Lead and manage a team of Prior Authorization Pharmacists while maintaining an active clinical review workload. Serve as the primary point of accountability for clinical escalations, operational performance, and cross-functional collaboration.
LucyRx
20 Remote Job Openings at LucyRx
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Acts as a liaison between pharmacies and patients to resolve inquiries, troubleshoot claims, and provide clinical support for prior authorizations. Manages customer interactions across multiple digital channels while ensuring adherence to company policies and procedures.
Design, automate, and operate scalable and secure Azure cloud platforms using Infrastructure-as-Code and DevOps practices. Manage containerized workloads via AKS and maintain CI/CD pipelines to ensure high availability and security.
The role involves managing medication-related tasks, reviewing prior authorizations for GLP-1 therapies, and assisting members with lifestyle resources. It also requires coordinating between members and vendors while maintaining accurate records of engagement.
The Clinical Analyst will evaluate pharmacy and clinical program performance through data-driven insights and reporting. They will also partner with clinical leadership and client-facing teams to support implementations and ensure clinical initiatives meet client goals.
The Clinical Strategy Pharmacist designs and evolves formulary and drug strategies to optimize clinical outcomes and affordability. They collaborate with cross-functional teams to ensure formulary decisions are evidence-based, market-relevant, and operationally executable.
The Director will lead the configuration of pharmacy network and client pricing systems while simultaneously designing and executing a formal Process Improvement program. This role involves interpreting complex contracts, ensuring system integrity, and driving operational excellence across PBM functions.
The QA Manager will design, launch, and lead a comprehensive quality assurance program for pharmacy benefits configuration. This role involves hands-on validation of benefit designs, managing defect resolution, and mentoring a high-performing team to ensure operational excellence.
The Financial Analyst will manage rebate forecasting, month-end accruals, and pharmacy network reimbursement trends. They will also build automated workflows and provide financial performance insights to support operational decision-making.
The Senior Account Executive manages and cultivates client relationships, develops account strategies, and drives business growth within the pharmacy benefit management sector. They are responsible for leading client meetings, overseeing renewal processes, and ensuring high levels of service and client satisfaction.
The Account Executive will lead client strategy execution, build strong stakeholder relationships, and manage renewals while collaborating with internal teams. They are also responsible for identifying up-sell opportunities, managing contracting processes, and supporting RFP initiatives.
You will own the full development lifecycle, from architecting backend APIs and optimizing database procedures to crafting responsive front-end interfaces. Additionally, you will collaborate with global teams to ensure continuous delivery and high-quality releases in a fast-paced environment.
The Senior Financial Analyst is responsible for performing underwriting and analytical functions to ensure competitive pricing and profitability for pharmacy benefit programs. This role involves developing underwriting strategies, evaluating complex models, and collaborating with internal and external stakeholders to drive business initiatives.
The Clinical Account Executive serves as the primary point of contact for clients, managing clinical service offerings and drug lists to meet specific needs. They collaborate with internal teams and healthcare providers to develop strategic pharmacy programs and analyze utilization patterns to improve clinical outcomes.
The Chief Revenue Officer will architect and lead the integrated revenue engine, overseeing Sales, Proposals, and Account Management functions. They are responsible for defining the commercial vision, executing go-to-market strategies, and driving predictable growth across the organization.
The advisor will prepare cost, trend, and utilization reports while collaborating with stakeholders to develop strategic recommendations for clients. They are responsible for creating analyses that drive strategy and assisting with the onboarding and implementation of benefit designs.