity using company software. Conduct peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative services.
The advisor provides strategic leadership for the enterprise identity platform, shaping roadmaps for authentication, fraud prevention, and secure access. They act as a bridge between business and technical teams to drive adoption of identity services and support personalized digital experiences.
The Director of Sales is responsible for driving new logo acquisition and revenue growth by managing the entire customer lifecycle for enterprise healthcare solutions. This role involves leading complex, multi-stakeholder sales processes and collaborating with internal teams to design customized solutions for health plans, employers, and health systems.
The Staff Pharmacist interprets prescriptions, verifies information with prescribers, and consults with patients regarding medication use and potential interactions. They also provide oversight to pharmacy technicians, ensure regulatory compliance, and maintain production and quality standards.
The Staff Pharmacist is responsible for interpreting prescriptions, verifying order accuracy, and consulting with patients regarding medication use and potential interactions. They also provide oversight to pharmacy technicians and collaborate with prescribers to tailor patient infusion regimens.
The Medical Director will conduct specialized evidence-based medical case reviews to determine medical necessity using company software. They will also perform peer-to-peer consultations with healthcare providers to discuss treatment appropriateness and recommend alternative services.
Manage and expand the healthcare provider network across Francophone and Anglophone African markets. Oversee the full provider lifecycle, including onboarding, performance monitoring, and relationship management to ensure high-quality healthcare access.
Perform evidence-based medical necessity reviews for spine surgery cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Perform evidence-based medical necessity reviews for cardiology cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Perform evidence-based medical necessity reviews for pediatric otolaryngology cases using specialized software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Perform evidence-based medical necessity reviews for Otolaryngology cases using specialized case management software. Conduct peer-to-peer consultations with providers to discuss treatment appropriateness and recommend alternative services.
Develop and support conversational IVR call flows to enhance personalized customer experiences across voice, text, and chat channels. Collaborate with architects and business partners to design, test, and maintain high-quality code for multimedia applications.
Design and implement major components of data architecture and models to modernize Reporting & Analytics applications. Collaborate with stakeholders and development teams to create scalable data design solutions and optimize data access layers in the data lake.
Drive growth for specialty therapy products including Immune Globulin and Asthma/Allergy biologics within the assigned territory. Build trusted relationships with physicians and infusion centers to increase referrals and expand access to advanced therapies.
As the Agile TPO Advisor for SAP EWM/RTS, you will own the product vision, roadmap, and delivery strategy for warehouse and logistics operations. You will work closely with business stakeholders, SAP functional experts, and development teams to deliver scalable, integrated solutions that support strategic supply chain initiatives.
Handle inbound and outbound calls from patients regarding their medical history and fertility challenges. Ensure process efficiency by coordinating fertility plans and medications while resolving customer issues.
