The Senior IT Quality Engineer will lead quality engineering initiatives, design test strategies, and develop automated frameworks for complex software solutions. They are responsible for mentoring team members, ensuring regulatory compliance, and resolving complex quality issues across multi-platform environments.
The Account Executive serves as the primary relationship manager for assigned accounts, driving pharmacy spend optimization and strategic alignment. They are responsible for leading client meetings, managing the RFP process, and fostering key internal and external relationships to ensure client satisfaction.
The Customer Care Associate provides support to members and providers by addressing inquiries regarding eligibility, benefits, claims, and authorizations. They are responsible for managing inbound and outbound calls, documenting data accurately, and resolving issues efficiently to meet quality standards.
The Senior Contracts Analyst leads the development and maintenance of service provider contracts while ensuring compliance with regulatory and internal standards. This role also involves analyzing provider performance trends and managing audit activities across the organization.
The Principal AI Strategist will lead and scale enterprise AI adoption, governance, and value realization across the organization. This role involves partnering with executive leadership to execute AI roadmaps, manage governance frameworks, and drive measurable business outcomes through AI-enabled transformation.
The Billing Specialist is responsible for validating billing data for accuracy and completeness while supporting payment reconciliation processes. They also maintain detailed documentation of financial activities and assist with adjustments and re-billings.
The Senior Director leads a team of actuaries to provide strategic pricing direction and innovative modeling for pharmacy benefit clients. They collaborate with cross-functional leadership to manage risk, develop forecasting assumptions, and oversee complex pricing negotiations.
The Assistant Vice President of Strategic Sourcing will lead and develop procurement and contracting teams to optimize vendor spend and drive 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 AVP leads the strategic vision and portfolio management for accounts, ensuring business needs are met through cross-functional collaboration. They are responsible for establishing program governance, driving process improvements, and managing project budgets and risks.
The Lead Research Specialist resolves complex member issues and serves as a subject matter expert to guide research strategies and documentation standards. The role also contributes to process improvements, reporting, and quality monitoring to ensure service-level adherence.
The Principal Process Improvement Project Analyst leads enterprise-wide transformation initiatives using Lean Six Sigma methodologies to drive operational and financial outcomes. This role acts as a strategic advisor to senior leadership, facilitating complex business decisions and mentoring practitioners in continuous improvement practices.
The Legal Counsel provides tactical legal advice and support to internal clients, focusing on PBM contracting and account management functions. They are responsible for performing legal research, drafting complex commercial agreements, and ensuring compliance with regulatory requirements.
The Manager of Data & Analytics Platform Operations leads the governance, operational excellence, and strategic modernization of enterprise data and analytics platforms. This role oversees daily service delivery, team management, and cross-functional collaboration to ensure reliable, secure, and scalable data solutions.
The Sr. Principal Enterprise Information Architect leads the development of strategic information and data solutions to meet business outcomes across multiple domains. This role provides architectural oversight, defines data governance policies, and drives the adoption of enterprise information strategies.
The Senior Director will lead enterprise-wide pricing analytics and financial modeling strategies while coordinating cross-functional teams and subject matter experts. They are responsible for driving process improvements, developing financial reports, and managing departmental performance and budgets.
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 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 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 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 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.
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.
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.
