The representative manages a portfolio of client accounts by performing billing, collections, and account reconciliation tasks. They also collaborate with internal and external partners to resolve payment issues, research eligibility, and ensure financial quality standards are met.
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 Account Director provides strategic support for pharmaceutical manufacturer contract negotiations, including contract review, business redlines, and strategic business reviews. They collaborate with internal teams to determine objectives, manage data requests, and maintain relationships with key stakeholders.
The Clinical Program Advisor will critically evaluate clinical literature to develop and maintain clinical criteria for products and services. They will also provide clinical expertise through presentations and active participation in cross-functional committees.
The Senior Contract Analyst manages complex supplier and customer pricing agreements to ensure accuracy, compliance, and timely implementation. They also analyze data to identify trends, resolve discrepancies, and support strategic business priorities through cross-team collaboration.
Deliver virtual EAP wellness seminars and management trainings using approved content while maintaining ethical boundaries. Partner with Employer Service Coordinators to ensure high-quality client experiences and manage session logistics.
The Senior Director of Sales & Business Development leads the organization's sales strategy to drive enterprise growth across specialty pharmacy and health system solutions. This role manages high-performing teams, cultivates executive-level partnerships, and collaborates across functional departments to ensure sustainable revenue growth.
The RN Team Lead builds collaborative relationships with patients and providers to develop and monitor patient-centered case management plans. They also serve as a proactive liaison, providing leadership and mentoring support to staff while ensuring compliance with clinical and regulatory standards.
The role involves contributing to the company's mission of improving health and vitality for clients and patients. Employees are expected to support organizational growth while maintaining high standards of service.
The Virtual Primary Care Physician provides telehealth consultations and clinical care within a team-based model for Medical Group patients. Responsibilities include managing patient panels, performing diagnostic and therapeutic services, and completing administrative tasks such as chart reviews and meeting attendance.
The Operations Fulfillment Analyst validates and prepares implementation documentation for health plans to ensure accuracy and compliance. They serve as a bridge between Sales and Implementation teams to drive cases to completion.
The Quality Review and Audit Analyst conducts audits of operational transactions and customer interactions to ensure compliance with business standards. They are responsible for documenting findings, maintaining accurate audit records, and supporting process improvement initiatives through data reporting.
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.
The Advisor transforms operational data into actionable insights, automated solutions, and scalable reporting to drive performance across Individual Dental Operations. They partner with cross-functional teams to identify improvement opportunities, manage vendor performance, and support strategic decision-making through advanced analytics.
Design standardized performance analytics and build measurement frameworks to align enterprise goals with actionable insights. Partner with business leaders to automate dashboards and resolve complex data quality and reporting issues.
The Business Project Senior Advisor leads complex, cross-functional operational initiatives from planning through implementation and stabilization. This role translates strategic business needs into structured project plans while coordinating execution across technology, vendor, and enterprise partners.
The Operations Lead Analyst manages complex, sensitive, and escalated customer issues from intake through resolution while ensuring compliance with regulatory standards. The role also identifies operational trends, recommends process improvements, and provides technical guidance to team members.
The Senior Analyst conducts quality reviews and audits of internal operations and vendor activities to ensure compliance with regulatory and business standards. They analyze audit results to identify trends, process gaps, and improvement opportunities while providing technical guidance to the team.
The Senior Advisor provides strategic leadership for customer service initiatives, partnering with cross-functional teams to improve operational performance and customer experience. They lead operational readiness for business changes and oversee the administration of customer incentive and rewards programs.
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 Lead Analyst conducts internal and vendor quality audits to evaluate adherence to requirements and identify operational risks. They also analyze audit data to develop reports, provide technical guidance to team members, and drive process improvements.
The Sr. Account Executive manages existing commercial client relationships, develops long-term account strategies, and leads efforts to meet immediate client needs. They are responsible for driving revenue growth through up-sells and expansions while ensuring high levels of customer satisfaction and retention.
The analyst will lead cross-functional commercial growth and optimization programs while translating reporting needs into actionable business insights. They will also manage NPS program structures and coordinate vendor-supported wellbeing programs to drive operational effectiveness.
The Product Strategy Advisor supports the global product portfolio by managing product lifecycles, governance, and operational execution. They collaborate with cross-functional teams to ensure product alignment with business needs and lead vendor governance forums.
The Claims Systems Testing Associate manages testing within the claims adjudication engine to ensure data integrity and accurate processing. They utilize Jira to track requests, perform SQL queries for configuration validation, and conduct root cause analysis on claim processing issues.
The supervisor provides day-to-day guidance, coaching, and conflict resolution to a team of clinical professionals to ensure performance goals and quality standards are met. They also serve as a liaison between staff, customers, and internal stakeholders to resolve service delivery concerns and support business initiatives.
The Pharmacy Operations Lead Representative acts as a primary point of contact for clients and staff, triaging technical issues and managing pharmacy workflow. They are responsible for optimizing productivity through shift assignments and ensuring continuous pharmacist coverage.
The Pharmacy Technician Associate Representative will triage inbound calls from patients and providers to resolve non-clinical pharmacy requests or facilitate transfers to pharmacists. They are responsible for accurately documenting interactions and updating patient profiles within pharmacy systems while maintaining high standards of privacy and quality.
The role involves processing verbal prescriptions, managing inbound calls from patients and providers, and maintaining accurate patient records in pharmacy systems. You will collaborate with internal teams and pharmacists to resolve coverage, shipment, and clinical issues while ensuring compliance with HIPAA standards.
Lead advanced statistical and exploratory analyses using large healthcare datasets to generate actionable insights. Partner with cross-functional teams to design analytical frameworks and translate complex findings into strategic recommendations.
Design, build, and evolve scalable full-stack software solutions for pharmacy supply chain technology. Lead technical architecture decisions while mentoring engineers and partnering with stakeholders to deliver high-impact, data-driven platforms.
The Medical Director will lead the development and execution of clinical strategies for high-risk members, focusing on scalable programs and digital/AI-enabled solutions. They will partner across various departments to translate clinical and business priorities into actionable roadmaps and measurable performance outcomes.
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 Primary Program Manager acts as a client-facing liaison between pharmaceutical partners and internal operations to ensure program health and performance. They are responsible for analyzing performance metrics, identifying trends, and driving process improvements to resolve service issues.
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 staff pharmacist will perform remote order entry, verification, and medication reconciliation for multiple hospitals. They will also provide clinical support, including therapeutic guidance and medication appropriateness assessments for diverse patient populations.
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 Senior Pharmacy Account Executive serves as the primary lead for integrated pharmacy benefits, managing client relationships, retention, and growth strategies. They are responsible for providing pharmacy product expertise, conducting financial performance reviews, and collaborating with internal stakeholders to ensure operational excellence.
The Senior Financial Analyst will review and respond to pharmacy pricing appeals and department of insurance complaints while maintaining data controls. The role also involves communicating with external pharmacies and state departments, as well as assisting with ad-hoc data outputs and automation testing.
The Staff Pharmacist interprets prescriptions, verifies information with prescribers, and consults with patients regarding medication use and drug interactions. They also provide quality assurance oversight for pharmacy technicians and maintain production and service standards.
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 ensure the successful implementation of payer agreements.
The Pharmacy Operations Supervisor leads a team of associates to ensure daily operational efficiency, quality standards, and production goals are met. They are responsible for coaching staff, managing workflows, and resolving complex pharmacy-related escalations.
The role identifies, frames, and prioritizes AI opportunities that drive significant enterprise revenue and margin growth. It involves acting as a thought leader to guide leadership on investment decisions while ensuring alignment with clinical and operational realities.
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 Principal Data & Solution Architect designs reusable, scalable data models and solution architectures to support enterprise data and digital products. This role acts as a technical authority, mentoring engineering teams and implementing AI-driven automation to accelerate production-ready design cycles.
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.
The Senior Director leads the functional execution of data strategy by translating business needs into reusable data products and integrated solutions. They oversee multidisciplinary teams to ensure data quality, process automation, and measurable business outcomes.
The Provider Contracting Advisor manages complex contract negotiations and fee-for-service reimbursements for a local territory. They also build provider partnerships, analyze financial impacts of contracts, and ensure accurate network implementation through matrix partners.
The Client Enablement Advisor acts as a subject matter expert, translating pharmaceutical client needs into data-driven solutions while coordinating across internal teams. They manage the end-to-end service delivery, implementation, and ongoing client relationship to ensure contract deliverables are met.
The Medical Director conducts evidence-based medical necessity reviews using specialized case management software. They also perform 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.
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 Medical Director performs evidence-based medical necessity reviews and conducts peer-to-peer consultations with healthcare providers. They also collaborate with a team of nurses and physician colleagues to ensure patients receive appropriate care.
The Lead Analyst manages the client data delivery process, ensuring accuracy, timeliness, and quality standards are met. They also collaborate with internal teams and clients to troubleshoot issues, build dashboards, and implement process optimizations.
The role involves developing advanced analytics and machine learning models to support pricing and underwriting strategies within a healthcare context. You will collaborate with business stakeholders to design pilots, create actionable insights, and ensure solutions are integrated into organizational processes.
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 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 accounts while collaborating with regional sales teams to drive growth.
The counselor is responsible for diagnosing and treating mental health disorders through individual, group, or family sessions using evidence-based techniques. They also coordinate care with multidisciplinary teams and provide ongoing monitoring and education for patients and their families.
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.
The Customer Engagement Strategist will design and execute data-driven, multichannel engagement strategies to drive measurable behavior change and improve health outcomes. They will lead A/B/n experimentation and partner with cross-functional teams to optimize customer journeys across various digital and offline touchpoints.
The role focuses on building an analytical foundation to connect digital customer engagement strategies to financial and strategic outcomes. This includes developing measurement frameworks, performing deep-dive journey analytics, and translating complex data into actionable business narratives.
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.
The role focuses on building the analytical foundation for digital products by translating complex strategies into measurable KPIs and success metrics. It involves leading behavioral and journey analytics to optimize digital experiences and informing enterprise decision-making through data storytelling.
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 Otolaryngology 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.
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.
