The SQL Programmer/Health Data Analyst develops pharmacy drug therapy quality metrics and analytic code using medical and pharmacy claims data. They also lead clinical research projects and synthesize complex data into presentations for internal and external stakeholders.
The Rebate Operations Pharmacist provides clinical pharmacy support to the Rebate Operations team and clients, ensuring accuracy in medical and pharmacy claims. This role also interprets federal legislation changes and manages reporting requirements for state Medicaid drug rebate programs.
The Senior Analyst leads advanced data initiatives to support clinical programs, cost containment, and operational effectiveness by transforming complex healthcare data into actionable insights. They are responsible for designing reports, developing predictive models, and mentoring junior analysts to ensure high-quality data-driven decision-making.
The Specialty Clinical Program Director shapes and executes clinical strategies for pharmacy, medical, and integrated products to drive innovation and measurable outcomes. This role collaborates with cross-functional teams and external stakeholders to develop, maintain, and deliver scalable specialty clinical solutions.
The AVP of Claims & Configuration leads the strategic direction and operational performance of pharmacy benefit claims adjudication and configuration systems. This role drives technology modernization and process improvements to ensure accurate, compliant, and scalable administration of pharmacy benefit programs.
The Strategic Sourcing Manager supports the procurement team by executing sourcing strategies for lower-risk vendor categories, including contract drafting, redlining, and negotiations. They also provide analytical reporting on vendor spend and performance while assisting in the management of sourcing systems and departmental initiatives.
Leads compliance initiatives and supports enterprise compliance programs, including policy governance, regulatory reporting, training, and licensing submissions. Interprets complex laws and requirements, manages sensitive projects, prepares executive and governance reports, and partners with stakeholders across the organization.
The Senior Compliance Analyst leads compliance oversight activities, including monitoring, issue management, and corrective action governance. They also serve as a subject matter expert, representing compliance on complex contracts and cross-functional projects.
The Principal Clinical Program Pharmacist is responsible for developing and managing complex clinical product initiatives and maintaining clinical criteria. This role involves coordinating product launches, analyzing market data, and collaborating with cross-functional teams to ensure strategic execution.
The Director of Underwriting leads multiple teams to drive pricing strategy, financial analysis, and competitive proposal development. They provide strategic guidance to managers while collaborating with internal stakeholders to ensure financial performance and market competitiveness.
The Clinical Account Manager supports drug spend and trend analysis while providing consultative clinical expertise to clients. They are responsible for executing clinical programs, managing drug strategy recommendations, and building strong relationships with key stakeholders.
The Senior Underwriter is responsible for achieving profit, growth, and service objectives through financial analysis and pricing of the company's book of business. They act as an expert consultant on underwriting matters and support Sales, Marketing, and Client Engagement teams with complex pricing negotiations.
The Supervisor Operations is responsible for managing team workload, quality metrics, and efficiency to ensure daily production goals and service levels are met. They also oversee talent management, provide subject matter expertise for escalated issues, and maintain operational documentation.
The Director oversees clinical services and strategies for medical pharmacy and specialty programs, serving as a lead consultant for assigned clients. They are responsible for developing innovative clinical solutions, managing utilization programs, and driving continuous improvement through data-driven insights.
The Senior Principal Strategic Client Advisor serves as a senior strategic advisor to health plan clients, providing actionable insights and expert thought leadership. They lead consultative engagements focused on pharmacy strategy, affordability, and market competitiveness to help clients navigate the healthcare environment.
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 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 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.
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.
