The Director of IT Architecture leads the Technical Account Management function to strengthen strategic client relationships and serve as the primary technology interface. They are responsible for defining the strategic vision, operationalizing service frameworks, and ensuring client technical needs are aligned with enterprise capabilities.
The Senior Director provides strategic direction to a client-facing team to deliver innovative pharmacy and medical rebate strategies and cost-saving solutions. They also manage assigned client relationships and oversee the implementation of formulary decisions and rebate contract analysis.
The Senior Director manages overall clinical services, including utilization management, financial oversight, and regulatory compliance for Medicaid pharmacy benefit programs. They are responsible for supervising clinical staff, directing client activities, and driving marketing opportunities through strategic account management.
The Assistant Vice President of Strategic Sourcing will lead and develop procurement and contracting teams to optimize vendor spend and operational efficiency. They will implement automated contracting solutions and foster a culture of continuous improvement while managing departmental budgets and cross-functional stakeholder relationships.
The Senior Drug Rebate Analyst develops analytical models and reports to assess pharmacy benefit performance and provide strategic recommendations. This role leads complex client analytical work efforts and serves as a subject matter expert for the New York Medicaid PDL program.
The Senior Program Manager leads and executes core operational programs, ensuring alignment across business units and market segments. They are responsible for monitoring performance metrics, managing program tools, and collaborating with cross-functional teams to implement new strategies.
The Principal Actuary provides strategic consulting and thought leadership while managing complex actuarial modeling and pricing initiatives. They also lead data analysis projects and mentor team members to ensure compliance with actuarial standards and health policy regulations.
The Client Audit Specialist manages end-to-end regulatory and client-initiated audits by interpreting requirements and coordinating with internal stakeholders. They are responsible for monitoring audit progress, ensuring accurate documentation, and providing clear communication of audit results to internal and external parties.
The Senior Account Manager drives client-facing initiatives, manages employer group relationships, and provides complex support for account executives. They are responsible for optimizing pharmacy spend, resolving client issues, and mentoring the broader account management team.
The AVP will lead enterprise-wide implementation strategies, migration frameworks, and cross-functional delivery for new and existing business technology solutions. They are responsible for program governance, budget discipline, executive reporting, and ensuring alignment across technology, operations, and client-facing teams.
The AVP of Claims & Configuration leads the strategic leadership and operational performance of pharmacy benefit claims adjudication and benefit configuration. This role drives technology modernization and ensures accurate, compliant administration of pharmacy benefit programs while managing cross-functional teams.
The Lead Actuary develops actuarial concepts and provides strategic pricing support and thought leadership for clients and owners. This role involves leading complex, high-visibility projects and mentoring team members to enhance actuarial knowledge.
The Principal Actuary provides strategic consulting and thought leadership for pricing initiatives and actuarial modeling. They lead complex, high-visibility projects and mentor team members to enhance actuarial knowledge across the organization.
Oversees clinical activities for pharmacy accounts, focusing on upselling clinical services and ensuring account renewals. Collaborates with Account Managers to implement clinical solutions that reduce expenses and improve care for Medicaid populations.
The Senior Underwriter performs financial analysis and pricing for the book of business to achieve profit and growth objectives. They serve as an expert consultant on underwriting and performance guarantees while collaborating with Sales and Marketing teams.
The Lead Research Specialist researches and resolves complex member issues while serving as a subject matter expert for documentation and written communications. The role also focuses on process improvements, quality validation, and ensuring adherence to service levels.
Lead complex pharmacy pricing and rebate guarantee analyses for existing and prospective clients. Partner with senior leadership to provide strategic pricing guidance and mentor junior actuarial team members.
