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Ardelyx is a publicly traded commercial biopharmaceutical company founded with a mission to discover, develop and commercialize innovative first-in-class medicines that meet significant unmet medical needs. Ardelyx has two commercial products approved in the United States, IBSRELA (tenapanor) and XPHOZAH (tenapanor). Ardelyx has agreements for the development and commercialization of tenapanor outside of the U.S. Kyowa Kirin commercializes PHOZEVEL (tenapanor) for hyperphosphatemia in Japan. A New Drug Application for tenapanor for hyperphosphatemia has been approved in China with Fosun Pharma. Knight Therapeutics commercializes IBSRELA in Canada.Position Summary:As a member of the Ardelyx Sales team, the Area Business Director (Nephrology) will cultivate and maintain a strong direct customer-facing presence with nephrology healthcare providers, their office/clinic staff, and their affiliated dialysis center personnel as/if needed. The ABD will help establish Ardelyx as a company that advances patient care with novel mechanism medicines that meet important clinical needs. Responsibilities: • Achieve sales objectives., • Focus on accountability, collaboration, compliance, and teamwork to deliverfavorable results to healthcare professionals, their patients, and Ardelyx., • Assume accountability for establishing and implementing an effective sales plan that meets (ideally exceeds) sales goals and corporate objectives., • Collaborate with ABD peers to optimize product opportunities through coordination and information sharing linked to nephrology practices and dialysis organizations., • Work closely with personnel from Marketing, Patient Services, and Market Access to inform on territory experiences and dynamics to facilitate best practices and idea exchanges to optimize product and Ardelyx success., • Master clinical data, disease state knowledge, competitive products, and market access information to drive relevant messaging with decision-makers and influencers., • Ensure activities comply with all laws, regulations, and Ardelyx compliance policies.Qualifications:, • A minimum of 5 years of pharmaceutical/biotech industry sales experience., • Experience in specialty pharmaceutical/biotech sales, nephrology preferred., • Proven track record of success - consistently achieving and/or outperforming sales goals., • Product launch experience., • Experience with patient service hubs and specialty pharmacy distribution knowledge., • Demonstrated experience in competitive markets., • Ability to engage customers with a keen focus on their needs and experience., • An understanding of the laws and regulations applicable to the sales and marketing ofpharmaceutical products to physicians and healthcare organizations., • Ability to understand/develop and implement sales strategies and tactics., • Strong clinical and scientific acumen to communicate with and influence healthcareprofessionals and key stakeholders., • Specific knowledge of and relationships with nephrology healthcare professionals,their office/clinic staff, their affiliated dialysis centers, and local patient advocacy groups is a plus., • Ability to analyze sales data and key performance metrics to identify business opportunities., • Possess integrity, work with honesty, accuracy, and attention to detail., • Prior sales management experience a plus., • Bachelor's degree.Work Environment:, • This position reports to a Zone Director, • This position is field-based, • This position may require up to 40% travel (customer visits, company meetings, conferences).The anticipated annualized base pay range for this full-time position is $145,000-$190,000. Ardelyx utilizes industry data to ensure that our compensation is competitive and aligned with our industry peers.Actual base pay will be determined based on a variety of factors, including years of relevant experience, training, qualifications, and internal equity. The compensation package may also include an annual bonus target and equity awards, subject to eligibility and other requirements.Ardelyx also offers a robust benefits package to employees, including a 401(k) plan with generous employer match, 12 weeks of paid parental leave, up to 12 weeks living organ and bone marrow leave, equity incentive plans, health plans (medical, prescription drug, dental, and vision), life insurance and disability, flexible time off, annual Winter Holiday shut down, and at least 11 paid holidays.Ardelyx is an equal opportunity employer.

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 Location: Remote Position Summary: Join our Scalability team as a Senior Scalability Engineer focused on streaming andrealtimesystems. In this role, you will own the architecture and expansion of our streaming data infrastructure, including WAL-based database replication, change data capture (CDC) systems, andrealtimeevent processing. Your work will handle systems processing hundreds of thousands to millions of records per batch whilemaintainingstrict ordering guarantees andexactly-oncesemantics. Working closely with our clients and cross-functional teams,you'llbuild foundational streaming infrastructure while partnering directly with product teams to implementrealtimecapabilities that power critical business workflows. Position Responsibilities: In this role,you'llprovide technical leadership while delivering hands-on solutions for high-impact performance challenges. You will: • Own streaminginfrastructure: Design, implement, and expand WAL-based replication systems that process database changes through Kinesis to Snowflake and Redshift, handling millions of records whilemaintainingstrict ordering and delivery guarantees., • Build CDC systems: Architect and implement change data capture infrastructure for cross-platform data synchronization, enabling realtime analytics and event-driven workflows across the organization., • Develop shared libraries: Create reusable Kinesis/SNS consumer patterns and libraries used across multiple teams, establishing best practices for event processing, error handling, and observability., • Partner with product teams: Work directly with teams to design and implement realtime data processing solutions tailored to their business needs, providing technical guidance and hands-on support., • Ensure data reliability: Implement exactly-once processing semantics, dead letter queues, retry strategies, and monitoring to guarantee data integrity across streaming pipelines., • Build observability: Develop monitoring, alerting, and dashboards for streaming pipelines to track throughput, lag, data quality issues, and system health using the LGTM stack., • Demonstrate technical leadership: Mentor engineers on streaming architecture patterns, lead design reviews for event-driven systems, and represent the Scalability team in cross-functional planning., • Make strong architectural choices through careful evaluation and prior experience with distributed systems., • 10+ years of software engineering experience withdemonstratedprogression into technical leadership roles., • 3+ years of experience leading technical initiatives, architecting distributed systems, or serving as a subject matter expert on streaming infrastructure., • Strong expertise in Python (Flask/SQLAlchemy) for production applications., • Deep PostgreSQL knowledge: Understanding of write-ahead logs, replication, logical decoding, and change data capture mechanisms., • Production streaming experience: Proven track record building and operating high-throughput streaming systems using Kinesis, Kafka, or similar event streaming platforms., • Distributed systems expertise: Strong understanding of ordering guarantees, exactly-once semantics, partition strategies, backpressure handling, and fault tolerance patterns., • AWS experience: Production experience with Kinesis, S3, SNS/SQS, Lambda, ECS, and data pipeline orchestration., • Data warehouse knowledge: Experience loading data into Redshift, Snowflake, or similar analytical databases., • Systems thinking: Ability to design resilient, observable streaming architectures that balance throughput, latency, and reliability., • Rust development experience or strong interest in learning Rust for high-performance systems., • Infrastructure as code: Experience with Terraform or similar IaC tools for managing cloud infrastructure., • Observability tools: Hands-on experience with Grafana, Prometheus, Loki, or similar monitoring/alerting platforms., • Event-driven architectures: Background designing event sourcing, CQRS, or other event-driven patterns. Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Salary Range$160,000—$220,000 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___.

Ardelyx is a publicly traded commercial biopharmaceutical company founded with a mission to discover, develop and commercialize innovative first-in-class medicines that meet significant unmet medical needs. Ardelyx has two commercial products approved in the United States, IBSRELA (tenapanor) and XPHOZAH (tenapanor). Ardelyx has agreements for the development and commercialization of tenapanor outside of the U.S. Kyowa Kirin commercializes PHOZEVEL (tenapanor) for hyperphosphatemia in Japan. A New Drug Application for tenapanor for hyperphosphatemia has been approved in China with Fosun Pharma. Knight Therapeutics commercializes IBSRELA in Canada.Position Summary:As a member of the Ardelyx Sales team, the Area Business Director (Nephrology) will cultivate and maintain a strong direct customer-facing presence with nephrology healthcare providers, their office/clinic staff, and their affiliated dialysis center personnel as/if needed. The ABD will help establish Ardelyx as a company that advances patient care with novel mechanism medicines that meet important clinical needs. Responsibilities: • Achieve sales objectives., • Focus on accountability, collaboration, compliance, and teamwork to deliverfavorable results to healthcare professionals, their patients, and Ardelyx., • Assume accountability for establishing and implementing an effective sales plan that meets (ideally exceeds) sales goals and corporate objectives., • Collaborate with ABD peers to optimize product opportunities through coordination and information sharing linked to nephrology practices and dialysis organizations., • Work closely with personnel from Marketing, Patient Services, and Market Access to inform on territory experiences and dynamics to facilitate best practices and idea exchanges to optimize product and Ardelyx success., • Master clinical data, disease state knowledge, competitive products, and market access information to drive relevant messaging with decision-makers and influencers., • Ensure activities comply with all laws, regulations, and Ardelyx compliance policies.Qualifications:, • A minimum of 5 years of pharmaceutical/biotech industry sales experience., • Experience in specialty pharmaceutical/biotech sales, nephrology preferred., • Proven track record of success - consistently achieving and/or outperforming sales goals., • Product launch experience., • Experience with patient service hubs and specialty pharmacy distribution knowledge., • Demonstrated experience in competitive markets., • Ability to engage customers with a keen focus on their needs and experience., • An understanding of the laws and regulations applicable to the sales and marketing ofpharmaceutical products to physicians and healthcare organizations., • Ability to understand/develop and implement sales strategies and tactics., • Strong clinical and scientific acumen to communicate with and influence healthcareprofessionals and key stakeholders., • Specific knowledge of and relationships with nephrology healthcare professionals,their office/clinic staff, their affiliated dialysis centers, and local patient advocacy groups is a plus., • Ability to analyze sales data and key performance metrics to identify business opportunities., • Possess integrity, work with honesty, accuracy, and attention to detail., • Prior sales management experience a plus., • Bachelor's degree.Work Environment:, • This position reports to a Zone Director, • This position is field-based, • This position may require up to 40% travel (customer visits, company meetings, conferences).The anticipated annualized base pay range for this full-time position is $145,000-$190,000. Ardelyx utilizes industry data to ensure that our compensation is competitive and aligned with our industry peers.Actual base pay will be determined based on a variety of factors, including years of relevant experience, training, qualifications, and internal equity. The compensation package may also include an annual bonus target and equity awards, subject to eligibility and other requirements.Ardelyx also offers a robust benefits package to employees, including a 401(k) plan with generous employer match, 12 weeks of paid parental leave, up to 12 weeks living organ and bone marrow leave, equity incentive plans, health plans (medical, prescription drug, dental, and vision), life insurance and disability, flexible time off, annual Winter Holiday shut down, and at least 11 paid holidays.Ardelyx is an equal opportunity employer.

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 Position Summary: We are seeking a highly analytical and detail-oriented Analyst to join our growing Analytics team. This role supports the execution of data-driven projects, reporting initiatives, and business insights. The ideal candidate will have a foundational background in data analysis and a desire to grow technical skills while contributing to cross-functional collaboration and data-informed decision-making. With at least 1-2 years of experience building client-facing reporting and analytics, this individual will play a key role in supporting the team's reporting, analysis, and quality control efforts. Why you'll love working here: • We translate complex questions into clear, actionable insights that help the organization move faster and smarter., • We build reliable, scalable data products that make decisionmaking consistent and trustworthy across teams., • We collaborate effectively with stakeholders to ensure analytics work aligns with real needs and drives meaningful improvement. Position Responsibilities: Analytical Project Support • Assist in the execution of analytics projects by gathering data requirements and preparing reporting deliverables., • Conduct exploratory analyses to support program performance, compliance tracking, and utilization trends., • Collaborate with internal teams to support alignment between analytical work and business goals., • Participate in meetings with stakeholders to understand project needs and provide data support., • Use analytical tools to uncover trends and insights from complex datasets., • Create dashboards, reports, and visualizations that support operational and strategic initiatives., • Support efforts to ensure reporting and analysis meet compliance standards., • Participate in quality control reviews and help maintain documentation and consistency across deliverables., • Engage in internal training and development to strengthen analytical skills., • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Minimum Qualifications: • 1-3 years of experience in data analytics/business intelligence or a related field (matching current Analyst level)., • Expertise in Tableau Desktop and publishing to Tableau Cloud/Server., • Strong SQL skills; experience with Snowflake preferred., • Experience with GitHub for version control and collaboration., • Familiarity with dbt concepts and governed metric definitions., • Preferred domain knowledge in PBM/pharmacy., • Experienced working with pharmacy and medical claims data., • Experience with client reporting is strongly preferred., • Strong organizational skills and attention to detail; effective communicator with non-technical stakeholders. Preferred Qualifications: • Experience in large-scale, high-growth organizations., • Exposure to Agile practices and cross-functional project work., • Experience working with Tableau REST API. 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___.

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 Position Summary The Manager of Client Experience Resolution & Optimization (CERO) leads the intake, triage, and resolution process for client-impacting issues within Client Services. This role establishes governance for intake workflows, ensures issues are accurately validated and routed, and drives consistency in how Client Services manages and resolves operational challenges. The Manager partners across the organization to streamline processes, reduce manual work, and improve end-to-end client experience, while providing coaching for the CERO Analyst. Position Responsibilities: • Build and manage a standardized intake and routing process for Client Services issues., • Govern issue of triage, prioritization, and cross-functional coordination., • Serve as the primary point of contact for inquiries related to intake, validation, and routing., • Develop and maintain SOPs, workflows, and documentation supporting Client Services operations., • Establish and monitor highlevel performance indicators (e.g., intake volumes, turnaround times, quality measures) in partnership with internal analytics teams., • Lead continuous improvement initiatives aimed at simplifying workflows and reducing recurring issues., • Partner with functional teams to identify process gaps and support implementation of improvements., • Bachelor's degree is required, • 5+ years of experience in client services, operations, or workflow/process management., • Demonstrated success in establishing governance structures or managing intake of workflows., • Strong collaboration, communication, and organizational skills. 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___.

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 Position Summary: Join our mission toinfusecutting-edgeAI/ML/GenAIintopharmacy benefits as aMachine Learning Engineering Intern.We are looking foragraduate studentswithartificial intelligence /machine learningspecializationto join us ininvestigatingAI capabilitiesand tools to improve productivity and createmagical experiences in our products and services. Inthis role, you will collaborate with researchers, engineers, and program/project managers to tackle innovative challenges. You will also receive technical mentorship and guidance that allows you to learn new things every day, gain practical skills, build real world experience, develop a greater understanding ofthe healthcare techindustry, and form valuable connections. Together, you and your team will partner to design and implement an innovative solution for a Machine Learning problem that is meaningful. At the end of your internship, you will have the opportunity to meet and present your work to leadership. Responsibilities: • Investigate and experiment with tools and methodologiesleveragingArtificial Intelligence (AI)andmachinelearning (ML) solutions in the fields of Document understanding, Search andQnA,GenAI,Virtual Agents, etc., • Work with senior technical staff to develop improvements to models to generatenew contentusing machine learning models in a secure, well-tested, and reasonably performant way., • Applytoolsand methodologiesfor large-scale data processing and ETLand contribute to extracting insights from data to help guide ML systems development, • Ensure the integrity and robustness of ML solutions byexecutingautomated testing and validation processesestablishedwithin the team., • Documentandcommunicatedevelopment processes andimplementationdetails with peers and supervisors., • Ensure the security and compliance of healthcare data, adhering to HIPAA regulations., • Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. RequiredQualifications: • Working toward a masters or doctoral degree in computer science, engineering, machine learning, applied mathematics, or equivalent., • Goodunderstandingor having completed course workof Machine Learning fundamentals such as Deep Neural Networks, Transformer-based LLM and MLMs, Boostedor standard decisiontrees, RAG,etc., • Basic understandingof OOP, Design Patterns, efficient algorithms, and software developmentlifecycles., • Decentproficiencyin Python., • Goodproblem-solving skills, attention to detail,anda strong capacity for logical thinking., • Some experience crafting, conducting, analyzing, and interpreting experiments and investigations is a plus. 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___.

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 Position Summary: Join our mission to transform pharmacy benefits and healthcare navigation as a SeniorFullstackSoftware Developer. You will lead the delivery of complex, end-to-end features-building responsive, accessible UIs with React/TypeScript/Next.js and implementing reliable Python APIs (FastAPI/Flask with SQL).You'llpartner with product and design to refine requirements, define clear API contracts, and raise the bar on testing, CI/CD, performance, and security (OAuth 2.0/OIDC). Position Responsibilities: • Lead design and implementation of user-facing features and backend services., • Build accessible, performant UIs with TypeScript,React (React Router /Next.js,HTML, and CSS, • Implement robust REST APIs in Python (FastAPI/Flask); design schemas and write efficient SQL., • Define clear API contracts and patterns; ensure consistency across services and UIs., • Own quality: automated tests with Jest, React Testing Library, and Playwright; thorough code reviews and documentation., • Improve build and release pipelines (Vite/Webpack, GitHub Actions) and support deployments on AWS., • Monitor and troubleshoot productionissues;drive reliability and performance improvements., • 6+ years of experience buildingfullstackweb applications, including leading features or projects., • StrongexpertisewithReact (React Router /Next.js) andrenderingstrategies (CSR/SSR/SSG), TypeScript, HTML, and CSS., • Solid backend experience with Python (FastAPI/Flask), REST API design, and SQL/schema design., • Hands-on with Jest, React Testing Library, Playwright; CI/CD with GitHub Actions; familiarity with AWS., • Understanding ofweb security and authentication (OAuth 2.0/OIDC) and secure coding practices., • Clear communicator who collaborates effectively across product, design, and engineering., • Healthcare/HIPAA experience is a plus. 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___.

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 Position Summary: Case Underwriteris responsible forleading the underwriting for Judi Health and Capital Rx new-business medical TPA and pharmacy RFPs. This new role offers the opportunity to be a part of shaping our underwriting strategy from the ground up for Judi Health medical TPA opportunities. The successful candidate will collaborate with various teams to refine financial models and reporting, present final underwriting to leadership and drive continuous improvement in pricing and underwriting practices. Position Responsibilities: • Direct and execute day-to-day pricing and underwriting for new and renewing business opportunities, • Direct and execute day-to-day pricing and underwriting for new and renewing Judi Health and Capital Rx prospects, covering medical TPA and pharmacy components, • Coordinate with Sales, ProposalDevelopmentand other business functions tosubmittimelyand complete RFP responses, • Collaborate with Executive Team and other business functions to design, refine, andmaintaininternal underwriting, financial modeling, and financial reporting SOPs, • Support client contracting, including validation that contract terms align with proposal underwriting parameters, • Present final underwriting to Sales and Executive Team and be able to articulate any potential risk, • Support continued development and maintenance of underwriting and financial reporting system infrastructure, • Mine external data todeterminebest underwriting practices for each business opportunity, • Manage multiple projects and deadlines as needed, • Work collaboratively across the organization to communicate and support ongoing financial analytics and reporting needs, • Support analysis and development of pricing models for new products, • Support general business needs, asrequired, • Bachelor's degree, with record of strong academic performance in Accounting, Finance, Actuarial Science, Statistics, or Economics (In lieu of a degree, equivalent relevant work experience may be considered), • 2+ years of proven experience in financial analysis, actuarial services, accounting, pricing & underwriting, • Pharmacy, PBM, or Health Plan experience required, • 2+ years of Medical Underwriting experiencerequired.Additionalexperience in Pharmacy,PBM,and/or Health plan Underwriting is preferred, • Knowledge of risk management, statistics, financial modeling, • Data mining experience working with large structured and unstructured data sets, • Advancedproficiencyin Microsoft Excel, • Experience in either SQL, SAS, or R and data visualization tools is preferred, • Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables, • Ability to balance multiple complex projects simultaneously, • Exceptional technical, analytical, and problem-solving skills, • Exceptional written and verbal communication skills, • Extremely flexible, highly organized, and able to shift priorities easily 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___.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to startCaring. Connecting. Growing together. TheSenior Investigator Pharmacyis responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The Senior Investigator will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and patterns. The Senior Investigator is responsible for conducting investigations which may include field work to perform interviews and obtain records and/or other relevant documentation. Travel:Up to 50%. Applicants must be within commutable distance toPhiladelphia, Kings, and Essex Counties. If you reside withinNew Jersey, New York, you will enjoy the flexibility to telecommute* as you take on some tough challenges. Primary Responsibilities: • Assess complaints of alleged misconduct received within the Company, • Investigate medium to highly complex cases of fraud, waste and abuse, • Detect fraudulent activity by members, providers, employees and other parties against the Company, • Develop and deploy the most effective and efficient investigative strategy for each investigation, • Maintain accurate, current and thorough case information in the Special Investigations Unit's (SIU's) case tracking system, • Collect and secure documentation or evidence and prepare summaries of the findings, • Participate in settlement negotiations and/or produce investigative materials in support of the latter, • Communicate effectively, including written and verbal forms of communication, • Develop goals and objectives, track progress and adapt to changing priorities, • Collect, collate, analyze and interpret data relating to fraud, waste and abuse referrals, • Ensure compliance of applicable federal/state regulations or contractual obligations, • Report suspected fraud, waste and abuse to appropriate federal or state government regulators, • Comply with goals, policies, procedures and strategic plans as delegated by SIU leadership, • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays, • Medical Plan options along with participation in a Health Spending Account or a Health Saving account, • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage, • 401(k) Savings Plan, Employee Stock Purchase Plan, • Education Reimbursement, • Employee Discounts, • Employee Assistance Program, • Employee Referral Bonus Program Required Qualifications: • Bachelor's Degree OR Associate's Degree plus two years of equivalent work experience with healthcare related employment, • 2+ years of experience in healthcare, fraud, waste and abuse (FWA), • 2+ years of experience in state or federal regulatory FWA requirements, • 2+ years of experience in analyzing data to identify fraud, waste and abuse trends, • Intermediate level of experience in Microsoft Excel and Word, • Intermediate level of knowledge in pharmacy claims processing, • Must have a valid driver's license, • Reside in NY or NJ and be willing and able to travel up to 50%within PA, NY, and NJ (Philadelphia, Kings, Essex Counties, and surrounding areas), • 2+ years of experience in health care policies, procedures, and documentation standards, • 2+ years of experience in developing investigative strategies, • Specialized knowledge/training in healthcare FWA investigations, • Active affiliations:, • National Health Care Anti-Fraud Association (NHCAA), • Accredited Health Care Fraud Investigator (AHFI), • Certified Fraud Examiner (CFE), • License and/or Certified Pharmacy Technician (CPhT) Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role willrangefrom $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Groupis a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

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 Position Summary: Join our mission to transform pharmacy benefits and healthcare navigation as a Senior Data Engineer (Analytics Engineer). You will build and maintain reliable data models within Snowflake with dbt, and improve data quality and observability. Partner with analysts, data scientists, and software engineers to deliver trusted, well-documented datasets that power analytics and products. Position Responsibilities: • Build, test, and document Snowflake data models and business logic in dbt, • Apply and improve data quality, testing, observability, and lineage standards, • Collaborate with cross-functional partners to define data contracts and interfaces, • Contribute to Capital Rx's modular data platform and client-specific data configurations, • Participate in design reviews; propose scalable, maintainable patterns, • Monitor pipeline health, troubleshoot incidents, and drive root-cause fixes, • Optimize cost and performance of jobs, storage, and queries with guidance, • Write clear documentation and support knowledge sharing, • Adhere to the Capital Rx Code of Conduct, including reporting of noncompliance Preferred Qualifications: • 5+ years in data engineering, software engineering, or related field, • Strong SQL and Python; solid understanding of ETL/ELT and dimensional/data vault modeling, • Hands-on dbt experience (models, tests, documentation, deployments), • Experience with orchestration (Dagster or Airflow) and scheduling best practices, • Familiarity with Spark/Databricks and cloud data warehouses (Snowflake preferred), • CI/CD for data (Git-based workflows, environments), and basic IaC familiarity, • Data observability and testing (dbt tests, Great Expectations/Soda, lineage tools), • Understanding of security, governance, and privacy for PII/PHI (HIPAA awareness), • Effective communication and collaboration with technical and non-technical stakeholders, • Bonus if you have Exposure to healthcare data (claims, eligibility, provider directories), • Performance tuning in Snowflake (warehouse sizing, clustering, caching) Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time. About Capital Rx Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp, Capital Rx is executing its mission through the deployment of JUDI, the company's cloud-native enterprise health platform, and a Single-Ledger Model, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare. Capital Rx 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. Salary Range$140,000—$160,000 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___.

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 Position Summary: We areseekinga highly analytical and detail-oriented Analyst to join our growing Analytics team. This role supports the execution of data-driven projects, reporting initiatives, and business insights. The ideal candidate will have a foundational background in data analysis and a desire to grow technical skills while contributing to cross-functional collaboration and data-informed decision-making. This individual will play a key role in supporting the team's reporting, analysis, and quality control efforts. Position Responsibilities: Analytical Project Support • Assistin the execution of analytics projects by gathering data requirements and preparing reporting deliverables., • Conduct exploratory analyses to support program performance, compliance tracking, andutilizationtrends., • Collaborate with internal teams to support alignment between analytical work and business goals., • Participate in meetings with stakeholders to understand project needs and provide data support., • Use analytical tools to uncover trends and insights from complex datasets., • Create dashboards, reports, and visualizations that support operational and strategic initiatives., • Support efforts to ensure reporting and analysis meet compliance standards., • Participate in quality control reviews and helpmaintaindocumentation and consistency across deliverables., • Engage in internal training and development to strengthen analytical skills., • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. MinimumQualifications: • 1-2 years of experience in data analytics, business intelligence, ora relatedfield., • Exposure to pharmacy claims data, medical claims, or healthcare reporting is a plus., • Proficiencyin SQL and familiarity with scripting languages such as Python or R., • Experience using BI tools such as Tableau or similar platforms., • Basic understanding of cloud-based data warehouses (e.g., Snowflake,BigQuery, Redshift) is preferred., • Strong organizational skills, attention to detail, anda commitmentto producing high-quality work., • Effective communication skills, with the ability to explain analytical concepts to non-technical stakeholders., • Attention to detail & commitment to delivering high quality workproduct. Preferred Qualifications: • Experience working in large-scale, high-growth organizations., • Knowledge of machine learning or advanced statistical modeling techniques., • Familiarity with Agile project management methodologies., • Bachelor's degree in Computer Science, Actuarial Science, Statistics, Economics, ora related field. 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___.

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 About the team Join our team as a Platform Engineer focused on network architecture and site reliability. In this role, you will own the design and implementation of our cloud network architecture, ensuring our platform is resilient, secure, and scales effectively across multiple AWS accounts, environments, and regions. You'll architect solutions for complex networking challenges like hierarchical CIDR allocation across accounts and integrations, implement disaster recovery and regional redundancy strategies, and establish the reliability practices that keep our healthcare platform running. Working closely with leadership and cross-functional teams, you'll build the foundational infrastructure that supports our rapidly growing platform while ensuring we can handle failures gracefully and recover quickly. Position Responsibilities: In this role, you'll own critical infrastructure that ensures platform reliability and scalability. You will: • Design network architecture: Architect and implement hierarchical CIDR allocation strategies across multiple AWS accounts, environments, and external integrations, ensuring proper subnet organization and IP address management., • Build multi-region capabilities: Design and implement regional redundancy and multi-region failover strategies to support disaster recovery requirements and improve platform availability., • Manage cloud networking: Own VPC design, subnets, routing tables, security groups, NACLs, VPC peering, Transit Gateway, and other AWS networking components across our infrastructure., • Implement disaster recovery: Establish and regularly test disaster recovery procedures, backup strategies, and failover mechanisms to ensure business continuity., • Evaluate multi-cloud solutions: Assess and prototype solutions across AWS, Azure, GCP, and Oracle Cloud to determine optimal approaches for specific use cases and integrations., • Monitor platform health: Define and implement platform health indicators, SLIs, SLOs, and monitoring that provide early warning of infrastructure issues and track reliability improvements., • Ensure security and compliance: Work with security teams to implement network security best practices, maintain compliance requirements (HIPAA, SOC2, FedRAMP), and conduct security reviews., • Drive infrastructure reliability: Participate in on-call rotations, lead incident response for infrastructure issues, conduct postmortems, and implement improvements to prevent recurrence., • Automate infrastructure management: Build infrastructure-as-code using Terraform to manage network resources, implement self-service capabilities, and ensure consistency across environments. Requirements: • 5+ years of infrastructure engineering, DevOps, or site reliability engineering experience., • Experience leading projects or teams: Demonstrated ability to lead technical initiatives, drive architectural decisions, or mentor other engineers., • Extensive AWS expertise: Deep production experience with VPC, subnets, routing, security groups, Transit Gateway, Direct Connect, Route 53, and other AWS networking services., • Network architecture experience: Proven track record designing and implementing complex network architectures including CIDR planning, subnet design, and multi-account strategies., • Disaster recovery expertise: Experience designing and testing disaster recovery procedures, backup strategies, and multi-region failover capabilities., • Infrastructure as code: Strong experience with Terraform for managing cloud infrastructure at scale., • Site reliability practices: Understanding of SLIs, SLOs, error budgets, incident management, and reliability engineering principles., • Strong development skills: Proficiency in Python or similar languages for automation and tooling., • Security mindset: Understanding of network security principles, encryption, IAM, and compliance requirements in regulated industries. Preferred Qualifications: • Multi-cloud experience: Hands-on experience with Azure, GCP, or Oracle Cloud networking and cross-cloud connectivity., • Rust development experience or interest in learning Rust for infrastructure tooling., • Advanced AWS certifications: AWS Solutions Architect Professional, AWS Advanced Networking, or similar certifications., • Container networking: Experience with ECS, EKS, or Kubernetes networking, service mesh, and load balancing., • Database networking: Understanding of database replication, Aurora Global Databases, and cross-region data synchronization., • CDN and edge networking: Experience with CloudFront, edge locations, and content delivery optimization., • Cost optimization: Track record of reducing infrastructure costs while maintaining or improving reliability., • Previous Pharmacy Benefits Manager (PBM) or healthcare technology experience. Salary Range$130,000—$160,000 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___.

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 Location: Hybrid (Local to NYC or Denver Metropolitan areas) Position Summary: The Provider Relations Specialist provides essential credentialing review and management to support the Capital Rx networks of pharmacies. This work involves deciding whether pharmacies meeting Capital Rx's credentialing requirements allowing for inclusion in the Capital Rx pharmacy networks and maintaining the information related to credentialing. The ideal candidate will have experience in credentialing providers, managing reporting requests, and contribute to scalable solutions to streamline processes. Position Responsibilities: • Manage the standard credentialing review process for applicable pharmacies for inclusion in the provider networks andmaintainthe information related to credentialing so that Capital Rx has the most relevant information available. This includes getting applicable licenses and certificates of insurance from pharmacies as well as verifying eligibility in the NCPDP database and federal and state websites (e.g.OIG, GSA, SAM) and using that information to decide whether the pharmacy meets the credentialing requirements for Capital Rx., • Manage,reviewand decide whether the applicable pharmacies are valid by reviewing exclusion lists on an ongoing basis toidentifyany excluded pharmacies and referring those pharmacies to theappropriate teammembers/departments for removal., • Manage the development and maintenance of a credentialing database to ensure proper tracking of all relevant credentialing information., • Manage credentialing reporting requests., • Gather and track annual pharmacy required attestations., • Manage and review development andimplementof credentialing policies and procedures., • Gather pertinent information from pharmaciesregardingservices offered and opportunities and provide direct contracting support to Provider Relations leadership as needed., • 2+ yrs. of experience in healthcare, pharmacy credentialing, contracting, provider relations, pharmacy, accountmanagementor other relevant experience., • Proven track record of working in a fast-paced environment, managing multiple tasks at once and having a go-get attitude to provide persistent outreach to pharmacy providers to close out contracts and tasks., • Ability to work independently, track work/projects appropriately and remain on task., • Strong communicationskills with the ability to develop effective working relationships with providers and internal and external stakeholders., • PBM and pharmacy technician experience preferred, • Bachelor's degree preferred Salary Range$50,000—$60,000 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___.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The overall purpose of the Behavioral Health Care Advocate is to improve the enrollee's ability to remain stable in the community and out of the hospital. Care Advocates engage people in the treatment process and assist them to access the appropriate community services so they can pursue their treatment goals in the community and avoid institutionalization. This position is also designed to be a direct clinical liaison between health plan staff and the clinical network. The program fosters a collegial and mutually beneficial relationship between the providers and payers of medical and behavioral health services. This is a field-based position working with adults enrolled in the Medicaid program. You will spend 80% of the time meeting with enrollees at hospitals, clinical facilities, community sites, and in their homes. The remaining 20% is spent working remotely at home. The schedule is Monday - Friday, 8 am to 5 pm, with no weekends, evenings, or holidays. Current residency in Brooklyn is required. Due to business needs, residency in Southwest, South, or East Brooklyn is preferred. Primary Responsibilities: • Identify and provide community service linkage, • Assist enrollees with aftercare appointments, • Provide subsequent member follow-up as determined by individual member needs, • Work with enrollees to identify gaps in care or obstacles to care and problem solve for successful connection to needed services, • Review IP Census each day to determine which enrollees on the census are re-admits within the last 12 months, • Go to facility meetings with treatment team to develop a successful aftercare plan, • Manage the aftercare follow-up of identified high risk enrollees (manage follow-up calls/outreach and documentation), • Meet with community providers/facilities as company liaison to foster good rapport and relationships and to identify new programs As part of your employment with Optum, you'll enjoy a robust total rewards package that includes: • Competitive salaries, • Comprehensive benefits, including health insurance, 401(k) matching, and a wide range of life and wellness resources to support your overall well-being, • Paid time off and paid company holidays, • Continuing education support, including CEU and licensure reimbursement, • Mileage reimbursement for work-related travel, • Opportunities to make a meaningful impact by supporting your local community and partnering with area resources We're committed to creating a supportive and rewarding environment where you can thrive both personally and professionally. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling; OR Licensed Ph.D.; OR Registered Nurse with 5+ years of Behavioral Health experience, • Active, unrestricted, independent license the State of New York:, • Licensed Mental Health Counselor (LMHC), • Licensed Marriage & Family Therapist (LMFT), • Licensed Clinical Social Worker (LCSW), • Licensed Psychologist (LP), • Registered Nurse (RN), • 2+ years of experience in a related mental health environment, • Demonstrated proficiency with computers and solid working knowledge of Excel spreadsheets, • Dedicated, distraction-free home office / workspace with access to install secure, high-speed internet at home, • Access to reliable transportation that will allow daily travel throughout an assigned territory to meet with enrollees, • Reside in Brooklyn Preferred Qualifications: • Medical/Behavioral setting experience (i.e., hospital, managed care organization, or joint medical/behavioral outpatient practice), • Dual diagnosis experience with mental health and substance abuse, • Case Management experience, • Community health experience, • Field based experience, • Experience working with low-income populations, • Experience working with the aged, blind, or disabled, • Working knowledge of city and state agencies and practices including APS, ACS, AOT, ACT, Health Home, Forensic and others, • Reside in Southwest, South, or East Brooklyn All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Behavioral Medical Director position is responsible for providing oversight to and direction of the Utilization Management Program and performing peer reviews as necessary. This individual will interact directly with and offer clinical, procedural, or administrative recommendations to psychiatrists and other behavioral health providers, medical physicians and nurses, clinical professionals, and/or state agencies who care for members, or consult on various processes and programs. The Medical Director is part of a leadership team that manages development and implementation of evidence-based treatments and medical expense initiatives and will also advise leadership on health care system improvement opportunities. They are responsible for maintaining the clinical integrity of the program, including timely peer reviews, appeals and consultations with providers and other community-based clinicians, including general practitioners, and will work collaboratively with the Health Plan Medical Director, Clinical, Network and Quality staff. At Optum, our clinical vision drives the team to improve the quality of care our consumers receive. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: • Collaborate with the Utilization Management and Care Management teams to ensure delivery of cost-effective quality care that incorporates recovery, resiliency and person-centered services, • Partner with the internal UM and CM teams, Health Plan, NJ state and the Providers, • Responsible for Level of Care guidelines and utilization management protocols, • Oversight and management, along with the Clinical Director and Clinical Program Director, utilization review, management and care coordination activities, • Provide clinical oversight to the clinical staff, oversee the management of services at all levels of care in the benefit plan, • Keep current regarding Evidence Based Practices and treatment philosophies including those that address Recovery and Resilience You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Doctor of Medicine or Osteopathy, • Current license to practice as a physician without restrictions in the state of New Jersey, • Board certified in Psychiatry, • Knowledge of post-acute care planning such as home care, discharge planning, case management, and disease management, • Demonstrated understanding of the clinical application of the principles of engagement, empowerment, rehabilitation and recovery, • Familiar with Substance Use Disorders, ASAM and treatment modalities including MAT (Medication Assisted Treatment), • Computer and typing proficiency, Microsoft Outlook and Teams, and data analysis, • Currently reside in the state of New Jersey Preferred Qualifications: • 3+ years of experience as a practicing psychiatrist post residency, • Managed care experience, • Experience in public sector delivery systems and experience in state specific public sector services, • Experience working with community-based programs and resources designed to aid the State Medicaid population *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Compensation for this specialty generally ranges from $268,000 - $414,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job details About Us: The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate, expert care to patients of all ages. Informed by basic research done at our Sloan Kettering Institute, scientists across MSK collaborate to conduct innovative translational and clinical research that is driving a revolution in our understanding of cancer as a disease and improving the ability to prevent, diagnose, and treat it. MSK is dedicated to training the next generation of scientists and clinicians, who go on to pursueour missionat MSK and around the globe. Exciting Opportunity at MSK: Our Clinical Pharmacy team is looking for a Neuro-Oncology Clinical Pharmacy Specialist to join our team! Role Overview: As a Clinical Pharmacy Specialist (CPS) at Memorial Sloan Kettering, you will play a critical role in our mission to conquer cancer. You will work alongside clinicians who are internally and nationally recognized as leaders in multiple fields. Our belief in unifying basic science with clinical investigations, collaboration across all department levels, and most importantly, the unmatched dedication and compassion of our staff has resulted in Memorial Sloan Kettering being named among the elite hospitals for cancer care in the nation, according to the U.S. News & World Report listing of Best Hospitals. The Pharmacy Department utilizes a multidisciplinary approach to patient care, where the emphasis is on therapeutic efficacy and safety. We provide comprehensive, clinical and dispensing services through a decentralized pharmacy services model. We are looking for a confident, independent individual to join our Neuro-Oncology team. In the CPS role, you will serve in a fully clinical capacity as an integral member of the inpatient neuro-oncology service at our main campus, providing advanced clinical pharmacy services, including: * Drug therapy design and monitoring, patient medication counseling, and participation in Collaborative Drug Therapy Management (CDTM) initiatives * Committee participation and developing treatment guidelines and pharmacy policies * Precepting PGY2 pharmacy residents and pharmacy students * Delivering staff education including Grand Rounds and in-service training Key Qualifications: * Doctorate in Pharmacy; Oncology experience preferred * NYS license (or eligibility) * Completion of an ASHP-accredited pharmacy practice residency and an ASHP-accredited oncology residency, or equivalent experience are required. Additional Information: * Regular hours of work fall between Monday - Friday, 37.5 hours per week * Flexibility may be required depending upon the needs of the department * Located at 1275 York Avenue * Reporting into: Manager, Oncology Clinical Pharmacy Please submit a statement of interest along with your CV to this application. Helpful Links: * * Pay Range: $137,500.00 - $227,000.00 FSLA Status: Exempt Closing: At MSK, we believe in fair, competitive pay that reflects your job, experience, and skills. MSK is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sexual orientation, national origin, age, religion, creed, disability, veteran status or any other factor which cannot lawfully be used as a basis for an employment decision. Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

Summary of Job Support the Quality Management department in the development and maintenance of a monitoring and reporting structure for data reports and analysis related to the HEDIS-QARR project, pharmacy adherence initiatives, and other performance improvement initiatives related to Medicare Stars and Medicaid QIA. Provide analysis of HEDIS-QARR projects, pharmacy adherence initiatives, and other performance improvement initiatives related to Medicare Stars and Medicaid QIA. Develop meaningful insights and actionable analytics using advanced statistical and/or modeling analyses to drive quality and STARS performance. Responsibilities • Analyze monthly rate reports and stratify data to identify statistically significant trends., • Evaluate effectiveness of complex quality improvement projects established for all Medicare and state-sponsored programs., • Create reports to track, monitor and report on provider and network-wide quality performance, including performance towards Medicare Stars and NYSDOH quality goals., • Perform exploratory and in-depth data analyses for assigned measure/population and develop complex predictive models utilizing independent variables and programming language., • Identify data improvement opportunities through review of HEDIS/QARR/Star reports and data outputs and detecting data acquisition, capture, and system error issues., • Provide analytical and technical support in the design, development and maintenance of quality improvement and wellness-based initiatives., • Work with various teams in Quality Management to develop needed tools to track, trend and directly impact measures results related to Quality Scores., • Perform regular rate/impact /trending analysis and recommend corrective actions to meet quality targets., • Maintain up-to-date knowledge and understanding of HEDIS/QARR/Star measure technical specifications., • Support quality specific interoperability efforts., • Bachelor's Degree in an analytical/quantitative field (healthcare management, finance, business, mathematics, engineering, applied stats/economics, or related)., • Master's Degree (Preferred), • 4 - 6+ years of relevant, professional work experience in an analytical role (Required), • 2+ years of managed care/healthcare experience (Preferred), • Proficient in MS Office - Word, PowerPoint, Excel, Access (Required), • Advanced experience with relational database applications - SAS, R, SQL, or others (Required), • Experience with improving or automating processes using programming languages/software - Python, VBA, R, SAS, C++, etc. (Required), • Experience with and proficient in statistical software/programs - SAS, R, Stata, Minitab or others (Required), • Familiarity with Business Intelligence tools - Tableau, Power BI (Preferred), • Knowledge of HEDIS and Medicare Stars reporting processes (Preferred), • Strong communication skills - verbal, written, presentation, interpersonal (Required) Additional Information, • Requisition ID: 1000002938, • Hiring Range: $68,040-$118,800

Summary of Job Perform provider and member outreach to reconcile member records and validate data entry to support continuous quality improvement in Healthcare Effectiveness Data and Information Set (HEDIS) rates and STAR measures for the enterprise. Facilitate provider and member outreach supporting the MTM, OMW, and Medication Adherence quality measures to ensure member receipt of important clinical services to improve member health outcomes. Daily telephonic outreach to secure appointments with pharmacists and/or vendors to close gaps in care. Support efficient medical record retrieval for HEDIS medical record review and HEDIS supplemental data collection activities. Track calls for all lines of business related to the MTM, OMW, and Medication Adherence quality measures, reporting weekly completion statistics. Produce and process department mailings to members and physicians. Monitor internal mailboxes for department faxes and calls. Collaborate with internal departments in order to administer the MTM, OMW, and Medication Adherence quality measures. Responsibilities • Work closely with Clinical Pharmacist(s), Registered Nurses and Data Analyst(s) to prioritize members for outreach who fall in HEDIS measures including but not limited to Medication Adherence and OMW (Osteoporosis Management in Women who had a fracture) and the STAR measure MTM (Medication Therapy Management) Program., • Perform daily telephonic outreach to secure appointments with pharmacists and/or vendors to close gaps in care supporting Enterprise goals., • Perform daily provider and member outreach supporting the MTM, OMW, and Medication Adherence quality measures to ensure member receipt of important clinical services to improve member health outcomes., • Prepare and execute member and provider mailings., • Collaborate with providers and internal departments to ensure the receipt and correct processing of all supplemental data related to HEDIS claims and records and assist in correcting discrepancies., • Maintain high data integrity while adhering to HIPAA standards and protecting patient information., • Perform provider outreach to verify and document member's appropriate medical diagnoses and subsequent treatments both by telephone and in writing., • Coordinate call tracking and provide statistics to stakeholders., • Intake and organize data from other departments while ensuring proper compliance with all CMS regulations, policies and procedures., • High School Diploma (Required), • College Degree (Preferred), • Pharmacy Technician License (Preferred), • Minimum of 1 year direct customer service experience in a healthcare setting (Required), • Excellent telephonic and customer service skills (Required), • Experience analyzing data and building action plans based upon data outcomes (Required), • Personal motivation to achieve set goals (Required), • Flexibility and ability to adjust workflow to achieve company goals (Required), • Experience with or knowledge of Electronic Medical Records (Preferred), • Knowledge of or experience with HEDIS, STAR ratings, and/or quality improvement (Preferred), • Experience in a managed care health services environment (Preferred), • Experience in data collection, data entry and analysis (Preferred), • Knowledge of Excel and other analytical tools (Preferred) Additional Information, • Requisition ID: 1000002961, • Hiring Range: $39,960-$70,200

Summary of Job Partner with G&A team to review pharmacy appeals, pharmacy benefit appeals, and related medical appeals, including process refinement, with responsibility for Level 1 and Level 2 appeals. Coordinate analysis of appeals determination trends and quality measures with pharmacy benefits management (PBM) vendor and company-wide quality and compliance teams. Partner with PBM vendor and with Pharmacy Performance team to support IRO preparation and responses. Responsible for managing performance of staff and activities related to Pharmacy quality and compliance including but not limited to monitoring and trending of key performance indicators (KPIs) and compliance reports relative to safety reporting processes and regulatory authority submissions. Provide active oversight and ongoing direction for the utilization management Pharmacy team and quality assurance process including case review, review with staff and monthly scoring. Direct the management reporting on productivity, clinical quality, compliance with state and federal pharmacy requirements and timelines. Lead, develop and enforce standards of quality, quality assurance, and monitoring for the utilization management function and staff. Work with practitioners and formulary and vendor to update clinical decision trees, which will enhance the efficiency of the team. Responsibilities • Manage the day-to-day functions of the Clinical Pharmacy quality assurance process for appeals., • Direct and ensure Appeals queue management for timeliness and workforce modeling., • Work collaboratively with health plan market leads to lead Plan-sponsored initiatives designed to assist and empower members in closing gaps., • Analyze audit and inspection findings and suggest remediation as well as maintain overview of CAPA responses and resulting measures, • Track trends in quality reviews, drugs, costs and review with senior leadership., • Exercise considerable latitude in determining objectives and approaches to strategy for the utilization management program's success across the enterprise., • Review high dollar reports (medical drugs exceeding 50k threshold for appropriateness and billable units)., • Develop, implement, and maintain UM appeals reporting, including appeals dashboard, practitioner scorecard, timeliness, denial language, and federal/state regulatory compliance., • Responsible for identifying training needs for staff (in-service) and developing and overseeing training to ensure awareness of and compliance with organizational objectives and applicable laws and regulatory requirements., • Design, review and use plan tools, reports and system results to conduct weekly, monthly, and quarterly reviews with department staff. Maintain staff-specific scorecards to be shared monthly., • Review requests for authorization for Medicare, NYS Medicaid, Commercial, and Exchange lines of business., • Responsible for development and maintenance of Utilization Management Trees to improve efficiency of the staff., • Participate in the Pharmacy & Therapeutic Committee to include Step-Protocol Review, Non-Formulary Review, Subcommittee Management (Meetings), Drug Reviews, and Updates., • Support HCCI initiatives as necessary, • Contribute to the design and development of policies, procedures, and operating guidelines., • Doctor of Pharmacy degree or master's in pharmacy from an accredited school of pharmacy, • Registered Pharmacist: New York State pharmacy license (Required), • Board certification - (Pharmacotherapy, Ambulatory Care, Geriatrics, Internal Medicine, Pediatrics (Preferred), • 10 - 12+ years of relevant, professional experience (Required), • 2+ years of staff and/or process management experience (Preferred), • 5+ years of pharmacist experience (Required), • Utilization Management experience (Required), • Residency or 5 years' clinical experience (Preferred), • Knowledge of pharmaceuticals and disease states to provide advice and consultation to providers and members and recommend changes to the formulary (Required), • Possess research and analytical skills sufficient to provide problem resolution and consultation to providers (Required) Excellent verbal and written communication skills sufficient to prepare own correspondence and interact with members and providers in provision of advice and guidelines (Required) Additional Information • Requisition ID: 1000002998, • Hiring Range: $92,880-$178,200

JOB DESCRIPTION This is a remote position with approximately 50 percent of time spent in the field, meeting face to face with brokers, agents, and clients throughout the assigned territory. This role operates in a consultative selling capacity and holds overall responsibility for pursuing new customers with the objective of achieving revenue goals. The individual proactively manages each sales opportunity through the full lifecycle, from prospecting to close, with a strong focus on delivering high quality insights, creative problem solving, and cross functional collaboration. They maintain strategic oversight of their prospect pipeline while simultaneously managing active quotes. Leveraging strong interpersonal skills, this role builds trusted partnerships with prospects and brokers to cultivate new sales opportunities that align with the needs of clients, internal partners, and the broader organization. Eligible candidates must live in or near the primary territory of New York City. RESPONSIBILITIES • Closes new sales and maximize financial gain for the company with every deal., • Proactively manages pool of prospects to drive the right solutions, balancing the needs of the client and with that of the business., • Drives new sale strategies and rate recommendations based on financial analysis with an eye on crafting solutions that are win-win-win., • Applies analytical skills and lead deal tactics, based on comprehensive market knowledge, in collaboration with cross-functional peers., • Creates effective pitches and conduct impactful presentations (in-person and virtually) that ensure prospects/brokers understand the value our products. Employs well-developed selling skills to clearly articulate product features, benefits and value in a compelling way., • Acts as the primary point of contact, liaise between the broker and internal team to ensure exceptional buying experience., • Through effective communication and relationship skills develops high-quality partnerships with external stakeholders., • Leads the development of the company's response to RFPs through effective cross-functional collaboration. Adheres to processes, timelines and provide thorough information to support creation of compelling bids that position the opportunity competitively., • Seeks out and report competitive intelligence that assists in product development and market positioning., • Manages pipeline with a 2+ year outlook and drive opportunities for revenue growth. Maximize sales tools (i.e. Salesforce, Highspot, LinkedIn) and maintaining pristine data hygiene that is always complete, accurate, entered timely and up to date. QUALIFICATIONS • 2+Years Experience with Bachelors degree., • 50% travel including nontraditional working hours which includes evenings, weekends and overnight, • Use of personal car. Sustain expenses, • Advanced business math and analytical skills with the ability to position products and pricing that contribute to assigned revenue goals., • Excellent consultative selling and negotiation skills with the ability to influence decision makers., • Experience with simultaneously managing overlapping priorities under tight deadlines., • Skilled at working independently, demonstrated resourcefulness and requiring little oversight., • Excellent communication skills, both written and verbal with special emphasis in formal business presentations., • Ability to effectively communicate with others, of all levels in the organization, in a collaborative environment., • Advanced problem-solving skills with ability to work cross-functionally to resolve issues and generate results., • Strong time management skills, outstanding attention to detail and strong organizational skills., • Health license within 90 Days Required, • Valid driver's license Upon Hire Required Base Pay Information The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. Pay Grade 18: $57,469-$120,392 base salary, plus uncapped commission. ADDITIONAL INFORMATION Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes: • Competitive base and incentive pay, • 401(k) with robust matching and non-matching contributions, • Rich medical & pharmacy benefits, • 100% employer-paid dental and vision benefits, • Holistic wellbeing program with deep financial incentives, • Generous paid time off plus 12 paid holidays and your birthday off, • Culture of growth and learning: career development; tuition reimbursement; recognition program, • Family support: adoption assistance, fertility treatment, child, elder & pet care assistance, • Social responsibility and volunteer opportunities This position requires that the applicant undergo a background check. Qualified applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the City of Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or New York Corrections Law Article 23-A. #LI-Remote ABOUT THE TEAM At Delta Dental, we're behind millions of smiles and counting. For over 68 years, we've served our communities by increasing access to affordable, quality care - but that commitment to care extends beyond the people we serve, to the dedicated employees who make those smiles genuine. We've come this far by building fair programs that offer opportunities for advancement, create meaningful connections and improve the lives of our employees and their families. Because we know that when we take exceptional care of each other, we can make a positive impact for all. We champion an inspirational workplace through our commitment to trust, service, excellence and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at all levels, and a work environment focused on teamwork and camaraderie. Discover the smiling faces behind Delta Dental and experience our values and culture in action by connecting with us on social media. Follow Delta Dental Ins. on ___ and ___, #LifeatDDins on ___ and ___, Delta Dental Ins. on ___ and Delta Dental Ins. on ___. If you've got an appetite for innovation and want to be a part of a team that's transforming the future of health care, join us! Since 1955, we have offered comprehensive, high-quality oral health care benefits to millions of enrollees and built the strongest network of dental providers in the country. The Delta Dental of California network includes affiliates Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; and Delta Dental of West Virginia, providing dental benefits to more than 31 million people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands. The company and its affiliates are part of Delta Dental Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. Collectively, we deliver benefits to more Americans than any other dental insurance company. Delta Dental Ins. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at Delta Dental are considered without regard to race, ethnicity, color, age, sex, religion, national origin, ancestry, pregnancy, sexual orientation, gender identity, gender expression, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category. Delta Dental is committed to providing equal employment opportunities to all employees and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies. Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time. Proof of eligibility to work in the United States must be provided if selected for hire. *Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York If You Are A Current Employee ___ To Apply

CVS is hiring for retail, pharmacy, customer service, and management positions.Competitive wages with comprehensive benefits and employee discounts.Flexible scheduling with opportunities for career growth.Join a healthcare company committed to helping people on their path to better health.

Analyzes data requests using information technology enrollment claims pharmacy clinical contract medical management financial administrative and other corporate data from both modeled and disparate internal and external sources. The Data Science Analyst III is a senior role collaborating with stakeh

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 Position Summary: Business Analysts are responsible for collaborating with the PM, engineers, UX designers, and stakeholders to enable the on-time delivery and execution of the product roadmap. The Product Management team enables Judi Health's operational and clinical teams to be more efficient by building cutting-edge products that automate operational tasks, empower clinical programs that drive down costs for employers, and deliver delightful experiences for members. As Judi Health continues to grow and scale, we are looking for a Business Analyst to join our amazing Product team. In this role, you will be paired with an Associate Product Manager and report to a member of the Product team to help deliver on products supporting the overall member experience. Position Responsibilities: • Intake product requests from operations stakeholders and clients., • Triage, research and identify technical solutions for data errors occurring within the Judi Health tech stack., • Work with operations and implementation teams to manage issue prioritization and resolution., • Collaborate with the APM to build business requirements and specifications for road mapped items as directed by the APM., • Responsible for ticket review and identification of misintent post QA., • Identify and make data driven recommendations to APM for high value product enhancements., • Assist product team with user experience testing, research, documentation, and stakeholder communication., • Assist Associate Product Manager & Team with user experience testing, research, documentation, and stakeholder communication., • Partner with APM to manage backlog and participate in team refinement & planning., • Provide support to the APM and team in terms of planning, roadmap development, and long-term strategy., • Responsible for adherence to the Judi Health Code of Conduct including reporting of noncompliance. Minimum Qualifications: • Bachelor's degree strongly preferred., • 1+ years of experience in an Analyst role, Software Engineering role or related work experience., • Demonstratable knowledge of SQL, Excel, and other data visualization tools., • Familiarity with the agile framework/Certified Scrum Product Owner preferred., • Experience with Github or similar source code repositories., • Demonstratable knowledge of the Python programming language preferred., • Excellent communication and collaboration skills with ability to translate between technical and not technical audiences both verbally and in writing., • Strong attention to detail and project management skills., • Working knowledge of common methods of data exchange., • Comfort or experience in a fast-paced, growing environment., • Intellectual and professional curiosity. Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Salary Range$60,000—$85,000 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___.

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 Position Overview: The Account Executive/Strategic Account Executive - PBA Services is responsible for managing the planning, execution, growth & retention and client satisfaction of assigned clients in the Pharmacy Benefit Administration (PBA) market segment including Health Plans, Third Party Administrators (TPAs), and other Platform services. Additionally, this position will lead and collaborate through the broader Account Management team and with internal Capital Rx teams/departments as the client voice and advocate to ensure ongoing client satisfaction and to achieve client priorities and contractual obligations. This position acts as the quarterback and leader of the broader Account Management team who are aligned in support of our clients. This position reports to the Senior Account Executive/Senior Director, PBA Client Services. Position Responsibilities: • Work closely with some of our biggest Texas-based clients and manage the complexities of working within a highly-regulated market of the TDI (Texas Department of Insurance) Provide oversight and direction to the broader Account Management team with a focus on member and client satisfaction, trend management, client growth & retention, and regulatory compliance to meet client specific objectives, client priorities and service model deliverables * Lead and develop the client relationship strategy and the strategic business planning process across the clients in your portfolio while incorporating other internal staff where and when needed to build and foster relationships with influencers and decision makers. * Maintain thorough knowledge and tracking of contractual obligations on assigned book of business, including financials, performance guarantees, terms, and reporting/compliance * Manage and facilitate the Account renewal and contracting process with a focus on client retention and the client financial/PNL management * Serve as the relationship lead on assigned book of business, incorporating other internal staff where and when needed to the relationship; build and foster relationships with influencers and decision makers at the client * Anticipates customer needs and proactively identifies new opportunities within assigned accounts. * Develop and maintain comprehensive knowledge of our business, including products and services to field questions from the client side and to answer timely & accurately * Collaborate with internal teams to customize offerings and solutions, aligning with Health Plan/TPA Account needs and market demands - assemble internal resources to overcomes challenges. * Analyze and interpret current pharmacy and healthcare trends, competitor activities, and industry regulations to inform strategic decisions, provide proactive recommendations for plan management and enhance the company's positioning within the PBA Services segment * Lead, coach and support the Account Team on the effective positioning of the Capital Rx value proposition, our suite of Capital Rx Products and Solutions and JUDI capabilities available to our PBA clients * Partner with our Business Development, Underwriting Teams & Senior Account Executives to support our PBA Account level growth and retention efforts by providing with Capital Rx sales support and market differentiator positioning, including RFP support, Broker/Consultant engagement and Best & Final support for prospective, existing and new and client business development needs * Provide ongoing direction, coordination and coaching to the broader Account Team to align the Account Team understanding of the assigned client(s) business lines, strategies, key stakeholders & decision makers and priorities * Serve as the content expert for Health Plan/TPA clients & opportunities * Identify and help contribute to process improvement efforts * Be accountable & own the client end-to end, inclusive of service model deliverables, contractual negotiations, client escalations and PNL management. * All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: * Bachelor's or advanced degree in health administration, business, or relevant professional experience. Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution is a plus * Relevant professional experience for at least five (5) years in pharmacy - working within a health plan, managed care, or pharmacy benefits management (PBM) focused on Health Plans and Payer Commercial (Insured, Self-Funded, Exchange) and Government Program (Medicare & Medicaid) business lines. Health plan industry experience highly preferred * Market and operational knowledge of Medicare Part D, Medicaid and Health Exchange pharmacy is required along with experience in supporting highly regulated business lines * Track record of building trust in internal and external relationships * Solution-focused problem solving and client positioning skills * Exceptional written and verbal communication skills * Ability to work with and influence peers in a team effort; leading cross-functional initiatives, meeting deadlines, and executing on deliverables while building strong internal relationships * A decisive individual with sound technical skills, analytical ability, good judgement, and strong operational focus and detail-oriented perspective * Flexible, highly organized, and able to shift priorities easily and work independently to meet deadlines * Ability to effectively work with peers in a team effort * Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and large data sets and other industry software programs * Ability to travel and present to small and large groups; travel is estimated to be up to 25% and be variable by season and business cycle Preferred Qualifications: • Experience working with clients who are subject to TDI (Texas Department of Insurance) rules and regulations #LI-BC1 Salary Range$120,000—$160,000 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___.

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 Location: Remote (For Non-Local) or Hybrid (Local to Denver or NYC area) Position Summary: Join our mission toinfusecutting-edgeAI/ML/GenAI intopharmacy benefits asan AI Success Specialist Manager.We are looking for an experiencedprofessionalwithAI andmachine learningexpertiseto join us inapplyingcutting-edgeopen-source tools and/or those developed within the company to increase efficiency and reduce friction within the company as well as for our customers. AI Success Managers drive client value, adoption, and retention for AI products by guiding onboarding, optimizing use cases, and fostering strategic partnerships. They act as technical advisors and change agents, ensuring safe, ethical, and high-ROI deployment of AI solutions. Core duties include accelerating time-to-value, managing a cross-functional technical team, and monitoring performance KPIs. Core Responsibilities and Roles • Adoption and Value Realization:Accelerate customer time-to-value by ensuring rapid adoption and operational excellence for AI solutions., • Strategic Advisory:Act as a strategic partner to department leaders within the company and external clients as needed, mapping AI capabilities to business goals,identifyingnew use cases, and driving expansion., • Implementation Management:Lead the end-to-end onboarding process, including scoping, technical setup, and training, to ensure successful deployment., • Performance Monitoring:Track and analyze key AI usage metrics, such as model performance, adoption rates, and ROI, to inform optimization strategies., • Change Management:Guideclients through the organizational changesrequiredfor AI adoption, focusing on training and cultural alignment., • Technical Support and Advocacy:Act as a liaison between the clients/departments and the AI product/engineering teams to resolve technical issues and advocate for product enhancements., • Risk Management:Proactivelyidentifypotential bottlenecks, ethical concerns, or security risks in AI deployment., • Manage and lead team of small team Machine Learning Engineers, • AI Technical Proficiency:Deep understanding of Generative AI/ML models, Agentic AI, API usage, and data management., • Relationship Management:Ability to build trust with key stakeholders and executives., • Strategic Thinking:Capability to align complex AI technology with business strategy and outcomes., • Change Leadership:Expertisein guiding organizations through digital transformation., • Data Analysis:Proficiencyin interpreting usage data to make informed decisions. RequiredQualifications: • Bachelor's orMaster's degree in Computer Science, Machine Learning, or a related quantitative field., • Minimum6years(4 years withMastersdegree)of experience in industry with a strong focus on ML solutions development and production deployment., • At least 2 years of experience in Engineering Management with teams of 4 or more engineers, • Strongproficiencyin Python., • Familiarity with cloud platforms such as AWS or Azure., • Familiarity with GenAI services such as OpenAI GPT, Anthropic Claude, GoogleGeminietc. Experience developing and fine-tuning prompts on any of the GenAI services, • Passion for customer, innovation, product quality, service excellence, and test engineering, • The ability to work collaborativelyacross multiple disciplinesin an extremely fast-paced, startup environment. 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___.

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 Location: Remote (For Non-Local) or Hybrid (Local to Denver or NYC area) Position Summary: The Senior Manager is responsible for leading the endtoend implementation, governance, and change management of regulatory requirements for Exchange plans and EDGE Server operations. This role oversees the delivery of CMS submissions, compliance activities, contract applications, and bidrelated client support, while also coordinating responses to federal and state regulatory audits. The Senior Manager ensures all regulatory reporting obligations are met for Exchange clients by interpreting CMS and state guidance, partnering with internal subject matter experts and client teams, and translating requirements into operational processes. Using structured research, analysis, testing, and validation, this role ensures that systems, workflows, and data submissions consistently meet regulator expectations and client objectives. Position Responsibilities: • Lead Government Programs support for Exchange business functions including claims adjudication, regulatory reporting, and audit support (Government, and Client)., • Leads the interpretation, implementation and monitoring of all relevant regulatory requirements and changes impacting Capital Rx's Exchange Programs., • Establish and maintain the EDGE pharmacy submission playbook (file intent, lineage, duplicate controls, timestamp standards, enrollment alignment)., • Define and enforce submission cadences, presubmission QA gates, and accept/active/nonorphan targets that meet CMS sufficiency timelines., • Translate CMS updates into operational SOPs and training., • Partners with crossfunctional SMEs to analyze regulatory changes, determine their implications for organizational processes, systems, and client commitments, and leads the coordinated, ontime implementation of required updates across the enterprise., • Manages timely response to Government Programs support for RFP/RFI, internal sales, and Exchange client requests., • Provides key insights on Exchange functions using data analysis, industry knowledge and subject matter expertise to identify opportunities, and develop solutions, for optimization of internal business processes and systems., • Supports the documentation management of internal policies and procedures, reporting and project specifications, job aids, and workflows for designated Government Programs Operations., • Leverages profound knowledge of Exchange guidance and understanding of industry and market requirements to support product strategy and service delivery., • Maintains current knowledge of Exchange requirements to facilitate compliance of ongoing business operations., • Fosters a high-performance culture through mentoring and collaboration, providing team members with ongoing performance feedback and identifying required changes to existing roles and responsibilities to ensure effectiveness and efficiency., • Assesses impact of new business to understand scalability and staffing needs. Required Qualifications: • 6+ years of relevant Prescription Benefit Management and/or Health Plan experience supporting Exchange plans, • 5+ years people management experience, • Vast knowledge of Exchange regulatory requirements and associated product and/or operational workflows, • Proven success managing multiple complex projects simultaneously, • Extremely flexible, highly organized, and able to shift priorities easily, • Attention to detail & commitment to delivering high quality work product, • Excellent written and verbal communication skills, • Proven success managing cross functional teams and maintaining effective relationships at all levels both internal and external; including government entities This range represents the low and high end of the anticipated base salary range for the NY - based position. The actual base salary will depend on several factors such as: experience, knowledge, and skills, and if the location of the job changes. Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time. About Judi Health 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. 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. Salary Range$120,000—$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___.

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 Position Summary: This Analyst role is a critical position for Client Financial Operations and will partner with other internal departments. This role will be an instrumental team player that will drive process improvement with our invoicing (drug spend and ancillary) and reconciliations. The individual must have a strong financial background in PBM and be comfortable working with Excel and SQL formulas to efficiently run processes. Position Responsibilities: • Develop team-specific KPI dashboard and conduct periodic analyses of financial results to identify positive/negative trends, operational opportunities, etc., • Identify automation opportunities and partner with Fin Ops management and Strategic Operations to assess ROI, develop requirements, and prioritize projects based on importance and impact, • Obtain working knowledge of and assist in all invoicing aspects:, • Lead comprehensive billing processes by analyzing inbound data from multiple sources, including multi-year contracts, client programs, and service volumes (e.g., per claim, per member, one-time fees, recurring fees), • Manage billing across various lines of business including commercial, public, private, and government health plans, covering drug spend and ancillary services, • Invoice Generation: Prepare and issue invoices based on predefined billing schedules and contract terms, • System Reconciliation: Reconcile billing records between internal platforms (e.g., ERP and adjudication systems) to ensure consistency, • Contractual and Clinical Program Reconciliation for Billing: enhance reconciliation process to ensure and confirm all billable programs and administrative fees are correctly captured, • Audit Support: Assist with internal audits by providing technical or analytical support on requests, • Process Adherence: Follow established billing procedures and escalate discrepancies to senior finance staff., • Continuous Improvement & Collaboration, • Utilize SQL or other data query applications to prepare journal entries, accruals, and adjustments as required, • Undergraduate bachelor's degree, with a record of strong academic performance in Accounting, Finance, Actuarial Science, Statistics, Economics, or Business Administration, • 4-6 year(s) of proven experience in financial/data analysis, actuarial services, accounting, pricing, or underwriting, • Experience working with large data sets, containing both structured and unstructured data, • Knowledge in SQL, Excel, and other data visualization tools (Python experience a plus though not required), • Ability to balance multiple complex projects simultaneously, • Strong understanding of pharmacy pricing, • Exceptional written and verbal communication skills 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___.

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 Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Summary: The Technical QA Analyst II is a critical contributor to delivering high-quality products within the Capital Rx JUDI platform, aligning with business goals and exceeding user expectations. Working closely with Product Managers, engineers, and stakeholders, this role ensures the seamless execution of the product roadmap by proactively identifying and resolving technical issues, validating functionality, and enhancing user experiences. This role combines a detail-oriented approach to quality assurance with a collaborative mindset to drive operational efficiency, support clinical programs, and deliver innovative solutions that benefit all Capital Rx members and clients. A strong technical aptitude and ability to deeply analyze system behavior are essential Position Responsibilities: • Technical Issue Identification & Root Cause Analysis: Identify, investigate, and triage technical issues within the JUDI tech stack (specifically focusing on [Specify Key Technologies - e.g., Python/Django, PostgreSQL, AWS services]). Conduct thorough root cause analysis, utilizing logs, database queries, and system monitoring data to pinpoint the source of problems., • Log Analysis & Monitoring: Monitor and analyze system logs (e.g., using CloudWatch, Datadog, or New Relic) to validate application functionality, identify performance bottlenecks, and proactively detect anomalies. Develop and maintain dashboards to visualize key system metrics., • Database Querying & Analysis: Utilize SQL to query and analyze data within the JUDI database (PostgreSQL preferred). Develop and execute complex queries to investigate data discrepancies, identify trends, and support troubleshooting efforts. Familiarity with SQLAlchemy is a plus., • AWS Service Support: Collaborate with the engineering team on the support and monitoring of AWS services utilized within the JUDI platform (e.g., EC2, S3, Lambda, RDS). Assist with troubleshooting issues related to these services., • Collaboration & Requirements Translation: Collaborate with Product Managers and engineers to understand business requirements and translate them into actionable test requirements and test plans. Participate in sprint planning and daily stand-ups., • QA Execution: Conduct thorough QA tasks, including ticket review, refinement, testing (manual and potentially exploratory), and bug identification., • Scrum Team Support: Partner with the scrum team to manage backlogs, refine tickets, and support roadmap development., • UAT Support: Assist with UAT testing, stakeholder communication, and documentation to align team efforts with business goals., • Compliance & Reporting: Ensure adherence to company policies, including timely reporting of noncompliance., • Bachelor's degree strongly preferred in Computer Science, Information Technology, or a related field., • 3+ years of experience in a QA Analyst, Software Engineer, Business Analyst, or related role., • Proficiency in Python, • Strong SQL experience; familiarity with SQLAlchemy is preferred., • Experience with logging and monitoring tools such as CloudWatch, Datadog, or New Relic., • Familiarity with Agile methodologies and workflows., • Experience with GitHub or similar source control repositories., • Excellent communication and collaboration skills, with the ability to translate between technical and non-technical audiences both verbally and in writing., • Experience with Infrastructure as Code (IaC) tools like Terraform or CloudFormation., • Knowledge of API testing methodologies., • Experience with CI/CD pipelines., • Understanding of data warehousing concepts. 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___.

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 Location: Remote (For Non-Local) or Hybrid (Local to NYC area) Position Summary We are seeking a dynamic and experienced technician trainer to join our team. As a technician trainer, you will play a pivotal role in developing and delivering training programs that enhance knowledge, operational efficiency, and customer service skills to our technician staff. The successful candidate will have a strong background in pharmacy practice, a passion for education, and the ability to create engaging and impactful training content. Position Responsibilities: • Facilitate the onboarding process for new hires and provide comprehensive training sessions for technicians on prior authorization systems, processes, and procedures utilizing a variety of training methods., • Develop and update training materials, resources, verbiage templates, job aids, and communicate updates to the team., • Ensure that training content is accurate, up-to-date, clinically relevant, compliant with federal and state regulations, and internal policies., • Maintain detailed records of training sessions, participant attendance, and training materials for auditing and reporting purposes., • Assess performance of technicians through evaluations, quizzes, and practical assessment to identify areas for improvement and provide constructive feedback., • Collaborate with technician managers, supervisors, and other relevant stakeholders to identify training needs, performance gaps and ensure alignment with company goals., • Prepare prior authorization requests received by validating prescriber and member information, level of review, and appropriate clinical guidelines., • Make outbound calls to providers to obtain additional clinical information to ensure substantial clinical information exists to reach a clinical determination for pharmacist review., • Proactively obtains clinical information from prescribers, referral coordinators, and appropriate staff to ensure all aspects of clinical guidelines are addressed for pharmacist review., • Review and analyze pharmacy claims data for proactive outreach and intervention., • Works with leadership on other responsibilities, projects, implementations, and initiatives as needed., • Ability to work in a fast-paced environment with shifting priorities., • Shift 9:00 AM to 6:00 PM EST. Required Qualifications: • 2+ years of pharmacy technician experience in Pharmacy Benefit Management (PBM) setting., • National Certified Pharmacy Technician (CPhT) license, required., • Previous experience developing and delivering training programs., • Experience handling prior authorization requests/understanding of prior authorization requirements required., • Solid understanding of prior authorization operations, Federal and State laws, and regulations., • Excellent written communication and presentation skills to effectively convey complex information to diverse audiences., • Excellent analytical skills and attention to detail., • Ability to collaborate effectively with cross-functional teams and adapt to changing priorities., • Proficiency in using e-learning platforms, multimedia tools, and Microsoft Office Suite., • Have the following internet connectivity: DSL, cable modem or fiber with a wired connection to device (wi-fi not allowed). Internet speed of one gigabyte (940bps) is required. This range represents the low and high end of the anticipated base salary range for the NY - based position. The actual base salary will depend on several factors such as: experience, knowledge, and skills, and if the location of the job changes. Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Salary Range$72,000—$85,000 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___.

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 Position Summary: We are seeking a highly analytical and collaborative Manager to support and grow our Analytics team. This role requires strong technical skills in data analysis along with the ability to manage projects and support cross-functional teams. The ideal candidate will have experience mentoring analysts, managing business-critical requests, and contributing to a scalable data foundation that drives decision-making. This individual will play a key role in promoting efficiency, consistency, and innovation across our Analytics team. Why you'll love working here: • Our work makes a difference. We are a highly motivated team of specialists on a mission to improve the U.S. healthcare system for over 5 million members., • We value diverse perspectives. We bring our full, authentic selves to a culture that values high performance and genuine connection., • We are scaling fast. We are a rapid-growth organization with a strong financial outlook, affording stability while paving the way for innovation and creativity at every turn. Key Responsibilities: Team Support&ProjectManagement • Help set and track priorities, ensuring delivery of key analytics projects aligned with business goals., • Support the adoptionof analyticsbest practices and tools through training sessions and knowledge sharing., • Contribute to the execution of data analytics initiatives that align with business needs., • Collaborate on the development of scalable processes for data collection, analysis, and reporting., • Identifyareas for improving efficiency through process improvements, automation, and better data practices., • Conduct data modeling and analysis to generate insights that inform business strategy and process improvements., • Translatecomplexanalytical findings into clear, actionable recommendations using visualizations and presentations., • Partner with product managers, business leaders, and clients to understand analytics needs and prioritize requests accordingly., • Proactively manage and foster stakeholder relationships by acting as a strategic, consultative advisor with a keen understanding of businessobjectives., • Ensure adherence to company compliance standards, including reporting any noncompliance., • Support the development and implementation of quality controls and departmental standards to satisfy organizational and regulatory requirements., • Participate in internal training sessions to support continued learning and development., • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Qualifications & Experience: • 4-6years of experience in data analytics, business intelligence, ora relatedfield., • Experience in PBM, health plans, healthcare, or Medicare., • Familiaritywith pharmacy claims data, medical claims data, and client reporting metrics., • Expertisein SQL, Python, or R for data analysis, with strong coding hygiene and documentation practices., • Ability to perform complex analyses and synthesize findings into business insights., • Track recordof partnering closely with internal and external stakeholders to provide consultative analytics support, proactively advising on business opportunities., • Workingknowledge of data engineering fundamentals and working with cloud-based data warehouses (e.g., Snowflake,BigQuery, Redshift)., • Proven ability to prioritize and manage multiple projects in a fast-paced environment., • Excellent communication and stakeholder management skills, with the ability to present complex data insights to executives. Preferred Qualifications: • Experience working in large-scale, high-growth organizations., • Knowledge of machine learning or advanced statistical modeling techniques., • Familiarity with Agile project management methodologies., • Master's degree inComputer Science, Actuarial Science, Statistics, Economics,ora related field. 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___.

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 Position Summary: This individual will report to the Associate Director of Clinical Programs Business Development and be responsible for supporting the sales and profitability of Capital Rx's suite of clinical programs. This role serves as a primary business development lead for clinical offerings, from opportunity identification, client presentations, to negotiations and contracting. This role will drive clinical programs sales to new and existing PBM clients and foster strategic relationships with consultant groups. The ideal candidate will combine clinical expertise with strategic sales acumen to expand program adoption and deliver measurable value to clients. This is a base salary plus commission role. Position Responsibilities: • Drive the sales strategy for Capital Rx's suite of clinical programs end-to-end from prospecting through close., • Proactively assess client data to identify opportunities, meet with account teams to qualify opportunities, and deliver compelling presentations, proposals, and ROI analyses to prospects to drive clinical program sales., • Develop and implement strategic plans to identify, engage, and close new clinical program opportunities., • Cultivate and manage trusted relationships with pharmacy benefit consultant groups, serving as a subject matter expert for our clinical programs., • Maintain a strong understanding of market dynamics, competitive landscape, and client needs to inform sales strategy., • Contribute to strategic client retention initiatives by aligning clinical programs with client goals., • Demonstrate strong analytical, presentation, and CRM skills to support sales execution and tracking., • Maintain a deep understanding of clinical programs, regulatory requirements (e.g., CMS, NCQA, URAC), and industry trends to effectively position our solutions., • Serve as a liaison between the field and internal product/clinical teams to ensure offerings remain competitive and relevant., • Support implementation handoffs to ensure smooth onboarding of new clients., • Provide market feedback to inform future product development and innovation., • Support general business needs and operations, as required., • All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Minimum Qualifications: • MBA degree and/or certification in sales or business, • 3+ years of applicable experience in a health plan or PBM, or healthcare sales and/or completion of a PGY1 Clinical Pharmacy Residency Program, Managed Care Residency or Fellowship with additional 2+ years of applicable experience, • Exceptional negotiation, presentation, and communication skills with the ability to articulate clinical value propositions to diverse audiences., • Experience engaging or partnering with pharmacy consultant firms, • Working knowledge of pharmacy benefit management, Medicare Part D, and commercial pharmacy benefits, • Ability to analyze data and market trends to inform sales strategy and client recommendations., • Proven track record of meeting or exceeding sales targets and successfully closing complex B2B deals., • Maintain an active, unrestricted pharmacy license in the state of residence, • Ability to balance multiple complex projects simultaneously with minimal direction, • Ability to travel up to 50% Preferred Qualifications: • PharmD, • Experience working with HEDIS, Stars and PQA pharmacy quality measures, • Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint, • Experience with Confluence, Jira, Tableau, • Highly detail-oriented and analytical Visa Sponsorship: Capital Rx does not provide sponsorship to any candidates. This includes, but is not limited to those that require H1-B, TN, OPT, etc. Candidates must have authorization to work in the US at the time of application and throughout employment. 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. Salary Range$90,000—$140,000 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___.

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 Position Summary: We are looking for a driven and collaborative Associate Product Manager to help shape the future of Judi, our enterprise health platform. This role will lead lead the development of COBRA administration capabilities within Judi. It is ideal for someone who thrives in a fast-paced environment, is intellectually curious, and is passionate about delivering impactful benefits administration technology solutions. Position Responsibilities: • Collaborate with engineers, UI/UX designers, and stakeholders to ensure on-time delivery of product features., • Effectively manage and meet stakeholders' priorities and expectations while assuming the role of a subject matter expert through deep intellectual curiosity and drive to learn., • Create and maintain team specific 15 month rolling product roadmap., • Develop business requirements and specification documents., • Perform backlog refinement, epic planning, and other scrum events., • Publish value driven release notes and user guides., • Present roadmap updates and product delivery risks to senior leadership., • Manage and execute day-to-day project management functions with regards to the specific products under development., • Partner with go-to-market and client-facing teams to identify key value-add opportunities., • Analyze product data to derive insights to assist in the prioritization and post release optimization of the products., • Support general business needs, as required. Minimum Qualifications: • Bachelor's degree or equivalent related experience, • 2+ years of experience in a Product Management role, Software Engineering role or related work experience, • Experience with benefits administration, health plans or healthcare technology, • Data-driven mindset, with proficiency in SQL and Excel, • Familiarity with Agile methodologies, • Ability to conceptualize and translate complex problems into viable solutions, • Ability to manage conflicting priorities in a deadline driven environment, • Excellent communication and collaboration skills, capable of bridging technical and non-technical teams, • Strong attention to detail and project management skills, • Curious and adaptable, with a willingness to continuously learn and evolve in a dynamic industry 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___.

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 Position Summary: The Clinical Care Pharmacist plays a vital role in promoting safe, effective, and appropriate medication use. This position is responsible for reviewing prior authorization requests, supporting clinical programs, and providing expert guidance to members, providers, and pharmacies. The role combines clinical decision-making with a strong focus on service excellence in a fast-paced, collaborative environment. Position Responsibilities: • Review and make timely, evidence-based decisions on prior authorizations, appeals, and override requests using clinical guidelines and benefit criteria., • Ensure compliance with federal, state, and internal regulations across Commercial, Exchange, Medicare, and Medicaid plans., • Accurately document clinical decisions and maintain thorough records in accordance with regulatory and accreditation (URAC/NCQA) utilization review standards., • Provide clear, empathetic support to members, prescribers, and pharmacies by responding to clinical inquiries via phone, demonstrating professionalism, active listening, and a patient-centered approach., • Stay current with clinical prescribing guidelines, internal policies, and regulatory changes, and apply them to daily responsibilities., • Follow all internal procedures, job aids, and HIPAA guidelines to protect patient privacy and data security., • Identify and report potential fraud, waste, and abuse., • Support training and development of new and existing team members as needed., • Minimum of 6 months to a year of prior authorization experience, • Active, unrestricted, pharmacist license, • Bachelor's or Doctor of Pharmacy degree, • Minimum of 2 years of pharmacy practice experience, • Experience in managed care or pharmacy benefit management (PBM), • Strong communication, writing, and organizational skills, • Ability to manage multiple priorities in a high-volume, metric-driven environment 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___.

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. The Associate Director is responsible for supporting the development of strategies for assigned product(s) and execution of health economics, outcomes research and real-world evidence (HEOR & RWE) research to generate product value data to support Eisai business, including the development of communication tools. This role primarily focuses on late-stage pipeline and marketed products, interfaces with cross-functional teams including marketing, market access, and medical affairs to help develop HEOR strategy, and partners with HEOR field team in the development of external communication materials. The Associate Director facilitates coverage, reimbursement and appropriate utilization based on generation and communication of quality data. Essential Functions • Support the formulation of HEOR and RWE strategies aligned with the business and patient needs to develop compelling value proposition that drives optimal access and utilization of Eisai marketed products in the United States., • Align health economics and outcomes research strategies, timelines and budgets with medical affairs, marketing, market access and global value and access teams. Projects will be prioritized to achieve effective utilization of resources; strategy will be aligned to the global business needs., • Partner with Field HEOR to develop the payer communication strategies, content and tools of product-specific health economic and outcomes value propositions. Support Eisai's recognition as a credible and forthright contributor to the assessment and optimal use of healthcare resources, and an advocate for patient access to appropriate therapeutic alternatives., • Execute all aspects of HEOR and RWE projects to meet the Eisai needs of key external stakeholders and internal business partners., • Effectively communicate and network to establish and maintain strong relationships with KOLs for HEOR and RWE related collaborations., • Monitor current methodological, clinical practice and professional guidelines, as they relate to health economics and outcomes, for the appropriate and optimal conduct of research and evaluations. Research project results have to be effective in ensuring that decision making will meet the needs of patients, providers and payers as well as optimize access to Eisai's products and appropriate medical care, • Travel to national and international meetings and conferences to support the business needs. Requirements • Doctoral degree (PhD, PharmD, MD) in health services research, public health, epidemiology, statistics, health economics, medicine, pharmacy administration or related field., • A minimum of 5 years' experience in RWE/Outcomes Research/Epidemiological Research/Health Economics either within biopharmaceutical industry and/or provider/payer organizations., • Demonstrated applied research experience in conducting health economic, health related quality of life, and/or health services research studies., • Experience in the design and execution of HEOR and RWE studies, including the writing of protocols and analytic plans for prospective and retrospective studies, analyzing and collecting patient-reported outcomes, claims and EMR databases., • Application of health economic models for product value assessment and comparison., • Strong scientific communication record in terms of the development of tools for field medical teams, conference presentations and manuscripts., • Demonstrated ability to work collaboratively in and lead cross-functional teams., • Development of professional relationships with customers, key opinion leaders and peers., • Strategic and conceptual skills to develop innovative approaches for demonstrating product value and differentiation Preferred Knowledge • CNS therapeutic areas., • Knowledge of pharmaceutical development and lifecycle management., • Knowledge of regulatory and industry guidelines in the delivery of health care information in promotional and non-promotional settings and dissemination of health outcome studies and economic evaluations., • Background in statistics, epidemiology, and public health., • Pharmaceutical and reimbursement environment, especially as related to neuroscience., • Experience with utilization of outcomes studies in managed care or large healthcare organization environment. Eisai Salary Transparency Language: The annual base salary range for the Associate Director, US HEOR & RWE (Remote-Based) is from :$185,600-$243,600 Under current guidelines, this position is eligible to participate in : Eisai Inc. Annual Incentive Plan & Eisai Inc. Long Term Incentive Plan. Final pay determinations will depend on various factors including but not limited to experience level, education, knowledge, and skills. Employees are eligible to participate in Company employee benefit programs. For additional information on Company employee benefits programs, visit ___. Certain other benefits may be available for this position, please discuss any questions with your recruiter. Eisai is an equal opportunity employer and as such, is committed in policy and in practice to recruit, hire, train, and promote in all job qualifications without regard to race, color, religion, gender, age, national origin, citizenship status, marital status, sexual orientation, gender identity, disability or veteran status. Similarly, considering the need for reasonable accommodations, Eisai prohibits discrimination against persons because of disability, including disabled veterans. Eisai Inc. participates in E-Verify. E-Verify is an Internet based system operated by the Department of Homeland Security in partnership with the Social Security Administration that allows participating employers to electronically verify the employment eligibility of all new hires in the United States. Please click on the following link for more information:

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. The National Account Manager, Trade is the primary point of contact between Eisai and national wholesale and distributor account(s) representing Eisai's product portfolio. The incumbent is responsible for managing Eisai product portfolio with major wholesalers and affiliates, major national retail chains, and national infusion companies Responsibilities include but are not limited to: Responsibilities: • Develop and implement account-specific strategies to meet objectives for assigned national accounts., • Represent and sell features and benefits of Eisai product portfolio to assigned national account contacts., • Develop and execute educational programs that assist national account stakeholders with product understanding and patient guidance., • Work with customer marketing team to align national account business plans with brand plans and effectively implement those plans at national and regional levels., • Manage access and policy for Eisai's products for national accounts and appropriately communicate status with cross-functional stakeholders (e.g., leadership, field sales, AEs, marketing, HEOR)., • Collaborate and assist sales regions, as needed, with pull-through support and education., • Negotiate and manage contracts with national accounts. Qualifications: • Bachelor's degree (Advanced degree preferred) with 10+ years of commercial experience., • Prior experience in large account management with health care background., • Experience in account management, consulting and/or with health care in any specific segment (e.g., trade, payer)., • Strong account management and cross-functional leadership experience., • Experience owning and negotiating contracts and agreements for national accounts., • Proven track record of providing thought leadership, influencing decisions across all levels of the organization, and driving results through cross-functional teams., • Experience working with both medical and pharmacy benefits., • Experience working with various acquisition models including but not limited to white bagging, brown bagging, buy and bill., • Proven experience in earlier role. As a condition of employment and an essential function of this field-based position, applicants must be able to engage in person with HCPs and other third parties at their offices, institutions and other appropriate locations on a regular basis. In order to gain in-person access, applicants selected for the position may be required to complete third parties' credentialing and/or entry requirements, which often include an attestation to and/or providing proof of having received certain vaccinations. To the extent you are unable to meet certain requirements for qualifying medical (including pregnancy-related) or religious reasons, applicants must request a reasonable accommodation by contacting the Human Resources Department.Skills: Eisai Salary Transparency Language: The annual base salary range for the National Account Manager, Trade (Field Based) is from :$185,700-$243,700 Under current guidelines, this position is eligible to participate in : Eisai Inc. Annual Incentive Plan & Eisai Inc. Long Term Incentive Plan. Final pay determinations will depend on various factors including but not limited to experience level, education, knowledge, and skills. Employees are eligible to participate in Company employee benefit programs. For additional information on Company employee benefits programs, visit ___. Certain other benefits may be available for this position, please discuss any questions with your recruiter. Eisai is an equal opportunity employer and as such, is committed in policy and in practice to recruit, hire, train, and promote in all job qualifications without regard to race, color, religion, gender, age, national origin, citizenship status, marital status, sexual orientation, gender identity, disability or veteran status. Similarly, considering the need for reasonable accommodations, Eisai prohibits discrimination against persons because of disability, including disabled veterans. Eisai Inc. participates in E-Verify. E-Verify is an Internet based system operated by the Department of Homeland Security in partnership with the Social Security Administration that allows participating employers to electronically verify the employment eligibility of all new hires in the United States. Please click on the following link for more information:

At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer's disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. If this is your profile, we want to hear from you. The Senior Medical Information Manager is responsible for contributing to the development and implementation of the Medical Information component of the strategic plan for their assigned therapeutic area. In addition, the Senior Medical Information Manager leads cross functional teams and initiatives to support Medical Affairs and business objectives. Responsibilities:* Respond to unsolicited medical inquiries from healthcare professionals, patients/consumers, field staff and other internal business partners.* Develop and manage tactical execution of the Medical Information plan for their assigned therapeutic area.* Utilize scientific expertise to lead the development and maintenance of medical information resources for assigned products to meet the needs of external customers and internal business partners.* Conduct detailed analyses of scientific literature to communicate relevant scientific information and competitive issues with Medical Affairs colleagues, cross-functionally and globally.* Implement Medical Information component of strategic medical plans for assigned products, including implementing performance improvement activities, service quality monitoring, and tracking and reporting of metrics.* Serve as POC for medical and scientific review of promotional and scientific exchange materials in CRC and MRC in collaboration and partnership with Medical Directors.* Provide inputs to the overall development of budget and resources and escalate deviations, as needed.* Analyze metrics and develop insights reports on Medical Information activities presented to internal stakeholders.* Provide scientific support for assigned stakeholders on ad hoc projects and/or initiatives, including at Medical Information Booths for assigned medical conferences.* Provide supervisory guidance, training to new hires/ less experienced colleagues and/or mentorship to pharmacy students. Qualifications:* Advanced degree in sciences or related field with 8+ years of experience in the pharma/ biotech industry.* OR a combination of equivalent education and experience.* Advanced knowledge of U.S. regulatory standards related to pharmaceutical manufacturers' communications and dissemination of medical information.* Knowledge of clinical trials, drug approval processes, and clinical application of drug products.* Prior experience in medical writing and development of scientific communication materials.* Some experience coaching and mentoring new hires/ less experienced colleagues.* Proficiency with Microsoft Office Suite software, Sharepoint, Veeva, customer relationship management software and other technology and telephony systems.* Proven performance in earlier role.* Able to travel as needed (approximately 10% on average)* Hybrid, onsite in Nutley NJ, 3 days a week (Tuesday, Wednesday and Thursday) Skills:Communication & Cross-functional Influence, Critical Thinking & Business Agility, Healthcare Environment Dynamics, Inquiry Resolution, Literature Evaluation, Medical Information Writing Skills, Medical Review, Mentoring/ People Development, Resource Planning & Management Eisai Salary Transparency Language: The annual base salary range for the Senior Manager, Medical Information, Oncology is from :$130,500-$171,300 Under current guidelines, this position is eligible to participate in : Eisai Inc. Annual Incentive Plan. Final pay determinations will depend on various factors including but not limited to experience level, education, knowledge, and skills. Employees are eligible to participate in Company employee benefit programs. For additional information on Company employee benefits programs, visit ___. Certain other benefits may be available for this position, please discuss any questions with your recruiter. Eisai is an equal opportunity employer and as such, is committed in policy and in practice to recruit, hire, train, and promote in all job qualifications without regard to race, color, religion, gender, age, national origin, citizenship status, marital status, sexual orientation, gender identity, disability or veteran status. Similarly, considering the need for reasonable accommodations, Eisai prohibits discrimination against persons because of disability, including disabled veterans. Eisai Inc. participates in E-Verify. E-Verify is an Internet based system operated by the Department of Homeland Security in partnership with the Social Security Administration that allows participating employers to electronically verify the employment eligibility of all new hires in the United States. Please click on the following link for more information:

Summary of Position In support of the EmblemHealth Pharmacy Quality program focused on initiatives to meet corporate STAR goals. As part of the Comprehensive Medication Management Program, conduct interviews, develop, facilitate and communicate a plan of care to remove barriers for members who have been identified as having difficulty with medication adherence. Continuously evaluate plan of care and revise as needed. As part of the Medication Therapy Management Program, conduct and document according to CMS standards annual comprehensive medication reviews. Principal Accountabilities As part of the Comprehensive Medication Management Program: • Conduct patient medication history reviews face to face and telephonically., • Identify barriers to care and work collaboratively with the patient to resolve barriers., • Recommend changes in drug therapy and lifestyle based on information obtained through patient interviews, interactions, objective monitoring parameters, review of drug profiles and the patient medical record., • Identify, resolve, and prevent potential and actual medication-related problems including: untreated indications, improper drug selection, subtherapeutic dosage, overdose, failure to receive medication, adverse drug reactions, drug interactions, and medication without indication., • Provide patient monitoring for evaluating and optimizing patient outcomes, drug utilization and patient compliance, detecting and/or minimizing ADR's, eliminating unnecessary drug use and duplication., • Provide patient education related to the individual's disease state, including predictable actions, side effects, reasons for proper compliance, and any special instruction. Document interactions and care plans within the applicable software. As part of the Medication Therapy Management Program: • Deliver and accurately document in a timely manner MTM services to assess appropriateness of all medications, optimize medication therapy, improve clinical outcomes and serve as a drug information resource to patients and interdisciplinary teams., • Coordinate medication reconciliation across the continuum of care by providing comprehensive reviews, addressing adherence concerns, assisting with patient education and monitoring clinical outcomes to help prevent unnecessary readmissions, lapses in care and adverse drug reactions., • Assist with managing medication costs through cost-effective interventions which may include, but are not limited to formulary and therapeutic interchanges, and assessing unnecessary and/or duplicate medication therapies., • Efficiently assess prescribed medication therapy for unnecessary medications, need for additional medications, ineffective medications, inappropriate doses, adverse drug reactions, and adherence concerns., • Determine appropriate interventions to resolve medication therapy problems, achieve goals of therapy and prevent new medication therapy problems., • Collaborate with prescribers, interdisciplinary care teams, patients and/or caregivers to identify and develop patient-specific disease state therapy goals., • Communicate professionally and discuss/document clinical recommendations/interventions to prescribers and interdisciplinary care teams., • Ensure maintenance and compliance with clinical standards of the CMMP and MTM services provided, and remain up-to-date with clinical knowledge., • Maintain comprehensive knowledge of policies and procedures, and perform in accordance with applicable regulatory and accreditation requirements or standards as they relate to assigned responsibilities and functions., • Aid in the evaluation and maintenance of formulary set-up based on clinical requirements, compliance with regulatory bodies, and P&T rules., • Bachelors' Degree, • PharmD from an accredited college of pharmacy, • Current, unrestricted Pharmacist License in accordance with a respective state licensing board of residency, • MTM training program completion by APhA or PowerPak C.E. preferred, • PGY-1 residency program in community pharmacy/ambulatory care/geriatric pharmacy/managed care pharmacy preferred, • Clinical Pharmacy Board Certified via BPS or NBMTM preferred, • Fluent in an additional one or more languages preferred, • 10+ years of relevant, professional work experience, • 3 - 5 years specific, position-related experience, • Experience with administering CMS Comprehensive Medication Reviews, • Managed care experience, • Strong communication skills, including motivational interviewing, • Strong clinical therapeutic skills; knowledge of appropriate medication dosing in geriatric and adult populations, • Excellent critical thinking and problem-solving skills, • Computer/technology competent, • Industry level understanding of STAR measures and methods for improving service delivery to maximize ratings, • Ability to work independently in a collaborative environment, be self-directed and possess excellent organizational skills, • Ability to work effectively with patients, their families, professionals, and other personnel from a wide range of cultural, social and economic backgrounds, • Ability to communicate professionally with all necessary parties associated with the patient's care plan Additional Information, • Requisition ID: 1000002949, • Hiring Range: $92,880-$178,200

Principal Biostatistician RWE -PhD Required (NA Only) Syneos Health is a leading fully-integrated life sciences services organization built to accelerate customer success. We partner with innovators at every point across the drug development and commercialization continuum, helping them navigate complexity, anticipate change and accelerate progress. Our Clinical Solutions team members act with a drug development mindset, applying their years of experience and deep expertise to truly understand customer needs and represent those in the solutions we shape. Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to deliver - for one another, our customers, and, most importantly, for those in need. Discover what your 25,000 future colleagues already know: Why Syneos Health • We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program., • We are committed to building an inclusive culture - where you can authentically be yourself. Central to this is our purpose - Driven to Deliver - which captures the passion of our colleagues to show up each day and shape solutions that have the ability to dramatically impact someone's life., • We are continuously building the company we all want to work for and our customers want to work with. Why? Because we know that when we bring together smart colleagues from across the world, we can shape the future of healthcare, driving impact for customers and defining the pace of patient progress. Job Responsibilities *Must be located in US or Canada with no sponsorship needs to be considered for this remote role. *Previous industry experience leading RWD studies is required. *PHD required. *Serves as a statistical department resource, mentors biostatisticians on job skills, oversees or develop training plans or materials for Biostatistics associates. Conducts training sessions, or otherwise trains new hires and enhance the skills of existing personnel. *Prepares Statistical Analysis Plans (SAPs), including development of well-presented mock-up displays for tables, listings, and figures. Collaborates with sponsor, if required. *Responsible for the statistical aspects of the protocol, generation of randomization schedule, and input to the clinical study report. *Reviews SAS annotated case report forms (CRFs), SAS database design, and other study documentation to ensure protocol criteria are met and all data is captured as required to support a high quality database and the planned analysis. *Creates or reviews programming specifications for analysis datasets, tables, listings, and figures. *Directs the activities of other biostatistics personnel on assigned projects to ensure timely completion of high quality work. Provides independent review of project work produced by other statisticians in the department. Experience with: • RCT, • CT, • eMR, • Claims and Billing Data, • Patient registries, • Patient-Generated Data, • Pharmacy Data, • TTE, • Mixed Methods, • Regression, • Subgroup analyses, • Sensitivity Analysis, • Missing data methods, • ML, • Predictive Modeling, • Meta-analysis, • Neural network analysis, • Comparative Effectiveness Research, • Exploratory Data Analysis including descriptive statistics, • Propensity Score Matching, • Causal Inference, • Health Economics and Outcome Research (HEOR), • Country specific Dossiers, • Risk modeling, • Signal detection, • Biomarker trends, • Interrupted Time Series Analysis, • Network Meta-Analyses using RWD Specifics of the position • Cardio medical health includes, • Obesity, • Cardiovascular disease, • Chronic kidney disease, • Diabetes, • Osteisarcopenic Obesity (deterioration of bone, muscle, excess fat leading to metabolic dysregulation, • Fast growing, • HEOR, HTA, cost effectiveness, • R will be important - matchit, mice (multiple imputation), • SQL, • Clarity and HealthVarity data (Claims and eMR record merged, • Primarily for marketing group, • Treatment patterns, • Goal is to execute as well as guide the client, • Free government data, • A lot of pre-processing, • Evaluation of data quality, • Feasibility check for different databases *Proficiency in programming. *Ability to apply extensive knowledge of statistical design, analysis, relevant regulatory guidelines, and programming techniques utilized in clinical research and to effectively communicate statistical concepts. *Experience with regulatory submissions preferred. Excellent written and verbal communication skills. *Ability to read, write, speak, and understand English. Get to know Syneos Health Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients. No matter what your role is, you'll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health. Additional Information Tasks, duties, and responsibilities as listed in this job description are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.

Summary of Job Manage and nurture client relationships within EmblemHealth's employer group clients to ensure they have the information, products, and support needed from the health plan. Responsible for building and expanding existing pharmacy service contract accounts. Work with internal departments (sales, claims, contracting, marketing) to serve accounts effectively and ensure compliance. Analyze account and service provision data, developing process improvements as needed. Collaborate with sales and account management on new prospects and current account renewals as relates to the pharmacy benefit. Support sales, marketing, account management and bid support by serving as the main point of contact for non-clinical client inquiries related to pharmacy benefit setup, claims issues, eligibility, and billing. Responsibilities • Identify opportunities for upselling and cross-selling, implementing sales strategies to retain and grow accounts, and tracking sales performance., • Provide oversight to account management teams and internal partners as relates to pharmacy benefits, focusing on member and client satisfaction, trend management, and client retention., • Build and maintain strong relationships with key company decision-makers, understanding healthcare strategies, and ensuring client and member satisfaction., • Work with internal partners to address ongoing service needs, and support Account Management with the Pharmacy Benefit set up and onboarding activities for new clients., • Develop and deliver quarterly business reviews for key clients., • Partner with product teams on annual revisions to each product line ensuring lowest cost, highest value plans in the market., • Direct Pharmacy Benefit Manager (PBM) in plan design activities., • Respond to and resolve client issue escalations and resolution, working with internal partners to ensure timely responses., • Track and resolve member issue trends, developing process improvements within the team., • Ensure client contractual requirements are met and participate in contract renewals., • Interpret and analyze pharmacy claims data to identify trends and provide actionable insights., • Monitor assigned client claims and trends to proactively identify area of potential issue. Work with internal teams to develop mitigation strategies for identified issues., • Bachelor's degree in business or related field, • 5 - 8+ years of relevant professional work experience in account management, customer service, or healthcare (Required), • 6+ years of experience in pharmacy benefits management, healthcare, or managed care (Required), • Prior account management experience (Preferred), • Proficiency in analyzing large datasets and interpreting pharmacy claims data (Required), • Strong analytical and problem-solving skills, with the ability to analyze data, identify trends, and develop data-driven solutions (Required), • Excellent communication and interpersonal skills with the ability to effectively communicate with diverse audiences, including technical and non-technical stakeholders (Required), • Ability to work effectively in a fast-paced, collaborative, cross-functional team / matrixed environment (Required), • Strong proficiency in project management methodologies (Required) Additional Information, • Requisition ID: 1000002781, • Hiring Range: $77,760-$149,040

Summary of Job Support eligibility and benefits configuration and deployment, including collaboration with pharmacy benefits manager (PBM) and Cognizant, formulary teams, for configuration. Responsible for Quality Assurance and Testing for operations and implementations. Coordinate and manage the pharmacy plan/ benefit design implementation process in partnership with PBM to ensure the accuracy and timeliness of members' pharmacy benefit administration for superior member experience. Responsibilities • Maintain in-depth understanding of and ability to create and maintain plan/benefit design rules and limitations to include: Adjudication rules, Clinical rules, Payment rules, and Plan/group management., • Partner with Sales and Product teams, assist in developing pharmacy benefit plan designs, meeting client requests, Health Plan strategic/ business parameters and all regulatory and other oversight agencies' requirements., • Responsible for creating and maintaining plan/benefit design documentation to support internal and external requirements, • Lead communication and coordination between Health Plan and PBM for receipt of required information for claims adjudication system set up, reporting and claim adjudication process., • Assess all requests for new/ changes to plan benefit information to ensure compatibility with PBM claim adjudication logic., • Submit accurate and complete requests to the PBM for new and changing benefit plan designs., • Test pharmacy benefit plan designs for accuracy and alignment with business requirements., • Serve as liaison to PBM to troubleshoot and resolve benefit-related questions/ issues, researching plan/benefit design options and requirements., • Participate in PBM implementation meetings as required., • Review and approve PBM benefit set up requirements., • Perform claim testing to ensure accurate claim adjudication., • Work with the pharmacy clinical team to implement formulary updates in the claim adjudication system., • Participate in the research and resolution of claims adjudication-related discrepancies, errors, and problems., • Acts as a resource to operational areas in support of the pharmacy claims adjudication process and responding to issues related to plan/ benefit design., • Conduct quarterly audits of pharmacy benefit configurations to ensure alignment with plan design, regulatory requirements, and accurate claim adjudication across all lines of business., • Recommend streamlined work processes and systems that impact plan/ benefit design to create efficiency and quality outcomes., • Maintain acceptable and appropriate quality levels and production SLA response time., • Bachelor's degree., • Pharmacy Technician Certification (Required), • 3 - 5+ years of people management experience, preferably in a call center environment (Required), • Additional years of related experience may be considered in lieu of degree (Required), • Ability to perform in office environment with extended periods of sitting, using telephone, and viewing computer screens (Required), • Ability to prioritize tasks daily and trouble shoot urgent customer issues to successful completion (Required), • Advanced knowledge of MS Office - Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc. (Required), • Exceptional problem solving, analytical, interpersonal and communication skills to resolve issues within Operations (Required), • Professionally skilled in verbal and written communication (Required), • Meticulous organization skills, with the ability to multi-task, and ability to make sound decisions in a timely and independent manner (Required) Additional Information, • Requisition ID: 1000003022, • Hiring Range: $56,160-$99,360

RWJBarnabas Health, the largest integrated healthcare system in New Jersey, is seeking a Board-Certified/Board-Eligible Upper Extremity Orthopedic Surgeon to join our orthopedic service line in Northern New Jersey. This position offers a remarkable opportunity to practice in a high-volume, collaborative environment with an established referral base and strong institutional support. The Upper Extremity Orthopedic Surgeon will provide comprehensive care for patients with shoulder, elbow, wrist, and hand conditions, including degenerative disease, traumatic injuries, sports-related pathology, and complex reconstructive procedures. Responsibilities will include diagnosis, surgical and non-surgical management, perioperative care, and ongoing follow-up, with opportunities to participate in clinical research and educational activities. Our orthopedic teams utilize advanced diagnostic tools and surgical techniques to achieve excellent outcomes and enhance patient function and quality of life. This role also supports multidisciplinary collaboration with physical and occupational therapy, pain management, and rehabilitation specialists to ensure comprehensive patient-centered care. Northern New Jersey offers a dynamic quality of life with easy access to New York City, diverse community living options, top-tier schools, outdoor recreation, and vibrant cultural and dining experiences. Candidate Requirements: • BC/BE in Orthopedic Surgery, • Fellowship training in Upper Extremity, Hand & Wrist, Shoulder & Elbow, or related subspecialty preferred, • New Jersey licensed or eligible for licensure, • Strong clinical and surgical skills in upper extremity conditions, • Focused practice in upper extremity musculoskeletal care, including surgical and non-surgical treatment, • Access to multidisciplinary support and advanced technology, • Collaborative team-based environment with opportunities for professional growth To learn more about this and other opportunities, please contact Jennifer Sweeney, Physician Recruiter, directly via email at ___. Compensation: The anticipated salary range for this position if hired to work, is $400,000 to $800,000 per year. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate’s educational background, skills, and professional experience. About RWJBarnabas Health: RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, treating over 3 million patients a year. The system includes eleven acute care hospitals – Clara Maass Medical Center in Belleville, Community Medical Center in Toms River, Jersey City Medical Center in Jersey City, Monmouth Medical Center in Long Branch, Monmouth Medical Center Southern Campus in Lakewood, Newark Beth Israel Medical Center in Newark, RWJUH in New Brunswick and Somerville, RWJUH- Hamilton, RWJUH- Rahway and Saint Barnabas Medical Center in Livingston; three acute care children’s hospitals and a leading pediatric rehabilitation hospital (Children’s Specialized Hospital), a freestanding 100-bed behavioral health center, ambulatory care centers, geriatric centers, the state’s largest behavioral health network, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, a medical group, multi-site imaging centers and four accountable care organizations. RWJBarnabas Health is New Jersey’s second largest private employer – with more than 32,000 employees, 9,000 physicians and 1,000 residents and interns – and routinely captures national awards for its outstanding quality and safety. RWJBarnabas Health is an equal opportunity employer.

RWJBarnabas Health is seeking to employ a Lung Transplant Surgeon for full-time employment at Newark Beth Israel Medical Center in Newark, NJ. Newark Beth Israel Medical Center is a major teaching hospital part of the largest integrated health system in New Jersey. This is a chance to join an experienced, multi-disciplinary team including pulmonologists, transplant surgeon, nurses, social workers, pharmacists, and dietitians. The position also offers excellent compensation and a comprehensive benefits package. The RWJBarnabas Health Advanced Lung Disease and Transplant Program at Newark Beth Israel Medical Center offers increased access to single and double lung transplant and comprehensive treatment and management of chronic and complex lung disease. The state-of-the-art diagnostic services include CT-guided biopsy, navigational bronchoscopy and endobronchial ultrasound, bronchial thermoplasty, endobronchial resection of tumors, endobronchial stents, pleurax catheter placement for malignant pleural effusions and whole lung lavage. How to Apply: To apply to this position directly, please contact Jennifer Sweeney with your CV via e-mail: ___ NJ Pay Transparency: If hired, the anticipated salary range for this position is $480,000 to $670,000 per year. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate’s educational background, skills, and professional experience Successful candidates will be: • ABS board-certified or board eligible with lung transplant fellowship training, • NJ licensed or eligible for NJ licensure About Newark Beth Israel Medical Center: First established in 1901, Newark Beth Israel Medical Center is a 665-bed quaternary care, teaching hospital that provides comprehensive health care for the region. Staffed with more than 800 physicians, 3200 employees, and 150 volunteers, our hospital is ready to provide you and your family with the quality care you need. Newark Beth Israel is home to one of the nation’s 10 largest heart transplant centers, RWJBarnabas Health’s Heart Failure Treatment and Transplant Program; New Jersey’s only Advanced Lung Disease and Transplant Program; and a Valve Center that performs more cardiac valve procedures, including minimally invasive transcatheter aortic valve replacements (TAVRs), than any other center in the state. Our medical center is home to the most comprehensive robotic surgery center in the state, and we were the first hospital in NJ to establish an accredited sleep disorders center. The Frederick B. Cohen, MD, Cancer and Blood Disorders Center and the Healthcare Foundation of New Jersey Breast Health Center provide seamless integration of cancer prevention, specialized care, and treatment options. Newark Beth Israel is renowned for its many preventive health programs that promote wellness in the community. As part of RWJBarnabas Health, the largest healthcare delivery system in the state, we have access to advanced technology and a variety of medical specialists. About RWJBarnabas Health: RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, with a service area covering five million people. The system includes eleven acute care hospitals, three acute care children’s hospitals and a leading pediatric rehabilitation hospital, a freestanding 100-bed behavioral health center, trauma centers, a satellite emergency department, ambulatory care centers, geriatric centers, the state’s largest behavioral health network, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, a medical group, multi-site imaging centers and an accountable care organization. RWJBarnabas Health is New Jersey’s largest private employer – with more than 34,000 employees, 9,000 physicians and 1,000 residents and interns – and routinely captures national awards for outstanding quality and safety.

Job Description Goodwill Industries NYNJ Job Description Form Position Title: SEMP Job Developer Location: Various Reports To: SEMP Manager Cost Center: Various General Purpose: In a few brief sentences summarize the primary duties and responsibilities. Supported Employment Job Developers are responsible for working with persons with disabilities (PWD) through a process known as Customized Employment. Prior to placement, individuals are assessed through a “Discovery” process by interning at several work sites and interviewing significant people within their circle of support in order to arrive at a holistic picture about a person’s interest, aptitudes and vocational direction that will lead to a good job match. The SEMP Job developer is responsible for working with a caseload of PWD in order to move them through this process and then place them in competitive jobs. It is important that the job developer maintain a network of key employers and businesses in which individuals can both intern for short periods of time, as well as hire appropriate individuals with the support of an on-site coach when necessary. Responsible for following up with employers, funding sources, parents and others during the process. Essential Functions: Describe the intrinsic job duties that define the core responsibilities of the job. • Responsible for overseeing Discovery process and final Discovery Report within an average of 90 days., • Develop a variety of community based sites for limited time internships that cover different types of career explorations, e.g., Pharmacy , clothing and big box settings such as Target, TJMaxx, food establishments, etc., • Responsible placing 25 individuals per year., • Responsible for developing appropriate resumes for consumers in program., • When necessary, fill out paper and/or online applications with individual, • Maintain relationships with existing employers, • Develop new accounts, • Assist consumers in finding, getting and keeping jobs, • JD is responsible for “job matching” a participant’s experience, temperament and stated work settings and goals in order to place in appropriate job., • When applicable, market and be able to set up on-site job coaching for consumers., • JD is knowledgeable about Social Security work incentives and how employment affects an individual’s disability benefits., • Knows how to calculate and explain SSI & SSDI benefits plans to clients., • Be able to educate employers on relevant program and placement issues: disability issues as they relate to employment, ADA issues, tax credits, job modifications, etc., • Manage appropriate paperwork as required by funding source, incl. case notes, billing materials, etc., • Establishing relationships with businesses interested in customized workplace training, • Providing participants with job search services, including resume writing and interview preparation, • Must maintain online log through CMIS of all services provided to participants serviced (daily), • Responsible for complete, accurate and timely submission of all job orders, referrals, follow ups and verifications required for the department, • Serve as role model for participants, • Perform other related duties as assigned by JD Supervisor and/or Management, • Maintain and ensure HIPAA confidentiality of records (daily) Qualifications/Basic Job Requirements: Describe the skills, knowledge and abilities required. Include minimum educational and experience requirements and preferences. • High school or GED required at minimum; Bachelor’s Degree preferred, • 2 years’ experience working with persons with disabilities, • Experience as a Job Developer and/or Sales Marketing or related field a plus, • Proven ability to cultivate and maintain employer relationships with business and industry with a particular focus on employers providing employment opportunity in various fields, • Excellent communication skills, both oral and written, • Strong presentation and networking skills, • Must be able to work with difficult population and defuse tense situations, • Must be a team player and have strong work ethic, • Must be flexible, open to new ideas, creative, and energetic, • Must be able to manage multiple tasks and prioritize competing demands, • Proficiency with MS Office Suite (Word, Excel, Outlook, PPT), • Field based position, must be able to travel to multiple sites daily Scope of Responsibility & Positions Supervised: Where applicable describes level of authority, decision making discretion, consequences of actions, supervisory and fiscal responsibility. Provide metrics where possible. Level of supervision received. N/A Special Working Conditions: Describe unusual working conditions or environmental factors. N/A

RWJBH is currently hiring for a per diem PA for a Critical Care nights position located at Trinitas Medical Center in Elizabeth, NJ. RWJBH is currently hiring for a Full-Time PA for a Critical Care days/nights rotation located at Trinitas Medical Center in Elizabeth, NJ. Job Summary: The Critical Care Physician Assistant will deliver health care in the critical care settings to include, but not limited to, the recognition and management of common, critical illnesses and injuries; and the provisioning of care across the health care continuum with emphasis on early detection, treatment, and prevention of diseases. Essential Functions: • Obtains and records patient history, • Performs physical and medical screening examinations, • Completes diagnostic and therapeutic studies, • Orders diagnostic laboratory tests, radiological studies or other therapies as appropriate, • Establishes diagnostic decision-making and initiates a treatment plan, which may include ordering medications, additional therapeutic modalities, etc., • Coordinates patient care with other members of the health care team. Initiates consultation requests to other health professionals to provide more comprehensive patient management., • Instructs and counsels patients regarding mental and physical health, referring patients to appropriate specialists/resources., • Completes charting in a thorough and timely manner, • Adequately manages patient flow in the ICU, • Performs procedures as allowed by state law and under the direction of the supervising or collaborating physician, • Works within legal, regulatory, and ethical practice standards, • Actively participates in department staff meetings and risk management education, • Completes required courses, i.e. HIPAA, EMTALA and other CME/CEU requirements., • Physician Assistant Certification, • Registration & Licensure by the New Jersey State Board of Medical Examiners/ Physician Assistant Advisory required, • Basic Life Support (BLS) and Advanced Life Support (ACLS) Certifications, PALS (if required), • Active membership in a professional organization preferred, • Medical and broad based clinical emergency medicine knowledge, • Strong verbal and written communication skills, • Excellent time management skills Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Equal Opportunity Employer RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, with a service area covering five million people. The system includes eleven acute care hospitals – Clara Maass Medical Center in Belleville, Community Medical Center in Toms River, Jersey City Medical Center in Jersey City, Monmouth Medical Center in Long Branch, Monmouth Medical Center Southern Campus in Lakewood, Newark Beth Israel Medical Center in Newark, RWJUH- New Brunswick, RWJUH- Somerset in Somerville, RWJUH- Hamilton, RWJUH- Rahway and Cooperman Barnabas Medical Center in Livingston; three acute care children’s hospitals and a leading pediatric rehabilitation hospital (Children’s Specialized Hospital), a freestanding 100-bed behavioral health center, trauma centers, a satellite emergency department, ambulatory care centers, geriatric centers, the state’s largest behavioral health network, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, a medical group, multi-site imaging centers and an accountable care organization. We offer a great work environment, competitive rates and excellent benefits, including: • Medical/Dental/Vision plans, • 401 (k), • PTO, • Short & Long Term Disability, • Basic Life & Accidental Death Insurance, • Tuition Reimbursement, • Health Care/Dependent Care Flexible Spending Accounts

RWJBarnabas Health, the largest integrated health system in NJ, is currently seeking Physician Advisors for part-time employment at Jersey City Medical Center (JCMC) in Jersey City, NJ. The Physician Advisor will form a collaborative partnership with local and corporate administration, the medical staff, and the case management department leadership. This partnership will provide a comprehensive clinical resource management program that includes utilization management, progression of care management, social work services, and complex discharge planning. Responsibilities: • Establishing and maintaining a standardized practice for Physician Advisor Services:, • Throughput/Length of Stay, • Observation Hours, • Next Site of Care planning, • Leading multidisciplinary rounds, • Meets Defined Length of Stay Goals, • Medicare LOS to align with Geometric/Arithmetic Benchmarks, • Commercial LOS, • Meets Organizational Goals for Hours in Observation, • Board Certified/Board Eligible and Valid NJ License, • 2+ years of Clinical Practice Experience, • Previous Utilization Management Experience in Acute Care Setting, • Prior leadership experience required, • CHCQM certified, • Knowledge of CMS Regulations and Knowledge of Nationally Accepted Guidelines such as MCG and InterQual, • Excellent Communication and Interpersonal Skills, • Proficient Computer Skills, • Medical/Dental/Vision plans, • 401 (k), • PTO, • Short & Long Term Disability, • Basic Life & Accidental Death Insurance The anticipated salary range for this position if hired to work is $125,000 to $135,000 per year. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate’s educational background, skills, and professional experience Additional Information: RWJBarnabas Health is the most comprehensive health care delivery system in New Jersey, with a service area covering five million people. The system includes eleven acute care hospitals – Clara Maass Medical Center in Belleville, Community Medical Center in Toms River, Jersey City Medical Center in Jersey City, Monmouth Medical Center in Long Branch, Monmouth Medical Center Southern Campus in Lakewood, Newark Beth Israel Medical Center in Newark, RWJUH- New Brunswick, RWJUH- Somerset in Somerville, RWJUH- Hamilton, RWJUH- Rahway and Cooperman Barnabas Medical Center in Livingston; three acute care children’s hospitals and a leading pediatric rehabilitation hospital (Children’s Specialized Hospital), a freestanding 100-bed behavioral health center, trauma centers, a satellite emergency department, ambulatory care centers, geriatric centers, the state’s largest behavioral health network, comprehensive home care and hospice programs, fitness and wellness centers, retail pharmacy services, a medical group, multi-site imaging centers and an accountable care organization. How to Apply: If you are interested in learning more about this position or wish to apply directly, please contact us at ___.

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 Position Summary: Capital Rx is looking for a results-driven Account Coordinator, PBM to support the PBM Commercial account teams with large and jumbo commercial clients in the health system, employer, labor/union, and public sectors. In this role, you will partner with account teams to enhance client satisfaction and help with day-to-day tasks. You'll collaborate with internal teams to meet the needs of our clients and their members. If you're passionate about building strong client relationships, navigating healthcare trends, and improving processes, we want to hear from you! Position Responsibilities: • Support implementation and client management teams with all day-to-day client requirements, • Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations, • Analyze incoming client requests and work with internal and external teams to complete required plan documentation, • Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent, • Lead pre- and post-implementation quality assurance and testing to validate coding accuracy, • Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address, • Handle and resolve sponsor and member issues, escalating as needed, • Research and respond to claims processing and system configuration inquiries, • Coordinate integration of other data inputs into client management processes, • Collaborate cross functionally to support general client operations, as required, • Undergraduate bachelor's degree, with record of strong academic performanceor equivalent job experience, • 1+ years of proven experience in PBM / health plan, benefits consulting, healthcare, • Track record of building trusting internal and external relationships, • Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables, • Experience working with structured and unstructured data, • Proficient in Microsoft Office, SQL a bonus, • Ability to balance multiple complex projects simultaneously, • Exceptional written and verbal communication skills, • Extremely flexible, highly organized, and able to shift priorities easily, • Attention to detail & commitment to delivering high quality work product Salary Range$60,000—$75,000 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___.

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 Position Summary: Join our first-of-its-kind Integrated Benefits team as a Benefit Operations Specialist, where you will play a pivotal role in delivering comprehensive medical and pharmacy benefit programs for Judi Health clients. You will lead benefit configuration, claims testing, and quality assurance processes, ensuring accuracy and efficiency across all implementations. This position offers the opportunity to influence operational best practices and contribute to a team that is redefining how integrated benefits are delivered in the healthcare space. Position Responsibilities: • Responsible for all aspects of benefit configuration, including new plan setup, plan change setup, claims testing, and regular audits, • Drives cross-functional collaboration with the product/dev team as well as additional stakeholder teams to ensure client customized requests are configurable for both new plan setups and plan changes, • Clearly communicate benefit configuration setup and testing process or specific test claims to clients in a concise way that can be understood by users who are not experts in benefit areas, • Make recommendations to streamline the work processes and systems that impact plan/benefit design to create efficiency and quality outcomes, • Works cross-functionally to create new benefit options aligning with market needs, including expansion in government programs, • Develop standards and custom batch testing scenarios and inputs, reviewing test claims output to validate claim accuracy against the clients' benefit design, • Develops standard policy and procedures, training materials and provide education for training and presentation to cross-functional teams, • Maintain acceptable and appropriate quality levels and production SLA response time, • Participate in client meetings to assess new client benefit information or change requests to ensure design of Judi logic ties to the benefit configuration intended to meet client needs, • Partner with leadership to develop benefit plan designs and ensure that the plan designs meet client requests, Health Plan strategic/business parameters, and all regulatory and other oversight agencies' requirements, • Partner with Client Services team as clients go live and troubleshoot benefit-related discrepancies, errors, and problems, • Support general business or team needs, as assigned, • Bachelor's degree preferred, • 5+years of TPA / health plan experience in Medical Benefit configuration, benefit testing, claims monitoring, SPD creation, Medical Coding or other applicable department needs, • 3+ years of experience with Cigna a plus, • Pharmacy, Dental, or Vision experience a plus, • Self-funded plans, Medicare/Government programs and ERISA experience preferred, • Tremendous attention to detail, ability to shift priorities easily and ability to work in high paced, deadline drive environment., • Exceptional written and verbal communication skills, • Experience working with product/dev teams and familiarity with Agile, preferred 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___.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The overall purpose of the Behavioral Health Care Advocate is to improve the enrollee's ability to remain stable in the community and out of the hospital. Care Advocates engage people in the treatment process and assist them to access the appropriate community services so they can pursue their treatment goals in the community and avoid institutionalization. This position is also designed to be a direct clinical liaison between health plan staff and the clinical network. The program fosters a collegial and mutually beneficial relationship between the providers and payers of medical and behavioral health services. This is a field-based position working with adults enrolled in the Medicaid program. You will spend 80% of the time meeting with enrollees at hospitals, clinical facilities, community sites, and in their homes. The remaining 20% is spent working remotely at home. The schedule is Monday - Friday, 8 am to 5 pm, with no weekends, evenings, or holidays. Due to business needs, current residency in or near Yonkers or Central / Southeast Bronx is required. If you are located in The Bronx / Yonkers, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • Identify and provide community service linkage, • Assist enrollees with aftercare appointments, • Provide subsequent member follow-up as determined by individual member needs, • Work with enrollees to identify gaps in care or obstacles to care and problem solve for successful connection to needed services, • Review IP Census each day to determine which enrollees on the census are re-admits within the last 12 months, • Go to facility meetings with treatment team to develop a successful aftercare plan, • Manage the aftercare follow-up of identified high risk enrollees (manage follow-up calls/outreach and documentation), • Meet with community providers/facilities as company liaison to foster good rapport and relationships and to identify new programs As part of your employment with Optum, you'll enjoy a robust total rewards package that includes: • Competitive salaries, • Comprehensive benefits, including health insurance, 401(k) matching, and a wide range of life and wellness resources to support your overall well-being, • Paid time off and paid company holidays, • Continuing education support, including CEU and licensure reimbursement, • Mileage reimbursement for work-related travel, • Opportunities to make a meaningful impact by supporting your local community and partnering with area resources We're committed to creating a supportive and rewarding environment where you can thrive both personally and professionally. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • Master's degree in Psychology, Social Work, Counseling, or Marriage and Family Counseling; OR Licensed Ph.D.; OR Registered Nurse with 5+ years of Behavioral Health experience, • Active, unrestricted, independent license the State of New York:, • Licensed Mental Health Counselor (LMHC), • Licensed Marriage & Family Therapist (LMFT), • Licensed Clinical Social Worker (LCSW), • Licensed Psychologist (LP), • Registered Nurse (RN), • 2+ years of experience in a related mental health environment, • Demonstrated proficiency with computers and solid working knowledge of Excel spreadsheets, • Dedicated, distraction-free home office / workspace with access to install secure, high-speed internet at home, • Access to reliable transportation that will allow daily travel throughout an assigned territory to meet with enrollees, • Reside in or near Yonkers or Central / Southeast Bronx Preferred Qualifications: • Medical/Behavioral setting experience (i.e., hospital, managed care organization, or joint medical/behavioral outpatient practice), • Dual diagnosis experience with mental health and substance abuse, • Case Management experience, • Community health experience, • Field based experience, • Experience working with low-income populations, • Experience working with the aged, blind, or disabled, • Working knowledge of city and state agencies and practices including APS, ACS, AOT, ACT, Health Home, Forensic and others *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.