The Ops Quality Assurance Specialist oversees the review, resolution, and tracking of incident reports within a pharmacy setting. This role involves analyzing issue trends, maintaining logs, and communicating effectively with pharmacy leadership and customer care teams.
The Vice President of Client Services is responsible for the strategic leadership, satisfaction, and retention of all WellDyne PBM clients. This role oversees the Client Service Department, manages departmental P&L, and fosters executive-level relationships with key accounts.
The Account Manager is responsible for managing client relationships, ensuring service expectations are met, and acting as a liaison between the client and internal departments. They also monitor account performance, educate clients on industry topics, and support new business presentations.
The Proposal Manager leads and oversees the entire bid and proposal process for Pharmacy Benefit Management projects, ensuring timely and high-quality submissions. They are responsible for driving team development, managing project leads, and collaborating with subject matter experts to communicate the company's value proposition.
The BI Analytics Lead will manage reporting solutions, identify key performance indicators, and perform deep-dive analyses to support strategic business initiatives. Additionally, the role involves coaching and mentoring BI analysts while establishing best practices for data governance and quality control.
The technician is responsible for updating prescription orders, managing failed claims, and ensuring accurate insurance adjudication. They must also handle prior authorizations and maintain strict adherence to HIPAA confidentiality guidelines.
The Benefit Analyst III is responsible for the design, configuration, and maintenance of client benefit plans within the RxClaim system. This role involves performing end-to-end testing, managing benefit change requests, and providing support for client inquiries and auditor reviews.
The Prior Authorization Clinical Pharmacist is responsible for managing the clinical review process for prior authorizations and maintaining a comprehensive library of clinical forms. They also contribute to formulary development, support clinical programs, and assist in training other pharmacy personnel.
Responsible for initiating and processing clinical prior authorization requests via telephone and email while maintaining accurate documentation. Coordinates with pharmacies, providers, and members to resolve authorization issues and ensure compliance with PHI laws.
Accurately interpret and enter prescription information into the processing system following pharmacy guidelines. Perform quality checks and maintain patient confidentiality in accordance with HIPAA regulations.
Accurately interpret and enter prescription information into the processing system following pharmacy guidelines. Maintain patient confidentiality and perform quality checks to ensure order accuracy.
Lead the design and development of technology-enabled pharmacy and patient support solutions for pharmaceutical manufacturers. Act as the primary bridge between business stakeholders, pharmacy operations, and software development teams to improve patient access and adherence.
Lead the strategic oversight of rebate operations, financial performance, and aggregation business to maximize value and ensure regulatory compliance. Partner with internal stakeholders and external vendors to drive operational excellence and support organizational growth.
The Account Executive manages the total service experience and strategic relationships for assigned accounts to ensure retention and growth. They act as a primary liaison between clients and internal teams to implement products and services while identifying upselling opportunities.
Respond to incoming phone calls to assist customers with pharmacy benefits and prescription order status. Use multiple systems to process orders and provide professional support to enhance customer satisfaction.
The Implementation Manager oversees client implementations and change management for pharmacy benefit management programs. This includes coordinating internal operational functions and ensuring a high-quality service experience for plan sponsors and members.
The Pricing Analyst analyzes competitor pricing and market expectations to determine ideal target prices for products. They are responsible for quantitative data modeling, P&L analysis for client renewals, and supporting RFP financial requests.
The Sales Consultant supports the growth team by managing the sales pipeline, qualifying prospects, and coordinating internal qualification meetings. They are responsible for developing proposal materials, managing RFPs, and ensuring a smooth transition from sale to implementation.
Responsible for the overall financial planning and analysis of HealthDyne, including budgeting, forecasting, and month-end reporting. The role involves leading analyst-level associates and partnering with Sales and Operations teams to drive value creation and financial stability.
The Pharmacy Reporting Analyst will design, develop, and maintain data management processes and custom analytic tools to support clinical and pharmacy leadership. They will also collaborate on RFP processes, track pharmacy savings, and provide consultative data analysis to support business growth and decision-making.
