The Product Owner will collaborate with business leads to define and prioritize product strategy and strategic initiatives. They are responsible for maintaining the team backlog and facilitating value delivery through effective communication with cross-functional teams.
The manager develops and manages strategic relationships with pharmaceutical wholesalers to expand channel opportunities and drive network value. They lead commercial negotiations, oversee contract implementation, and ensure ongoing performance management across the wholesaler network.
The Clinic Services Executive manages existing physician and prescriber clinics by developing long-term account strategies and identifying expansion opportunities. They also facilitate the resolution of escalated issues and monitor performance standards to ensure client satisfaction and contract compliance.
The Sr. Coordinator, Client Audits provides administrative and process support for client audit functions, including coordinating deliverables and managing audit schedules. They serve as a point of contact for account management and ensure audit activities comply with internal and client requirements.
The Business Intelligence Developer will identify and communicate data-driven insights to support informed decision-making across the organization. Responsibilities include preparing data visualizations, developing reporting application scripts, and ensuring data integrity through ongoing validation.
The Account Executive manages client relationships and supports account strategy for employer, health plan, and PBM clients. They act as a primary point of contact to ensure client needs are met while driving satisfaction, retention, and strategic growth.
The Pharma Business Development Executive manages strategic relationships with pharmaceutical manufacturers to drive growth and patient access within specialty pharmacy services. They lead contract negotiations, oversee program innovation, and collaborate across internal teams to ensure alignment with manufacturer objectives.
The Pharmacy Relations Specialist manages the pharmacy contracting process, including negotiations and redline reviews for independent pharmacies and PSAOs. They also ensure network compliance, resolve claim issues, and maintain network plan designs.
The Pharmacy Relations Specialist is responsible for establishing and maintaining contracts with pharmacy providers while ensuring accurate data entry into the claims processing system. They also facilitate the resolution of complex pharmacy issues and coordinate network communication efforts to maintain effective provider partnerships.
The Clinical Account Executive manages and grows relationships with clinic accounts to ensure seamless prescription referral processes and optimal patient outcomes. This role involves providing clinical oversight, resolving account issues, and collaborating with internal stakeholders to drive business goals.
The Lead, Software Development AI Practice will define and implement the organization's AI strategy, establishing standards, tools, and coaching mechanisms to drive AI adoption across development teams. This role will also serve as a subject matter expert on the AI Governance Board, ensuring all AI initiatives align with security, privacy, and enterprise architecture requirements.
Deliver medication therapy management and other clinical outreach services to commercial and Medicare members, while helping develop programs, algorithms, pathways, scripts, and documentation standards. Support Medicare Part D and STAR ratings initiatives, collaborate with Clinical Engagement Center staff, precept pharmacy students, and follow compliance and HIPAA requirements.
The Sr. Analyst, Data leads complex analytical projects and designs scalable data solutions to support operational and strategic decision-making. They translate ambiguous business problems into actionable insights while mentoring team members and optimizing reporting workflows.
The Supervisor of Clinical Operations oversees high-touch specialty drug management programs and provides telephonic support to patients, providers, and pharmacies. They also lead case management activities, monitor program performance, and provide coaching to team members to ensure operational efficiency.
The Pharmacist performs clinical prior authorizations, drug utilization reviews, and supports customer care with clinical interventions. They also interface with healthcare providers to manage benefits and evaluate health survey data for program development.
The Platform Product Manager owns the vision, strategy, and lifecycle of the claims adjudication platform and its associated enterprise capabilities. This role leads a product-centered operating model to translate platform capabilities into market-ready solutions and measurable business outcomes.
The Rebate Account Specialist II is responsible for managing pharmaceutical manufacturer rebate submissions, reconciliations, and audit processes. They work closely with internal teams and external partners to ensure accurate payment collection and resolve any financial discrepancies.
The Senior Account Executive provides strategic leadership for complex client accounts, managing relationships with health plans and employer groups. They are responsible for driving account strategy, leading quarterly business reviews, and identifying opportunities for program expansion.
The Pharmacist I performs prior authorizations and drug utilization reviews while supporting customer care with clinical interventions. They also interface with healthcare providers to manage benefits and contribute to clinical program development.
The Product Manager leads the design, development, and implementation of Medicare Part D processes to ensure full compliance with CMS regulations. They monitor regulatory guidance, manage operational oversight, and drive process improvements to enhance program efficiency and scalability.
The Proposal Analyst supports client acquisition and retention by drafting persuasive, strategic responses to Requests for Proposals (RFPs). This role involves cross-functional collaboration to manage project timelines and ensure all sales-related documents meet quality and strategic standards.
The Clinical Account Executive serves as the clinical subject matter expert for specialty medications, managing formulary development and utilization management programs. They communicate clinical recommendations and program performance to clients, physicians, and other stakeholders while analyzing utilization trends to improve medication outcomes.
The Sr. Trade Negotiator leads contract negotiations with pharmaceutical manufacturers to optimize rebates and discounts for various lines of business. This role also provides financial modeling and strategic guidance to internal stakeholders and downstream clients to support formulary decision-making.
The Director will lead strategic account management and partnership development across health systems and specialty pharmacy clients to drive growth and client satisfaction. They are responsible for overseeing proposal processes, managing cross-functional teams, and building long-term relationships with healthcare leaders.
The Analyst III configures pharmacy networks in the claim adjudication system to ensure accurate and timely claim processing. They also collaborate with internal departments to support client implementations, troubleshoot issues, and drive process improvements.
The Coordinator facilitates the receipt, processing, and evaluation of provider credentials while ensuring compliance with federal, state, and URAC standards. They also monitor credentialing databases and generate reports to support the pharmacy network and credentialing committees.
The Pharmacist will lead the development, implementation, and administration of clinical programs such as drug utilization review and health management initiatives. They will also provide clinical expertise to support account management, P&T committee decisions, and member care coordination.
The Sr. Analyst leads financial analyses and performance reviews to identify key drivers, risks, and opportunities for health system pharmacy operations. They develop financial models, forecasts, and executive-ready reports to support strategic decision-making and improve margin performance.
The Sr. Analyst manages operational execution for channel partners, including RFP coordination, reporting, and partner enablement. They serve as a central point of contact to align cross-functional teams and drive strategic growth initiatives.
The RN Case Manager will provide telehealth coaching and clinical outreach to improve member health and medication adherence. They will also develop clinical algorithms, documentation standards, and provide oversight for pharmacy staff.
