Lead the end-to-end drafting, negotiation, and management of PBM service agreements and commercial terms. Partner with cross-functional teams including legal, finance, and clinical to ensure contract terms align with regulatory requirements and financial models.
The Product Support Specialist will manage the full lifecycle of client-facing technical work, including SSO configuration, file transformation, and system setup. They will also serve as the primary point of escalation for operational issues and collaborate with internal teams to drive product improvements.
Serve as the primary point of contact for members, providers, and pharmacies to resolve inquiries regarding benefits, claims, and clinical programs. Document interactions accurately in internal systems while coordinating with clinical pharmacists to support patient care and medication adherence.
Manage full-cycle recruitment for high-volume pharmacy and member support roles from intake to offer. Collaborate with HR, IT, and hiring managers to build candidate profiles and ensure a seamless onboarding experience.
The PBM Benefits Coordinator manages day-to-day benefit configuration, formulary maintenance, and plan setup operations. They also troubleshoot benefit-related issues and collaborate with internal teams to ensure accurate administration and reporting.
Serve as the primary point of contact for members, providers, and pharmacies to resolve inquiries regarding benefits, claims, and medication costs. Support clinical pharmacists with patient outreach and document all interactions accurately within internal systems.
The PBM Operations Associate manages the day-to-day execution of eligibility, accumulator, and claims extract file feeds to ensure data accuracy and timely delivery. They collaborate with internal teams and external vendors to troubleshoot data issues and maintain process documentation.
The Navigation Solution Consultant acts as a subject matter expert to drive client value through strategic navigation and Unity solutions. They collaborate with sales, marketing, and product teams to lead high-stakes pitches, design client demos, and provide ongoing clinical and technical leadership.
Serve as the primary point of contact for members, providers, and pharmacies to resolve inquiries regarding benefits, claims, and clinical programs. Document interactions accurately while coordinating with internal teams to ensure timely resolution of issues.
The VP of Business Development will generate revenue by selling healthcare navigation and PBM solutions to large Fortune 500 employers in the Eastern U.S. They will build and manage a sales pipeline while collaborating with internal teams to execute go-to-market strategies and finalize contracts.
You will spearhead AI integration initiatives to enhance care navigation and PBM services while architecting scalable, production-grade full-stack solutions. The role involves leading rapid prototyping cycles and establishing technical standards for AI implementation across the platform.
Acts as the primary operational point of contact for clients, liaising between stakeholders and internal cross-functional teams to resolve issues. Responsible for tracking requests, analyzing reporting dashboards, and ensuring client performance guarantees are met.
Provide operational support for client relationships by managing the resolution of routine to complex service requests. Act as a liaison between client-facing teams and internal cross-functional departments to ensure performance guarantees are met.
Serve as the primary point of contact for members, providers, and pharmacies to resolve inquiries regarding pharmacy benefits, claims, and prior authorizations. Support clinical pharmacists with patient outreach and enrollment in clinical programs while documenting all interactions for quality assurance.
Define and deploy mission-critical data infrastructure and production-grade pipelines to process large healthcare datasets. Leverage AI tools and AWS services to optimize data transformations and improve platform reliability.
Lead daily accounting operations including payables, billing, payroll, and general ledger reconciliations. Support monthly, quarterly, and year-end close processes while contributing to financial statements and audit preparations.
Lead the Application and Cloud Security functions to raise the security maturity of AWS systems and services. Architect defensive controls for AI/LLM capabilities and establish secure engineering patterns across the organization.
Own and evolve the vision for the digital pharmacy experience, focusing on member engagement and outcomes across web and mobile apps. Lead the development of features like drug search and cost transparency while mentoring an Associate Product Manager.
The Senior Manager will lead clinical consulting services and drive initiatives to improve pharmacy benefit plan performance. They will act as a subject matter expert, collaborating with internal teams and clients to enhance clinical outcomes and cost efficiency.
