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The Associate Director of Access & Reimbursement is responsible for leading the development and execution of US market access and reimbursement strategies to ensure optimal payer coverage and patient access across the CSL Seqirus portfolio. This role partners closely with commercial, marketing, medical and pricing teams to shape payer strategy across Commercial, Medicare, Medicaid, PBMs, and Federal accounts. The Associate Director provides strategic insights into the evolving reimbursement landscape across both the medical and drug benefit and contributes to long term pricing, contracting, and access strategies that support CSL Seqirus business objectives and the long-term pricing goals for the organization. Major Responsibilities: Enact key strategic initiatives to help facilitate CSL Seqirus to achieve / exceed specific sales volume, revenue, and profitability targets. Leads CSL Seqirus interactions with all payers. Fosters and develops multi-level and senior relationships to create a foundation for developing a pathway to effectively communicate CSL Seqirus story. Analyze payer access and reimbursement (medical & drug) landscape for near-term and longer-term objectives. Provide insights on the analysis to create change in the organization. Using pareto mentality develops strategies and tactics to ensure positive change. Develops a customized approach for each payer to most effectively influence change. Reports timely feedback regarding account interactions and next steps. With relationship depth and breadth of customer interaction at various (senior management clinical / financial / operational) levels of the customer’s organization, builds and maintains relationships with key individuals to enable market access of CSL Seqirus vaccines, developing a favorable environment for pull-through at the national, regional, and local provider levels. Develops and sponsors key programs which address customer needs and enhances the customer value perception of CSL Seqirus. Convinces internal and external stakeholders about the value of the CSL Seqirus Customer Experience vision; Acts as the voice of the customer with internal stakeholders to build Seqirus’ acumen on customer challenges; Develops and executes business solutions at customers that help enhance CSL Seqirus’ partnership within CSL Seqirus primary channels. Provides expertise to the organization as an SME in regards to reimbursement at national and regional level and ensures CSL Seqirus products have market access at all National and select Regional health plans and PBMs. Has effective strategies in place when there are coverage issues by being able to connect with key payer decision makers immediately to fix coverage issues. Works with internal and external stakeholders to enhance CSL Seqirus position in the market Identifies areas of opportunity for CSL Seqirus growth and directs the organization to implement in an efficient manner. Monitors external environment at key trade and customer meetings / conferences. Coordinates customer and internal sales training as needed. Promotes CSL Seqirus portfolio of products to key customers that drives differentiation for CSL Seqirus and successful long-term business relationships. Collaborates with appropriate CSL Seqirus business teams, marketing, and medical affairs to ensure alignment and full utilization of resources at account level. This includes utilization of marketing materials, execution of in-services, development and execution of marketing or other service agreements. Uses available resources to improve regional account management and liaises with Marketing teams to develop pull-through plans and value-added service offerings. Accountabilities: Removes barriers that diminish growth in the Retail, Wholesale, GPO, PBG, segments of business. Works cross functionally to design, develop and implement strategy for reimbursement of all CSL Seqirus products. Oversee the Access & Reimbursement vendor strategy and budget ensuring effective deployment of external resources and delivery of programs that support payer access and reimbursement objectives. Monitors external environment, customers, and competitors to identify value for CSL Seqirus. Generates information and insights related to reimbursement landscape and educates Sr. Management on its implications. Scope of Influence: Directs Sr. Leadership of key partnering departments to develop strategies which enhance growth related to access and reimbursement. Convinces Payers of the value of CSL Seqirus products to obtain appropriate reimbursement. Drives actions with key internal departments (Medical, Marketing, Sales) to influence processes and programs that enhance the US business. Influences Sr. Leadership and Field Sales on any updates related to payer/reimbursement, providing SME insights along with next step recommendations to stay ahead of the market. Strengthens relationships with large Payer customer to ensure we are meeting / exceeding expectations related to access & reimbursement. Minimum Requirements: Bachelor’s Degree required, in Business, Health Policy, or Life Sciences preferred AAPC coding courses / or equivalent a plus 10+ years of relevant experience in the pharmaceutical healthcare sector 5+ years in the vaccine payer space Experience in working with US payers Experience in billing /coding for both buy & bill products (medical) & pharmacy billing PBM (drug benefit) (strongly preferred) Strong leadership skills and demonstrated ability to lead cross functionally Deep understanding of Commercial, Medicare, and Medicaid and how it pertains to Influenza vaccine coverage and payment A proven track record of successful account management and executing national strategies Demonstrated results in the area of GPO, health system, retail, wholesaler/distributor with vaccine reimbursement vs general Pharma The expected base salary range for this position at hiring is $210,000 – $250,000. Please note this salary range reflects the minimum and maximum base pay that CSL expects to pay for this position at the listed location as of the time of this posting. Individual base salary for a successful candidate is determined by qualifications, skill level, experience, competencies and other relevant factors. In addition to base salary, total compensation for this role may also include incentive compensation. CSL Seqirus is part of CSL. As one of the largest influenza vaccine providers in the world, CSL Seqirus is a major contributor to the prevention of influenza globally and a transcontinental partner in pandemic preparedness. With state-of-the-art production facilities in the U.S., the U.K. and Australia, CSL Seqirus utilizes egg, cell and adjuvant technologies to offer a broad portfolio of differentiated influenza vaccines in more than 20 countries around the world. To learn more about CSL, CSL Behring, CSL Seqirus and CSL Vifor visit and CSL Plasma at . Our Benefits For more information on CSL benefits visit _. You Belong at CSL At CSL, Inclusion and Belonging is at the core of our mission and who we are. It fuels our innovation day in and day out. By celebrating our differences and creating a culture of curiosity and empathy, we are able to better understand and connect with our patients and donors, foster strong relationships with our stakeholders, and sustain a diverse workforce that will move our company and industry into the future. To learn more about inclusion and belonging visit https://www.csl.com/careers/inclusion-and-belonging Equal Opportunity Employer CSL is an Equal Opportunity Employer. If you are an individual with a disability and need a reasonable accommodation for any part of the application process, please visit _. Watch our ‘On the Front Line’ video to learn more about CSL Seqirus

Duration: 6 contracts Position Summary We are seeking an experienced Prior Authorization Pharmacist to review and evaluate medication prior authorization requests to ensure safe, appropriate, and cost-effective therapy in accordance with clinical guidelines, regulatory requirements, and organizational policies. This role requires strong clinical decision-making skills, experience applying evidence-based guidelines, and the ability to work efficiently in a high-volume production environment while maintaining quality and accuracy. Key Responsibilities Review and evaluate medication prior authorization requests for:Medical necessity Clinical appropriateness Formulary compliance Apply evidence-based clinical guidelines, FDA labeling, drug compendia, and plan-specific criteria to authorization decisions Evaluate patient-specific factors including: Diagnosis Lab results Prior therapies Dosing Contraindications Comorbid conditions Approve, modify, or deny medication requests and document clinical rationale accurately Collaborate with pharmacists, pharmacy technicians, nurses, medical directors, and other clinical teams to resolve complex cases Support peer-to-peer reviews and prepare clinical summaries for escalated cases Ensure compliance with state and federal regulations, accreditation standards, and internal quality requirements Maintain productivity, turnaround time, and quality benchmarks Document activities accurately in pharmacy and prior authorization systems Required Qualifications: Active and unrestricted Pharmacist license in good standing in AZ or TX Bachelor’s Degree in Pharmacy or PharmD required Minimum 2+ years of pharmacist experience (3+ years preferred) Experience with clinical decision-making using evidence-based guidelines Experience working with:Formularies Preferred drug lists (PDL) Medication utilization review Ability to work in a high-production team environment Strong documentation and communication skills Preferred Experience: Managed Care or PBM experience Medicaid or Commercial insurance pharmacy experience Utilization Management experience Knowledge of formulary design and prescription benefit trends About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com . US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. AI Statement: By applying, you acknowledge that AI-assisted tools may be used during hiring.

Job Title: Pharmacist – Pharmacy Advisor (Remote) Job Type: Contract to hire Schedule: Full-time, 40 hrs/week Monday–Friday + rotating Saturday (8-hour shift) Shift start time between 9:00 AM–11:00 AM CT (Sat typically 9:00 AM–5:30 PM CT ) Training: Mon–Fri 8:00 AM–4:30 PM CT Pay: $54.05/hour (W2) Location: 100% Remote (WFH) Work Location Requirement (Must Have): Must live in and have an active Pharmacist license in AZ, HI, TX, IL, FL, or PA About the Role We’re hiring Remote Pharmacists to support CVS Caremark’s Pharmacy Advisor program—a clinical, patient-support initiative focused on improving outcomes for members with chronic conditions. This is a fast-paced, performance-driven environment where you’ll deliver high-quality medication counseling and help resolve medication-related barriers to adherence. What You’ll Do Provide telephonic counseling, education, and support to patients regarding medication therapy and regimens (majority of the role) Make outbound calls (and handle inbound callbacks as needed) to targeted members Collaborate with providers and pharmacies to resolve medication-related issues Use enhanced systems/tools and participate in program training and coaching Meet individual productivity and quality expectations; overtime may be required when needed Requirements (Must Have) Active Pharmacist license in AZ, HI, TX, IL, FL, or PA (and must be located in that state) 1+ year of pharmacist experience in Retail, LTC, Hospital, PBM, or pharmacist-to-patient consultation High School Diploma/GED (verifiable) Strong communication skills and comfort working in a metric-driven environment Ability to learn new systems and adapt to new workflows Preferred Experience counseling patients with chronic disease states (especially diabetes) Strong customer service and consultation skills Knowledge of pharmacy laws and strong clinical documentation/writing skills Apply Now If you’re a licensed Pharmacist in AZ, HI, TX, IL, FL, or PA and want a fully remote contract opportunity supporting patient outcomes, apply today.

Title: Senior Manager, Business Architect Location: Work from Home Schedule: Mon – Fri, 8:00AM – 5:00PM local time The Senior Manager, Business Architect is responsible for translating PBM strategy and initiative intent into clear, executable business design and measurable outcomes. In this role, they will partner closely with business, technology, and delivery teams to ensure the Connected PBM Ecosystem (CPE) program is aligned to enterprise business capabilities, value streams, and outcomes, not just point solutions. They will operate as a strategic integrator, providing clarity on scope, dependencies, sequencing, and value realization. While primarily focused on supporting CPE delivery, they'll also contribute to the evolving Business Architecture discipline by applying standards, templates, and reusable assets. As Connected PBM advances, there is an increased need for Business Architecture support to: • Clarify scope and intent • Align delivery to enterprise PBM capabilities • Reduce redundancy and misalignment across teams • Ensure outcomes and benefits are clearly defined and tracked This role ensures CPE is designed and executed with enterprise context, supporting both near term delivery and long term PBM transformation. Position Responsibilities: • Translate program objectives into business architecture views, including capability maps, value streams, and outcome models • Support program intake and planning by clarifying vision, scope, assumptions, and expected benefits • Evaluate solution options through a capability and value driven lens, ensuring alignment to PBM strategy • Identify capability gaps, dependencies, and sequencing considerations that impact execution and outcomes • Support definition and tracking of program level outcomes and success measures aligned to enterprise goals/strategies • Partner with Business, Solution Architecture, Process Engineering, UX, Data, and Change teams to align strategy, design, and execution • Serve as a connective role between business stakeholders and delivery teams to ensure shared understanding of intent and outcomes • Facilitate alignment discussions to resolve scope conflicts, overlaps, or dependency risks across programs • Provide architecture based insights to governance, planning, and decision forums, as needed • Define and apply established Business Architecture standards, methods, and templates • Contribute to the Business Architecture knowledge base by updating capability and value stream inventories, documenting patterns, lessons learned, and reusable examples, and providing feedback to improve tools and templates • Ensure deliverables are clear, consistent, and aligned to business expectations • Support adoption of Business Architecture practices by modeling effective usage Position Qualifications: • 7+ years of experience in Business Architecture, Strategy, Process Design, or Enterprise Transformation • Experience supporting large, cross functional initiatives in complex environments • Experience translating abstract strategy into practical, executable business design • Experience collaborating across business and technology teams • Experience presenting to all different levels of leadership • 5+ years of experience within the healthcare arena preferred • A minimum of a Bachelor’s Degree in a relevant technical field; Business Architect-related Certification preferred .

JOB TITLE: Remote Java Developer JOB LOCATION: Remote WAGE RANGE: $45hr to $48w2 JOB NUMBER: 26-00938 JOB DESCRIPTION The candidate will be responsible for designing, coding and documenting Java based programs in support of mission critical high performance Point-of-sale applications as well as other Java applications in support of Conduent PBM platform. Key Expectations: Work in a full Agile/Lean collaborative environment - including meetings, iterative development, estimations and design sessions. Collaborate with Product and Project Managers to provide estimates and status updates to stakeholders and executives. Work with team and other organizational partners to resolve development roadblocks. Work with distributed teams across various time zones. Report critical issues to manage effectively, timely, and with clarity. Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM's discretion.

JOB TITLE: Senior Test Manager JOB LOCATION: Remote WAGE RANGE: $60.00-75.00/Hr JOB NUMBER: 26-00871 JOB DESCRIPTION Senior Test Manager – MMIS / Medicaid Enterprise Systems Position Summary We are seeking an experienced Senior Test Manager with deep expertise in Medicaid Management Information Systems (MMIS) and modern Medicaid Enterprise Systems (MES) to lead enterprise-wide testing initiatives for large-scale healthcare technology programs. This individual will be responsible for developing and executing comprehensive testing strategies across complex Medicaid platforms, ensuring quality delivery, regulatory compliance, and operational readiness. The ideal candidate will possess strong leadership skills, hands-on knowledge of Medicaid operations and system integrations, and extensive experience managing testing activities across multi-vendor environments within state government healthcare programs. Key Responsibilities Lead all phases of system testing for MMIS/MES modernization and enhancement initiatives, including:Test strategy and planning Test case development and execution Defect management Integration testing User Acceptance Testing (UAT) End-to-end testing Regression testing Performance and operational readiness testing Manage and coordinate testing activities across multiple vendors, state agencies, business units, and technical teams. Develop enterprise test plans, testing schedules, metrics, dashboards, and status reporting for executive leadership and program stakeholders. Ensure compliance with CMS Medicaid Enterprise certification requirements and state/federal healthcare regulations. Collaborate with business analysts, PMOs, developers, operations teams, and external stakeholders to validate business requirements and ensure solution quality. Oversee test environment management, test data preparation, and release validation activities. Establish and maintain defect triage processes, issue escalation procedures, and quality governance standards. Support Medicaid system implementations involving:Claims processing Provider management Eligibility and enrollment Care management Pharmacy/PBM integration Encounter processing Financial management Data warehousing and reporting Interoperability and federal hub integrations Drive continuous improvement of QA methodologies, automation strategies, and testing best practices. Mentor QA leads, analysts, and testing teams in both Agile and hybrid SDLC environments. Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM's discretion.

Prior Authorization Pharmacist (PBM Experience Required) Location: Remote Schedule: Monday – Friday, Day Shift Job Overview We are seeking a Prior Authorization Pharmacist with direct experience in a PBM (Pharmacy Benefit Management) environment. This role is responsible for reviewing medication requests, evaluating clinical documentation, and making coverage determinations based on established guidelines and payer requirements. Candidates must have prior authorization and PBM experience to be considered. Key Responsibilities Review and evaluate prior authorization requests using clinical criteria and coverage guidelines Determine approval, denial, or need for additional information based on formulary requirements Interpret and apply Medicare Part D and commercial plan benefits Review clinical documentation, patient profiles, and provider-submitted information Manage denials and appeals, ensuring appropriate follow-up and documentation Communicate with providers, patients, and internal teams regarding authorization decisions Ensure timely case processing while maintaining accuracy and compliance standards Maintain detailed documentation in accordance with regulatory and audit requirements Stay current on formulary updates, step therapy protocols, and utilization management guidelines Qualifications Active Pharmacist license in good standing Prior Authorization experience REQUIRED PBM (Pharmacy Benefit Management) experience REQUIRED Experience with Medicare Part D, commercial plans, and formulary review strongly preferred Knowledge of drug utilization review (DUR) and clinical guidelines Experience in a high-volume or remote review environment preferred Strong analytical, documentation, and decision-making skills Preferred Experience Experience with coverage determinations and appeals Familiarity with step therapy and formulary management Previous experience with major PBMs (OptumRx, CVS Caremark, Express Scripts, etc.) Work Environment Remote or office-based depending on assignment High-volume, production-driven environment Computer-based clinical review and documentation Why Join Stable weekday schedule Opportunity to work in a clinical, non-retail setting Structured workflows with clear guidelines Collaborative and compliance-driven environment Apply Today If you have direct prior authorization and PBM experience and are looking to transition into or continue in a clinical review setting, we encourage you to apply. .

Pharmacist (Remote) — Contract (W2) | $53/hr A-Line Staffing Solutions is hiring a Remote Pharmacist for a large healthcare/pharmacy organization. This is a 26-week W2 contract with a goal of contract-to-hire (not guaranteed) . Pay Rate: $53.00/hr (W2) Schedule Options (local time zone): Mon–Fri 9:30am–6:00pm , or Sun–Thu 8:00am–4:30pm Hours: 40 hrs/week Projected Start: June 8, 2026 (class start; date may be confirmed/adjusted) What You’ll Do Review and complete clinical criteria (prior authorization review per policy/procedure) Assess patient profiles, drug interactions, sensitivities, and medication usage history Enter prescriptions and support patient/provider medication questions as needed Ensure quality assurance, controlled substance security, and safe handling/disposal practices Dispense medications and perform final accuracy/quality checks Support order resolution work queues as assigned Required Qualifications Active Pharmacist license in good standing (in your state of residence) PharmD or Bachelor’s in Pharmacy High School Diploma/GED Strong communication, organization, attention to detail, and basic computer skills Preferred Strong retail pharmacy background (Pharmacy Manager experience is a plus) PBM / Prior Authorization experience helpful but NOT required New grads considered (leadership/residency/fellowship is a plus) Remote / Work-from-Home Requirements (Must Have) Reliable high-speed internet (minimum 25 Mbps download / 3 Mbps upload) and ability to provide speed test results Smartphone available (VPN token/app requirement) Private, secure workspace (confidential conversations/screens not visible to others) Able to be on camera during trainings and team meetings Follow teleworker privacy/security practices (This is a safety-sensitive role.) Benefits Benefits available to full-time employees after 90 days 401(k) with company match available after 1 year of service

Pharmacist Operations Advisor {170457} List of job description. Pharmacist Operations Advisor Remote Work From Home Must hold an active pharmacist license in that state Full Time(contract) Compensation $53.00-$56 Schedule Shift: Business Hours are 7am - 8pm EST Monday - Friday and 7am - 430pm EST Sat and Sunday. Set Rotation. Training schedule, being available M-F from 9am-5:30pm EST for the first 8 weeks, with no vacation planned. Position Overview Join a dynamic clinical team supporting a specialized Pharmacy Advisor program focused on improving outcomes for patients with chronic conditions. This role offers the opportunity to directly impact patient health through education, adherence support, and collaboration with providers using innovative tools and engagement strategies. What You Will Do Provide consultation and education to patients regarding disease states and medication therapies Conduct outbound and inbound calls to support adherence and optimize treatment outcomes Partner with patients to address barriers to medication adherence and overall care Collaborate with prescribers and internal teams to evaluate therapy needs and recommend solutions Utilize advanced systems to identify patients for targeted clinical interventions Apply behavioral modification and motivational interviewing techniques to improve outcomes Maintain accurate clinical documentation and ensure compliance with pharmacy regulations Participate in ongoing program development, process improvements, and training initiatives What We Are Looking For 1 plus year of experience in retail, long term care, hospital, PBM, or pharmacist to patient consultation Experience supporting patients with chronic conditions such as diabetes preferred Strong knowledge of drug utilization review and pharmacy regulations Excellent patient consultation and customer service skills Strong written and verbal communication skills Comfortable working with multiple systems and learning new technologies Highly organized, flexible, and patient focused mindset Work Environment Remote work from home role Fast paced, high volume call center environment Safety sensitive position Tdavis@alingstaffing.com 469-342-1411 .

Job Posting: Clinical Pharmacist Advisor – Medicare (Remote) Position Title: Clinical Pharmacist Advisor – Medicare Location: 100% Remote (U.S. Based) Start Date: July 20, 2026 Pay Rate: $53.00/hr - 55.00 Opportunity: Potential for Full-Time Conversion Based on Performance Important Candidate Notice All meetings require camera participation. As part of the hiring process and assignment expectations, candidates must be comfortable being on camera during training, supervisor meetings, and team meetings. Hiring Timeline Offer Extended By: ASAP Clear to Start Deadline: Prior to July 10, 2026 Start Date: July 20, 2026 Please DO NOT resubmit candidates previously submitted to CVS ramp roles (2023–2025) or candidates rejected by the hiring team. Training Schedule (Mandatory) Duration: First 8–10 weeks Monday – Friday 9:00 AM – 5:30 PM EST No time off permitted during training Attendance is critical during onboarding and training. Production Schedule (After Training) Set rotational schedule based on business needs: Monday – Friday: 7:00 AM – 8:00 PM EST Saturday & Sunday: 7:00 AM – 4:30 PM EST Candidates must be flexible to work: Assigned 8-hour shifts Weekend rotation OR one weekend day consistently Productivity-driven remote workflow Position Summary The Clinical Pharmacist Advisor – Medicare supports Medicare Part D members and providers by reviewing and processing pharmacy benefit requests, Medicare appeals, and clinical authorization cases while ensuring compliance with CMS Medicare regulations, compendia guidance, productivity metrics, and quality standards. This role requires strong clinical judgment, exceptional documentation skills, and the ability to independently review complex clinical information to support timely, accurate case decisions. Key Responsibilities Review Medicare Part D pharmacy appeals and benefit requests Ensure accurate clinical case setup and documentation Review internal notes, faxes, and supporting clinical documentation Contact providers to obtain additional clinical details when required Apply CMS Medicare guidelines and drug compendia resources Ensure compliance with required turnaround timelines Maintain departmental productivity and quality metrics Navigate multiple systems and perform high-volume data entry Participate in coaching, feedback, and performance development discussions Collaborate professionally with internal teams and providers Required Qualifications Active Registered Pharmacist license in state of residence (must be active and in good standing) Bachelor of Pharmacy or PharmD required Previous Managed Care / PBM experience preferred Strong Medicare Part D knowledge preferred Excellent clinical judgment and documentation accuracy Advanced computer literacy Experience with: Microsoft Excel Word Access (preferred) PowerPoint (preferred) Visio (preferred) Ability to work independently in a productivity-driven remote environment Remote Work Requirements Candidates must have: ✔ Dedicated private workspace ✔ Quiet, distraction-free environment ✔ Wired internet connection only ✔ Minimum internet speed: 25 Mbps Download 5 Mbps Upload ✔ Dual-monitor workflow capability ✔ Ability to sit and focus for full scheduled shift Required Resume Submission Documents Must appear at TOP of resume submission: 1. Internet Speed Test Screenshot Must include screenshot from: www.speedtest.net Must clearly show: Download speed Upload speed Date/time visible 2. Pharmacist License Screenshot Must clearly display: Candidate name License number State of residence Expiration date Active status Candidate Questionnaire (Must Be Completed & Placed on Resume) 1. Training Availability Do you have any conflicts with mandatory training ( M–F, 9:00 AM–5:30 PM EST for 8–10 weeks ) or planned time off during assignment? 2. Shift Flexibility Are you able to work assigned 8-hour shifts between 7:00 AM–8:00 PM EST , including weekend rotation or one weekend day? 3. Dedicated Workspace Do you have a dedicated, quiet, separate workspace for remote work? 4. Wired Internet Do you have wired internet meeting minimum 25 Mbps download / 5 Mbps upload ? (Attach screenshot) 5. Shift Focus Requirement Can you remain seated and focused with no interruptions for the full shift? 6. Data Entry Experience Do you have experience navigating multiple systems and performing high-volume data entry using dual screens? 7. Active Pharmacist License Do you have an active pharmacist license in good standing in your state of residence? 8. Independent Productivity Are you comfortable working independently in a productivity-driven environment? 9. Positive Team Engagement Do you demonstrate a positive, collaborative, and engaged work style? Interview Process Virtual Teams Interview with CVS Supervisors Candidates must: Present professionally Have camera enabled Be prepared for behavioral and workflow-based questions Ideal Candidate We are seeking pharmacists who are: Detail-oriented Clinically sharp Medicare/PBM knowledgeable Comfortable with remote structured workflows Highly productive Positive and coachable Strong written/documentation communicators Position Summary The Clinical Pharmacist Advisor – Medicare supports Medicare Part D members and providers by reviewing and processing pharmacy benefit requests, Medicare appeals, and clinical authorization cases while ensuring compliance with CMS Medicare regulations, compendia guidance, productivity metrics, and quality standards. This role requires strong clinical judgment, exceptional documentation skills, and the ability to independently review complex clinical information to support timely, accurate case decisions. Key Responsibilities Review Medicare Part D pharmacy appeals and benefit requests Ensure accurate clinical case setup and documentation Review internal notes, faxes, and supporting clinical documentation Contact providers to obtain additional clinical details when required Apply CMS Medicare guidelines and drug compendia resources Ensure compliance with required turnaround timelines Maintain departmental productivity and quality metrics Navigate multiple systems and perform high-volume data entry Participate in coaching, feedback, and performance development discussions Collaborate professionally with internal teams and providers

A-Line Staffing is now hiring a Coordinator I (Prior Auth & Appeals) ! This remote opportunity supports a respected healthcare organization and offers strong experience-building potential. See additional details below. Coordinator I Highlights Pay: $18.43 per hour Schedule: Monday–Friday, 8-hour shifts (assigned shifts may vary between 8:00 AM–8:00 PM Central Time ) Training: Mon–Fri, 8:00 AM–4:30 PM Central Time (first 2 weeks ) Setting: Remote (anywhere in the U.S.) Type: Full-time, W2 temporary (40 hours/week) Class/Start Date: 07/05/2026 Openings: 20 Requirements: Drug screen required Responsibilities Perform non-clinical activities and functions under the supervision of a Clinical Supervisor. Review and maintain compliance with ERISA, CMS, Medicaid, and client-specific requirements . Support business unit goals by working effectively as part of a team. Maintain strong written communication and interpersonal skills while handling day-to-day workflow. Requirements High school diploma required 6 months–1 year of data entry experience (preferred) At least 1 year of healthcare industry experience (hospital, managed care, physician office, PBM, etc.) Proficient in Microsoft Word and Excel (screenshot of an online assessment required) Typing speed: minimum 30 WPM (attach screenshot of recent typing test result) Able to read and type in English Must be able to work from a private home office with a door , free from distractions Hardwired internet connection required (no Wi‑Fi) Must be willing to turn on camera during work hours if requested Must submit an internet speed test screenshot Benefits Available Benefits are available to full-time employees after 90 days of employment. A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates. If you are interested in this Coordinator I position, APPLY , or contact kvaughn@alinestaffing.com . Deliver nursing care to patients Provide professional nursing care to patients Ensure the nurse to nurse reports Perform professional nursing care of patients Provide direct professional nursing care to patients Implement the nursing care plan and provide skilled nursing care Provide skilled nursing care to assigned patients Provide professional nursing care to assigned patients Provide professional nursing care to patients within assigned unit Provide general nursing care to patients Educate the nursing staff on patient care Coordinate the nursing care of assigned patients Render professional nursing care to patients in need of medical care Provide professional nursing care to patients within assigned unit Coordinate nursing care for patients during hospitalization Ensure that appropriate nursing care Ensure that appropriate nursing care Formulate individualized nursing care plans Adapt patient care to individual patient needs Assist the nurse managers in decisions regarding nursing care

Role :- Contact Center Architect Remote Job Type: C2C/W2/1099 This is Contract to Hire role so need only visa independent candidates As per the latest requirement update, we are specifically looking for candidates who are either former Amazon employees or were recently laid off from Amazon. Please prioritize and share suitable profiles accordingly. Role Summary We are seeking a hands-on, business-savvy Contact Center Architect to own the end-to-end design of our healthcare contact center on Amazon Connect, spanning member, provider, and self-service experiences. This is not a back-room engineering role. The person we are looking for is the connective tissue between the business and IT — a trusted advisor who can sit with operations, product, compliance, and member-experience leaders, understand what they are truly trying to achieve, and translate that into a resilient, secure, measurable technical architecture that the development teams can build with confidence. The ideal candidate is a genuine “jack of all trades”: equally comfortable whiteboarding a contact flow with a business sponsor, debating IAM and PHI handling with seacurity, and pairing with developers on a Lambda integration. Above all, they earn trust quickly on both sides of the house — the business believes this person understands their world, and IT believes this person understands theirs. What You Will Own Business Partnership & Discovery (the bridge role) Drive the conversation with the business — lead working sessions with operations, member/provider experience, product, and compliance stakeholders to surface goals, pain points, and the “why” behind every requirement. Bridge business and IT — translate business intent into clear technical requirements for development teams, and translate technical constraints and trade-offs back into language the business can act on. Earn and keep trust — act as the single, credible point of contact who both sides rely on; embrace the customer's perspective and represent it faithfully throughout delivery. Facilitate decisions — run design reviews, build consensus across competing priorities, and keep initiatives moving without losing either business value or technical integrity. Contact Center Architecture (Amazon Connect) Own the end-to-end architecture of the Amazon Connect contact center across member, provider, and self-service journeys. Design IVR / IVA and contact flows, routing strategies, queueing, and omnichannel (voice, chat, callback) experiences optimized for self-service and containment. Architect caller authentication and identity flows — including data-driven verification, integration with member/provider systems of record, and secure handling of PHI/PII. Design conversational self-service using Amazon Lex, Polly, and Transcribe, with a clear strategy for deflection, containment, and graceful escalation to agents. Drive modernization from legacy contact center platforms (e.g., Avaya, Genesys) where applicable. Development & Integration Oversee integration with healthcare enterprise systems — core administrative/claims platforms, member and provider data, CRM (Salesforce, ServiceNow), and third-party identity or eligibility services. Architect serverless, event-driven solutions using AWS Lambda, API Gateway, DynamoDB, S3, and Kinesis. Partner hands-on with developers — set design standards, review implementations, and unblock the team rather than throwing designs over the wall. Security, Compliance & Governance (Healthcare) Design for HIPAA and PHI/PII protection — define IAM, encryption (in transit and at rest), least-privilege access, and audit/logging controls appropriate to a regulated healthcare environment. Ensure compliance with organizational and regulatory standards; conduct design reviews and risk assessments. Operations & Optimization Establish monitoring, logging, and alerting (e.g., CloudWatch) and define the KPIs that matter — authentication rate, self-service / containment rate, average handle time, and deflection. Lead root-cause analysis and continuous improvement; turn contact center analytics into prioritized action. Apply Infrastructure as Code (CloudFormation / Terraform) and CI/CD practices for repeatable, reliable deployments. Required Experience & Skills Experience 10+ years of overall IT experience, with a track record of delivering customer-facing solutions. 4–6+ years in AWS cloud / solution architecture. 3+ years hands-on with Amazon Connect in production environments. Healthcare contact center experience is required — direct exposure to member, provider, and self-service journeys (payer, provider, PBM, or health-services setting). Demonstrated experience improving authentication, self-service, and/or containment metrics in a contact center. Technical Skills Amazon Connect ecosystem: Connect, Lex, Polly, Transcribe, Contact Lens. AWS services: Lambda, API Gateway, DynamoDB, S3, Kinesis, Redshift, Athena. IVR/IVA design, telephony, and CTI integration. Caller authentication / identity verification patterns and secure PHI/PII handling. CRM and enterprise integration (Salesforce, ServiceNow, and healthcare core systems). Infrastructure as Code (CloudFormation / Terraform), CloudWatch, and CI/CD. Communication & Leadership (critical to this role) Communication is as important as technical depth for this position. This person spends as much time in front of business stakeholders as in architecture diagrams, and will be evaluated on their ability to build trust and alignment across very different audiences. Exceptional verbal and written communication — able to explain complex technical concepts simply to non-technical stakeholders, and to capture business needs precisely for technical teams. Strong facilitation, stakeholder management, and consensus-building skills. Credibility and presence to be trusted by both business leaders and engineering teams. Analytical, problem-solving mindset with a bias toward measurable outcomes. Leadership and mentoring capability for development teams. Preferred Qualifications AWS Certified Solutions Architect (Associate or Professional). Experience with conversational AI / chatbot and virtual-agent design. Familiarity with healthcare data and interoperability standards (e.g., HIPAA, HL7/FHIR) and eligibility/benefits flows. Experience with analytics and reporting tools such as QuickSight and Contact Lens for contact center performance.

Job Order: *Pharmacy Tech Client: CVS (Woonsocket, RI – remote role ) Openings: 40 Start date: 07/13/26 Work Location: Remote (anywhere in the U.S.) — must be able to work Central Time (CST) hours Employment Type: W2 contract ( Contract-to-hire ) Pay Rate: $20.00/hour Schedule: 40 hours/week (standard 8.5-hour workday) The Pharmacy Technician I (Prior Authorization) takes inbound calls from providers, pharmacies, members, etc., and provides professional, courteous assistance through a criteria-based prior authorization process. You will document interactions accurately and escalate clinical/judgment questions to the pharmacist team . You’ll also assist with additional workflow needs such as outbound calls , processing prior authorizations received via fax/ePA , and responding to inquiries through department mailboxes. Training & Schedule Details (CST Required) Training: 07/13-08/31/2026 8a-4:30pm CST M-F (no time off permitted during training) Schedule Times: This position follows a standard 8.5-hour workday Permanent schedule will be determined based on business needs after training is completed. Candidates must be comfortable working CST working hours while living anywhere in the U.S. Key Responsibilities Handle high-volume inbound calls and provide accurate prior authorization support Maintain complete, timely, accurate documentation Transfer clinical questions/escalations to the pharmacist team Support additional tasks: outbound calls, fax/ePA processing, mailbox monitoring Navigate multiple systems while completing data entry efficiently Required Qualifications Active Pharmacy Technician license (no restrictions) OR national pharmacy technician certification (or state registration/certification/licensure per state regulations) Strong customer service skills (verbal and written) Advanced computer skills (word processing, spreadsheets); comfort working across multiple applications Familiarity with medical terminology and coding (preferred/expected) Experience Prior authorization / PBM experience preferred High-volume call center experience strongly preferred (job notes emphasize 2+ years as ideal—please make this clear on the resume if applicable) Remote Work Requirements (Must Have) A HIPAA-compliant, distraction-free workspace (separate area, no interruptions) Wired internet meeting 25 Mbps download / 3 Mbps upload minimum Ability to sit and stay focused for the full shift without interruptions Ability to provide: Internet speed test screenshot License/certification screenshot

Underwriting Account Senior Representative Job Description Advance your career with Mindlance! We have been connecting talented professionals with world-class companies since 1999. Mindlance is here to help you to find the perfect fit with just the right company. Currently, we are seeking a Underwriting Account Senior Representative for an exciting career growth opportunity. Make your next big career move with the kind of position that will allow you to be genuinely passionate about the work you do! Our recruiters will work closely with you to help you get the edge over the competition. Let Mindlance advocate for you – apply today! “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.” Job Title: Underwriting Account Senior Representative Job Category: Insurance Industry: Healthcare - Health Services Job Location: Remote Zip Code: Remote Duration: 6 Months Top 3/5 Skills: PBM, CSR, Medical Insurance Min & Max Pay Rate: $23/hr. on w2 Title: Underwriting Account Senior Representative Location: Remote Term: 6 months The Underwriting Account Senior Representative, within Client’s Supplemental Benefits contributes to the Underwriting process through the handling of all Medicare Supplement, Health and Life underwritten applications. Essential Responsibilities: • Review medical history, data and interviews employing critical thinking skills • Operating third party software to summarize application medical and health data • Provide written correspondence, to the applicant or broker, regarding outstanding application requirements Qualifications: • High School diploma is required • 2+ years insurance or medical experience required, preferably medical insurance or PBM background • 1+ yr. of customer service experience preferably on phones • Medical terminology preferred • Excellent organizational and critical thinking skills • Ability to prioritize workload independently in a fast-paced environment • Knowledge of medical conditions/prescriptions

Director – AWS Cloud & Healthcare Solutions Location: New Jersey (Hybrid) Employment Type: Full-Time Incedo Inc. is a high-growth Digital, Data and AI Transformation Specialist firm headquartered in New Jersey. We are a long-term strategy execution partner for Fortune 500 enterprises, operating at the intersection of business and technology across Banking & Payments, Wealth Management, Telecom, Hi-Tech, and Life Sciences. We are building Incedo 4.0 - an AI-native, execution-focused, founder-led organization designed for scale, speed, and long-term impact. Incedo delivers ROI from AI @ Scale through the “Power of 3”: • Deep domain expertise, • AI & Data capabilities, • Engineering & Operations excellence About the Role We are seeking an experienced Director – AWS Cloud & Healthcare Solutions to lead enterprise healthcare technology initiatives focused on AWS cloud architecture, AI-driven analytics, and scalable healthcare platforms. The ideal candidate will bring strong leadership experience in healthcare technology, cloud transformation, regulatory compliance, and modern data platform delivery. This role will drive the strategy, architecture, and execution of cloud-native healthcare solutions that support clinical analytics, predictive modeling, patient engagement, and operational efficiency. The position requires close collaboration with business stakeholders, healthcare partners, and cross-functional engineering teams. Key Responsibilities • Lead architecture and delivery of enterprise healthcare platforms on AWS cloud infrastructure., • Drive cloud modernization, scalability, security, and performance optimization initiatives., • Manage global engineering teams delivering AI-driven healthcare and analytics solutions., • Design and implement secure healthcare data platforms supporting HIPAA/HITECH compliance., • Oversee integration of healthcare interoperability standards including HL7 and FHIR., • Collaborate with clinical, pharmaceutical, and business stakeholders to develop healthcare technology solutions., • Lead AI and predictive analytics initiatives supporting patient risk stratification and clinical decision-making., • Define cloud architecture standards, governance models, and best practices., • Partner with executive leadership on technology strategy, roadmap planning, and innovation initiatives., • Ensure high availability, reliability, and operational excellence across enterprise platforms., • Mentor engineering leaders and build high-performing technology teams. Required Qualifications • 15+ years of experience in software engineering, cloud architecture, or healthcare technology leadership., • 7+ years in Director-level or senior technology leadership roles., • Strong expertise in AWS cloud services and enterprise cloud architecture., • Experience leading healthcare technology platforms and data-driven healthcare solutions., • Deep understanding of HIPAA, HITECH, healthcare security, and compliance requirements., • Experience with healthcare interoperability standards such as HL7 and FHIR., • Strong background in AI/ML-enabled analytics and healthcare data platforms., • Experience working with pharmaceutical, payer, or provider healthcare systems., • Proven success managing large distributed engineering teams., • Excellent stakeholder management and executive communication skills. Preferred Qualifications • AWS Certifications (Solutions Architect, AI Practitioner, or related)., • Experience with predictive analytics models and clinical decision support systems., • Exposure to pharmacy benefit management (PBM) platforms or e-prescription systems., • Experience building modern data platforms and cloud-native microservices architectures. Technical Skills • AWS Cloud Architecture, • AI/ML & Predictive Analytics, • Healthcare Data Platforms, • HIPAA / HITECH Compliance, • HL7 / FHIR Integration, • Microservices & APIs, • Enterprise Data Engineering, • Cloud Security & Governance, • Agile Delivery Leadership Best Regards, Deepak Gulia Sr. Talent Acquisition-USA 100 Campus Drive, Suite 420, Florham Park, NJ 07932

Job Title: Managed Care Rebate Analyst Duration: 12 Months Location: Davie, FL Core Essential Skill sets: Minimum 1 years experience processing Managed Care Rebates or comparable Pharmaceutical Manufacturer experience. Thorough understanding of PBM networks and drug formularies Minimum 1 years experience with Model N/Flex, Legacy Model N, or Revitas Intermediate Excel Skills (pivot tables, vlookups) Strong Analytical Skills Job Description The Managed Care Rebate Analyst is responsible for the processing of Managed Care Commercial, Medicare Part D, Managed Medicaid, and Medical Agreement rebate claims in accordance with the terms and conditions of the rebate contract and internal processing procedures. This position is responsible for analyzing utilization data, applying rules to determine included and excluded claims, assigning appropriate rebate percentages to utilization sales, and initiating payment to customers within contractual guidelines. · The Managed Care Rebate Analyst must interpret contract language and input and maintain plans, products, and rebate programs in the Model N/Flex System; this position must have a thorough understanding of PBM networks and contractual verbiage as stated in assigned account agreements · Aids in the delivery of key information in support of rebate forecasting, contract performance assessment, and financial and government reporting using the Model N/Flex system · Provides first level approval, as required by SOX, of all outbound rebate claim documents for accuracy (dollars and coding) and completeness · Analyzes and resolves disputes with accounts involving contract interpretation or processing issues; engages Managed Market team or other internal teams as needed · Tracks and communicates rebate trending, invoice to payment variances, and prior period analysis · Recommends improvements to and provides assistance in the modification of systems and processes including User Acceptance and Regression Testing · Helps in the exercise of rebate forecasting by providing timely information regarding account current account dynamics Your experience and qualifications · Bachelor’s degree or equivalent combination of education, training and/or direct work related experience · At least 2 years Pharmaceutical operational experience, preferably with reimbursements (Purchase Based or Managed Care Rebates, Medicaid Rebates, Chargebacks) · Excel required; Model N Flex or comparable software and/or SAP a plus

Director – AWS Cloud & Healthcare Solutions Location: New Jersey (Hybrid) Employment Type: Full-Time Incedo Inc. is a high-growth Digital, Data and AI Transformation Specialist firm headquartered in New Jersey. We are a long-term strategy execution partner for Fortune 500 enterprises, operating at the intersection of business and technology across Banking & Payments, Wealth Management, Telecom, Hi-Tech, and Life Sciences. We are building Incedo 4.0 - an AI-native, execution-focused, founder-led organization designed for scale, speed, and long-term impact. Incedo delivers ROI from AI @ Scale through the “Power of 3”: • Deep domain expertise, • AI & Data capabilities, • Engineering & Operations excellence About the Role We are seeking an experienced Director – AWS Cloud & Healthcare Solutions to lead enterprise healthcare technology initiatives focused on AWS cloud architecture, AI-driven analytics, and scalable healthcare platforms. The ideal candidate will bring strong leadership experience in healthcare technology, cloud transformation, regulatory compliance, and modern data platform delivery. This role will drive the strategy, architecture, and execution of cloud-native healthcare solutions that support clinical analytics, predictive modeling, patient engagement, and operational efficiency. The position requires close collaboration with business stakeholders, healthcare partners, and cross-functional engineering teams. Key Responsibilities • Lead architecture and delivery of enterprise healthcare platforms on AWS cloud infrastructure., • Drive cloud modernization, scalability, security, and performance optimization initiatives., • Manage global engineering teams delivering AI-driven healthcare and analytics solutions., • Design and implement secure healthcare data platforms supporting HIPAA/HITECH compliance., • Oversee integration of healthcare interoperability standards including HL7 and FHIR., • Collaborate with clinical, pharmaceutical, and business stakeholders to develop healthcare technology solutions., • Lead AI and predictive analytics initiatives supporting patient risk stratification and clinical decision-making., • Define cloud architecture standards, governance models, and best practices., • Partner with executive leadership on technology strategy, roadmap planning, and innovation initiatives., • Ensure high availability, reliability, and operational excellence across enterprise platforms., • Mentor engineering leaders and build high-performing technology teams. Required Qualifications • 15+ years of experience in software engineering, cloud architecture, or healthcare technology leadership., • 7+ years in Director-level or senior technology leadership roles., • Strong expertise in AWS cloud services and enterprise cloud architecture., • Experience leading healthcare technology platforms and data-driven healthcare solutions., • Deep understanding of HIPAA, HITECH, healthcare security, and compliance requirements., • Experience with healthcare interoperability standards such as HL7 and FHIR., • Strong background in AI/ML-enabled analytics and healthcare data platforms., • Experience working with pharmaceutical, payer, or provider healthcare systems., • Proven success managing large distributed engineering teams., • Excellent stakeholder management and executive communication skills. Preferred Qualifications • AWS Certifications (Solutions Architect, AI Practitioner, or related)., • Experience with predictive analytics models and clinical decision support systems., • Exposure to pharmacy benefit management (PBM) platforms or e-prescription systems., • Experience building modern data platforms and cloud-native microservices architectures. Technical Skills • AWS Cloud Architecture, • AI/ML & Predictive Analytics, • Healthcare Data Platforms, • HIPAA / HITECH Compliance, • HL7 / FHIR Integration, • Microservices & APIs, • Enterprise Data Engineering, • Cloud Security & Governance, • Agile Delivery Leadership Best Regards, Deepak Gulia Sr. Talent Acquisition-USA 100 Campus Drive, Suite 420, Florham Park, NJ 07932

Location: Remote (EST/CST preferred), NYC area encouraged We’re seeking a strategic yet hands-on Product Manager to create a wholly new set of products at Rightway: the tools that help us forecast, monitor, and mitigate PBM contractual guarantee risk. Rightway’s PBM business model includes contractual guarantees that an employer population will only spend X dollars on medications in a given year. When spend exceeds that level, Rightway may be responsible for paying back a portion of our PMPM fees. This role will build the internal products and data foundations that enable our teams to identify risk earlier, pinpoint the key drivers of overages, and equip clinical teams with actionable insights to intervene, improving member outcomes while reducing avoidable financial leakage. In the first 6 months, you’ll focus on building a monitoring and risk identification system that: • identifies employer customers trending toward overages, • surfaces the members driving spend, • highlights clinically appropriate medication alternatives and intervention opportunities You’ll work closely with our Financial Risk team, partner with clinical outreach teams, and lead a cross-functional squad that includes application engineers, data engineers, and analysts, with design support as needed. • Own the product vision and roadmap for Rightway’s Clinical Risk & Engagement product suite, balancing near-term delivery (monitoring + identification) with a longer-term path to proactive and automated engagement., • Define the end-to-end “risk to action” workflow across teams: forecast → detect risk → explain drivers → prioritize opportunities → enable outreach → measure impact., • Build tools that reduce or replace manual analysis by enabling:, • automated monitoring of employer populations against contractual guarantee thresholds, • trend detection using contract rules and claims-based spend, • clear views into “what changed” and “why we’re trending over”, • Create dashboard-style experiences to identify and understand the members driving spend, enabling rapid drill-down from customer → cohort → member., • Partner with clinical teams to develop a high-signal workflow that supports outreach and behavior change, including:, • a prioritized, ranked “chase list” of members based on estimated intervention value, • member context (condition, medication usage) and clinically appropriate alternatives, • clear explanations that help clinical teams act confidently and consistently, • Ensure outputs are practical for real outreach operations (not just analytics), and iterate with fast feedback loops., • Partner with Data Engineering and Analytics teams to define the models and datasets that power these products, leveraging:, • Rx claims, medical claims, • demographics (age, sex), • member-provided information (health profile submissions), • Set standards for usability and trust: timeliness, data quality, explainability, and auditability (especially where contract rules and dollars are involved)., • Explore opportunities to incorporate AI/ML where it improves model quality and prioritization without sacrificing interpretability and reliability., • Translate business needs into detailed requirements, user stories, acceptance criteria, and success metrics., • Lead discovery with financial risk and clinical partners; align stakeholders around scope, sequencing, and tradeoffs., • Manage a prioritized backlog across application engineering and data teams; ship iteratively and improve based on adoption and outcomes., • 3+ years of product management experience delivering complex, cross-functional products., • Strong comfort working with data-heavy systems (dashboards, internal tools, analytics products, forecasting/monitoring)., • Proven ability to turn ambiguous workflows into shipped software that changes how teams operate., • Experience partnering closely with engineering, data engineering, and analysts to define models, instrumentation, and reliable reporting., • Ability to communicate clearly with technical and non-technical stakeholders and align them around measurable outcomes., • Experience bringing a product from 0 to 1, from the beginning of ideation through launch support., • Experience in healthcare, PBM, claims analytics, or clinical data., • Experience with financial risk products (forecasting, monitoring, guarantees, margin protection, unit economics)., • Exposure to AI/ML concepts (predictive modeling, ranking, propensity, explainability) and using them responsibly in production products., • A systems thinker who can simplify complexity and build products people actually use., • A pragmatic builder who delivers “thin slices,” learns fast, and iterates toward a durable platform., • An owner who takes accountability for outcomes, especially when the metric is dollars., • A trusted partner who can bridge finance, clinical, and technical teams. SALARY (BEFORE COMMISSION POTENTIAL): $140,000 - $160,000 Offer amounts for both remote and in office roles are influenced by geographic location. CYBERSECURITY AWARENESS NOTICE In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @_ email domain. We will never ask for bank details or deposits of any kind as a condition of employment. ABOUT RIGHTWAY: Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them. Since its founding in 2017, Rightway has raised over $205mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs. HOW WE LIVE OUR VALUES TO OUR TEAMMATES: We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values: 1) We are human, first Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding. 2) We redefine what is possible We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems. 3) We debate then commit We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team. 4) We cultivate grit Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity. 5) We seek to delight Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success. Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.

ABOUT THE ROLE: As a Sr. Full Stack Engineer (AI) at Rightway Healthcare, you'll spearhead our AI integration initiatives to revolutionize healthcare delivery through our platform. Working with a dynamic team, you'll drive the development of AI-powered features that empower members to make informed healthcare decisions, ensuring they get the right care at the right time and price. This role offers a unique blend of autonomy and innovation, where you'll transform cutting-edge AI concepts into production-ready solutions. While AI is a key focus, you'll also architect and implement solutions that scale across our platform, combining intuitive technology with expert guidance to bring clarity and direction to our members' healthcare journeys. WHAT YOU’LL DO: • Pioneer AI-driven solutions that enhance our care navigation and PBM services, directly improving healthcare outcomes for our members, • Lead rapid prototyping cycles, transforming concepts into production features within days or weeks, not months, • Architect and implement full-stack solutions using our modern tech stack (Node.js, React, TypeScript, Ruby, GraphQL, Postgres), • Drive technical decisions independently while collaborating with cross-functional teams to ensure alignment with business goals, • Build and maintain scalable, production-grade systems that handle sensitive healthcare data with reliability and security, • Establish technical standards and best practices for AI integration across the platform, • Mentor team members and contribute to our engineering culture of innovation and excellence WHO YOU ARE: • A versatile full-stack engineer with 5+ years of experience building production applications at scale, • A self-driven problem solver who thrives in ambiguous environments and creates structure from chaos, • An innovative thinker who balances quick experimentation with production-quality implementation, • A technical leader comfortable making independent decisions while valuing team collaboration, • An effective communicator who can translate complex technical concepts for diverse audiences, • A pragmatic engineer who values shipping working solutions over perfect solutions, • Someone passionate about using technology to solve real healthcare challenges EXTRA CREDIT: • Experience designing and implementing AI/ML features in production environments, • Proven track record of optimizing LLM implementations and prompt engineering, • Background in healthcare technology or experience with HIPAA compliance SALARY (BEFORE COMMISSION POTENTIAL): $175,000 - $190,000 CYBERSECURITY AWARENESS NOTICE In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @_ email domain. We will never ask for bank details or deposits of any kind as a condition of employment. ABOUT RIGHTWAY: Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them. Since its founding in 2017, Rightway has raised over $200mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with a satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs. HOW WE LIVE OUR VALUES TO OUR TEAMMATES: We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values: 1) We are human, first Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding. 2) We redefine what is possible We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems. 3) We debate then commit We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team. 4) We cultivate grit Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity. 5) We seek to delight Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success. Rightway is PROUDLY an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.

ABOUT THE ROLE: The PBM Operations Coordinator is a member of the Rightway Data Operations team reporting to the Manager of Data Operations. This role will be responsible for the day to day inquiries and operations related to data operations, specifically focusing on eligibility and accumulator dat WHAT YOU’LL DO: • Primary Contact: Serve as the main point of contact for all internal inquiries related to eligibility and accumulator data, ensuring timely and accurate resolution., • Troubleshooting: Research and troubleshoot inquiries or issues related to accumulator and eligibility data. This includes reviewing incoming eligibility or accumulator files to troubleshoot the issue., • Data Management: Identify and address missing accumulator data; update and maintain eligibility records as needed., • Reporting: Generate and analyze member-level accumulator reports to monitor and ensure data accuracy., • Collaboration: Work closely with various departments, including Account Management, the Contact Center, and the Benefits Team, to resolve member-specific issues and address or escalate broader client concerns., • Assistance: Support the PBM Pharmacy Associate with daily error reports concerning eligibility and accumulator data. Also support daily tracking of inbound accumulators and eligibility files., • Vendor Communication: Liaise with eligibility and accumulator vendors to resolve any member-related issues., • Complex Issue Resolution: Partner with the PBM Pharmacy Associate to address and resolve complex data-related issues., • Documentation: Ensure that all documentation regarding system setups and implementations is current and accurate WHO YOU ARE: • Pharmacy Technician or related experience highly desirable, • 1-3 years of PBM experience in claims or benefit configuration SALARY: $22.00-$26.44/hr Offer amounts for both remote and in office roles are influenced by geographic location. CYBERSECURITY AWARENESS NOTICE In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @_ email domain. We will never ask for bank details or deposits of any kind as a condition of employment. ABOUT RIGHTWAY: Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them. Since its founding in 2017, Rightway has raised over $205mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with a satellite office in Denver. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs. HOW WE LIVE OUR VALUES TO OUR TEAMMATES: We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values: 1) We are human, first Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding. 2) We redefine what is possible We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems. 3) We debate then commit We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team. 4) We cultivate grit Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity. 5) We seek to delight Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success. Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.

Position Summary: This open position is seeking a strategic, client-focused professional to lead and develop strong relationships with key decision-makers in the healthcare space. In this role, you'll oversee account management, ensuring client satisfaction, retention, and trend management, while analyzing pharmacy data to provide actionable insights. You’ll collaborate with clients to develop clinical strategies, execute contract renewals, and contribute to process improvements. Position Responsibilities: • Establish and develop relationships with key client decision-makers to understand their healthcare strategy and goals, • Provide oversight of client account management team with a focus on member and client satisfaction, trend management, and client retention, • Partner with account team members to provide best-in-class member and client service, • Support member issue resolution at client-level, • Identify and contribute to process improvement efforts within the team, • Responsible for management and execution of client contractual requirements, • Responsible for client retention including execution of contract renewals, • Analyze and interpret pharmacy claims data to identify clinical trends and insights for individual clients, • Meet with clients to discuss clinical trends, review relevant pharmacy data, and provide recommendations with supportive rationale for clinical management strategies, • Interpret current pharmacy and healthcare trends and provide proactive recommendations, • Incorporate treatment & practice guidelines, clinical education, and pharmacy pipeline details into client presentations, • Comprehend and effectively explain formulary and clinical programs to clients, including member experience, • Communicate drug information to clients and respond to plan-specific clinical inquiries, • Analyze and evaluate pharmacy benefit reporting and create ad-hoc reports as requested, • Build and manage strong relationships with third-parties who also service our clients, • Support general business needs and operations, as required, • Certain times of year may require meeting participation, testing, claims review, or other requirements outside of standard business hours, including weekends., • Responsible for adherence to the client Code of Conduct, including reporting of noncompliance Required Qualifications: • Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution, • Relevant experience for at least three (3) years in pharmacy - health plan, managed care, or pharmacy benefits management (PBM) experience preferred; or completion of managed care residency, • Prior account management experience preferred, • Proficient in Microsoft Office Suite with emphasis on Microsoft Excel, • Experience working with large datasets and analyzing raw data in Excel, • Ability to balance multiple complex projects simultaneously, • Exceptional written and verbal communication skills, • Flexible, highly organized, and able to shift priorities easily, • Attention to detail & commitment to delivering high quality work product, • Ability to travel and present to small and large groups, • Travel estimated not to exceed 25%

Stand Together is a philanthropic community that helps America’s boldest changemakers tackle the root causes of our country’s biggest problems, from education to the economy, broken communities, and toxic division, among dozens of other pressing _. We provide our partners with access to resources including funding, thought leadership, a network of peers, and a playbook for applying proven principles to transform lives and society. The Enterprise Data & Information (EDI) team is seeking a Data Product Ops Lead to architect, run, and mature the Product + Analysis operating model for the organization. This is a player–coach leadership role that designs the operating system for how we prioritize, define, deliver, and scale data products, while also directly supporting the execution of the most strategic products in-flight. You will step into a high-functioning team and immediately develop and drive a capability maturity plan. You will also partner with other core capabilities (Engineering & Platform, Data Governance) to ensure EDI delivers high-quality, AI-ready, strategically aligned data products at scale. Capability Leadership & Operating Model Strategy • Own and evolve the Product Operating Model capability, defining standards, processes, structures, and rhythms for predictable, high‑quality delivery., • Within 60–90 days, conduct a start/stop/continue assessment of current practices; sequence improvements without pausing delivery., • Lead the full Product + Analysis function (AI/Technical PM, Analysts) to operate with clarity, cohesion, and shared direction., • Work closely with Engineering & Platform to align roadmaps, enforce SLAs/SLOs, adopt standards, and maintain platform reliability and observability., • Build productive relationships across domain stakeholder groups (Finance & Strategy, Audience, etc.) and enterprise governance bodies. Governance, Prioritization & Lifecycle Ownership • Define and run the end‑to‑end data product lifecycle, including artifacts, stage gates, and decision rights., • Drive evidence‑based prioritization (e.g., RICE); ensure consistent intake, triage, and governance for every product/enhancement and enable transparent prioritization and trade‑off decisions across competing needs in the product portfolio. Strategy + Execution (Player–Coach Delivery) • Personally lead strategy and delivery for select, high‑impact data products as needed—especially during strategic moments or capability transitions., • Work side‑by‑side with senior PMs and Analysts to shape requirements, define success metrics, support prototyping, and validate that outputs are meaningful and AI‑ready., • Ensure ongoing product delivery continues at pace while the operating model matures (no “pause” on execution). Product Operations, Measurement & Continuous Improvement • Establish KPIs for product maturity, predictability, throughput, quality, adoption, satisfaction, and artifact/documentation compliance., • Publish dashboards for leadership visibility; drive continuous improvement against targets., • Embed AI‑assisted practices into product workflows (requirements, documentation, prototype testing, user guidance)., • 6–10 years in Product Management, Product Operations, Delivery Management, or similar strategy/execution leadership roles., • Proven ability to enter an active organization and rapidly diagnose operating gaps; implement a pragmatic start/stop/continue plan., • Demonstrated success leading senior contributors (PMs, Analysts, Engineers) through influence, clarity, structure, and partnership., • Experience building and governing product operating models (prioritization frameworks, lifecycle discipline, governance)., • Track record of translating strategy into execution as a player–coach (able to own critical products/workstreams hands‑on)., • Comfort operating in fast‑moving, ambiguous environments with evolving roles, processes, and technologies., • Strong facilitation and communication skills across technical and non‑technical stakeholders; excellent alignment skills., • Experience partnering with data engineering, analytics, and platform teams., • Experience in data product management, analytics product development, or enterprise data platforms (e.g., Snowflake, dbt, semantic layers)., • Familiarity with federated governance/data mesh and AI‑enabled product workflows., • Experience in Finance & Strategy or adjacent enterprise data domain approaches., • Product Owner or Product Management certification (e.g., CSPO)., • _ Enjoy a 6% 401(k) match with immediate vesting, flexible time off, comprehensive health and dental plans, plus wellness and mental health support through Peloton and Talkspace., • A meaningful career: Join a passionate community of over 1,500 employees dedicated to improving lives and driving innovative solutions to complex social challenges., • Commitment to growth: Thrive in a non-hierarchical environment that empowers employees to discover, develop and apply their unique talents., • Competitive compensation: Our approach rewards the value you create through competitive salaries and bonus opportunities, allowing you to share in the success you help drive.Our Values: Working at Stand Together is different from many other organizations. Our culture is deeply rooted in Principle Based Management® (PBM®), a framework guided by the principles that drive human progress, such as dignity, openness, and bottom-up empowerment. PBM® empowers our employees to be entrepreneurial, to innovate, and to continually drive transformation. We believe diversity fuels creativity, broadens knowledge, and helps drive success, and that is why we’re proud to be an Equal Opportunity Employer and strive to treat all employees and applicants with honesty, dignity, respect and sensitivity.We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

ABOUT US At Vida, we help people get better- and we're helping the healthcare system get better, too. Vida is a virtual, personalized obesity care provider that uses evidence-based treatment to help patients manage obesity and related conditions like diabetes, high blood pressure, anxiety and depression. Vida's team of Obesity Medicine-Certified Physicians, Registered Dietitians, Expert Coaches and Licensed Therapists takes a whole-person approach to care, helping people lose weight, reduce stress and improve their overall health. By combining advanced technology with top-notch healthcare providers, Vida is breaking down the barriers that have historically kept people from getting the best care. It's trusted by Fortune 100 companies, major national payers and large providers to enable their employees to live their healthiest lives. **Vida is authorized to do business in many, but not all, states. If you are not located in or able to work from a state where Vida is registered, you will not be eligible for employment. Please speak with your recruiter to learn more about where Vida is registered. As a Clinical Operations Manager, you’ll lead and support our Clinical Assistant Team, streamline clinical workflows and ensure an exceptional member and provider experience. This role will focus on developing and maintaining standard operating procedures (SOPs), refining processes and serving as a subject matter expert (SME) in pharmacy benefit management (PBM) partnerships and prior authorization submissions. The ideal candidate will bring expertise in triaging member escalations, prior experience with Zendesk or similar CRM platforms and knowledge of clinical care in obesity management, specifically GLP-1 prescribing. • Provide day-to-day supervision and oversight and performance management to a team of Clinical Assistants, ensuring adherence to clinical protocols and high-quality member support., • Track individual and team performance metrics. Conduct regular team meetings and 1:1 check-ins to review performance and address challenges., • Monitor staffing levels and adjust scheduling, assigned tasks and projects to maintain adequate coverage and workload balance., • Develop, document and implement SOPs to standardize clinical workflows across the team., • Monitor and manage Zendesk queues for volumes, performance and quality, ensuring appropriate triage and escalation pathways based on a tiered queue system., • Configure and maintain Zendesk dashboards and reporting to track key operational metrics (e.g., ticket volume, resolution time, SLA compliance, escalation trends, and team productivity)., • Analyze Zendesk data to identify performance trends, workload distribution and process bottlenecks., • Document and analyze trends in ticket issues and proactively communicate findings/recommendations to clinical leadership to support process improvements, training and systematic fixes., • Serve as an escalation point for complex clinical and administrative member, pharmacy, lab or PBM escalations., • Partner with medical providers, pharmacies, PBMs and cross-functional stakeholders to identify and address process inefficiencies, ensuring operational excellence and high-quality member care., • Act as a go-to resource on Pharmacy Benefit Managers (PBMs) and the prior authorization process, supporting the Clinical Assistant Team, Medical Providers and other stakeholders with guidance and best practices., • Leverage Zendesk platform to manage and triage member and provider inquiries, streamlining ticket workflows and optimizing for overall team efficiency through reporting., • Partner with leadership teams (Quality Assurance, Medical Leadership, Compliance, Product/Engineering, Member Support) to support ongoing improvement initiatives and enhance overall member care., • Bachelor’s degree in healthcare administration, public health or related field; clinical background/experience a plus., • 3-5+ years of experience in clinical operations or healthcare support functions., • Experience supervising or managing clinical or administrative staff., • Strong knowledge of prior authorization processes, CoverMyMeds portal and patient access workflows., • Prior experience in the obesity care space, specifically supporting GLP-1 therapy., • Excellent communication, organizational and problem-solving skills., • Familiarity with telehealth and digital health platforms., • Strong analytical skills to identify trends, monitor performance metrics and recommend improvements., • Proficiency with Zendesk (or similar platform), with ability to build and maintain reporting features preferred.$100,000 - $110,000 a yearVida is proud to be an Equal Employment Opportunity and Affirmative Action employer. Diversity is more than a commitment at Vida—it is the foundation of what we do. All qualified applicants will receive consideration for employment without regard to race, color, ancestry, religion, gender, gender identity or expression, sexual orientation, marital status, national origin, genetics, disability, age, or Veteran status. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. We seek to recruit, develop and retain the most talented people from a diverse candidate pool. We don’t just accept differences — we celebrate them, we support them, and we thrive on them for the benefit of our employees, our platform and those we serve. Vida is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures. We do not accept unsolicited assistance from any headhunters or recruitment firms for any of our job openings. All resumes or profiles submitted by search firms to any employee at Vida in any form without a valid, signed search agreement in place for the specific position will be deemed the sole property of Vida. No fee will be paid in the event the candidate is hired by Vida as a result of the unsolicited referral. #LI-remote

Max AI is the World’s first human-free, fully-autonomous medical billing AI agent. Many startups are attempting to attack this problem because the market is so big — $350B/yr. We have the best team going after it. While everyone else still needs humans in the loop, we’ve cracked the code for medical billing starting with dermatology, and are rapidly adding support for every other specialty. Medical doctors who code are rare. We have the best one in the world. His previous apps have driven 50M+ downloads, all while running an incredibly successful dermatology practice of his own where he literally did the billing by hand himself. Our Head of AI has been doing AI research at MIT and Caltech for over 10 years. And our Head of Engineering was one of the earliest engineers at Figma. Responsibilities • Full-Cycle SaaS Ownership: Taking ownership of the entire sales lifecycle—from cold prospecting private practices and PE-backed groups to running technical demos, negotiating contracts, and closing. You are selling a financial transformation, not just a tool., • Revenue Cycle Consultative Selling: acting as a trusted consultant who diagnoses financial leaks in a practice (e.g., denial rates, under-coding) and prescribing our software as the solution. You must be able to articulate ROI in terms of "days in A/R" and "net collection ratio.", • Market Feedback Loop: Working closely with the Product/Engineering team to relay customer feedback regarding payer-specific rules, integration blockers (e.g., ModMed/EMA API issues), and feature requests to shape the roadmap. Tech Stack • Sales & Pipeline: HubSpot/Salesforce, Apollo (outreach), LinkedIn Sales Navigator, • Dermatology Ecosystem: Deep familiarity with ModMed (EMA), Nextech, and EzDerm, • RCM & Billing Tools: Understanding of Clearinghouses (Availity, Waystar) and CPT/ICD-10 Coding tools, • Environment: Fast-paced, remote-first startup environment using Slack, Zoom, and Notion Work Approach • Ownership of processes: You don't just close the deal; you ensure the "handover" to implementation is seamless, ensuring the practice actually sees the financial lift we promised, • An agile and iterative approach: rapid testing of value propositions. One month you might pitch "Automated Billing," the next "Automated Chart Review" based on what the market responds to, • Consistent customer engagement: Engaging with Practice Managers and Billers, not just Doctors, to understand the ground-level friction of their daily workflows Core Values • A proactive approach: Identifying revenue leakage for clients before they even sign. You bring insights to the table, not just a brochure, • A dedication to continuous learning: staying ahead of the ever-changing billing rules (e.g., 2025 PBM reforms, new CPT modifiers) to remain a subject matter expert, • A positive, collaborative spirit: working with the product team to solve "unsolvable" billing knots, • A focus on simplicity: Taking the incredibly complex world of medical coding and making it simple and profitable for the practice Required • 3-5+ years of Dermatology Pharmaceutical Sales experience (e.g., AbbVie, Galderma, LEO Pharma, Incyte). We are explicitly looking for candidates with an active, warm Rolodex of dermatologists and practice managers in the target territory., • Proven territory access: You must have existing relationships that allow you to bypass gatekeepers and secure meetings with decision-makers immediately. Your value is your network., • Experience with "Hub" services or reimbursement: While you come from pharma, you must have experience discussing access (Prior Auths, Step Therapy, Buy-and-Bill) and not just clinical efficacy. You understand the administrative burden of the front office, • Direct Dermatology Experience: Familiarity with specific derm codes (e.g., Mohs surgery, biopsies, destruction of lesions) and the "medical vs. cosmetic" struggle, • High-volume activity metrics: A track record of managing a high-frequency call plan (6-10 office visits/day) and the "grit" to translate that activity into software demos Nice to have • Willingness to learn AI Agents: You don't need to be a AI software expert yet, but you must be tech-savvy enough to learn a new pitch that focuses on billing rather than biology, • Understanding of RCM pain points: Familiarity with terms like "Claim Denials," "J-Codes," and "Co-Pay Accumulators" from your time managing drug access, • Experience launching new products: You have been part of a launch team for a new drug or indication and understand the "scrappiness" required when brand awareness is low Compensation • $140k - $220k USD Base, • Equity, • Commission Platinum Healthcare • Medical (Platinum PPO), • Company covers 100% for employee, 80% for dependents, • Dental (Platinum PPO), • Company covers 90% for employee, 75% for dependents, • Vision (Platinum PPO), • Company covers 90% for employee, 75% for dependents Perks • $250 per month (gym membership, classes, etc), • $2,000 annually (courses, mentorship, etc), • Company-Provided Vehicle (for field travel & client visits)

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,, • Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and, • Judi®, the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Summary: The UX/UI Designer is a skilled contributor responsible for delivering user-centered designs for assigned product features and collaborating closely with cross-functional teams. This role emphasizes strong execution, attention to detail, and growth in design craft while supporting design system adoption and contributing to team success. Mid-Level designers participate in research, prototyping, and design execution, with opportunities to mentor junior peers informally. Position Responsibilities: • Design user interfaces and experiences for assigned features, ensuring usability and visual consistency., • Conduct usability testing and apply findings to improve design., • Create wireframes, prototypes, and high-fidelity designs that align with product requirements., • Ensure designs meet accessibility and brand standards., • Contribute to design system components and maintain consistency across projects., • Collaborate with product managers, engineers, and other designers to deliver high-quality solutions., • Participate in design critiques and provide constructive feedback to peers., • Stay updated on UX/UI trends and best practices to continuously improve design quality., • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Required Qualifications: • Bachelor’s Degree, certificate, or equivalent work experience., • 3–5 years' experience in a UX or Product Designer role., • Proficiency in Figma and other UX/UI design tools., • Experience designing responsive interfaces and applying accessibility standards., • Portfolio demonstrates strong UX/UI principles and real-world projects., • Basic knowledge of HTML and CSS; familiarity with design-to-development handoff., • Strong communication and collaboration skills., • Ability to thrive in a fast-paced environment and adapt to changing priorities. This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range $75,200 - $119,000 USD New York, NY Salary Range $95,200 - $119,000 USD Denver, CO Salary Range $87,200 - $109,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at _.

Join House Rx as a Shared Services Project Manager, where you will play a pivotal role in enhancing access and affordability of specialty medications for patients. You’ll collaborate closely with specialty care clinics and our team to optimize the specialty pharmacy experience with a focus on implementation at new customer sites. What You’ll Do: • Primary leader of customer facing calls, accountable for the completion of implementation steps, • Implementation project management through customer calls, timely follow up, and use of project management tools, • Responsible for coordination with sales and program manager team to bring visibility to implementation progress and blockers, • Coordination with leadership to drive implementation process efficiencies for credentialing, IT workstream, and other implementation related activities, • Support for initiatives and related project work Additional Responsibilities: • Ensure our clinic partners maintain adequate inventory & supplies to meet the needs of their patients, • Work with clinic teams to streamline processes and workflows in coordination with clinical operations team, • Manage any issues with patient prescription attainment, including tracking packages, troubleshooting carrier issues, and monitoring work queues as assigned., • Troubleshoot issues with claim processing, payment processing, equipment function (barcode scanners, label printers) and escalate to internal resources as appropriate, • Triage support issues related to our PMS Platform for new and existing clinic partners, • Act as a liaison between the patient, provider and our operational team to effectively and efficiently resolve issues. Problems happen, you are responsible for delighting as you solve them., • Primary responsibility in at least one of the following areas and cross-training in at least one additional area:, • PBM audits - support our clinic partners to reduce risk of payor take backs by completing payor desktop audits, • Claims reconciliation - support our clinic partners and invoicing process through timely reconciliation of claims, identify and address missing remits and payments, and provide weekly insight to program managers, • Credentialing - work closely with clinic partners at new and established practices to complete initial credentialing with PBMs, credentialing renewals, state regulatory agency registration (where required), and manage enrollment in EFT and ERA, • Legal model - work closely with sales, program managers, and clinic partners to provide an accurate summary of state specific legal requirements for MID dispensing space, provider verification registration and requirements, practice dispensing registration and requirements, and pharmacy dispensing space requirements., • Accreditation - work closely with clinic partners to support initial and renewal accreditation with ACHC, URAC, and others. Support required program monitoring and auditing to maintain compliance with accreditation, • Project management - implementation project management through leading customer calls, timely follow up, use of project management tools. Responsible for coordination with sales and program manager team to bring visibility to implementation progress and blockers., • Drug ordering - support clinic partners through submission of wholesaler orders, monitor delivery, troubleshoot shortages and wholesaler catalog errors. Work closely with clinics to manage accurate inventory through training, monitoring and ongoing process improvements. Work closely with distribution leaders to manage customer-specific wholesaler account matrix to optimize customer spend., • Supply management - ensure clinic partners maintain adequate inventory, optimizing supply chain efficiency while reducing costs., • Implementation IT workstream - work closely with implementation project manager to facilitate clinic partner IT workstream initiation, testing of EHR functionality (login, task groups, reporting, test eRx), and other IT related tasks (phone extension set up, VPN access, etc.) About You • You are someone who loves to dig in and can think outside the box, • You are a creative problem solver interested in positively impacting each patient’s pharmacy experience, • Self-motivated with sense of urgency for quality resolution, • You have mastered all the core pharmacy technician skills, such as processing claims and dispensing medications, and are ready to expand your career, • You are comfortable engaging with patients, providers, and all members of the care team both in-person and over the phone, • You have experience navigating specialty medication benefits investigation, prior authorization, and financial assistance, • You are excited about working in a start-up environment and enjoy solving complex problems, • You are someone who looks for proactive solutions and can identify more efficient workflows. Excited about the opportunity, but worried you don’t meet all the requirements? Apply anyway, and give us both the chance to find out. Why You Should Join Our Team A career at House Rx offers the chance to work with a talented group of entrepreneurs, healthcare professionals, and technology builders who are passionate about improving specialty care and making it easier for patients to access the medication that they need. At House Rx, we strive to build and maintain an environment where employees from all backgrounds are valued, respected and have the opportunity to succeed. You'll find a culture that supports open communication, embracing failure as a learning opportunity, and always being open to new ideas—no matter how radical. We are a remote-first company, however some pharmacy operations roles require onsite clinic presence. We’re committed to creating a positive and collaborative culture to achieve our mission, all while supporting our team members in all aspects of their lives—at home, at work and everywhere in between. In particular, we offer: • Paid time off, • Generous parental leave, • Comprehensive healthcare, vision and dental benefits, • Competitive salary and equity stake We’re backed by forward-thinking investors committed to transforming healthcare, including Bessemer Venture Partners, First Round Capital, LRV Health, Khosla Ventures, Maverick Ventures, 1984.vc, and Character.

Evio Overview Evio is a highly unique pharmacy solutions company that was founded by and works closely with health plans to implement transformative (to cost, quality, access and experience) initiatives primarily focused on specialty and other high-cost medication solutions. In 2020, a group of five amazing Blue Cross Blue Shield health plans that in total serve more than 20 million members recognized that the way medications get to patients needs significant reform—rapidly rising costs and massive system complexities are detrimental to patients and the entire industry. In 2025, Wellmark joined as Evio's first non-founding investor and sixth owner health plan. Each company made, and continues to make, significant investments to establish Evio as an independent entity to lead this transformation. Evio has advanced analytics and contracting capabilities at scale, and a suite of digital tools, to power our high-cost medication solutions. Our solutions act as a self-reinforcing “_” where each element strengthens and feeds into the next, and support an “Only Evio can do that,” mindset and prioritization. Evio is also a company that has invested heavily in and been highly intentional about people, team and culture. We believe we have created a very special place to work and encourage candidates to observe and ask us about our culture and decide for themselves. Evio's Values • Empathy – The people our business serves always come first. We care for our teammates and put ourselves in the shoes of our health plan customers and the patients and clinicians our solutions benefit., • Diversity – We are committed to fostering a culture where everyone belongs and is valued for their background, experience and insights – one that encourages diversity of ideas, and is a nurturing, trusting, and accepting place for all., • Adventure – We are flexible, thrive in ambiguity, fail fast, and pivot quickly to get to a better answer. We celebrate wins and pivots with equal intensity., • Relentless – Guided by evidence and data, we are creative, curious, and unwavering in our pursuit of challenging the status quo and each other., • Transparency – Just as we seek to bring transparency to the pharmacy supply chain, authenticity and integrity are core to the way we communicate., • Excellence – We strive to raise the bar in all we do by hiring and developing exceptional talent and holding ourselves and our thinking to the highest standard. About the role Evio is seeking a health plan experienced pharmacist for the role of Pharmaceutical Contracts Customer Consultant to provide clinical and operational support for Evio’s pharmaceutical manufacturer contracting and administration arrangements. This role offers a unique opportunity to apply your clinical pharmacy expertise, contracting knowledge, and health plan operational acumen while effectively communicating and collaborating with stakeholders to advance Evio’s pharmaceutical contracting-related objectives and services. This role will focus on supporting Evio’s medical benefit contracting and administrative arrangements with Synergie Medication Collective, which is a contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies. As a subject matter expert, you will serve as a key liaison between Synergie, Evio, and Evio customer plans, ensuring alignment with their needs and driving customer success. Join us in championing customer success and fostering long-term partnerships with Evio customer plans and Synergie. This position will report to Evio's Pharmaceutical Contracts Operations Lead. What you’ll do: • As a pharmacist on Evio’s Customer Success team, you will serve as Evio’s customer success liaison between Evio and its’ customer plans, providing consultation, driving solutions, and supporting resolution of issues and questions related to pharmaceutical manufacturer contracting and administration., • Review and analyze offerings, including contract terms and health plan requirements, from pharmaceutical manufacturers to ensure clarity and completeness., • Identify and help resolve incomplete or unclear contract terms when applicable., • Serve as subject matter expert for contract-related and rebate invoicing inquiries from Evio customer plans, ensuring inquiries and responses are clear, accurate, and address customers’ needs., • Support issue resolution by investigating questions and helping drive practical customer-focused solutions., • Partner with Evio internal teams using your clinical knowledge and health plan experience to support:, • Invoicing administration, • Development of new Evio product offerings, • Manufacturer contracting efforts, • Other related initiatives that leverage your expertise The skills and experience you bring to the role include: Background • Bachelor of Pharmacy (B.S. Pharm.) with Residency, or Doctor of Pharmacy (Pharm.D.) degree., • A current and unrestricted pharmacist license in at least one state., • 2+ years of experience with pharmaceutical contracting medical benefit drugs and related invoicing operations (either direct contract or vendor oversight)., • 3+ years of health plan pharmacy contracting or contract support experience. Knowledge • Operational knowledge of pharmacy benefit manager (PBM) operations, health plan requirements related to pharmaceutical contracts., • Ability to analyze contract language and deal offerings, resolve ambiguities, and relentlessly provide/drive solutions., • Expert knowledge of HCPCs, Medi-Span, ICD-10 coding systems., • Expert knowledge of pharmaceutical pricing systems (ASP, WAC, AWP)., • Current understanding of prescription and medical benefits., • Experience with Lean or Six Sigma operational excellence models is preferred. Intrinsic skills • Skilled at collaborating with internal and external stakeholders, navigating different perspectives to achieve a mutually beneficial outcome., • Builds trust with teammates and customers at all levels, finding common ground in complex situations., • Highly organized, • Able to synthesize information, make sound judgement calls, and come up with an action plan., • Solution-focused – a master at preventing and resolving thorny issues., • Intellectual curiosity – seeks to understand context at high level and detail level. Salary Considerations: Anticipated annual base pay range $ 175,000 to $200,000 plus additional variable compensation. At Evio, we’re committed to building a competitive compensation package to honor the value our teammates bring as well as attract and retain top talent that is aligned with our culture, mission and values. Compensation includes base pay (range shown) and could include other variable compensation opportunities depending on job seniority, location, and date of hire. Evio also offers a number of attractive benefits to eligible teammates including health insurance, retirement savings, life and disability insurance, paid and unpaid time off, and other benefits to make sure Evio teammates and families are well supported. Please note that the base pay information shown is a general guideline for the job responsibilities and qualifications listed. Salary decisions are based on candidate experience, and market and business considerations. Evio Benefits • Great Health Insurance The company pays 100% of medical, dental, and vision premiums for teammates, and 50% for dependents. • 401K Match Evio matches 100% of teammate contribution up to 5% of salary, subject to IRS limits. • Time Off We have a flexible vacation policy for teammates to unplug and recharge when you need it. There is no minimum or maximum amount of vacation allowed per year, and there is no payment in consideration for unused vacation. Vacation is to be used at your discretion, with approval of leadership. • Parental Leave Generous paid leave for new parents (includes birth and non-birth parents). Evio values a diverse workplace and is committed to supporting and celebrating the diversity that each teammate brings to the table. We are proud to provide equal employment opportunities to all teammates and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Notice: We’ve recently learned of fraudulent job postings and individuals falsely claiming to represent Evio. Protecting our candidates is incredibly important to us, and we want to share a few reminders: • All official communication will come from an email ending in @evio.com., • We will never conduct text-only interviews (SMS, WhatsApp, Telegram, etc.)., • We will never ask for payment, gift cards, fees, or purchases of any kind., • We will never request sensitive financial information during the recruiting process., • Our open roles are posted only on our official website, LinkedIn, and Greenhouse job board. If you believe you’ve encountered a scam, you can also report it to the Federal Trade Commission or the Internet Crime Complaint Center. Thank you for your care and vigilance — we’re grateful to everyone who helps keep our community safe.

About Lark At Lark Health, we’re leading the way into a new era of cardiometabolic care, leveraging advanced AI techniques–including deterministic and generative models–to provide scalable, affordable, and compassionate care. We help our healthcare partners manage over 30 million lives and prevent conditions like obesity, hypertension, type II diabetes, and behavioral health. Our platform delivers real-time personalized counseling and health monitoring for each patient. By providing compelling and actionable insights, we empower every user to live happier, healthier lives. Come join our team! The Role We're seeking a dynamic and strategic Senior Campaign Marketing Manager to lead our fast-paced Consumer Marketing strategy and execution, with a critical focus on commercial plans and Medicare program populations, maximizing patient enrollment across both commercial and government-sponsored segments. In this pivotal role, you'll be a central figure in defining and executing Lark's ambitious growth strategies within the commercial plans and Medicare programs, including Medicare Diabetes Prevention Program (MDPP) and CMS ACCESS, driving enrollment and engagement from new and existing partner populations. You will develop and execute audience-specific campaigns that reflect a deep understanding of the distinct needs, communication preferences, and regulatory constraints of both commercially-insured members and Medicare beneficiaries. You’ll own end-to-end execution of consumer-facing campaigns, from awareness to enrollment, engagement, and retention, including campaign design, content development, QA, launch, and performance reporting. This is a highly collaborative role that demands exceptional leadership and coordination with both external PBM partners, Medicare program stakeholders, and cross-functional internal teams, including our talented design, marketing operations, and strategy teams. What You’ll Do Partner Strategy & Engagement: Lead marketing representation in critical external commercial plan partner meetings, confidently sharing strategic campaign updates, enrollment performance insights, and proactively addressing partner needs and challenges specific to their member base. Plan-Specific Asset Development & Management: Collaborate closely with account management and directly with external partners to proactively define, develop, and deliver essential marketing assets, including campaign design and content (e.g., mailers, digital ads, web content), that resonate with members and align with their unique communication channels and compliance requirements. Medicare Campaign Execution Lead end-to-end marketing execution for Medicare programs, including MDPP and CMS ACCESS, designing campaigns that meet the unique motivations, literacy levels, and preferred communication channels of Medicare beneficiaries (adults 65+). Enrollment Campaign Ownership: Own the end-to-end execution of high-impact consumer enrollment campaigns specifically designed for commercial and Medicare plan members, driving new user acquisition and activation. Support the Account Management: Partner closely with AM teams to respond to client marketing requests and optimize campaigns to meet partner expectations, including occasional client-facing meetings. Advanced Performance Analytics & Enrollment Insights: Lead campaign performance tracking across daily to quarterly cadences, with a focus on enrollment and engagement metrics. Translate data into actionable insights and present results to stakeholders to demonstrate ROI and guide strategy. Compliance & Governance: Partner closely with legal and other stakeholders to ensure that all marketing materials consistently comply with government regulations and compliance requirements. Strategic Problem-Solving for Enrollment Barriers: Use strategic thinking to identify and resolve complex campaign or enrollment issues, ensuring smooth launches and ongoing funnel optimization. What You’ll Need Healthcare Marketing Experience: Proven background in healthcare marketing with significant experience focused on commercial and Medicare plans and driving patient/member enrollment initiatives, with a strong preference for Medicare experience DTC & Enrollment Leadership: Track record of leading direct-to-consumer campaigns that deliver measurable enrollment and activation in complex healthcare environments. Detail-Oriented & Compliance-Driven: Exceptional attention to detail, particularly in navigating healthcare and Medicare compliance and executing flawless member communications. Analytical Acumen for Conversion: Strong analytical skills with a focus on enrollment funnel performance and conversion optimization. Agile Mindset & Adaptability: Thrives in dynamic environments; quickly adapts to evolving PBM partner needs and market shifts. Strategic Problem Solver & Influencer: Effectively resolves complex challenges related to partner integration and enrollment, influencing stakeholders at all levels. Marketing Leadership: Extensive experience in channel, lifecycle, and CRM marketing, ideally within commercial plans and Medicare programs. Marketing Automation Proficiency: Hands-on experience with marketing automation platforms, especially in managing member journeys and driving enrollment. Working at Lark Lark operates as a remote organization, requiring all employees to reside within the United States. The specific salary offered to a candidate will depend on various factors, including their location, job level, and verified job-related knowledge, skills, and experience. In addition to a comprehensive benefits package, candidates may be eligible for additional compensation, such as participation in a bonus program and stock awards, where applicable. Lark is an Equal Opportunity and Affirmative Action Employer. We believe that diverse teams foster innovation and add to our mission-driven culture. We strongly encourage people from underrepresented groups to apply. #LI-Remote

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,, • Judi Health™, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and, • Judi®, the industry’s leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we’re rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Summary The Market Access Programs Senior Project Manager will lead the development, execution, and continuous improvement of innovative market access programs across all lines of business, including Commercial, Exchange, Medicare, and Medicaid. In this highly cross‑functional role, the Program Manager partners closely with internal teams, external vendors, and pharmacy partners to design and implement strategic initiatives—from specialty pharmacy partnerships to manufacturer‑direct solutions—that enhance member experience and reduce overall drug spend. This role is responsible for maintaining detailed implementation plans, operational workflows, and training materials while ensuring program quality and compliance through structured audits and documentation. The Project Manager also collaborates with Analytics to produce opportunity assessments and savings reporting, and supports the commercialization of new offerings through pricing, marketing enablement, and RFI/RFP contributions. The ideal candidate brings deep experience in healthcare cost management, strong analytical capabilities, exceptional communication skills, and a strategic mindset with the ability to identify inefficiencies and drive long‑term product and process improvements in a fast‑paced environment. Position Responsibilities: • Program Development & Management: Collaborate with key stakeholders to develop and maintain new and existing market access programs for all relevant lines of business. Programs include, but are not limited to, innovative pharmacy network configurations and partnerships with supply chain stakeholders., • Program Planning and Execution: Engage with appropriate stakeholders and cross-functional teams to ensure successful implementation and execution of programs., • Program Maintenance: Regularly update and maintain comprehensive implementation plans, workflow guides, trainings, rules sets, and other documentation as relevant and required., • Quality Assurance: Implement quality control processes to ensure program compliance with established standards and guidelines. Conduct and document audits and work with appropriate stakeholders to implement corrective actions as needed., • Vendor management: Own relationship with and provide oversight of third-party vendors and/or partners (pharmacy providers or manufacturers) to administer programs with emphasis on member experience and value capture for clients., • Data Analytics & Reporting: Use reporting tools and partner with our Analytics team to develop and maintain opportunity analyses and ongoing savings performance reporting., • Commercialization: Support the go-to-market strategy of program offerings including pricing, marketing, and implementation. Support RFI and RFP submissions., • Continuous quality improvement: Evaluate evolving industry and market landscape and analyze prescription claims data to identify opportunities for improving existing programs and developing new programs and/or partnerships. Supports quality improvement programs/projects as required. Required Qualifications: • Bachelor’s Degree required, • 4+ years of experience applicable to health care,, such as in a health plan, PBM, pharmacy, manufacturer, value-based care, or managed care environment; consulting, advising, or tech enablement focused on the preceding areas also considered applicable, • Ability to balance multiple complex projects simultaneously with minimal direction, • Great time-management and organizational skills to manage multiple active projects simultaneously, • Exceptional written, verbal, and presentation skills, • Experience working with data reporting tools, conducting data analyses, and effectively consuming/interpreting data reports and visualizations Preferred Qualifications: • Master’s Degree in relevant field (PharmD, MBA, MHA/MHP, etc.), • Experience with prescription drug channels and payment workflows (pharmacy reimbursement, rebate administration and GPO relations, regulatory requirements, etc.), • Experience with health insurance or health benefits administration (pharmacy benefits in particular), • Strong experience in developing, implementing, and using data and workflow management technology solutions (e.g., customer relationship management (CRM), Jira/Salesforce, collaborative Excel workbooks in SharePoint, etc.), • Experience with programming languages relevant to data analytics, such as SQL or Python, • Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint, • Ability to think strategically and identify inefficiencies, develop long-term solutions, and challenge and improve existing processes through automation and redesign, • Highly detail-oriented and analytical, • Ability to travel occasionally as needed for internal, client, and vendor/partner meetings This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range $93,200 - $147,000 USD New York, NY Salary Range $117,600 - $147,000 USD Denver, CO Salary Range $108,000 - $135,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at _.

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them.You have an opportunity to personally thrive, make a di

Strong understanding of PBM contracting life cycle.

Job DescriptionHealth Law PBM Associate Attorney or Special Counsel (Off-Track) Locations: Boston, New York, Washington, DC Direct Counsel is seeking a Health Law PBM Associate or Special Counsel to join a national Am Law 100–caliber firm with a premier Health Law Practice. This is an off-track (non-partnership) position and is ideal for attorneys with strong commercial contracting experience in the managed care and pharmaceutical supply chain/PBM space. About the Health Law Practice The Health Law Practice provides comprehensive guidance to a diverse array of clients, including providers, payors, PBMs, manufacturers, distributors, and other pharmaceutical supply chain participants. The team advises on complex litigation, transactions, operational issues, and regulatory matters, leveraging a cross-disciplinary approach to help clients navigate challenges and pursue business opportunities. Responsibilities The Associate or Special Counsel will support a national team advising health plans in their contracting relationships with pharmacy benefit managers (PBMs) and other pharmaceutical supply chain vendors. Core responsibilities include: Drafting, reviewing, and negotiating PBM contracts and related commercial agreements (e.g., rebate agreements, pharmacy network contracts, vendor arrangements). Leading and supporting the full contracting lifecycle for PBM procurements, including coordination with clients and in-person negotiations (occasional travel required). Counseling clients on operational, regulatory, transactional, and contract administration matters affecting health plan operations. Managing multiple contract workflows and collaborating with partners, clients, co-counsel, and opposing counsel. Handling disputes arising under PBM and health plan contracts. This role requires the ability to work autonomously on day-to-day contract drafting and negotiations while maintaining close communication with team members. This position requires approximately 60% in-office presence in accordance with firm guidelines. Qualifications JD or LLM from an ABA-accredited law school. Admission to or eligibility for admission in MA, NY, or DC. Minimum of 3+ years of transactional or commercial contracting experience in the managed care, PBM, or pharmaceutical supply chain industries. Strong knowledge of federal and state regulations governing health plans, PBMs, and related entities preferred. Excellent written and verbal communication skills. Strong organizational skills and meticulous attention to detail. Ability to manage competing priorities and work effectively in a team environment. Experience with PBM operations, managed care contracting, or in-house PBM roles encouraged to apply. Compensation Salary Range: $200,000 – $345,000 Bonus-eligible Comprehensive benefits package offered

Job DescriptionDescription: PromptCare is seeking a highly motivated, experienced and detail-oriented Reimbursement Specialist to join our team. The ideal candidate will have experience in infusion reimbursement and be able to work in a fast-paced environment. The Specialist will be responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. Documentation and computer input of the new referral and subsequent patient admission from start to finish is critical and must always follow PromptCare’s policies and procedures. If you are a detail-oriented individual with a passion for healthcare billing and collections, we encourage you to apply for this exciting opportunity in the Homecare Infusion industry. To learn more about our company and services, please visit us at PromptCare In-home Respiratory and Infusion Reporting to: Departmental Lead, Supervisor or Manager Job Type: Non-Exempt, Full-time, 40 hours per week, Monday-Friday Requirements: • High School Diploma or equivalent, • 2-3 years of experience in electronic claims submission and medical collections preferred, • Working knowledge of insurance plans including Medicare and Medicaid required, • Industry experience with billing/collections in DME, home infusion and/or enteral preferred, • Accounts receivable and accounting experience preferred, • Knowledge of CPR+ and/or Caretend software preferred Job Responsibilities, included but not limited to: • Collections of third-party payor accounts for assigned payers, • Ensure proper follow-up is performed on all aspects of the revenue cycle related to reimbursement, including projects, problem and issues escalation, denials management and research, • Maintain and update shared documentation to assist Intake Team with the various policies, rules and limitations for insurance plans, • Identify adjustments, payment trends and denials and ensure problems are escalated as necessary, • Maintain confidentiality in all aspects of patient care, employee activities and office environment, • Communicate changes regularly or as often as needed, • Work collaboratively with other department staff such as Intake & Reauthorization Specialist to ensure timely collections, • Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes, • Field and troubleshoot calls from patients regarding benefit, claims and patient balances, • Pro-actively seek resolutions to any billing issues that may arise, • Perform CPR+/Caretend related transactions accurately and timely, • Perform other duties as assigned Physical Demands The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed. Benefits & Perks • Comprehensive Medical, Dental, and Vision Package, • 401(k) Plan with Company Match, • Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays, • Life Insurance: Standard coverage with optional enhancements, • Employee Assistance Program: Free counseling and coaching sessions, • Emotional Well-being and Work-Life Balance Resources, • Short & Long-Term Disability: Company-paid with optional supplements, • Accidental Death and Dismemberment Insurance, • FSA and HSA: Manage healthcare expenses, • Commuter Spending Programs, • Volunteer and Engagement Opportunities, • Employee Referral Bonuses, • Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans Equal Employment Opportunity The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.

Job Description Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country. We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values: • Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new., • Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always., • Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise. Job Summary: We are looking for an Sr. DevOps Engineer who has hands-on experience building and managing a cloud-based infrastructure. Additionally, this engineer will be responsible for development cycles in integration/continuous deployment mode, process monitoring, and more broadly, constructing a "safety culture" within the SmithRx's DevOps practice. Our user base is currently doubling annually, and you would share the responsibility of orchestrating a reliable, sustainable, and scalable infrastructure. What you will do: • Help build and maintain a container based infrastructure that is elegant, redundant, scalable and compliant, and support the rest of the team doing the same., • Be part of SmithRx Agile development team to deliver an end-to-end automation of deployment, monitoring, and infrastructure management in a cloud environment., • Gain a deep understanding of the challenges that SmithRx faces, technical and otherwise; collaborate with other teams to identify and carry out effective solutions., • Work closely with our development team to develop and maintain CI/CD pipelines in a reproducible and secure manner., • Monitor and troubleshoot infrastructure issues, and perform root cause analysis when necessary., • Collaborate with developers to ensure that applications and services are built with scalability, reliability, and security in mind., • Organize the highest levels of systems and infrastructure availability, acting proactively, • Be a pillar of a collaborative learning culture through exploration of new technologies, application of best practices, and any other innovations you would like to experiment with., • Install, configure, test and maintain operating systems, application software and system management tools., • Develop custom scripts to increase system efficiency and lower the human intervention time on any tasks, • Evaluate application performance, identify potential bottlenecks, develop solutions, and implement them with the help of developers., • Be effective in maintaining SmithRX security program controls and best practices., • Understand the health regulatory space and maintain HIPAA compliant systems., • Make pragmatic decisions about technical tradeoffs, infrastructure costs, and resource utilization., • Be a part of on-call PagerDuty rotations. What you will bring to SmithRx: • 5+ years of experience in DevOps., • BS or advanced degree in computer science or other related field., • Experience deploying and monitoring web applications in AWS., • Worked as an active team member for both product development and the operations teams to provide the best DevOps practices and supported their applications with feasible approaches., • Security first mindset, including demonstrated experience building secure development and test environments integrated to CI/CD pipelines and software release cycles., • Experience building and maintaining a container based infrastructure and Kubernetes, • Experience with Infrastructure as Code (Terraform experience a plus) and infrastructure testing strategies., • Experience with infrastructure automation, systems reliability, load balancing, monitoring, logging., • Experience with fully automating CI/CD pipelines with associated tools such as CircleCI and GitHub Actions., • Experience working in and architecting for regulated environments with data privacy regulations like GDPR, HIPAA preferred., • Experience working and managing SQL and NoSQL databases like Redis, Redshift, AWS RDS, PostgreSQL, BigQuery, and Snowflake, • Strong scripting skills, including shell scripts, Perl, Ruby, Python, Go, Groovy, Helm, etc. What SmithRx Offers You: • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance, • Flexible Spending Benefits, • 401(k) Retirement Savings Program, • Short-term and long-term disability, • Discretionary Paid Time Off, • Paid Company Holidays, • Wellness Benefits, • Commuter Benefits, • Paid Parental Leave benefits, • Employee Assistance Program (EAP), • Well-stocked kitchen in office locations, • Professional development and training opportunities Location: U.S. Remote

Candidates must have at least one year of experience in a managed care or PBM setting and an active pharmacy technician license.

Prime Therapeutics (Prime) is a purpose‑driven PBM seeking a Physician Clinical Reviewer – Urology (remote). Responsibilities Review cases in which clinical determinations cannot be made by the Initial Clinical Reviewer. Discuss determinations with ordering providers or physicians within the reg

A leading regulatory consulting firm is seeking a Market Conduct Examiner to perform reviews of insurance company operations to ensure compliance with regulations.Responsibilities include conducting examinations, drafting reports, and analyzing compliance with insurance laws.The ideal candidate has

Job Description AssistRx is a specialty pharmacy hub services company that manages therapy initiation and patient access programs for pharmaceutical manufacturers. The company’s flagship platform, iAssist, integrates at the point of prescribing and connects patients, providers, payors, and manufacturers across complex specialty therapy programs. Welsh, Carson, Anderson & Stowe acquired AssistRx in February 2024, and the company has grown significantly, supporting a broad portfolio of programs across therapeutic areas including oncology, immunology, rare disease, and obesity. Requirements POSITION SUMMARY The Data Scientist, ITA will be a primary analytical contributor within a small, high-performance team. Working directly alongside the Director / VP and two peer Data Scientists, this individual will own the design and execution of analytical models, generate program insights across key KPI families, and help build the client-facing outputs — pilot QBR materials, trend narratives, analytical summaries, prototype of insight-focused dashboarding — that define the ITA value proposition. The role requires a combination of technical depth in SQL and Python, working familiarity with statistical methods applicable to program performance analysis, and an orientation toward clear, audience-appropriate communication. Experience in pharma, pharma consulting, at a health insurer, or at a PBM is required: this work depends on understanding how specialty programs function, how manufacturers define success, and how data from hub operations connects to the broader access and reimbursement landscape. KEY RESPONSIBILITIES Analytical Execution · Design and execute ad hoc and recurring analyses for ITA client engagements, covering six defined families of KPIs · Build and maintain analytical models within the six KPI families — from patient outcomes through data quality — ensuring consistent definitions, reproducible methodology, and appropriate statistical rigor · Develop cohort analyses, funnel decompositions, survival curves, regression models, and distribution-based performance metrics that surface actionable insights within program data · Identify trends, anomalies, and comparative performance differentials across programs, payors, geographies, and time periods; frame findings as hypotheses with supporting evidence Client-Facing Output Development · Contribute to quarterly business review (QBR) preparation, including data pulls, visualization development, and narrative drafting under the direction of the Director / VP · Produce clean, client-ready analytical exhibits — charts, tables, and written summaries — formatted for manufacturer audiences including market access leadership and patient services teams · Participate in select client meetings as a technical resource; communicate methodology and findings clearly to non-technical stakeholders Productization & Documentation · Define analytical specifications and prototype outputs for validated insights; partner with the dedicated BI and report development team to translate ITA analytical work into productized ThoughtSpot and Power BI dashboards — ITA owns the logic, acceptance criteria, and narrative framing; the report development team handles production build · Maintain clear documentation of analytical methodologies, data transformations, and code to support reproducibility and team knowledge management · Surface upstream data quality issues that affect insight reliability; partner with data governance teams on remediation Continuous Improvement · Contribute to the evolution of the ITA analytical framework as new client engagements reveal novel questions and additional KPI families emerge · Stay current on emerging methods in healthcare analytics, specialty pharmacy data, and applied machine learning relevant to program performance and patient journey analysis REQUIRED QUALIFICATIONS · Approximately 5 years of experience in healthcare analytics, with direct experience in one or more of the following: pharmaceutical manufacturer (commercial, market access, or patient services analytics), pharma consulting, health insurer, or pharmacy benefit manager (PBM) · Strong proficiency in SQL; experience querying and manipulating data in cloud data warehouse environments (Snowflake preferred) · Python or R required; Python preferred (pandas, numpy, scipy, and scikit-learn) · Working knowledge of statistical methods applicable to program performance analysis: cohort analysis, survival analysis, funnel decomposition, regression modeling, distribution-based metrics, and experimental design and A/B testing frameworks · Experience producing structured, audience-ready analytical outputs — not just raw analyses; strong attention to how findings are communicated, not just computed · Clear, organized written and verbal communication skills; ability to explain quantitative findings in plain language · Bachelor's degree in a quantitative field (statistics, mathematics, data science, computer science, economics, or related); advanced degree a plus Benefits • Supportive, progressive, fast-paced environment, • Competitive pay structure, • Matching 401(k) with immediate vesting, • Medical, dental, vision, life, & short-term disability insurance, • Opportunity to impact patient outcomes through data-driven healthcare technology., • Collaborative and mission-driven culture that values innovation and continuous learning., • Access to cutting-edge cloud technologies and modern data engineering tools., • Competitive compensation, comprehensive benefits, and career growth opportunities AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws. All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position. AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire. The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ACKNOWLEDGEMENT I have read the foregoing job description and understand the responsibilities of the job. I agree that I am able to perform the essential duties of this position.

Job Description Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country. We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values: • Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new., • Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always., • Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise. Job Summary: As a Staff Software Engineer, you will play a key role in the entire engineering lifecycle from design, documentation, build, test and maintain our SmithRx product suite. You will advocate and bring best practices/methodologies, coding standards and large-scale system design perspectives to our team. We need our engineers to be versatile and driven, display leadership and ownership qualities, and be enthusiastic to take on new challenges as we continue to push technology forward. What you will do: • Focus on back-end architecture; designing, developing and maintaining SmithRx product features using various languages such as Golang, JavaScript/Typescript, Node, GraphQL, and SQL (amongst others), while leveraging full CI and CD to iterate quickly, • Collaborate with stakeholders and technical leads to understand functional and technical requirements to produce high-quality, scalable software and services, • Provide scope and risk estimates for system and feature builds by building technical design documentation, • Continually apply software development best practices, design patterns, testing, automation, tools and technologies., • Leverage AWS technologies, like Lambda and Fargate, to handle various types of jobs and batch processing, • Troubleshoot production issues by performing triages for issues that arise, assessing the impact, creating and executing a plan for short-term and long-term mitigation, and performing root cause analysis to prevent future occurrence of issues., • Coach/mentor junior team members in their assigned engineering projects by reviewing and providing feedback on code developed, and performing design and code reviews, • Work with senior leadership to turn technical vision into a tangible roadmap every quarter, • Be the cornerstone of a collaborative learning culture through mentorship, code reviews, the exploration of new technologies, and other innovations What you will bring to SmithRx: • BS or advanced degree in computer science or applicable experience, • 5-8 years of software development experience working on server-side applications, specifically around API servers, third party integrations and data processing, • Experience at a high-growth startup a plus, • Expertise in a compiled language such as Go, Java or Kotlin is required, • Proficiency with relational databases such as PostgreSQL, including schema design, SQL tuning, and database monitoring is required, • Demonstrated experience designing and implementing scalable APIs; a solid understanding of design patterns, database design, and testing best practices., • Working knowledge of GraphQL APIs, CI and CD pipeline, AWS platform, Docker, and Kubernetes a plus, • Positivity; non-dogmatic, team-first attitude, • Flexibility; someone who is responsive and comfortable with ambiguity, • Highly disciplined approach to software design and development and ability to work on features independently (accurately forecast delivery milestones and work with stakeholders to ensure that expectations are met) What SmithRx Offers You: • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance, • Flexible Spending Benefits, • 401(k) Retirement Savings Program, • Short-term and long-term disability, • Discretionary Paid Time Off, • Paid Company Holidays, • Wellness Benefits, • Commuter Benefits, • Paid Parental Leave benefits, • Employee Assistance Program (EAP), • Well-stocked kitchen in office locations, • Professional development and training opportunities Location: US - Remote

This remote position involves managing the complete sales lifecycle, identifying new business opportunities, and developing competitive strategies. The ideal candidate will have over 5 years of experience in Healthcare sales, particularly in PBM environments, and a relevant degree.

Job Description Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country. We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values: • Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new., • Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always., • Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise. Job Summary: The Engineering team at SmithRx is developing the next-generation modern pharmacy benefits management (PBM) platform that will change how companies administer and manage pharmacy benefits. Our unified technology platform provides real-time actionable insights that drives cost savings, powers clinical services and results in a brilliant customer experience. A unified technology platform exists nowhere in the pharmacy benefit ecosystem to programmatically solve widespread deficiencies. The result is a PBM delivering unmatched service quality and operational efficiencies that exceeds all industry standards. As a Senior Staff Automation Engineer you will have responsibility for the overall test strategy of the products you test. You have an automation-first mindset, leveraging your experience to determine where to add tests to best maximize impact. You will create automated tests to help build and improve our regression test suites. Not only will you help maintain these frameworks, but you will constantly look to improve them so they are reliable, efficient, and easy to use. You will be focused on the automation ecosystem as a whole, evaluating how all test frameworks work together while defining the architectural standards for automation. While embedded in your sprint team you will be the primary quality advocate who champions best practices in testing, develops deep product knowledge, and consistently delivers high quality code to our users. You take ownership of complex cross-cutting projects by creating comprehensive test strategies and communicating quality status with all stakeholders. You will help maintain and improve our quality standards, constantly raise the bar, and show a passion for finding defects before they are shipped. What you will do: • Develop and maintain automated tests to help ensure high test coverage and fast feedback on defects, • Continuously maintain and improve our test frameworks, • Help define the test architecture across all test frameworks and tooling, • Manage test strategy, product testing, and planning within your sprint team, • Create testing-related documentation including test plans and test cases, • Find and report bugs and track these to resolution in a timely manner, • Collaborate with the Product team to provide valuable insight and input to help create impactful features, • Provide clear test results to Development and Product teams to help manage project expectations/progress, • Create and maintain security and performance tests, • Develop deep expertise in the SmithRx products, • Utilize AI tools like Playwright MCP, Claude, and Copilot to realize efficiencies in your daily work, • Maintain and refine quality metrics to help track and communicate overall product health What you will bring to SmithRx: • Bachelors Degree in Computer Science or equivalent work experience, • 12+ years of experience in QA and automation testing with a demonstrated track record of team leadership, • Experience with one of the following languages: Python, Typescript, Java, or Javascript, • Experience with writing automated tests for API's in a scripting or programming language, • Experience with API automation frameworks such as Pytest or REST Assured, • Experience with automation frameworks such as Selenium, Cypress, or Playwright, • Familiarity with Page Object Model for UI automation, • Familiarity with CI/CD systems such as GitHub Actions, CircleCI, or Jenkins What SmithRx Offers You: • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance, • Flexible Spending Benefits, • 401(k) Retirement Savings Program, • Short-term and long-term disability, • Discretionary Paid Time Off, • Paid Company Holidays, • Wellness Benefits, • Commuter Benefits, • Paid Parental Leave benefits, • Employee Assistance Program (EAP), • Well-stocked kitchen in office locations, • Professional development and training opportunities

Senior Director, Sales Operations to drive operational excellence and enhance the commercial organization. The ideal candidate will have expertise in Sales Ops and Salesforce, along with a strong background in Pharmacy Benefit Management (PBM).

Digital Insurance LLC is seeking a highly experienced PBM RFP & Pricing Lead to enhance the pharmacy RFP process. This strategic role involves ownership of RFP processes, pricing model development, and financial evaluation.

Overview Location: Remote Duration: Long Term Contract Responsibilities 6+ years of experience in AS400 + Synon + Rx Claim.Experience in Rx CLAIM PBM application (Adjudication) is STRONGLY PREFERRED.Must have real work experience in Healthcare domain.Should be able to read COBOL/400 code for analysi

Job Description About Avante Ask any employee to explain their benefits, and you'll likely get a confused shrug. Ask any HR leader if their benefits investment is working, and you'll get an honest "I don't know." For employees, benefits are confusing and overwhelming. For HR and finance leaders, benefits are the second-largest expense, but they lack the visibility to know what's working and what's wasted. At Avante, we're changing that. We're an AI-native benefits intelligence platform built to turn benefits complexity into clarity. For employees, our agent Carly provides personalized, always-on benefits guidance. For benefits leaders, our agent Ava monitors their entire program, surfaces what needs attention, and delivers strategic intelligence on costs, utilization, and outcomes in seconds. Together, these agents create a closed-loop system where employee engagement data informs benefits strategy, and smarter strategy improves the employee experience. We're based in Seattle and New York City and work 4 days a week in the office (one day remote). We're growing fast, serving enterprise customers like Goldman Sachs, Samsung, Zscaler, and News Corp, and we're expanding our go-to-market team with an Enterprise Account Executive who will own a named patch of self-funded employers, partner with the brokers and consultants who advise them, and close deals that put Avante on the desks of CHROs, CFOs, and Total Rewards leaders at some of the largest companies in the world. The Role We're looking for an Enterprise Account Executive to run a full enterprise patch of self-funded employers, spanning the 2,500-employee mid-market on the low end up through Fortune 500 strategic accounts. You'll own the entire deal, from first conversation through signature, with the goal of landing new logos that look like the customers already on our roster: Goldman Sachs, Samsung, Zscaler, News Corp, SurveyMonkey, Navan, Real Chemistry, Datavant, Calix, Personify, and F5. The buying committee for Avante is multi-stakeholder by default. You'll multi-thread across Total Rewards, Benefits, HR Operations, HRIS, IT Security, and Finance, and you'll need to credibly explain to each of them why Avante is different from the ben admin platform, the decision support tool, and the point solutions they already own. Avante is not a replacement for any of those. It's the intelligence layer that connects them. Selling that distinction well is the hardest and most important part of the job. You'll also work hand-in-hand with our channel partners. About half of enterprise benefits decisions run through brokers and consultants, and Avante has formal partnerships with OneDigital, Howden, and Segal Benz, plus growing relationships across the broker ecosystem. The right person for this role treats brokers as force multipliers, not gatekeepers, and knows how to co-sell without losing the buyer relationship. This role reports to the CRO. We're hiring across a range of experience. If you're a senior enterprise closer who has carried seven-figure quotas at F500 accounts, you'll find one of the largest greenfield opportunities in HR tech sitting in front of you. If you're earlier in your enterprise career and ready to step up, you'll get a patch big enough to grow into and the support to win in it. What we care about most is whether you can run a complex, multi-threaded enterprise deal, build durable relationships with executive buyers, and operate with the urgency of a founder. What You'll Do Own a named enterprise patch end-to-end. You'll work a defined account list spanning mid-market enterprise through Fortune 500. Build the territory plan, prioritize the accounts, develop the relationships, run the cycles, and close the business. The patch is yours. Multi-thread into complex buying committees. Avante deals are won and lost on access. You'll build relationships with CHROs, Heads of Total Rewards, Benefits Directors, CFOs, and the IT and Security leaders who clear the path. You'll know who the economic buyer is, who the champion is, who the blocker is, and what each of them needs to see before they sign. Sell the closed-loop story, not a feature list. Avante is in a new category. Buyers compare us to ben admin platforms, decision support tools, care navigation vendors, and point solutions, and none of those comparisons are quite right. Your job is to teach the market what benefits intelligence is, why the closed loop between Carly and Ava matters, and why purpose-built agents beat generic AI bolted onto legacy systems. Co-sell with brokers and consultants. Roughly half your pipeline will touch a broker or consultant. You'll work side-by-side with OneDigital, Howden, Segal Benz, and the broader broker ecosystem. That means knowing the consulting firms in your patch, building real relationships with the consultants who influence your accounts, and structuring co-sell motions where everybody wins. Run rigorous demos and POCs. Ava reasons live. Carly answers real benefits questions. The product sells itself when it's in front of the right people, on the right data, asking the right questions. You'll partner with our Sales Engineering team to scope and run technical evaluations, including 30-day implementations that get customers live before most vendors finish a security review. Build a quarterly forecast you can defend. You'll own a clean pipeline, a defensible forecast, and a clear plan to hit. Stages have meaning here. We expect MEDDPICC-level rigor on every six-figure-plus opportunity, and we expect you to bring deal risks forward early rather than at the end of the quarter. Use AI as a core part of how you work. Sellers at Avante use AI tools daily to research accounts, draft outbound, prep for executive meetings, build mutual close plans, and turn call transcripts into next-step plans before the customer is off the Zoom. If you've been operating like a traditional AE who occasionally tries ChatGPT, this is not the right seat. We want sellers who are already rewiring their workflow around what Claude, Granola, and similar tools make possible. Partner across GTM. You'll work tightly with Sales Development, Sales Engineering, Marketing, Customer Success, and Product. You'll bring customer signal back into the company with urgency, and you'll trust your peers to do their parts so you can stay focused on what only you can do: closing. Adapt as we grow. The patch, the playbook, and the partner motion will evolve as Avante scales. You should expect your territory and product surface to expand over time, and you should welcome that. What We're Looking For 5–10+ years of quota-carrying SaaS sales experience, with at least 3 years closing enterprise deals at $150K+ ACV into HR, Benefits, Finance, or adjacent buying centers A track record of consistently hitting or exceeding quota in a complex, multi-stakeholder enterprise sale Demonstrated ability to run new-category or evangelical sales, where you have to teach the buyer what the product is before you can sell it Experience co-selling with channel partners, ideally brokers, consultants, or systems integrators Executive presence and written communication strong enough to credibly engage CHROs, CFOs, and their direct reports Active, hands-on use of AI in your day-to-day selling motion, not just curiosity about it A clean, methodical approach to pipeline, forecast, and deal qualification (MEDDPICC or equivalent) Comfort operating at startup pace with startup ambiguity, while running enterprise deal cycles with enterprise discipline Nice to Have Direct experience selling into benefits, HR tech, or healthcare to self-funded employers Existing relationships in the benefits broker and consultant ecosystem (Mercer, Aon, WTW, Gallagher, Lockton, OneDigital, Howden, Segal Benz) Experience selling AI-native or data-intensive platforms where buyers need to be educated on what the product actually is Early-stage startup experience where you helped build the playbook, not just run it A network of CHRO, Total Rewards, or Benefits leader relationships you can reactivate from day one Our Values Our four values aren't aspirational. They translate into concrete operating tenets that shape how we make decisions every day. Beat Yesterday. We re-evaluate our own toolkit every quarter, because the prospecting motion, the demo flow, and the deal-management workflow that worked last quarter may already be obsolete. We act on 70% of the information rather than waiting for certainty, because in enterprise sales the cost of a delayed call is almost always higher than the cost of a slightly imperfect one. We timebox, execute, and iterate, getting proposals and mutual plans in front of buyers fast rather than polishing in isolation. And we own our output regardless of how we produced it. AI can get you 80% of the way to a great executive brief or a sharp follow-up. Everything that goes out with your name on it is your responsibility to review, refine, and stand behind. Embrace Type 2 Fun. Enterprise sales is hard, slow on its own timeline, and full of moments where the right answer is uncomfortable. We assume good intent and follow up directly rather than venting in side channels. We celebrate wins loudly and specifically, naming the actual behavior so the whole team learns what great looks like. We are on by default, because customers don't wait for business hours and a deal in motion at 7pm on a Thursday is still a deal. And we do unscalable things today that build scalable advantages tomorrow. Every white-glove proof-of-value, every hand-built executive brief, every late-night RFP turnaround earns us the reference, the case study, and the next customer. Stay Hungry, Stay Curious. We expect every seller to be the expert on AI in their function before anyone asks them to be. The landscape changes weekly. When you learn something, teach it, whether it's a new outbound workflow, a sharper way to handle a security objection, or a better mutual close plan template. Learn enough about adjacent functions to ask good questions. Sit in on customer success calls, attend product demo day, understand what Carly and Ava actually do together as one platform. And ask the question you think is too basic. Benefits is a complex, technical domain, and the cost of a wrong assumption about how a self-funded plan, a PBM contract, or an HRIS data flow works can be a lost account. Curiosity without urgency is a hobby. We expect both. Act Like an Owner. We say the uncomfortable thing early. If a deal is slipping, a forecast is soft, or a partner relationship is off track, you raise it directly within 48 hours. We surface problems when they're small, not the week before quarter-end. Customer-facing work gets priority, always. Internal meetings move so customer meetings can happen. And we close the loop every time, with customers, with partners, with each other. Over-communication is a feature at our stage, not a bug. No one at Avante should ever wonder whether you saw their message or where a deal stands.What We Offer Competitive base salary, and meaningful early-stage equity. Full benefits (medical, dental, vision, 401(k)). OTE of $250,000 - $300,000. Avante is an Equal Opportunity Employer. We’re building a diverse, inclusive team and welcome candidates of all backgrounds.

Job Description Company introduction: Compass Pathways plc (Nasdaq: CMPS) is a biotechnology company dedicated to accelerating patient access to evidence-based innovation in mental health. The Company is headquartered in London, UK, with offices in New York City in the US. We focus on developing novel treatments that have the potential to improve the lives of those who are suffering with mental health conditions and who are not helped by current treatments. We are pioneering a new paradigm for treating mental health conditions focused on rapid and durable responses through the development of our investigational COMP360 synthetic psilocybin treatment, potentially a first in class treatment. COMP360 has Breakthrough Therapy designation from the US Food and Drug Administration (FDA) and has received Innovative Licensing and Access Pathway (ILAP) designation in the UK for treatment-resistant depression (TRD) due to the pressing unmet need in this area. We are currently in phase 3 for TRD, have completed phase 2 studies for both post-traumatic stress disorder (PTSD) and anorexia nervosa and are planning a further late-stage study in PTSD. We envision a world where mental health means not just the absence of illness but the ability to thrive. - Compass Pathways. Job Overview: The Director, Payer Marketing will be responsible for the development of US market access and payer engagement assets and collateral, along with the supporting strategies and tactics for use during our COMP360 launch, and beyond. This role will require robust engagement with key stakeholders including Marketing, Account Management, HEOR, Patient Engagement, Medical Affairs, MLR, and 3rd party vendors to incorporate market and customer insights into the development of payer customer execution strategies. Location: Hybrid in our New York City office or remote in the East Coast. Report to: Senior Director, Market Access Payer and Contract Strategy. Roles and responsibilities (Include but are not limited to): • Develop payer segment strategies and promotional collateral/tools for US payers, including health plans, PBMs (and PBM-affiliated GPOs) across the Commercial, Medicare, Medicaid, VA/DOD/Tricare market segments, • Create a Payer Value Proposition deck for COMP360 that will be used as the primary tool for Payer Account Directors to educate payers on COMP360, • Lead the coordination, engagement, and collaboration efforts with all stakeholder teams (internal and external) to ensure that all payer marketing materials successfully address the needs of our payer customers, while both supporting organizational goals and ensuring compliance Especially important will be working directly with the Payer Accounts Team on the design and purpose of these materials, • Assist in creation of models, dashboards and analysis supporting early product access, • Work with 3rd party agency to design and produce effective payer marketing collateral/tools, • Where applicable, develop Payer Account Director training on the tools and collateral created, • Monitor feedback from payer customers and stakeholder teams to improve messaging, value prop, and tools consistently over time, • Serve as a critical member of the cross-functional teams preparing for a successful launch of COMP360 to achieve optimal payer access and coverage Candidate Profile: • Bachelor's degree, • Minimum of eight (8) years combined experience in Pharmaceutical Marketing, Account Management, Managed Markets/Payer Marketing, • Demonstrated experience with Marketing, Managed Markets, Account Management, • Demonstrated understanding of the mechanics and economics of the healthcare ecosystem, including influences across various payer segments, • Demonstrated understanding of healthcare trends and policy issues and their potential impact on business opportunities, • Deep US Market Access experience across all government and commercial segments, • Analytic and modeling experience, • Proven leadership skills with ability to lead across diverse departments, collaborating across stakeholders, and effectively engaging with senior management, • Demonstrated strategic and critical thinking, problem solving, analytical mindset, planning and communication skills (written/verbal), • Participation in and development of early access strategies and related tools:, • Value messaging, • Contracting options across segments, inclusive of value-based approaches and alternative payment models, • Site of care strategy, • Payer policy inclusion, • Provider access and reimbursement, • Medical vs. pharmacy benefit coverage, combined with buy & bill strategy, • Patient access and OOP, • Pathway inclusion, • Legislative policy impact 【For NYC】Compensation Description (annually): Please note that the base salary range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location. Base pay is one part of the Total Package that is provided to compensate and recognise employees for their work and any role at Compass, regardless of the location, is eligible for additional discretionary bonuses and equity. 【Base salary per annum】:$230,000—$260,000 USDBenefits & Compensation: For an overview of our benefits package and compensation information, please visit "Working at Compass". Equal opportunities: Reasonable accommodation We are committed to building a workplace where everyone's wellbeing matters. If you need reasonable accommodation during the interview process to be at your best, please let our recruiting team know. UK applicants We are proud of our commitment to diversity and equality (pursuant to the Equality Act 2010). We do not discriminate based upon race, religion or belief, colour, nationality, ethnic or national origin, gender, pregnancy or maternity, marital or civil partner status, sexual orientation, gender reassignment, age or disability. US applicants Compass Pathways is proud to be an equal opportunity employer. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, and related medical conditions), ethnicity, age, disability, sexual orientation, gender identity, gender expression, military service, genetic information, familial or marital status, or any other status, category, or characteristic protected by applicable law. Sponsorship: Unfortunately, we cannot sponsor employment visas and can only accept applications if you have employment rights in the country to which you are applying. Data Privacy: All data is confidential and protected by all legal and data privacy requirements, please see our recruitment Privacy Notice to learn more about how we process personal data.

Job Description Member Care Advocate (HYBRID ROLE ONLY-- Montvale NJ & Orlando FL) REMOTE ROLES ARE NO LONGER AVAILABLE EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and members first by enabling them to take control of their pharmacy benefits, healthcare outcomes, and financial results. We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do―and our population health solution delivers tailored strategies for our clients. Leveraging our newly launched, AI-powered pharmacy care platform, Clinically™, EmpiRx Health’s pharmacists and client experience teams provide the highest quality pharmacy care to our clients and their members. This enables benefits plan sponsors to keep their members healthy, happy, and productive, while substantially reducing prescription drug spending, which has been on an explosive growth trajectory in recent years. EmpiRx Health is experiencing unprecedented growth, and we are seeking a highly skilled and experienced Member Care Advocates. In this critical role, you will ensure proactive administrative oversight of all assigned members by utilizing EmpiRx Health’s population health management system for case management. You will also ensure escalations are reviewed and resolved within a timely manner to provide best-in-class service to assigned members. If you are a highly motivated Member Care Advocate with a strong background working in the PBM, health plan, or call center of medication therapy management (MTM) industries, and you are passionate about making a meaningful impact in the health care industry, we encourage you to apply. What You'll Do: As a Member Care Advocate, your role will encompass a wide range of responsibilities, which may include but are not limited to: • Serve as an effective advocate for the client’s member population by providing high quality, thorough, and consistent service to identified members., • Serve as an effective administrative liaison between members, pharmacies, and/or prescribers., • Follow applicable laws, regulations, and defined internal processes to deliver exceptional service to EmpiRx members., • Complete assigned cases in the population health management system in a timely manner., • Administratively communicate with prescribers and members in accordance with EmpiRx Health’s call requirements to meet specific key performance indicator (“KPI”) standards., • Resolve member escalations in a courteous and professional manner, including following defined practices and within a targeted turnaround time., • Ensure that all email communications are attended to/handled in a timely and professional manner., • Respond to member inquiries/requests under the supervision of the assigned Clinical Account Executive., • Ensure that practices, processes, and procedures are continually followed to always deliver a best-in-class experience for members., • Assist with general projects that involve member concierge services under the direct supervision of a licensed pharmacist., • Effectively collaborate with EmpiRx Health internal departments to ensure members receive superior care that is professional, accurate, and timely., • Administratively respond to requests from Clinical Account Executives and the Client Management team (e.g., provider and pharmacy calls)., • Effectively communicate and interact with all other EmpiRx Health departments, fostering teamwork and unity., • Perform other duties as assigned. What You Need: • Pharmacy Technician certification (CPhT)., • Minimum 2 years of experience working for a PBM, health plan or call center of medication therapy management (“MTM”) program; or 4 years of experience in a hospital or retail environment., • Availability to work 5 days per week onsite., • Proficient in Microsoft Office Suite., • Strong customer service orientation and commitment to delivering concierge-level service., • Ability to work in a fast-paced environment., • Ability to think critically and strategically., • Excellent time management skills with the ability to meet tight deadlines., • Excellent verbal and written communication skills., • 4-year college degree (preferred)., • Pharmacy Technician license (preferred). Work Environment— Work Environment: Hybrid in Montvale, NJ and Orlando, FL-- NO REMOTE ROLES ARE AVAILABLE AT THIS TIME Benefits And Perks Subject to program eligibility, this position qualifies for a robust suite of benefits including: Paid Time Off, a 401(k) program, Health Insurance including Dental & Vision coverage, Health Savings Account, and an Employee Assistance Program. EmpiRx Health is an Equal Opportunity Employer At EmpiRx Health, we wholeheartedly embrace the power of diversity and the magic of inclusion. The kaleidoscope of unique perspectives, backgrounds, and talents fuels our innovation and sets us apart. We're on a mission to build a team as diverse as the world we serve, where everyone is welcome and celebrated. We're not just breaking down barriers; we're actively erasing them to create an environment where opportunity knows no bounds. In unity, we find our strength and invite individuals from all walks of life to join us in our exhilarating journey to shape a brighter, more inclusive future together. The expected salary range for this New Jersey position is between $ 50,890- $63,612. Total earnings may also include various incentive options. Actual pay will be adjusted based on experience, education, geographic location, and other job-related factors as permitted by law. Subject to program eligibility, this position qualifies for a robust suite of benefits including: Paid Time Off, a 401(k) program, Health Insurance including Dental & Vision coverage, Health Savings Account, and an Employee Assistance Program.) Note: This job description is a general outline of responsibilities and qualifications for the role. Additional duties may be assigned, and the position may evolve to meet the organization's needs.

Job Description Clinical Account Executive EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and members first by enabling them to take control of their pharmacy benefits, healthcare outcomes, and financial results. We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do―and our population health solution delivers tailored strategies for our clients. Leveraging our newly launched, AI-powered pharmacy care platform, Clinically™, EmpiRx Health’s pharmacists and client experience teams provide the highest quality pharmacy care to our clients and their members. This enables benefits plan sponsors to keep their members healthy, happy, and productive, while substantially reducing prescription drug spending, which has been on an explosive growth trajectory in recent years. EmpiRx Health is in unprecedented growth, and we're seeking a highly skilled and experienced Clinical Account Executive. The Clinical Account Executive (CAE) serves as the primary clinical lead and expert for assigned client accounts, providing strategic guidance, clinical oversight, and Population Health management in alignment with EmpiRx Health’s value-based model. This role is responsible for ensuring clinical program performance, delivering actionable insights to clients, and proactively managing clinical savings and cost trends. CAEs work cross-functionally with internal teams and external stakeholders to support clients' pharmacy benefit goals, ensure clinical guarantees are met, and enhance the member experience. Key Responsibilities: 1. Clinical Lead & Expert • Serve as the clinical expert for assigned client accounts, providing clinical guidance on benefit design, program performance, and population trends., • Maintain the client playbook and have full knowledge of each client’s benefit design, formulary, and customizations., • Participate in quarterly and annual client performance reviews and regular meetings to present clinical outcomes, cost trends, and strategic recommendations., • Deliver a high-touch service experience consistent with EmpiRx Health’s white-glove client model. 1. Population Health Management • Demonstrate proficiency in EmpiRx Health’s Population Health Model, including use of Johns Hopkins ACG risk stratification tools., • Utilize and present data from the Population Health Dashboard to help clients understand member health trends and risk assessments. 1. Clinical Savings Oversight • Track and manage PMPM cost trends and clinical risk for assigned clients., • Monitor the drug pipeline for new-to-market drugs, first-time generics, and biosimilars to identify proactive clinical strategies., • Provide support for clinical savings reconciliation process on as needed bases during high-volume period. 1. New Client Implementation • Support new client onboarding by recommending appropriate clinical programs, formularies, and benefit setups., • Review incumbent PBM documents (e.g., SPDs) and consult on drug coverage and plan structure., • Ensure smooth transition of care (TOC) for newly implemented clients, including appropriate override placement and member/prescriber communication. 1. Tools & Reporting • Generate ad-hoc clinical reports, drug lists, and custom communications tailored to client needs., • Leverage external clinical resources (e.g., IPD, UpToDate, MediSpan, Policy Reporter) to support clinical decision-making and stay current with drug pipeline developments. 1. Cross-Functional & Stakeholder Collaboration • Collaborate with Care Management, Prior Authorization, Plan Build, Client Experience, Formulary, Underwriting, Marketing, and Analytics teams., • Serve as the clinical liaison for external partners and vendors engaged by assigned clients., • Respond promptly to inquiries from internal and external stakeholders, ensuring all clinical aspects are addressed accurately and efficiently., • Assist with special projects and initiatives aimed at enhancing and improving clinical operations and workflows., • Cross-trained in Population Health Executive functions to support team members during peak demand, ensuring seamless operations and maintaining productivity across teams. Education: PharmD Required Qualifications & Experience: • 5 years of experience in pharmacy benefit management, clinical account management, or healthcare consulting., • Strong background in clinical program development and drug utilization review., • Analyzed client prescription data., • Provided ongoing client support and promoted clinical products., • Collaborated cross-functionally with product development and customer service teams., • Clinical expertise in pharmacy benefit design and population health management. Skills: • Strong written and verbal communication skills with the ability to present clinical data and strategies to clients., • High attention to detail, organizational skills, and ability to manage multiple priorities., • Proficiency in Microsoft Office Suite; familiarity with Salesforce, DOMO, RXCurve, and other PBM platforms., • Flexible and adaptable with focus on improving organizational effectiveness., • Client-focused, solutions-oriented mindset with the ability to work cross-functionally and independently. Licensure/ Certifications: • Active Pharmacist License in good standing (Required), • Board Certification (e.g., BCPS, BCACP, BCOP) preferred Work Environment: Hybrid, Montvale, NJ The expected salary range for this New Jersey position is between $125,000 - $155,00. Total earnings may also include various incentive options. Actual pay will be adjusted based on experience, education, geographic location, and other job-related factors as permitted by law. Subject to program eligibility, this position qualifies for a robust suite of benefits including Paid Time Off, a 401(k) program, Health Insurance including Dental & Vision coverage, Health Savings Account, and an Employee Assistance Program.) Benefits And Perks Subject to program eligibility, this position qualifies for a robust suite of benefits including: Paid Time Off, a 401(k) program, Health Insurance including Dental & Vision coverage, Student Loan Reimbursement, Health Savings Account, and an Employee Assistance Program. EmpiRx Health is an Equal Opportunity Employer At EmpiRx Health, we wholeheartedly embrace the power of diversity and the magic of inclusion. The kaleidoscope of unique perspectives, backgrounds, and talents fuels our innovation and sets us apart. We're on a mission to build a team as diverse as the world we serve, where everyone is welcome and celebrated. We're not just breaking down barriers; we're actively erasing them to create an environment where opportunity knows no bounds. In unity, we find our strength and invite individuals from all walks of life to join us in our exhilarating journey to shape a brighter, more inclusive future together. Note: This job description is a general outline of responsibilities and qualifications for the role. Additional duties may be assigned, and the position may evolve to meet the organization's needs.