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

Job Description About Agadia Agadia specializes in healthcare management technology and provides clients with a suite of utilization management software solutions. Our mission is to improve the quality of care and accelerate the delivery of healthcare services by advancing and automating utilization management processes. Based in Parsippany, New Jersey, with clients across the United States, we are growing and looking for a detail-oriented, self-motivated Account Manager who thrives in a client-facing role and enjoys driving customer success. Position Overview The Account Manager is the primary client contact for relationship management, upsell opportunities, change requests, new projects, contract coordination, communication, and client satisfaction. In this role, you will serve as a trusted advisor to clients, articulate solution value to both business and technical audiences, and partner closely with internal technology teams to ensure seamless execution and strong customer experience. Key Responsibilities • Serve as the primary point of contact for assigned client accounts and build strong, long-term relationships., • Maintain and grow client relationships through ongoing communication, annual reviews, and proactive support., • Analyze client data to identify opportunities, recommend solutions, and support business growth., • Gather client requirements and partner with internal technology teams to develop and deliver effective solutions., • Develop and deliver Professional Services statements of work for client review and approval., • Provide product guidance, training webinars, and technical information to support client success., • Act as a client advocate and project manager within Agadia, collaborating across functional teams., • Support client implementations and help ensure successful delivery within established timelines., • Support release activities, including reporting, testing, post-production verification, communication, and follow-through., • Promote the full range of Agadia products and services, and identify additional opportunities to add value. Desired Skills • Strong verbal and written communication skills, • Substantial knowledge of pharmacy benefits, managed care, or utilization management, • Familiarity with utilization management processes, preferably prior authorization across lines of business, • Strong problem-solving, analytical, and business analysis skills with attention to detail, • Ability to explain complex information clearly and simply to a variety of audiences, • Strong execution, organization, flexibility, and follow-through, • Negotiation skills and the ability to manage competing priorities, • Motivated, self-directed, and comfortable working in a collaborative environment Qualifications • Bachelor’s degree or equivalent experience, • 3–5 years of relevant experience in account management, client services, healthcare technology, pharmacy operations, or managed care, including at least 2 years in a client-facing or account management role preferred.”, • Management or business degree preferred, • Certified Pharmacy Technician certification or nursing degree with pharmacy experience preferred, • Experience in clinical programs and services such as MTM, Transitional Care, Medication Synchronization, Drug Management Program, Medication Reconciliation, and/or Specialty Pharmacy preferred, • Knowledge of CMS, regulatory, and compliance requirements, • Call center or direct patient interaction experience is a plus, • Ability to travel to customer sites on a limited basis (0–4 times per year) The listed salary range will vary based on relevant experience, skills, and location. Benefits offered: Medical, Dental, Vision, Life Insurance, Short-Term Disability, Long-Term Disability, 401(k) match, Flexible Spending Accounts, Parental Leave, Paid time off, and Holidays Core Skills Client Relationship Management, Account Growth, Customer Success, Cross-Functional Collaboration, Solution Consulting, Contract and Statement of Work Coordination, Client Communication, Project Coordination, Problem Solving, Managed Care, Pharmacy Operations, Utilization Management, Prior Authorization, Training and Client Enablement, Attention to Detail Key Competencies Communicates effectively– Attentively listens to others, provides timely and helpful information, and is effective in a range of professional settings. Gives and receives feedback in a productive, professional manner. Demonstrates excellent oral and written communication skills. Manages Ambiguity - Operates effectively even when things are uncertain or the way forward is unclear. It is flexible and adaptable to changing business needs. Manages complexity -Makes sense of complex, high quantity, and sometimes contradictory information to effectively solve problems. Has strong organizational skills and can manage multiple tasks simultaneously. It pays close attention to detail. Ensures Accountability -Follows through on commitments and makes sure others do the same. Able to work independently as part of a small team.

Job Description AssistRx is a specialty pharmacy hub services company that manages therapy initiation and patient access programs for pharmaceutical manufacturers. The company’s flagship platform, iAssist, integrates at the point of prescribing and connects patients, providers, payors, and manufacturers across complex specialty therapy programs. Welsh, Carson, Anderson & Stowe acquired AssistRx in February 2024, and the company has grown significantly, supporting a broad portfolio of programs across therapeutic areas including oncology, immunology, rare disease, and obesity. Requirements POSITION SUMMARY The Director / VP, Insights to Action will serve as the founding senior leader of the ITA function — responsible for both the analytical quality and the organizational build-out of a small, high-impact team. This is a player-coach role: the successful candidate will personally execute analytical work alongside three Data Scientists, maintaining deep individual contribution while also setting standards, developing team members, and managing client relationships. The role requires an individual who combines quantitative rigor with strong communication skills and fluency in the US specialty pharmacy and pharmaceutical manufacturer ecosystem. The Director / VP will interface regularly with both internal and external stakeholders spanning market access, patient services, and commercial leadership, translating complex analytical findings into clear, actionable narratives. KEY RESPONSIBILITIES Team Leadership & Development · Lead, mentor, and develop a team of three Data Scientists; this is a player-coach role — the expectation is sustained personal analytical output alongside team management responsibilities · Set and maintain analytical standards, review team work product, and allocate capacity across concurrent client engagements · Contribute to hiring, onboarding, and capability development as the function scales Client Delivery & Engagement · Own end-to-end delivery of program analytics for assigned pharmaceutical manufacturer clients, including quarterly business review (QBR) preparation, ad hoc analyses, and ongoing insight production · Serve as the primary analytical point of contact for senior client stakeholders; present findings to market access leaders, patient services teams, and executive sponsors · Partner with the Commercial team on analytical content for renewals, new business proposals, and strategic account planning Analytical Frameworks & Insight Generation · Define and maintain a standardized KPI framework for hub program performance spanning six key pre-defined families · Lead proactive, hypothesis-driven analysis across patient throughput, stage conversion rates, payor dynamics, HCP-level behavior patterns, adherence trajectories, and financial program utilization · Translate analytical findings into executive summaries, trend narratives, and operational recommendations formatted for manufacturer client audiences Data Infrastructure & Productization · Collaborate with data engineering, Master Data Management (MDM), and BI architecture teams to define data requirements and ensure the analytical inputs underlying ITA are reliable, consistently defined, and properly governed · Guide the progressive migration of validated ad hoc analyses into productized ThoughtSpot dashboards, contributing to the company’s long-term self-service analytics strategy · Identify and help resolve upstream data quality and governance issues that affect insight reliability Commercial & Strategic Support · Support the commercial positioning of the ITA capability in coordination with Business Development leadership, including input to RFP responses, pricing discussions, and go-to-market materials · Contribute to defining the ITA product roadmap — the progression from ad hoc delivery to a scalable, monetizable analytics offering REQUIRED QUALIFICATIONS · 7–10 years of progressive experience in healthcare analytics, with direct and substantive experience in one or more of the following: pharmaceutical manufacturer (commercial, market access, or patient services analytics), pharma consulting, health insurer, or pharmacy benefit manager (PBM) · Demonstrated experience managing or leading a small analytics team; player-coach orientation is essential — this role requires sustained personal contribution alongside people management · Advanced proficiency in SQL; hands-on experience querying and manipulating data in cloud data warehouse environments (Snowflake strongly preferred) · Proficiency in Python or R required; Python preferred (pandas, numpy, scipy, scikit-learn) · Experience with ThoughtSpot or Power BI preferred · Strong working knowledge of statistical methods applicable to program analytics: cohort analysis, survival analysis, funnel decomposition, regression modeling, distribution-based performance metrics, and experimental design and A/B testing frameworks · Demonstrated ability to communicate complex analytical findings to senior non-technical stakeholders; strong written and verbal presentation skills · Bachelor’s degree in a quantitative field (statistics, mathematics, data science, computer science, economics, or related); advanced degree preferred PREFERRED QUALIFICATIONS · Direct experience with pharmaceutical hub program operations, including case management workflows, prior authorization, benefits verification, payor adjudication, and patient financial assistance programs · Familiarity with specialty pharmacy data structures and source systems (CRM, pharmacy dispensing systems, benefits verification platforms) · Experience with patient access or market access analytics at a pharmaceutical manufacturer, including program performance tracking and payor dynamics analysis · Background in pharma consulting with a focus on analytics, commercial operations, or market access strategy · Experience at a health insurer or PBM in a role involving formulary analytics, utilization management, specialty drug analysis, or patient access reporting · Experience developing or contributing to a commercial analytics product or client-facing insights offering · Familiarity with generative AI applications in analytics workflows (e.g., natural language querying, synthetic data generation, entity resolution) · Familiarity with dbt or similar data transformation frameworks Benefits • Supportive, progressive, fast-paced environment, • Competitive pay structure, • Matching 401(k) with immediate vesting, • Medical, dental, vision, life, & short-term disability insurance, • Opportunity to impact patient outcomes through data-driven healthcare technology., • Collaborative and mission-driven culture that values innovation and continuous learning., • Access to cutting-edge cloud technologies and modern data engineering tools., • Competitive compensation, comprehensive benefits, and career growth opportunities AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws. All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position. AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire. The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ACKNOWLEDGEMENT I have read the foregoing job description and understand the responsibilities of the job. I agree that I am able to perform the essential duties of this position.

Job DescriptionCompany: Link Rx: https://www.linkrx.io/ Location: Central New Jersey (preferred) | Territory: New Jersey & New York About LinkRx LinkRx is a healthcare solutions company dedicated to improving patient access to innovative therapies. We partner with biopharmaceutical manufacturers and provider networks to streamline reimbursement processes, optimize patient outcomes, and support successful product launches. We are currently seeking a Field Reimbursement Manager (FRM) to support the launch of a new treatment for major depressive disorder (MDD) scheduled for Q1 2026. This individual will play a pivotal role in ensuring providers and patients across New Jersey and New York receive comprehensive reimbursement support. Position Summary The Field Reimbursement Manager will serve as the primary point of contact for providers on reimbursement matters related to the new MDD therapy. The role requires strong account management skills, the ability to navigate payer and specialty medication access challenges, and leadership experience to drive initiatives across the territory. Key Responsibilities • Coordinate reimbursement support efforts across assigned provider networks in NJ and NY., • Partner with provider offices to resolve access barriers, including benefit verification, prior authorization, and claims support., • Deliver education and training to office staff on reimbursement processes and resources., • Maintain strong relationships with prescribers, practice managers, and support staff to facilitate timely patient access., • Provide regular field insights and access trend reporting to internal stakeholders., • Collaborate with cross-functional teams to ensure alignment on strategy and execution.Qualifications, • Required:, • Demonstrated sales and account management experience., • Team management or leadership experience., • Preferred:, • Healthcare industry experience, particularly in specialty medications., • Understanding of reimbursement dynamics, including payer coverage, prior authorizations, and specialty pharmacy distribution., • Based in Central New Jersey with the ability to travel throughout NJ and NY. Compensation & Benefits • Competitive base salary plus bonus opportunity., • Comprehensive health insurance package., • Professional growth opportunity supporting a high-impact specialty drug launch.Pay Rate & Bonus Structure, • Base range $60k-80k, • Opportunity to reach $120k-130k with bonuses Application Instructions Interested candidates are invited to submit their resumes to zein@linkrx.io.

Job Description Company introduction: Compass Pathways plc (Nasdaq: CMPS) is a biotechnology company dedicated to accelerating patient access to evidence-based innovation in mental health. The Company is headquartered in London, UK, with offices in New York City in the US. We focus on developing novel treatments that have the potential to improve the lives of those who are suffering with mental health conditions and who are not helped by current treatments. We are pioneering a new paradigm for treating mental health conditions focused on rapid and durable responses through the development of our investigational COMP360 synthetic psilocybin treatment, potentially a first in class treatment. COMP360 has Breakthrough Therapy designation from the US Food and Drug Administration (FDA) and has received Innovative Licensing and Access Pathway (ILAP) designation in the UK for treatment-resistant depression (TRD) due to the pressing unmet need in this area. We are currently in phase 3 for TRD, have completed phase 2 studies for both post-traumatic stress disorder (PTSD) and anorexia nervosa and are planning a further late-stage study in PTSD. We envision a world where mental health means not just the absence of illness but the ability to thrive. - Compass Pathways. Job overview: Our Director, National Payer Accounts is responsible for driving and securing formulary access and coverage for COMP360 across national Commercial and Medicare payers and PBMs, ahead of and through launch. Reporting to the Senior Director, National Payer Accounts, this individual is responsible for establishing and maintaining strategic and productive customer relationships, developing strategic account plans that support their efforts in translating the COMP360 value proposition into sustainable coverage wins, while partnering internally with Health Economics and Outcomes Research (HEOR), Medical Affairs, Government Affairs, and Commercial Operations to ensure payer strategies are fully executed with precision. Location: Remote in the United States. Reports to: Senior Director, National Payer Accounts. Roles and responsibilities (Include but are not limited to): National Payer Account Strategy and Execution • Work closely with the Senior Director to develop and execute account strategies across national Commercial and Medicare payer segments to drive optimal formulary positioning for COMP360 at launch and beyond, • Stay current with dynamic market forces, customer organizational changes, and policy changes at the state and federal level, that impact Compass and/or payer customers, and incorporate those variables into proposed account strategies and tactics as necessary and appropriate, • Own strategic and tactical planning and prioritization for assigned payer accounts, profiling key decision-makers including Pharmacy Directors, Medical Directors, Clinical Pharmacy and Finance leads, and P&T committee members, • Own strategic relationships with payer customers and serve as the primary interface and negotiator for coverage, contracting, and access discussions, • Identify and proactively address barriers to formulary inclusion, developing tailored strategies to support timely P&T reviews and coverage policy development Value Communication and Pull-Through • Articulate the clinical and economic value proposition of COMP360 to payer audiences, integrating HEOR evidence, budget impact models, and real-world data to support coverage and access decisions, • Partner with the Senior Director and Finance on contracting recommendations to ensure proposals are commercially sound, aligned with government pricing compliance requirements, and GTN impacts are aligned with financial goals., • Collaborate with Directors of Strategic Payer Accounts to develop downstream pull-through initiatives following national formulary wins Cross-Functional Collaboration • Partner closely with HEOR, Medical Affairs, Government Affairs, Sales, Patient Engagement, and Patient Experience cross-functional partners to align payer specific push-or-pull-through strategies and tactics, • Collaborate with Sales, Patient Engagement, and Commercial Operations leadership on HCP-facing formulary and access update communications that enable effective Sales execution and pull through, • Collaborate with Patient Experience regarding appropriate patient advocacy organization (i.e. NAMI, AfPA, etc.) support when needed, • Represent the payer perspective internally, providing strategic guidance to leadership on coverage risks, opportunities, and competitive landscape dynamics Candidate Profile: • 7+ years in pharma/biotech market access, with significant direct experience in National payer account management within the Commercial and Medicare payer segments, • Proven track record negotiating, securing, and maintaining formulary access for launch-stage (and beyond) specialty or breakthrough products; CNS/psychiatry or novel treatment modality experience is a plus, • Payer contracting experience, Including innovative contracting (e.g. value-based, outcome-based, volume-based, cap models, etc.), • Deep knowledge of US payer landscape, formulary decision-making processes, utilization management, and prior authorization design, • Ability to translate HEOR and health economic data into compelling value narratives for payer audiences, • Hands-on launch experience at a growth-stage biotech; comfortable working in ambiguous situations and building tools and capabilities from scratch, • Exceptional stakeholder management skills; equally credible with external payer accounts and internal cross-functional partners, • Bachelor's degree required; advanced degree in Business, Public Health, Health Economics, or Pharmacy preferred, • Mission and values-aligned team player and cross-functional leader, passionate about expanding access to mental health innovation; demonstrates Compass' values: Compassion, Boldness, Inclusion, Rigour 【For NYC】Compensation Description (annually): Please note that the base salary range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location. Base pay is one part of the Total Package that is provided to compensate and recognise employees for their work and any role at Compass, regardless of the location, is eligible for additional discretionary bonuses and equity. 【Base salary per annum】:$220,000—$270,000 USDBenefits & Compensation: For an overview of our benefits package and compensation information, please visit "Working at Compass". Equal opportunities: Reasonable accommodation We are committed to building a workplace where everyone's wellbeing matters. If you need reasonable accommodation during the interview process to be at your best, please let our recruiting team know. UK applicants We are proud of our commitment to diversity and equality (pursuant to the Equality Act 2010). We do not discriminate based upon race, religion or belief, colour, nationality, ethnic or national origin, gender, pregnancy or maternity, marital or civil partner status, sexual orientation, gender reassignment, age or disability. US applicants Compass Pathways is proud to be an equal opportunity employer. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, and related medical conditions), ethnicity, age, disability, sexual orientation, gender identity, gender expression, military service, genetic information, familial or marital status, or any other status, category, or characteristic protected by applicable law. Sponsorship: Unfortunately, we cannot sponsor employment visas and can only accept applications if you have employment rights in the country to which you are applying. Data Privacy: All data is confidential and protected by all legal and data privacy requirements, please see our recruitment Privacy Notice to learn more about how we process personal data.

Job Description Job Summary Location: New York City, New York | Type: Full-time | Schedule: Monday–Friday Regular in-person coverage required; proximity to territory (approx. 20-minute commute) strongly preferred The Business Development Manager (BDM) – IG Therapy will be responsible for driving growth in IVIG (Intravenous Immunoglobulin) and SCIG therapies across targeted call points and payers types. This role is therapy-specific and focused on expanding IVX Health's footprint in the IVIG space by cultivating relationships with referring providers, identifying new IVIG opportunities, and executing strategic sales initiatives. The BDM will work closely with market BDMs & BDRs, payer access, and specialty pharmacy and operations teams to ensure seamless patient onboarding and therapy delivery. Key Responsibilities • Market Expansion & Referral Development, • Identify and engage net new IVIG referring providers, including specialists in neurology, immunology, and oncology., • Expand existing IVIG accounts and develop new ones in designated territories., • Maintain a consistent IVIG-focused presence in provider conversations to drive awareness and referrals., • Sales Strategy & Execution, • Implement refined selling motions tailored to IVIG therapies, including therapy-agnostic order forms and product-specific initiatives (e.g., Gamunex-C)., • Collaborate with ASM and Growth leadership to align on territory goals, sales targets, and performance metrics., • Participate in retraining programs focused on IG sales approaches and reimbursement strategies., • Cross-Functional Collaboration, • Partner with Prior Authorization (PA) and Intake teams to deploy preferred product matrices and streamline onboarding., • Coordinate with Clinical and Operations teams to ensure patient onboarding and provider support., • Support market level collaboration with pharma partners (e.g., Octapharma, Takeda)., • Data & Reporting, • Utilize CRM systems (e.g., Sugar) to track referral activity, account status, and sales performance., • Provide feedback on market trends, competitor activity, and therapy adoption to inform strategic decisions. Qualifications • Proven experience in specialty pharmaceutical sales, preferably in IVIG or related infusion therapies., • Strong understanding of the IG market, including Part B and Part D dynamics, reimbursement models, and provider behaviors., • Demonstrated success in opening new accounts and driving therapy-specific growth., • Excellent communication, presentation, and relationship-building skills., • Ability to work independently and collaboratively across cross-functional teams., • Familiarity with CRM platforms and data-driven sales reporting. Pay is based on factors such as market location, job-related knowledge, skills, and experience, and is benchmarked against similar organizations in our size and industry. It is not typical for an individual to be hired at or near the top of the posted range, as compensation decisions depend on the facts and circumstances of each case. In addition to cash pay, full-time regular employees are eligible for commissions/bonus, 401(k), health benefits, and other company-provided benefits. New York Pay Range$147,000—$162,000 USD About IVX Health IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We're transforming the way care is delivered with a focus on patient comfort and convenience. Our commitment to exceptional care extends to our employees as well—we empower our team to thrive while living our core values: Be Kind, Do What's Right, Never Settle, Make It Happen, and Enjoy the Ride. Our Mission: To improve the lives of those we care for by redefining the care experience Our Vision: To be the nation's preferred destination for pharmaceutical care of complex chronic conditions Our Commitment: To deliver an unmatched care experience with a foundation in world class service and clinical excellence Benefits We Offer • Comprehensive Healthcare – Medical, dental, and vision coverage, including prescription drug plans and telemedicine services., • Flexible Savings Options – Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs., • Supplemental Protection – Accident, critical illness, and hospital indemnity plans to provide additional financial security., • Dependent Care FSA – Pre-tax savings for eligible childcare and dependent care expenses., • 401(k) Retirement Plan – Secure your future with a competitive company match., • Disability Coverage – Voluntary short-term and long-term disability plans to protect your income., • Fertility and Family Support – Resources and benefits designed to support fertility care and family planning., • Life and AD&D Insurance – Financial protection for you and your loved ones., • Counseling and Wellness Support – Free resources to support emotional, physical, and financial well-being., • Education Assistance – Tuition reimbursement and certification support to help you grow in your career., • Continuing Education – Access to a CEU library for ongoing professional development., • Charitable Giving and Volunteer Program – Matched donations and paid volunteer time off to support causes you care about., • Employee Referral Bonus – Earn rewards for helping us find top talent. Note: Benefits may vary by employment type. Contact HR for details on eligibility and coverage. EEO STATEMENT IVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment. Privacy Policy

Job DescriptionPrincipal Solution Architect Location: Hybrid / Remote Employment Type: Full-Time About the Opportunity We are building a new engineering organization to develop and scale a next-generation healthcare technology platform focused on specialty patient access and Hub Services. Our mission is to modernize how providers, pharmacies, payers, and manufacturers collaborate across complex access workflows by leveraging cloud-native architecture, AI-enabled automation, and healthcare interoperability. This is a rare opportunity to help build a high-impact platform from an early stage while backed by an experienced leadership team with deep expertise in healthcare technology. You will have significant influence over architecture, engineering culture, technical strategy, and product direction as we build a world-class engineering organization. Position Summary We are seeking a highly experienced Principal Solution Architect to serve as the technical owner of our Hub Services platform. The platform is built using React, Python (FastAPI), PostgreSQL, and Microsoft Azure, utilizing Azure Cache for Redis, Azure Queue/Service Bus, Azure Monitor, Application Insights, and Log Analytics. Unlike a traditional architecture role, this position requires a builder who is equally comfortable defining long-term architecture and writing production code. Approximately 50% of the role is focused on architecture, technical strategy, and product roadmap, while 50% is dedicated to hands-on engineering, mentoring, design reviews, troubleshooting, and coding alongside the development team. What You'll Own • Full technical ownership of the Hub Services platform, including architecture, scalability, security, reliability, and long-term product evolution., • Building and mentoring a new engineering organization, establishing engineering culture, standards, and delivery practices from the ground up., • Defining the product's technical roadmap and modernization strategy., • Architecture governance, coding standards, DevOps practices, observability, release management, and operational excellence., • Designing enterprise-grade integrations with EMR/EHR systems, SMART on FHIR applications, FHIR APIs, Prior Authorization platforms, pharmacy systems, payer solutions, and other healthcare ecosystems., • Serving as the primary technical advisor for Product Management and Engineering leadership.Key Responsibilities, • Lead architecture for cloud-native, highly available, scalable healthcare solutions., • Design REST APIs, event-driven integrations, and distributed application architectures., • Produce architecture artifacts including HLDs, LLDs, API specifications, sequence diagrams, and integration designs., • Review and contribute production-quality code for complex features and critical components., • Coach and mentor engineers through architecture reviews, pair programming, and technical leadership., • Partner with Product, QA, DevOps, and Operations to deliver secure, reliable, and maintainable software., • Drive continuous improvements across SDLC, CI/CD, monitoring, performance, and platform reliability.Technology Environment, • Frontend: React, JavaScript, TypeScript, • Backend: Python, FastAPI, REST APIs, asynchronous programming, • Database: PostgreSQL, • Cloud: Microsoft Azure, • Caching: Azure Cache for Redis, • Messaging: Azure Queue Storage / Azure Service Bus, • Monitoring & Logging: Azure Monitor, Application Insights, Log Analytics, • DevOps: Azure DevOps, CI/CD pipelinesRequired Qualifications, • 10+ years of software engineering experience with progressively increasing technical leadership., • 5+ years as a Principal Engineer, Lead Architect, or Solution Architect., • Strong hands-on expertise with Python (FastAPI), React, and PostgreSQL., • Experience designing enterprise-scale Azure cloud applications., • Deep understanding of distributed systems, API architecture, microservices, and modern software design patterns., • Demonstrated ability to lead engineering teams while remaining an active contributor to production code., • Excellent communication and stakeholder management skills.Preferred Qualifications, • Healthcare technology, Hub Services, or Specialty Pharmacy experience., • Hands-on experience with SMART on FHIR, HL7/FHIR, EMR/EHR integration, and Prior Authorization workflows., • Experience integrating with payer, pharmacy, and clinical systems., • Azure and architecture certifications are a plus.Success Profile, • Thrives in startup environments while applying enterprise engineering discipline., • Comfortable switching between executive strategy discussions and hands-on coding., • Builds high-performing engineering teams through mentorship and technical leadership., • Takes ownership from architecture through implementation and production support., • Passionate about building scalable healthcare platforms and solving complex integration challenges.Pay Range: Actual compensation will be determined based on the candidate's experience, qualifications, and work location. Candidates in different geographic markets may be offered compensation that reflects local market conditions.Why Join Us You will play a foundational role in building a world-class engineering organization focused on solving some of healthcare's most complex patient access challenges. You'll have end-to-end technical ownership of a strategic platform, influence product direction, lead healthcare interoperability initiatives, and work alongside experienced healthcare technology leaders. This role offers the rare opportunity to combine startup agility, hands-on engineering, and enterprise-scale impact while building technology that directly improves patient access to specialty therapies.

Job Description About Shields Advanced Therapies Shields Advanced Therapies partners with health systems to accelerate advanced therapy access and operations, ensuring lifechanging breakthroughs reach more patients. Our management services and technology solutions serve as a horizontal support hub to empower health system-led, world-class advanced therapy care across 50+ disease states. Launched in September 2024, Shields Advanced Therapies is anchored by partnerships with five of the Top 20 Academic Medical Centers in the United States. Additionally, Shields' track record partnering with over 1,000 hospitals across 43 states in prior ventures provides a national channel for expansion. Role Overview The Advanced Therapies Benefits Specialist will play a crucial role in managing and coordinating patient financial services, ensuring that patients understand and can access available financial resources from payers, manufacturers, and foundations. The role will report to the Director, Clinical Operations. This is a full-time, hybrid role based in New York City (4 days/week in office). Core Responsibilities • Benefits Investigation & Verification: Work with all payers (Government, Commercial, and otherwise, including out-of-state Medicaid agencies), pharmacy benefit managers (PBMs) and third-party administrators (TPAs) to identify, investigate and verify patient insurance coverage and benefits as early as possible within the care journey to ensure timely access to care, accurate billing, and minimal claim denials. This involves confirming eligibility and understanding the specifics of various insurance plans, including site-of-care considerations., • Prior Authorization Facilitation: Work with patient, Cell & Gene Therapy Clinical Coordinators, clinical staff, payer, and others to secure prior authorizations for each component of the treatment plan as applicable/required., • Benefit Enrollment Assistance (if applicable): Guide patients through the process of enrolling in appropriate benefit programs, such as Medicaid, Medicare, or other financial assistance options. This may involve helping patients complete necessary applications and providing information on program requirements., • Patient Financial Counseling: Assist patients in understanding their insurance benefits, out-of-pocket costs, and available financial assistance programs. This includes explaining coverage details and guiding patients through the complexities of healthcare billing, including site-of-care considerations., • Collaboration with Departments: Work closely with clinical staff, patient accounting, billing & collections, and other hospital departments (e.g., research) to communicate benefits considerations and serve as point of contact during financial clearance process, ensure accuracy, and enhance patient satisfaction. This collaboration ensures that financial considerations are integrated into patient care planning., • Collaboration with Manufacturers: In partnership with the Cell & Gene Therapy Clinical Coordinators, work with manufacturers to attempt securing additional financial assistance as applicable/appropriate., • Compliance and Documentation: Maintain accurate records of patient interactions, financial agreements, and assistance provided, ensuring compliance with healthcare regulations and privacy laws. This includes documenting all financial counseling sessions and maintaining confidentiality of patient information., • Development and Execution of Financial Pathways: Codify and execute benefits investigation and prior authorization pathways tailored to each product covered by advanced therapy programs across Health System Partner's service lines and therapeutic programs., • Programmatic Expansion: Contribute to development of centralized Benefits Specialist function that will augment dedicated teams at our Health System Partners and other future partners. Experience The ideal candidate will have 5+ years of experience in healthcare billing, insurance coordination, or patient financial counselling, and familiarity with healthcare financial systems and the insurance verification process. Strong communication and interpersonal skills are crucial for effectively assisting patients, and attention to detail, organizational abilities, and proficiency with healthcare information systems are also important. Prior experience/familiarity with payer navigation specifically related to cellular therapy (CAR T, TIL, etc.), gene therapy, and/or bone marrow transplant patient journeys and applicable prior authorizations required to enable is preferred. Prior exposure with both inpatient & outpatient site-of-care also preferred but not required. Compensation The base salary for this role is expected to be between $65,000 and $80,000. Bonus opportunity tied to quality metrics/outcomes and comprehensive benefits coverage also offered. Job Posted by ApplicantPro

Job Description Job Title: Intake and PA Coordinator - Infusion & Specialty Pharmacy (Parenteral Nutrition & DME Focus) with Billing Experience Job Summary: We are seeking an experienced and highly qualified Intake and PA Coordinator to join our infusion pharmacy team, with a specific focus on parenteral nutrition (PN) and durable medical equipment (DME). PN is a covered DME benefit, and the ideal candidate will have expertise in handling prior authorizations (PA), billing, insurance processes, and insurance audit responses for both PN and DME therapies. The right candidate should have a solid background in infusion pharmacy or DME and a strong understanding of parenteral nutrition management. Experience in gastroenterology is a plus but not required. We are open to considering Certified Pharmacy Technicians (CPhT), Medical Assistants (MA), and LPNs with the appropriate experience. This position offers flexibility for remote or hybrid work arrangements, with a competitive salary based on experience. Key Responsibilities: • Oversee the intake process for parenteral nutrition (PN) and DME services, ensuring accurate documentation is completed and processed efficiently., • Coordinate and submit prior authorization (PA) requests for PN and DME therapies, ensuring full compliance with insurance guidelines and treatment protocols., • Verify insurance coverage for PN and DME benefits, resolving any discrepancies or issues promptly., • Work with the billing team to ensure accurate coding and billing for PN and DME products and services, including processing PN as a DME benefit., • Respond to insurance audits related to PN and DME services, providing necessary documentation and supporting evidence to resolve issues and ensure reimbursement., • Maintain accurate patient records within the pharmacy management system, ensuring compliance with all regulatory standards., • Communicate effectively with patients, healthcare providers, and insurance companies to provide updates on PN therapy and DME equipment., • Collaborate with clinical teams to ensure proper prescriptions for PN and DME therapies are processed and delivered on time., • Provide patient education on the proper use of PN and DME products and offer ongoing support, including follow-up care and assistance with homecare services., • Ensure timely delivery and setup of homecare services for PN and DME therapies, including equipment installation and patient education. Required Qualifications: • Proven experience in infusion pharmacy, DME, or medical office settings, with a focus on parenteral nutrition and durable medical equipment., • In-depth knowledge of insurance verification, prior authorization processes, and billing for PN and DME therapies., • Experience in responding to insurance audits and providing necessary documentation to resolve discrepancies., • Familiarity with infusion therapy protocols, parenteral nutrition management, and DME equipment., • Strong organizational skills, with the ability to manage multiple tasks efficiently in a fast-paced environment., • Excellent communication skills, with the ability to work effectively with patients, healthcare providers, and insurance companies. Preferred Qualifications: • Certified Pharmacy Technician (CPhT), Medical Assistant (MA), or LPN credentials with relevant experience will be considered., • Experience in parenteral nutrition and durable medical equipment (DME), including PN as a DME benefit., • Knowledge of the prior authorization process and insurance audits for PN and DME therapies., • Experience in gastroenterology or related specialties is a plus. Work Environment: • Remote or hybrid position (mix of in-office and remote work available)., • Flexible hours based on operational needs. Salary: • Commensurate with experience. Application Instructions: Only highly qualified candidates will be considered for this position. If you have the necessary experience and meet the qualifications, please submit your resume and cover letter for consideration.

Job Description Reports To: Vice President, Customer Experience Location: Remote/Hybrid with 10% travel nationwide Position Summary The PAHub & Prior Authorization Specialist serves as a trusted consultant to customers and internal teams, helping maximize the value, effectiveness, and adoption of PAHub. This role bridges the gap between product functionality, customer operations, implementation, account management, training, and support. The ideal candidate possesses deep knowledge of prior authorization workflows and PAHub capabilities and can effectively communicate with both operational users and executive stakeholders. The Specialist will participate in customer meetings, support internal teams, provide product demonstrations, identify optimization opportunities, and assist in the development of customer-facing documentation and training materials. This role plays a critical part in ensuring customers achieve their desired business outcomes while helping internal teams deliver consistent, high-quality customer experience. Key Responsibilities Customer Engagement & Advisory • Serve as a PAHub subject matter expert for customers throughout implementation, optimization, training, and ongoing support activities., • Participate in customer calls, workshops, business reviews, and operational meetings., • Develop trusted relationships with customer stakeholders by understanding their workflows, goals, challenges, and business requirements., • Advise customers on industry best practices and optimal use of PAHub functionality., • Identify opportunities to improve customer efficiency, automation, turnaround times, and overall satisfaction., • Proactively monitor customer adoption and recommend process improvements and workflow enhancements. Product Demonstrations & Training • Conduct PAHub demonstrations for prospective and existing customers., • Showcase new features, product enhancements, and best practices., • Deliver customer training sessions tailored to different user roles and operational functions., • Assist customers in understanding how PAHub functionality supports their business and regulatory requirements., • Support onboarding activities for new customers and new customer team members. Internal Team Support • Act as a resource for Account Management, Customer Success, Support, Implementation, Product, Training, and Operations teams., • Participate in internal customer strategy discussions and planning meetings., • Provide guidance on customer workflows, business requirements, and PAHub capabilities., • Help internal teams evaluate customer enhancement requests and identify potential solutions., • Share customer feedback, trends, and opportunities with Product Management and leadership teams. Product Adoption & Optimization • Assess customer utilization of PAHub and identify opportunities for improvement., • Recommend workflow changes, configuration updates, and training opportunities to increase efficiency., • Help customers leverage existing functionality before pursuing custom development., • Support feature adoption initiatives and change management efforts., • Track customer challenges and coordinate with internal teams to ensure timely resolution. Documentation & Knowledge Management • Partner with the Documentation and Training teams to create, review, and improve customer-facing materials., • Validate user guides, training materials, release communications, knowledge articles, and implementation documentation for accuracy and usability., • Assist in developing best practice guides, workflow examples, and process documentation., • Review customer communications to ensure clear and consistent messaging. Voice of the Customer • Gather customer feedback and communicate key themes to Product, Engineering, and Leadership teams., • Advocate for customer needs while balancing product strategy and operational considerations., • Assist in prioritizing customer requests by providing business and workflow context., • Identify recurring customer questions and contribute to continuous improvements in training and documentation. Required Qualifications • 5+ years of experience in healthcare operations, prior authorization, utilization management, PBM, health plan operations, specialty pharmacy, or healthcare technology., • Hands-on experience with PAHub or a similar prior authorization platform., • Strong understanding of prior authorization workflows, operations, and regulatory requirements., • Experience working directly with customers in a consultative or client-facing capacity., • Excellent presentation, facilitation, and communication skills., • Ability to explain complex technical concepts to both technical and non-technical audiences., • Strong analytical and problem-solving abilities., • Ability to manage multiple priorities in a fast-paced, demanding environment with minimal supervision., • Maintain the strictest confidentiality in compliance with HIPAA guidelines., • Highly self-motivated, professional, take-charge attitude with humility and integrity. Preferred Qualifications • Experience supporting SaaS healthcare applications., • Experience in training, customer success, account management, implementation, and/or consulting., • Knowledge of CMS, Medicaid, Medicare, and commercial utilization management processes., • Pharmacy Technician certification, pharmacist, or related healthcare credentials., • Experience creating documentation, training content, or knowledge management materials. Success Measures The PAHub & PA Specialist will be successful when: • Customers are effectively utilizing PAHub functionality and adopting new features., • Customer satisfaction and engagement levels improve., • Internal teams have access to timely, accurate product expertise., • Product demonstrations and training sessions are highly effective and well-received., • Documentation and customer-facing materials are accurate, useful, and easy to understand., • Customer feedback is translated into actionable improvements that enhance the overall customer experience. This position offers a unique opportunity to influence customer success, product adoption, and the overall customer experience strategy while serving as a recognized PAHub expert across the organization. Pay Range: Actual compensation will be determined based on the candidate's experience, qualifications, and work location. Candidates in different geographic markets may be offered compensation that reflects local market conditions. Agadia Health Systems, Inc. is a leading healthcare management technology company addressing the evolving needs of the managed care market with a suite of utilization management solutions in electronic prior authorization, MTM, Part D star ratings & adherence, grievances, and formulary benefit design. Used by the nation’s largest health plans and PBMs, Agadia’s advanced technology solutions help drive operational efficiency, appropriate utilization, compliance, and profitability Agadia is an Equal Opportunity Employer

Job Description About the Role Our pharmacy is the clinical engine of Pharmko. Our pharmacists, technicians, and clinical staff are heads-down compounding sterile parenteral nutrition and infusion therapies that patients depend on. The Client Services Coordinator is the person who fields everything else: the calls, the questions, the "where is my delivery," the prescription follow-ups, the physician office requests, the case manager check-ins. You keep the pharmacy team focused on the work only they can do. This is a high-volume, fast-moving, account-oriented role. You will be the first voice patients, caregivers, and referring offices hear, and the person who decides what gets handled, what gets routed, and what gets escalated. You will also be the daily relationship owner for our network of physician offices, hospitals, and case managers, working alongside our outside sales team to keep referrals flowing and accounts strong. If you are the kind of person who naturally creates order out of chaos, communicates warmly under pressure, and takes ownership of getting things resolved, this role will fit you well. We reward performance: this position includes a quarterly bonus structure tied to operational and patient experience metrics. What You Will Do Front-Line Patient and Caregiver Support Be the primary point of contact for incoming patient and caregiver calls Handle status inquiries on deliveries, prescriptions, supplies, and nursing visits Communicate proactively about scheduling, delays, and next steps so patients are never left guessing Escalate clinical questions to pharmacy staff appropriately Account and Referring Office Relationships Serve as the daily contact for physician offices, hospital discharge planners, case managers, and home health agencies Build collegial, dependable relationships with referring offices that keep patients coming back to Pharmko Track outstanding orders, labs, and documentation and follow up until items are received Manage incoming faxes, eScripts, phone, and email referral channels and route to the right person on the team Partner closely with our outside sales team on account strategy and pipeline Operations Triage and Routing Manage the shared inbox and main phone line, triaging requests by urgency and complexity Decide what you can handle directly, what needs to go to intake, what needs pharmacy, and what needs leadership Track open issues to closure so nothing falls through the cracks Logistics and Delivery Coordination Coordinate daily delivery schedules with pharmacy staff and couriers (FedEx, UPS, local) Align lab draw timing with compounding and delivery windows Troubleshoot real-time delivery and scheduling issues, including weather delays, missed deliveries, and address changes Hospital-to-Home Transitions Coordinate onboarding logistics for new patient starts including deliveries, nursing visits, and supply needs Work closely with intake to ensure smooth handoffs from referral to first delivery Cross-Team Communication Serve as the connective tissue between pharmacy, intake, billing, and sales so information flows where it needs to go Surface recurring issues and bottlenecks to leadership with suggestions for fixes What We Are Looking For 2+ years of experience in home infusion, specialty pharmacy, DME, home health, medical office coordination, or inside sales/account management in a healthcare or B2B service environment Comfort with high call volume and shared-inbox triage Strong organizational skills with a system for tracking open items so nothing slips Excellent verbal and written communication, including a warm and professional phone manner Comfort with EMR or pharmacy management systems (Brightree experience a strong plus) Familiarity with prior authorization, benefit verification, or referral workflows a plus Ability to thrive in a fast-paced, patient-focused environment Goal-oriented mindset and ownership of outcomes High school diploma or equivalent required; associate or bachelor's degree a plus What Success Looks Like The pharmacy team can stay focused on compounding and clinical work without being interrupted by routine inquiries Patients, caregivers, and referring offices feel heard, informed, and well taken care of Nothing falls through the cracks: every call, fax, and request is tracked to resolution Faster patient onboarding from referral to first delivery Strong, lasting relationships with our referring offices and case managers Compensation and Benefits $55,000 base salary Quarterly performance bonus up to $1,500 per quarter ($6,000 annually) tied to operational and patient satisfaction metrics On-target total compensation: $61,000 Health insurance (medical coverage) Paid time off (PTO) Paid holidays, including major federal and Jewish holidays observed in office Sick leave in accordance with NY state law Professional development opportunities Supportive, mission-driven team environment Opportunity to make a real difference in patients' lives

Job DescriptionDescription: Position Summary Flora Health is seeking a Customer Success Manager (CSM) – Patient Access Programs to serve as the primary operational owner for pharmaceutical manufacturer programs supporting patient access, affordability, and therapy initiation. This role is responsible for managing the successful execution of patient access solutions, including copay programs, patient support programs, hub services, prior authorization initiatives, bridge programs, patient enrollment workflows, specialty pharmacy engagement, PAP programs, and related access-focused campaigns. The CSM will act as the central point of coordination between pharmaceutical clients, resellers, internal product and operations teams, technology partners, and patient access stakeholders to ensure program objectives are achieved. The ideal candidate combines strong client management skills with direct experience in patient access operations and a deep understanding of the barriers patients, providers, and manufacturers face throughout the patient’s treatment journey. Requirements: Key Responsibilities Client Success & Program Management • Serve as the primary day-to-day contact for assigned pharmaceutical manufacturer accounts and patient access programs., • Lead program onboarding, implementation, launch, and ongoing management activities., • Develop and maintain program plans, timelines, deliverables, and stakeholder communications., • Facilitate regular client meetings, status reviews, and business reviews., • Monitor program performance and proactively identify opportunities for optimization and growth., • Ensure client objectives, contractual commitments, and operational requirements are consistently met. Patient Access Subject Matter Expertise • Provide guidance and support related to patient access workflows, including:, • Copay and affordability programs, • Patient support programs (PSPs), • Hub services, • Prior authorization processes, • PAP programs, • Pharmacy programs, • Benefits investigation workflows, • Bridge and quick-start programs, • Specialty pharmacy coordination, • Enrollment and referral management, • Understand common manufacturer patient access strategies and operational models., • Identify workflow improvements that reduce friction for patients, providers, and care teams., • Provide proactive guidance and insight on industry trends, tools, and standards across the access landscape to better the day-to-day work and client expectations. Cross-Functional Coordination • Partner with Product, Operations, Analytics, Medical Strategy, and Engineering teams to support program execution., • Coordinate implementation activities with hub vendors, specialty pharmacies, technology partners, and manufacturer stakeholders., • Translate client needs into actionable requirements for internal teams., • Escalate risks, dependencies, and issues while driving timely resolution. Performance Monitoring & Reporting • Track key program metrics and performance indicators., • Analyze campaign, enrollment, utilization, and access-related data., • Develop client-facing reports and executive summaries., • Present performance insights and recommendations to clients and internal leadership. Operational Excellence • Maintain accurate project documentation and program records., • Ensure compliance with applicable privacy, regulatory, and contractual requirements., • Support continuous improvement initiatives related to patient access workflows and customer experience., • Contribute to the development of best practices, playbooks, and standard operating procedures. Required Qualifications • 3–7 years of experience in patient access, pharmaceutical services, healthcare operations, customer success, account management, program management, or hub services., • Direct experience supporting one or more of the following:, • Copay programs, • Patient support programs, • Hub services, • Prior authorization programs, • PAP programs, • Pharmacy programs, • Specialty pharmacy operations, • Benefits investigation workflows, • Manufacturer patient access programs, • Strong understanding of the pharmaceutical patient access ecosystem., • Experience managing external clients and multiple concurrent projects., • Excellent communication, presentation, and stakeholder management skills., • Ability to navigate complex healthcare workflows and operational processes., • Strong organizational skills with exceptional attention to detail. Preferred Qualifications • Experience working for a pharmaceutical manufacturer, hub vendor, specialty pharmacy, patient services organization, market access agency, or healthcare technology company., • Familiarity with patient access technology platforms, CRM systems, reporting dashboards, and workflow management tools., • Experience supporting rare disease, specialty, or high-cost therapies., • Understanding of payer coverage, reimbursement, utilization management, and access barriers., • Experience presenting to pharmaceutical brand, market access, patient services, or commercial teams.

Senior Healthcare NASCO Claims Domain Specialist – UAT Testing Lead Are you an Senior Healthcare NASCO Claims Domain Specialist professional passionate about shaping secure, scalable technology solutions? Join a globally recognized technology consulting organization headquartered in New York, known for driving innovation across enterprise platforms, cloud transformation, and next-generation digital solutions. This is your opportunity to work on large-scale, high-impact Health Care, collaborate with global experts, and influence enterprise-wide Health care architecture in a fast-evolving technology landscape. We are seeking a Senior Healthcare NASCO Claims Domain Specialist with extensive experience in U.S. Healthcare Insurance and NASCO Claims Processing to lead end-to-end User Acceptance Testing (UAT) initiatives. The ideal candidate will serve as the primary domain expert, working closely with business stakeholders, development teams, and offshore QA/UAT teams to ensure successful delivery of healthcare claims applications. Responsibilities Include: • Serve as the primary Subject Matter Expert (SME) for end-to-end NASCO claims processing., • Lead testing strategy, planning, execution, and validation for healthcare claims applications., • Validate claims adjudication, pricing, repricing, deductibles, MOOP, Coordination of Benefits (COB), subrogation, authorizations, claims edits, and exception handling., • Review and approve test plans, test scenarios, test data, and test results., • Lead User Acceptance Testing (UAT), Functional Testing, System Integration Testing (SIT), and Regression Testing., • Conduct defect triage, root cause analysis, and release readiness activities., • Ensure compliance with CMS, HIPAA, Medicare, Medicaid, and commercial healthcare regulations., • Collaborate with Product Owners, Business Users, Development Teams, QA Leads, and Operations teams., • Facilitate requirement walkthroughs, workshops, and business validation sessions., • Mentor QA analysts and offshore UAT teams while promoting best testing practices., • Communicate project status, risks, and testing outcomes to business and technical stakeholders. Qualifications: • 15+ years of experience in U.S. Healthcare Insurance., • Extensive hands-on experience with NASCO Claims Processing., • Strong expertise in Healthcare Payer Claims and end-to-end Claims Lifecycle., • Experience with Professional, Institutional, and Pharmacy Claims., • Strong knowledge of Claims Adjudication, Benefit Configuration, Pricing, Repricing, Deductibles, MOOP, Coordination of Benefits (COB), Subrogation, Prior Authorization, and Claims Exception Handling., • Experience with EDI transactions including 837, 835, and 270/271., • Knowledge of CMS, HIPAA, Medicare, Medicaid, ICD, CPT, and HCPCS coding standards., • Hands-on experience leading UAT, Functional Testing, System Integration Testing (SIT), and Regression Testing., • Experience with JIRA, HP ALM, or similar test management tools., • Knowledge of SQL for data validation is preferred., • Strong stakeholder management, communication, leadership, and mentoring skills. Important Details: • Employment Type: Contract, • Work Location: Newark, NJ, • Company HQ: New York, • Target Bill Rate: 45$/hr – $50/hr, • Schedule: Monday–Friday, standard business hours, • Benefits: PTO, 401k Retirement Contribution This hot job won’t be open long APPLY TODAY! Russell Tobin is a leading minority-owned professional and technical recruitment and staffing advisory organization. We are comprised of specialized practices focusing on a variety of skill sets and industries. Having a depth and breadth of industry expertise, our subject matter experts are able to provide tailored and swift sourcing solutions to fulfill client hiring needs. In other words, we connect top talent with companies. We are the staffing arm of the Pride Global network, a minority-owned integrated human capital solutions firm, with additional offerings in vendor management, payroll programs, and business process optimization. • Russell Tobin offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors., • Equal Employment OpportunityRussell Tobin is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law., • Fair Chance EmploymentRussell Tobin is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances., • AccommodationWe are committed to providing reasonable accommodation to applicants and employees with disabilities. If you require reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us., • Only applicable for San Francisco Candidates: Under the San Francisco Lactation in the Workplace Ordinance, we will provide written notice of lactation accommodation rights, and this notice will automatically be given upon hiring, any inquiry of parental leave or lactation accommodation.

Requirements** - 5+ years of experience in pharmacy prior authorisation, speciality medication access, or pharmacy benefit management. We are seeking experienced Medication and Pharmacy Prior Authorisation specialists with expertise in speciality medication access to evaluate AI tools designed to au

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Bonus based on performance, • Company parties, • Competitive salary, • Health insurance, • Opportunity for advancement, • Paid time off We are seeking a Pharmacy Technician Certified to became a part of our team! You will assist in the preparation of medications under the direction of a pharmacist. The candidate MUST have Micro Merchant Prime RX experience as well as knowledge of Prior Authorization initiation, follow up and appeal process. Responsibilities: • Prepare medication and other healthcare products for patients, • Measure dosage of medications, according to prescription orders, • Process prescriptions using PrimeRx, • Process and submit insurance claims and prior authorizations, • Label and record dosage information, • Monitor storage and inventory of medications and supplies, • Answer patient requests and questionsQualifications:, • Previous experience in pharmacy, • Strong analytical and critical thinking skills, • Excellent written and verbal communication skills, • Strong attention to detail, • Strong organizational skillS

Job Description Location: New York, NY Work Model: On-site Industry: Health tech / AI Compensation: $80K-$100K base, $120K-$140K OTE About the Company Our partner is a seed-stage health-tech company using agentic AI to solve prior authorization for specialty pharmaceutical therapies. The platform removes burdensome administrative work across every drug and payer, is free to providers, HIPAA-compliant, and already live in thousands of practices. The Opportunity This is the company's highest-priority hire and the first real seat on the go-to-market team. Most of the day is outbound: calling practice managers, practice owners, and physicians, then carrying the deal through discovery, a tailored demo, and close. You will help write the playbook rather than simply run one: choosing specialties, testing channels, refining messaging, and feeding what works back into the motion. Responsibilities • Run high-volume outbound into specialty practices, primarily by phone., • Qualify and run product demos with limited ramp support., • Own the full cycle through evaluation and close., • Explain prior authorization and pharmacy-benefits complexity clearly., • Hand off new customers cleanly to onboarding., • Improve targeting, messaging, and process as the function is built.Requirements, • 1-3 years of sales experience with real outbound repetitions., • Genuine interest in a sales career., • Ability to learn complex healthcare subject matter quickly and explain it coherently., • High autonomy and ownership., • Based in New York and able to work onsite 4-5 days a week., • Healthcare or health-tech exposure strongly preferred.

CVS Health is seeking a Pharmacy Technician for Prior Authorization to work from home in Hawaii.

MaziCTools is hiring a Pharmacy Technician for remote work supporting patients and doctors with medication requests.

Job Description Prior authorization specialist • Billing Reconciliation, • Able to do compounding technician work; prepare for compounding, cleaning cleanroom as per policy, inventory., • Capable to understand contracting, applications, accreditation standards, regulatory standards, • Capable to understand and implement compliance procedures under the pharmacist in charge’s direction, • Organized in workflow, • Able to meet deadlines, • Attention to detail, • Ability to multitask, • Professional, • Can answer the phones and maintain relationships, • Ability to anticipate next steps as it relates to his/her job description • Microsoft Office dexterity, • Flexible, • Data entry, • Filling prescription orders, • Assisting with compounding, • Pharmacy hours 9-7 M-F 40+ hour workweek, seldom weekends., • PTO available, • Promotions and growth opportunity available, • Health Insurance available Must be closely commutable to Lawrence, NY 11559 MUST KNOW MICROMERCHANTS PRIME RX MUST KNOW BRIGHT TREE SYSTEM

Job DescriptionBilingual Medical Office Manager / Senior Front Desk ManagerLocations: Hempstead and Lindenhurst, New York Employment Type: Full-Time Pay: $32.00–$36.00 per hour, based on directly related experience Our office is seeking a highly experienced, hands-on Bilingual Medical Office Manager / Senior Front Desk Manager to help oversee and support our medical offices in Hempstead and Lindenhurst. This is not a desk-only management position. The successful candidate must be fully trained in medical front-desk operations and willing to assist the front-desk staff and medical assistants whenever needed. The manager will help keep both offices organized, properly staffed and operating efficiently. Primary Responsibilities: • Supervise, train and support front-desk employees and medical assistants., • Step in at the front desk when needed, including answering phones, scheduling appointments, checking patients in and out, collecting payments and assisting patients., • Help prepare employee schedules and arrange coverage for absences, vacations and busy office periods., • Travel between our Hempstead and Lindenhurst offices when operational coverage is needed., • Verify insurance eligibility, benefits, referrals and authorization requirements., • Obtain and track authorizations for medical examinations, treatments, physical therapy, diagnostic testing and other services., • Work with No-Fault, Workers’ Compensation, Medicare and major commercial medical insurance plans., • Understand the administrative requirements associated with automobile accident and work-related injury cases., • Process medication refill requests, prior-authorization requests and pharmacy communications, and route all clinical decisions to the appropriate licensed provider., • Request, organize, release and maintain medical records in accordance with HIPAA and office procedures., • Review patient charts to help ensure that required documents, prescriptions, referrals, authorizations and follow-up appointments are completed., • Communicate with physicians, nurse practitioners, physical therapists, chiropractors, billing personnel, attorneys, insurance carriers and patients., • Assist with patient complaints and difficult situations in a calm and professional manner., • Monitor front-desk productivity, telephone performance, appointment confirmations, patient follow-up and missed appointments., • Help maintain accurate payment logs, daily reports and office records., • Assist management with office policies, employee training, compliance preparation and workflow improvements., • Perform other administrative and operational duties as needed. Required Qualifications: • Fluent in both English and Spanish., • At least five years of recent medical-office or medical front-desk experience., • Previous supervisory, lead front-desk or medical-office-management experience., • Strong knowledge of medical insurance verification, authorizations, referrals and medical records., • Direct experience with No-Fault, Workers’ Compensation and major medical insurance plans., • Experience working with medical doctors and handling prescription or medication-related administrative requests., • Ability to train employees and hold staff accountable while maintaining a respectful work environment., • Strong telephone, customer-service, organizational and problem-solving skills., • Comfortable working in a busy, multi-provider medical office., • Reliable transportation and willingness to work at either the Hempstead or Lindenhurst location as needed., • Working knowledge of HIPAA and patient-confidentiality requirements., • Proficiency with electronic medical records, email, scanning, document management and general office software. Preferred Qualifications: • Experience working in a multi-specialty medical practice., • Knowledge of physical therapy, chiropractic, primary care, orthopedics or pain-management office procedures., • Experience with Practice Fusion, ChiroTouch, TriZetto or similar medical-office systems., • Experience coordinating with medical billing and collections departments. Ideal CandidateThe ideal candidate is dependable, organized and confident. This person should be able to manage employees, solve daily office problems and personally assist with front-desk or medical-assistant responsibilities when the office is short-staffed or busy. We are looking for someone who already understands medical-office operations and can contribute immediately with limited basic training.Please submit your résumé along with a brief description of your experience with No-Fault, Workers’ Compensation, insurance authorizations, medical records and employee supervision. Our office is an equal-opportunity employer.

Job Description 1. Must have pharmacy experience, 2. Durable Medical Equipment/Compounding experience preferred, 3. Intake/Prior authorization, 4. Logistics, 5. Able to maintain sales relationships by outgoing status updates and assisting in inquiries., 6. Assist in compounding preparation, 7. Assist in compounding tasks from intake-logistics to post delivery check ins, 8. Must be local to Lawrence, NY 11559, 9. Must be able to lift heavy boxes, 10. Must be willing to learn different pharmacy softwares, 11. Must have organizational skills, 12. Must be able to bill and follow up on billing

Pharmacy Tech I – Prior Authorization (Remote – Must work CST hours) Location: Remote (can be located anywhere in the U.Central Time hours) Type: W2 Contract (Temporary) | Full-time: 40 hrs/week Pay: $20.Position Overview We’re hiring Pharmacy Tech I – Prior Authorization professionals to su

Assists in the preparation of medications. Assists in maintaining records and reports. Maintains sufficient inventories at workstations. Job Responsibility • Assists Registered Pharmacist in the non-professional (non-judgmental) aspects of preparing and dispensing medication: Fills, packages, labels and stocks medications; Fills bottles or other package forms with measured amount of medication either manually or mechanically; Labels containers of drugs according to department specification, either manually or mechanically; Fills medication orders in outpatient area; and Responsible for extemporaneous medication packaging, as required., • Assists Registered Pharmacist in maintaining a variety of records and reports: Maintains records for medication in outpatient area; Assists in the maintenance of statistics and records for all medication orders; Enters orders into computer system;, • Maintains sufficient inventory at workstations in Pharmacy: Transports required pharmacy material, as necessary; Receives and maintains records of stock and inventory control; Assists in material control by maintaining records and inventories; Maintains placement of sufficient daily inventory of supplies., • Operates point-of-sale cash register system according to department policies while ensuring positive customer experience., • Interacts with customers and healthcare providers (or Pharmacy Benefit Managers) to help facilitate the filling of prescriptions, handle/resolve rejections, and obtain prior authorization which will expedite prescriptions into the workflow., • Complies with Food and Drug Administration (FDA) mandates and self-imposed manufacturer restrictions on particular drugs, as applicable including Risk Evaluation and Mitigation Strategy (REMS) programs and manufacturer limited distribution drug requirements., • Performs related duties, as required. Job Qualification • High School Diploma or equivalent, required., • Graduate of a recognized Pharmacy Technician Training Program or PTCB Certification (CPHT), required., • Current license as a registered pharmacy technician in NYS, required when hired on/after 4/25/21., • Minimum of two (2) years related experience as a Pharmacy Technician including retail pharmacy with a computerized system within the last three (3) years, required., • Ability to learn computerized retail pharmacy system., • Strong communications skills, required., • Bilingual, preferred. The position will provide flexible shift options, each lasting 8 hours, within the hours of 7 AM to 7 PM. Variable shifts may encompass, but are not restricted to, the following: Monday through Friday, weekends, and holidays as needed. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Come join CCRM Fertility, a global pioneer in fertility treatment, research, science, specializing in IVF, fertility testing, egg freezing, preimplantation genetic testing, third party reproduction and egg donation. As a member of CCRM Fertility's diverse team of professionals, you will be a part of helping families grow and changing lives. We take pride in providing our employees with meaningful employment, a supportive culture, and a well-balanced personal & work life alignment. Location Address: Department: Clinical Work Schedule: Monday Friday (8:00am 4:30pm) What We Offer Our Team Members: • Generous Paid time-off (PTO) and paid holidays, • Medical, Dental, and Vision Insurance, • Health benefits eligible the first day of the month following your start date., • 401(k) Plan with Company Match (first of the month following 2 months of service), • Basic & Supplement Life Insurance, • Employee Assistance Program (EAP), • Short-Term Disability, • Flexible spending including Dependent Care and Commuter benefits., • Health Savings Account, • CCRM Paid Family Medical Leave (eligible after 1 year), • Supplemental Options (Critical Illness, Hospital Indemnity, Accident), • Professional Development, Job Training, and Cross Training Opportunities, • Potential for Over-time Pay (Time and a half), • Holiday Differential Pay (Time and a half), • Weekend Shift Differential Pay ($4.00 per hour) What You Will Do: • Transcribe, enter, scan, and verify data from source documents into the electronic medical record in an accurate and timely manner., • Place daily lab orders as directed by RN., • Obtain prior authorizations for medications as directed by RN., • Call patient pharmacy with patient prescriptions and prescription refills as directed by RN., • Perform chart audits for weekly ART meeting., • Track and audit all patient consent forms for completion. Alert RN if deficiencies noted., • Verify that patient work up status is completed and ensure communicable labs are kept up to date., • Track inventory and ensure timely documentation of all incoming and outgoing consignment medication for nurse team, as needed or as delegated., • Attend hormone meeting with the nursing team., • Assist with monitoring nurse team flags and facilitate flag completion as needed., • Assist with answering calls to nurse line and checking nurse line voicemails as needed or when delegated., • Within scope of practice, answer triaged phone calls for nursing team and document action taken in patient EMR., • Other duties as assigned. What You Bring: • High School Diploma required., • Medical Assistant certificate required., • Current BLS certification required., • 2+ years of medical assistant experience preferred. Working Conditions: The physical demands described here are representative of those which should be met, with or without reasonable accommodation (IAW ADA Guidelines), by an employee to successfully perform the essential functions of this job. This job operates in a professional office, clinical and/or laboratory setting. This role routinely uses standard office equipment such as computers, including computer keyboards and mice; telephones; photocopiers; scanners; filing cabinets. While performing the duties of this job, the employee will interact with others and ensure compliance with medical regulations, ethical guidelines, and organizational policies to maintain the highest standards of care and patient and staff safety. CCRM's Compensation: The salary range represents the national average compensation for this position. The base salary offered will vary based on location, experience, skills, and knowledge. The pay range does not reflect the total compensation package. Our rewards may include an annual bonus, flexible work arrangements, and many other region-specific benefits. Pre-Employment Requirements: All offers of employment are conditional upon the successful completion of the CCRM Fertility onboarding process, including verification of eligibility and authorization to work in the United States. This employer participates in the E-Verify Program in order to verify the identity and work authorization of all newly hired employees. Equal Employment/Anti-Discrimination : We are an equal-opportunity employer. In all aspects of employment, including the decision to hire, promote, discipline, or discharge, the choice will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

At Prosper AI, we're pioneering the most advanced conversational AI agents tailored for the healthcare industry. Since our founding, we've successfully onboarded dozens of major customers, empowering hospitals and multispecialty clinics to get paid faster and more efficiently, through streamlined revenue cycle management. Our AI agent, Paige, handles tasks like eligibility checks, prior authorizations, claim status follow-ups, and patient scheduling, reducing costs by over 50% for medical billing teams. We're backed by top investors including Y Combinator (Airbnb, Coinbase) and Emergence Capital (Salesforce, Zoom), trusted by innovative healthcare organizations, and are reshaping a $4T industry. We're looking for a high-performing Senior Account Executive to drive growth across healthcare providers, medical billing companies and pharmacy hubs. You'll own the sales process end-to-end, with support from product and engineering to win deals fast. You're proactive, product-curious, and thrive in early-stage, high-velocity environments. The role is 100% in person in New York City. What You'll Do: • Build and close a pipeline of 56 figure deals, • Drive outbound prospecting with SDRs and Marketing, and run targeted outreach campaigns, • Lead discovery, demos, pilots, and negotiationowning the full sales cycle, • Translate Prosper's AI capabilities into clear ROI stories for billing teams and executives, • Partner with Product to close feedback loops and influence roadmaps based on customer needs What We're Looking For: • 38+ years of B2B sales experience, ideally in healthcare, SaaS, or AI, • Proven track record of closing enterprise deals, • Excellent communication, presentation, and negotiation skills, • Ability to manage multiple stakeholders and cross-functional initiatives, • Strong communicator with the ability to sell both vision and execution, • Comfortable building your own pipeline and working autonomously Bonus Points: • Experience selling AI, automation, or voice tech, • Familiarity with EHRs, medical billing systems, or prior authorization workflows, • Networks within medical billing/RCM companies or hospital billing departments, • Background in fast-growing startups or high-ownership roles Why Prosper: • Early traction with real customers and revenue, • Huge market opportunity in a broken industry, • Competitive comp + uncapped commission + equity, • Fast-moving team with high trust and ownership Compensation range: • NYC Base Salary Range: $125,000 - $150,000 USD + equity & benefits, • OTE: $250,000 - $300,000 USD (50/50 Split)

Build our future together: The Neurology Account Director (NAD) is a field-based institutional key account role responsible for driving the launch and ongoing commercial performance of Regeneron's C5 inhibitor for generalized myasthenia gravis (gMG) within approximately 10 - 12 assigned academic medical centers (AMCs) infusion centers, and neuromuscular specialty centers. The account director serves as a Regeneron commercial point of contact within targeted institutions, responsible for formulary access, infusion suite education and pull-through, and long-term institutional partnership development. The AD combines deep MG clinical acumen, institutional navigation skills, financial acumen, and cross-functional coordination to maximize patient access and revenue within their assigned territory.When & where: Remote role Location: Northeast (New York, Pennsylvania, Massachusetts, Vermont, New Hampshire, Maine)Travel: Up to 60–70%, including overnight travel within assigned territoryDiscover your role: Institutional Account ManagementOwn and manage a portfolio of approximately 10 -12 AMCs and neuromuscular specialty centers within an assigned U.S. region, serving as the institutional commercial lead.Develop and execute comprehensive account plans for each institution, including formulary strategy, stakeholder mapping, competitive positioning, and patient access pathways.Navigate complex institutional buying environments including P&T committees, pharmacy contracting, hospital administration, and infusion center operations.Build and maintain deep, trust-based relationships with neurology department heads, treating neurologists, clinical pharmacists, infusion nurses, and medical directors.Formulary & Market Access Pull-ThroughLead formulary and pathway submissions and P&T committee presentations at targeted institutions, positioning the C5 inhibitor for preferred or unrestricted formulary status.Partner with Market Access National and Payer Account Directors to align institutional contracting with broader payer strategy and resolve prior authorization barriers.Coordinate with specialty pharmacy partners and Patient Services hub to ensure seamless reimbursement workflows for buy-and-bill infusion products.Track formulary status, pull-through metrics, and access barriers across all assigned accounts; escalate systemic issues with data-driven recommendations.Stakeholder & KOL EngagementIdentify, develop, and maintain relationships with key opinion leaders (KOLs) in neuromuscular medicine within assigned territory, in coordination with Medical Affairs.Represent Regeneron at national and regional neurology congresses (AAN, MGFA), medical education events, and institutional grand rounds as appropriate.Analytics, Planning & ReportingMaintain detailed CRM records and account intelligence; leverage IQVIA/Symphony Health data for prescriber-level targeting and performance measurement.Track and report on KPIs including accounts engaged, formulary inclusions achieved, patient switches, revenue per account, and competitive share of voice.Prepare and present quarterly business reviews to the Executive Director, highlighting account progress, barriers, competitive dynamics, and resource needs.Contribute to territory realignment recommendations and Year 2 expansion planning based on field-level market intelligence.This role requires:Bachelor's degree required; PharmD, RN, or advanced degree in life sciences strongly preferred.Minimum 10-12+ years institutional sales, market access, or account management experience in pharmaceutical/biotech.Demonstrated experience with hospital/AMC formulary processes, P&T committee engagement, and institutional buy-and-bill contracting.Track record of success in rare disease, neurology, or specialty biologic sales/account management, ideally including launch experience.Strong clinical acumen with the ability to engage physicians, pharmacists, and medical directors in scientifically rigorous conversations.Experience executing competitive switch or conversion strategies in institutional settings.Proficiency with CRM systems and commercial analytics platforms (IQVIA, Symphony Health, specialty pharmacy data).Ability to manage complex, multi-stakeholder account relationships independently with minimal supervision.Willingness to travel 60–70% within assigned territory, including overnight travel.Candidates must reside within the assigned territory.Preferred:Experience in complement biology, neuromuscular disease, or C5/FcRn inhibitor markets.Existing relationships with neurology KOLs or MGFA-recognized center-of-excellence leadership.Prior experience with infusion biologic launches in hospital/outpatient infusion settings.Knowledge of specialty pharmacy hub operations, patient assistance programs, and prior authorization workflows.Understanding of medical benefit (Part B) reimbursement, ASP pricing dynamics, and buy-and-bill economics.Core Competencies:Clinical Credibility – Translates C5 mechanism of action, dosing differentiation, and clinical evidence into compelling value propositions that resonate with treating physicians and institutional decision-makers.Institutional Account Navigation – Expertly engages across all levels of AMC hierarchies, from neurology fellows to C-suite administrators, pharmacy directors to infusion center leadership.Strategic Account Planning – Builds data-driven, multi-quarter account strategies that address formulary access, competitive positioning, and patient journey barriers.Patient Journey Management – Coordinates cross-functionally with Patient Services, specialty pharmacy, and market access to remove barriers and ensure seamless treatment initiation and continuation.Relationship Building – Develops deep, trust-based institutional partnerships that create long-term competitive advantages in rare neuromuscular disease.Results Orientation – Drives measurable outcomes through disciplined account planning, KPI tracking, and relentless follow-through on formulary wins.Does this sound like you? Apply now to take your first step towards living the Regeneron Way! We are committed to building a workplace with an inclusive culture. Regeneron is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion or belief (or lack thereof), sex, sexual orientation, gender identity or expression, gender reassignment, marital or civil partnership status, civil status, pregnancy or parental status, age, disability, nationality, citizenship status, ethnic or national origin, membership of the Traveler community, familial status, genetic information, military or veteran status, or any other characteristic protected under applicable law. Where required, we will provide reasonable accommodation to applicants with known disabilities or chronic illnesses during the recruitment process, unless such accommodation would impose undue hardship.Where necessary, we disclose salary ranges for roles in all countries in which we operate. The final offer will be determined within the relevant range based on the country of employment, specific role level, and your skills and experience. In some countries, collective bargaining agreements (CBAs) may apply and influence certain elements of pay or benefits. Regeneron offers a competitive and comprehensive total rewards package which may include, depending on country and role: annual bonuses or other incentive plans, equity awards, pension or retirement benefits, 401(k) company match, health and wellness programs, fitness centers, insurance benefits (e.g. medical, dental, vision, life and disability), paid time off, and family support benefits. For additional information about Regeneron benefits in the U.S., please visit . For other locations, additional information will be provided during the recruitment process. If you have any questions, please speak with your recruiter. Please be advised that at Regeneron, we believe we do our best work when we are together. For that reason, many roles are required to be performed on‑site. Please speak with your recruiter and hiring manager for more information about on‑site expectations for your role and location.As part of the recruitment process, certain background checks may be conducted in accordance with the laws of the country where the position is based. The purpose of such checks is to verify certain information prior to the commencement of employment such as identity, right to work and educational qualifications.For jobs in Canada: this posting is for an existing position.Salary Range (annually)$183,100.00 - $305,200.00SummaryLocation: Remote - Massachusetts; Remote - New York; Remote - Pennsylvania; Remote - Vermont; Remote - New Hampshire; Remote - MaineType: Full time

Forus is building an AI-powered network that connects doctors, pharmacies, payers, and biopharma to accelerate new science to patients. Our platform automates the complexity between a doctor prescribing a medicine and a patient starting treatment, including insurance coverage, financial assistance, and supply chain navigation. We provide this support free to doctors and patients, helping them get life-changing medicine faster, cheaper, and easier. The resulting network enables biopharma companies to design better research, launch new drugs more effectively, and invest in harder-to-treat conditions. Forus has exceptional product-market fit and is growing rapidly through organic adoption: Accelerating scale: We already support patients across more than 80% of ZIP codes and partner with 5 of the 10 largest biopharma companies in the world. AI-native, durable model: Our business becomes stronger as AI improves, as every new doctor, patient, and partner makes the network more valuable. Backing to build for the long term: We raised $160M+ from leading investors to build an exceptional team and unlock the full scale of the opportunity. Our number one priority is scaling to market demand. We are looking for individuals who are high horsepower, high throughput, and hyper resourceful to help us increase capacity and grow. We move fast and need to move faster. If we succeed, science will be the only limit to medicine. All full-time roles are in person in New York. As a member of the Clinical Intelligence team at Forus, you will help define the clinical standards that guide how we scale our platform. You'll translate clinical judgment, medical evidence, and the realities of clinical practice into structured frameworks that inform how medical records are interpreted, documentation is evaluated, and patient access workflows are executed. Your work will improve the accuracy, speed, and consistency of a platform used by providers across specialties. You will also work directly with partner physicians and provider organizations, explaining our clinical reasoning and translating their feedback into improvements to our product, clinical standards, and AI systems. This is a high-context, cross-functional role that blends clinical expertise with systems thinking and communication. You will work closely with our product, engineering, and AI teams throughout the development process: defining what good looks like, shaping decision logic, surfacing edge cases, evaluating system performance, and helping determine how the platform should behave in complex or ambiguous situations. Your work will shape the foundation of how Forus supports providers and patients at scale and help us build clinically reliable technology across an expanding set of medicines, specialties, and workflows. This is a demanding role, with a high level of autonomy and responsibility. You will be expected to "act like an owner" and commit yourself to Forus' success. If you are low-ego, hungry to learn, and excited about intense, impactful work that drives both company growth and accelerated career progression, we want to hear from you. Translate clinical expertise into scalable logic, workflows, and quality standards used across the Forus platform Curate and audit representative datasets used to test and improve the performance of our AI systems Evaluate and refine system performance to ensure clinical accuracy and reliability, using your expertise to analyze feedback and resolve issues with AI and agent outputs Collaborate closely with product, engineering, and AI teams to ensure platform behavior reflects real-world clinical reasoning and standards Communicate our clinical expertise and processes to providers, collecting their feedback to iteratively improve our product Leverage expertise from across medical specialties to inform the development of AI solutions tailored to diverse clinical needs Help identify and shape new products, services, and specialty-specific capabilities 28 years as a board certified Medical Doctor (MD), Doctor of Osteopathic medicine (DO), Nurse Practitioner (NP), Physician Assistant (PA), Doctor of Pharmacy (PharmD) or similar advanced clinical role, directly providing patient care and clinical decision-making Experience as part of an interdisciplinary team in outpatient or specialty settings, particularly in contexts involving medication access, prior authorization, or therapy initiation Strong written and oral communication, with an ability to translate clinical complexity into context and logic that can be understood by non-clinical teams Comfort and/or a strong interest in collaborating with product, engineering, data science and commercial teammates on building new technologies Strong judgment, intellectual curiosity, and an ability to work through unfamiliar and ambiguous problems High NPS with your former teammates This is a list of ideal qualifications for this position. If you don't meet every single one of them, you should still consider applying! We're excited to work with people from underrepresented backgrounds, and we encourage people from all backgrounds to apply. Forus is based in New York, with our full team working out of a beautiful and spacious office in SoHo. We run as a high-trust environment with high autonomy, which requires that everyone is fully competent and operates in line with our principles: Do the math. Be rigorous, assume nothing. Break problems down and reason from the ground up. Expand the solution space. Be resourceful and audacious. Resist false constraints and push beyond the obvious before committing. Spit it out. Speak directly, invite critique, avoid equivocation. We want right answers, not comfortable ones. Raise the bar together. Hold a high standard for execution, push each other directly, and win as a team. We provide competitive compensation with meaningful equity (for full-time employees). Everyone who joins will be a major contributor to our success, and we reflect this through ownership and pay. We also provide rich benefits to ensure you can focus on creating impact (for full-time employees): Fully covered medical, vision, and dental insurance. Memberships for One Medical, Talkspace, Teladoc, and Kindbody. Unlimited paid time off (PTO) and 16 weeks of parental leave. 401K plan setup, FSA option, commuter benefits, and DashPass. Lunch at the office every day and Dinner at the office after 6:30 pm. Our salary ranges are based on paying competitively for our company's size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Forus (for full-time employees). Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity. Forus is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.

Ankura is a team of excellence founded on innovation and growth. Ankura's Health Care team is a recognized leader in health care and life sciences disputes, compliance, and investigations. The team combines clinical, technical, operational, financial, economic, and analytic expertise to help clients and counsel resolve complex matters involving payers, providers, pharmacies, and law firms. This role is specifically focused on expanding Ankura's payer/provider disputes platform: matters where commercial, Medicare Advantage, Medicaid managed care, exchange, and other health plan arrangements require rigorous data analytics and defensible damages analysis. The Senior Managing Director will be an executive-level, self-sustaining rainmaker who originates, sells, leads, and testifies in complex healthcare commercial disputes. The role requires a credible marketplace presence with health plans, law firms, and healthcare-focused private equity or strategic stakeholders. Primary focus: payer/provider contract, payment, reimbursement, claims, coding, utilization, medical policy, network, and financial disputes. Core technical differentiator: ability to direct large-scale data analytics teams and translate complex healthcare datasets into clear, supportable damages opinions. Expected revenue impact: proven, tangible business development record with the ability to produce at least $3M in revenue and a target opportunity to generate $3M to $5M+ annually. Expert role: serve as a consulting expert or testifying expert, including report development, deposition preparation, arbitration or trial testimony, and expert rebuttal work. Market position: Recognized rainmaker in healthcare disputes with established relationships among payer/provider counsel, managed care executives, provider finance leaders, and litigation decision-makers. Dispute focus: Deep experience in payer/provider commercial disputes, including underpayment, overpayment, contract interpretation, rate methodology, coding, claim adjudication, stop-loss, risk adjustment, value-based care, network adequacy, medical necessity, utilization, denial, recoupment, and reimbursement disputes. Data analytics leadership: Can lead multidisciplinary teams analyzing large claims, eligibility, encounter, remittance, contract, provider, authorization, utilization, coding, clinical, and financial datasets using scalable, quality-controlled analytics. Damages expertise: Can develop defensible models for lost revenue, underpayment, overpayment, offsets, recoupments, interest, damages scenarios, counterfactuals, and sensitivity analyses. Expert witness credibility: Has authored expert reports and provided deposition, arbitration, trial, or hearing testimony in healthcare disputes. Business Development and Market Leadership • Originate and expand relationships with national and regional law firms, health plans, pharmacy organizations, and healthcare investors that routinely face payer/provider reimbursement and damages disputes., • Develop a go-to-market plan focused on payer/provider disputes where Ankura can combine healthcare industry expertise, advanced analytics, damages modeling, and expert testimony., • Build a visible marketplace presence through panels, publications, law firm briefings, client training, and industry events focused on managed care litigation, reimbursement disputes, and claims analytics., • Convert marketplace relationships into consulting expert, testifying expert, privileged advisory, and complex analytics engagements. Technical and Disputes Expertise • Lead matters involving contract breaches, payment disputes, underpayment or overpayment claims, reimbursement methodology, fee schedules, DRG/APC/APG or other payment logic, risk corridors, value-based payment, capitation, shared savings, risk adjustment, denials, recoupments, and claims adjudication issues., • Apply knowledge of commercial, Medicare Advantage, Part D, Medicaid managed care, ACA exchange, pharmacy, and provider reimbursement operations when developing case strategy and damages approaches., • Assess liability and damages theories in collaboration with counsel while preserving attorney-client privilege, work-product protection, and expert independence where applicable., • Prepare expert reports, rebuttal reports, declarations, deposition testimony, arbitration testimony, trial testimony, and demonstratives that explain complex analytics in plain English. Large-Scale Data Analytics and Damages • Direct data teams analyzing high-volume healthcare datasets, including claims, encounters, eligibility, premium, membership, remittance, EOB/EOP, authorization, denial, utilization, coding, provider contract, fee schedule, capitation, risk adjustment, and financial data., • Design repeatable analytic workplans that include data intake, normalization, validation, completeness testing, reconciliation, exception handling, sampling or extrapolation where appropriate, quality control, and audit trails., • Develop damages models that quantify alleged underpayments, overpayments, lost revenue, leakage, offsets, recoupment exposure, reasonable value, contract-based damages, and alternative damages scenarios., • Translate analytic findings into counsel-ready narratives, executive presentations, settlement support, mediation materials, expert reports, and trial or arbitration demonstratives., • Partner with data scientists, statisticians, coding experts, clinicians, economists, forensic accountants, and operations professionals to ensure analytic conclusions are technically sound and legally defensible. Client Delivery and Team Leadership • Serve as the accountable executive on complex, multi-workstream matters with law firm, payer, provider, and board-level stakeholders., • Scope and price engagements, staff teams, manage budgets, review work product, ensure quality, and deliver concise insights under litigation deadlines., • Mentor directors, managing directors, analytics professionals, clinicians, coders, and operational specialists, with a focus on developing future testifying experts and client-facing leaders., • Collaborate across Ankura practices, including Health Economics, Data Analytics including AI, Strategy and Performance, Forensic Accounting, Investigations, and other dispute capabilities. Relevant Matter Experience • Payer/provider contract disputes involving alleged underpayment, denial, repricing, reimbursement methodology, rate implementation, or recoupment issues., • Managed care disputes involving Medicare Advantage, Medicaid managed care, ACA exchange, commercial group, self-funded, pharmacy, or delegated-risk arrangements., • Large-scale claims and encounter analytics supporting affirmative damages, rebuttal damages, settlement valuation, mediation, arbitration, or trial., • Hospital, physician, ancillary, pharmacy, behavioral health, and specialty provider reimbursement disputes., • Matters requiring expert reports, rebuttal analyses, deposition testimony, arbitration testimony, or trial testimony. Qualifications • Bachelor's degree from an accredited university in business, finance, accounting, economics, data analytics, health care operations, health policy, clinical discipline, or a related field; advanced degree preferred., • 10+ years of litigation, disputes, forensic, damages, payer/provider reimbursement, managed care, healthcare analytics, or consulting experience; senior consulting leadership experience strongly preferred., • Proven and tangible business development record with a portable book of relationships and revenue generation of at least $3M; demonstrated ability to grow toward $3M to $5M+ annually., • Specific experience originating and leading payer/provider commercial disputes, reimbursement disputes, managed care litigation, claims analytics, damages quantification, or expert witness engagements., • Demonstrated ability to direct large project teams analyzing complex healthcare datasets and producing quality-controlled analytic outputs for counsel, executives, and triers of fact., • Experience authoring expert reports, rebuttal reports, declarations, affidavits, or damages analyses; prior deposition, arbitration, trial, or hearing testimony strongly preferred., • Strong understanding of healthcare legal, regulatory, reimbursement, and operational issues affecting payers, providers, pharmacies, and government program participants., • Exceptional executive communication skills, including the ability to explain complex technical, analytic, reimbursement, and damages issues to boards, C-suite clients, law firms, regulators, mediators, arbitrators, judges, and juries., • Demonstrated commitment to privilege, confidentiality, work-product discipline, expert independence, collaboration, quality, and team development., • Ability and willingness to travel; must be legally authorized to work in the United States without employer sponsorship now or in the future.

As a Patient Liaison for a specialty pharmacy, you will serve as a key connection between the pharmacy, healthcare providers, and patients. Your primary responsibility will be to facilitate the timely processing, approval, and ensuring dispensing of prescribed medications. This role requires a blend of clinical knowledge, communication skills, and organizational and sales acumen. You will support patients referred from medical offices by assisting with prescription clarifications, benefits coordination, and addressing medication access issues. Additionally, you will cultivate strong relationships with prescribers and insurance providers to ensure seamless care and optimal outcomes for patients. You will act as a relationship manager for medical providers and their offices. You will proactively build and maintain trusted partnerships, encouraging them to refer new patients and strengthening ongoing collaboration to ensure positive outcomes for all parties. • Serve as a liaison between specialty pharmacies, prescribers, and insurance providers to ensure seamless access to prescribed medications and clarify any prescription-related needs., • Monitor market trends and competitor activity to adjust strategies, identify potential growth areas, and implement best practices for marketing and patient access., • Focus on sales/marketing efforts to promote the pharmacy's services and secure referrals from providers, contributing to growth in patient enrollment and medication access., • Utilize sales strategies to target and expand market presence, identify new opportunities, and increase awareness of the pharmacy's offerings among key stakeholders in the healthcare ecosystem., • Provide exceptional customer service, ensuring that both internal and external customers (patients, providers, pharmacy staff) receive timely and accurate support., • Maintain frequent communication with patients, providers, and pharmacies, clarifying prescription orders and resolving any issues., • Coordinate efforts with providers and specialty pharmacies to improve patient turnaround times and ensure optimal medication access., • Manage and prioritize multiple initiatives, resolving complex cases independently and efficiently, while maintaining a focus on customer satisfaction and outcomes., • Leverage marketing tactics, including digital communication, educational resources, and outreach, to effectively promote the pharmacy's services and increase patient engagement. During immunization season (such as flu, RSV, covid, etc.) liaison is expected to do the following: • Manage and Coordinate Seasonal Immunization Clinics at store level/on site and at community level (community centers, community drives, centralized location(s)), • Promote and manage marketing materials for immunization seasons Managing flyers and promotional materials, Coordinate at doctor/physician offices, Outreach to the community, • Coordinate with insurance carriers including Medicare and Medicaid for billing purposes, • Preferred experience in a health care setting, preferably within a specialty pharmacy environment., • Strong understanding of medication administration processes and patient care standards., • Familiarity with medical terminology related to pharmacy practices, medications and prior authorization process., • Previous experience as a pharmacy technician is highly desirable., • Excellent communication skills with the ability to build rapport with healthcare professionals and patients alike., • Ability to work independently and as part of a collaborative team focused on enhancing patient service., • Commitment to ongoing professional development in the field of specialty pharmacy., • High School Diploma or GED required, • Associate or bachelor's degree preferred, • 1+ years of pharmacy/medical work experience or related field, • Strong customer service, communication, and sales skills, • Proven ability to manage multiple accounts and projects independently, • Understanding of product and payer reimbursement landscapes, • Ability to work collaboratively with a variety of stakeholders, including medical offices, pharmacies, and insurance companies, • Valid driver's license required, • Must be willing and able to drive from office to office within the assigned area (TBD), • Previous experience in sales, marketing, or customer relationship management within the healthcare industry, • Familiarity with women's health and diabetes management is a plus, • Full Time, • On-site, • Monday to Friday, • 40 Hours weekly, • Bi-weekly, • $22-30 hourly (based on experience), • Paid time Off, • Medical Insurance, • 401k (Matching), • Travel Stipend, • Bonus based on Performance 517 Union Blvd Ste C Totowa, NJ 07512 Compensation: $22.00 - $30.00 per hour We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. At Azend Pharma, we bring together a team of experienced pharmacy consultants with over 50 years of independent pharmacy experience. We combine industry knowledge, innovation, and a personalized approach to deliver results that exceed expectations. We specialize in empowering pharmacies to reach new heights of success through comprehensive pharmacy management consulting services. Our mission is to pioneer a future where every patient receives exceptional care. Through the relentless pursuit of operational excellence, the integration of cutting-edge innovations, and a steadfast commitment to continuous advancement, we aspire to redefine the standard of healthcare excellence worldwide.

Job Description AssistRx is a specialty pharmacy hub services company that manages therapy initiation and patient access programs for pharmaceutical manufacturers. The company’s flagship platform, iAssist, integrates at the point of prescribing and connects patients, providers, payors, and manufacturers across complex specialty therapy programs. Welsh, Carson, Anderson & Stowe acquired AssistRx in February 2024, and the company has grown significantly, supporting a broad portfolio of programs across therapeutic areas including oncology, immunology, rare disease, and obesity. Requirements POSITION SUMMARY The Director / VP, Insights to Action will serve as the founding senior leader of the ITA function — responsible for both the analytical quality and the organizational build-out of a small, high-impact team. This is a player-coach role: the successful candidate will personally execute analytical work alongside three Data Scientists, maintaining deep individual contribution while also setting standards, developing team members, and managing client relationships. The role requires an individual who combines quantitative rigor with strong communication skills and fluency in the US specialty pharmacy and pharmaceutical manufacturer ecosystem. The Director / VP will interface regularly with both internal and external stakeholders spanning market access, patient services, and commercial leadership, translating complex analytical findings into clear, actionable narratives. KEY RESPONSIBILITIES Team Leadership & Development · Lead, mentor, and develop a team of three Data Scientists; this is a player-coach role — the expectation is sustained personal analytical output alongside team management responsibilities · Set and maintain analytical standards, review team work product, and allocate capacity across concurrent client engagements · Contribute to hiring, onboarding, and capability development as the function scales Client Delivery & Engagement · Own end-to-end delivery of program analytics for assigned pharmaceutical manufacturer clients, including quarterly business review (QBR) preparation, ad hoc analyses, and ongoing insight production · Serve as the primary analytical point of contact for senior client stakeholders; present findings to market access leaders, patient services teams, and executive sponsors · Partner with the Commercial team on analytical content for renewals, new business proposals, and strategic account planning Analytical Frameworks & Insight Generation · Define and maintain a standardized KPI framework for hub program performance spanning six key pre-defined families · Lead proactive, hypothesis-driven analysis across patient throughput, stage conversion rates, payor dynamics, HCP-level behavior patterns, adherence trajectories, and financial program utilization · Translate analytical findings into executive summaries, trend narratives, and operational recommendations formatted for manufacturer client audiences Data Infrastructure & Productization · Collaborate with data engineering, Master Data Management (MDM), and BI architecture teams to define data requirements and ensure the analytical inputs underlying ITA are reliable, consistently defined, and properly governed · Guide the progressive migration of validated ad hoc analyses into productized ThoughtSpot dashboards, contributing to the company’s long-term self-service analytics strategy · Identify and help resolve upstream data quality and governance issues that affect insight reliability Commercial & Strategic Support · Support the commercial positioning of the ITA capability in coordination with Business Development leadership, including input to RFP responses, pricing discussions, and go-to-market materials · Contribute to defining the ITA product roadmap — the progression from ad hoc delivery to a scalable, monetizable analytics offering REQUIRED QUALIFICATIONS · 7–10 years of progressive experience in healthcare analytics, with direct and substantive experience in one or more of the following: pharmaceutical manufacturer (commercial, market access, or patient services analytics), pharma consulting, health insurer, or pharmacy benefit manager (PBM) · Demonstrated experience managing or leading a small analytics team; player-coach orientation is essential — this role requires sustained personal contribution alongside people management · Advanced proficiency in SQL; hands-on experience querying and manipulating data in cloud data warehouse environments (Snowflake strongly preferred) · Proficiency in Python or R required; Python preferred (pandas, numpy, scipy, scikit-learn) · Experience with ThoughtSpot or Power BI preferred · Strong working knowledge of statistical methods applicable to program analytics: cohort analysis, survival analysis, funnel decomposition, regression modeling, distribution-based performance metrics, and experimental design and A/B testing frameworks · Demonstrated ability to communicate complex analytical findings to senior non-technical stakeholders; strong written and verbal presentation skills · Bachelor’s degree in a quantitative field (statistics, mathematics, data science, computer science, economics, or related); advanced degree preferred PREFERRED QUALIFICATIONS · Direct experience with pharmaceutical hub program operations, including case management workflows, prior authorization, benefits verification, payor adjudication, and patient financial assistance programs · Familiarity with specialty pharmacy data structures and source systems (CRM, pharmacy dispensing systems, benefits verification platforms) · Experience with patient access or market access analytics at a pharmaceutical manufacturer, including program performance tracking and payor dynamics analysis · Background in pharma consulting with a focus on analytics, commercial operations, or market access strategy · Experience at a health insurer or PBM in a role involving formulary analytics, utilization management, specialty drug analysis, or patient access reporting · Experience developing or contributing to a commercial analytics product or client-facing insights offering · Familiarity with generative AI applications in analytics workflows (e.g., natural language querying, synthetic data generation, entity resolution) · Familiarity with dbt or similar data transformation frameworks Benefits • Supportive, progressive, fast-paced environment, • Competitive pay structure, • Matching 401(k) with immediate vesting, • Medical, dental, vision, life, & short-term disability insurance, • Opportunity to impact patient outcomes through data-driven healthcare technology., • Collaborative and mission-driven culture that values innovation and continuous learning., • Access to cutting-edge cloud technologies and modern data engineering tools., • Competitive compensation, comprehensive benefits, and career growth opportunities AssistRx, Inc. is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, religion, color, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, or other non-merit based factors, or any other protected categories protected by federal, state, or local laws. All offers of employment with AssistRx are conditional based on the successful completion of a pre-employment background check. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Sponsorship and/or work authorization is not available for this position. AssistRx does not accept unsolicited resumes from search firms or any other vendor services. Any unsolicited resumes will be considered property of AssistRx and no fee will be paid in the event of a hire. The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ACKNOWLEDGEMENT I have read the foregoing job description and understand the responsibilities of the job. I agree that I am able to perform the essential duties of this position.

This role supports current and upcoming remote consulting opportunities focused on AI-assisted pharmacy prior authorization evaluation, specialty medication access review, payer criteria assessment, and high-quality project execution. Ability to work independently in a remote, project-based environm

Job Description Clinical Pharmacist Job Purpose: Provide integrated support to patients and physicians by providing a "hands-on" approach to improve the quality of patient care. This is accomplished by developing personalized relationships with patients and prescribers to improve medication adherence and promote evidence-based care. Job Duties: • Reviewing and interpreting clinician's patient care note/assessments for supportive clinical data needed for prior authorization approvals and development of care plan recommendations., • Develop and refine disease and drug specific clinical protocol to maximize patient adherence and promote evidence-based cost-effective care., • Monitor on-going patient adherence (PDC reports, patient assessment data, and mobile platform data) across all sites and disease categories with focus on oncology and other specialty specific disease states., • Evaluation of EMR to review: drug and disease interaction, medication selection, labs/vitals, allergies, RX orders/renewals and direct MD communication, and other relevant information important to maximize medication adherence and optimize patient outcomes., • Recommending alternative therapeutic drug regimens and disease specific treatments according to guidelines as appropriate., • Monitor and evaluate therapies for side effects or other medication related issues, recommend drug therapy changes to prescribers as appropriate., • Medication therapy management (MTM): including reviewing and monitoring of medication regimens, advising clinicians on evidence based therapy as indicated, documenting interventions; assessing patient adherence rates., • Clinical interventions including but are not limited to comprehensive pharmacist consultation, motivational interviewing/coaching, drug regimen optimization, medication reconciliation, medication lists or reminders, medication synchronization, coordinate home nurse visits, transitions between liaison/PSC, use of mobile app or other technologies., • Productivity monitoring and reporting weekly stats for growth development, • Overseeing tech's daily activities and verification for accuracy on: delivery coordination slips, prior authorizations submitted, ongoing PA log activity and proactive management care utilization within each specialty as per protocol., • Identifying and resolving insurance related issues, recognizing situations where financial assistance can be applied., • Supervising communication of support personnel compliant with HIPPA rules and regulations;, • Maintaining current registration and all remote pharmacist activity to comply with local, state and federal drug laws as regulated by each state board of pharmacy and the DEA., • Direct communication with other health professionals as necessary regarding patient care;, • Develops own knowledge by participating in education programs; training pharmacy staff, students, interns, externs, and health care professionals;, • Manage, organize, and update relevant data using database applications;, • Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards;, • Assist with research projects and peer reviewing articles as needed., • Identify trends, resolves problems; recommend improvements; implements change;, • Actively participates in process improvement initiatives;, • Protects organization's value by keeping information confidential;, • Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations;, • Willing to do whatever is necessary for the betterment of the Company;, • Other duties as assigned; Skills: Analyze information, exercise good judgment, possess strong verbal and written communication skills, have deep knowledge of specialty medication pharmacology, local/state/federal pharmacy regulations, able to manage processes, exhibit strong technical and clinical skills, excellent leader and manager of people, constant focus on legal compliance, highly productive, quality focused and attention to detail. Must be computer literate with proficiency and working knowledge of database and reporting tools such as: Microsoft Word, Excel, and PowerPoint.(*Knowledge using EPIC/QS1/WILLOW software a plus*) Must have the ability to identify barriers to medication adherence and implement and monitor plans to improve medication adherence. The ability to motivate and coach patients to help them achieve better outcomes and identify goals of therapy. Traits: Organized, high-integrity, attention to detail, dependable, quality focus, empathetic, good listener/communicator Other: Energetic, highly motivated, team player with strong personal and communication skills; discretion and confidentiality essential as position deals with highly sensitive and private data Specialties: Knowledge of complex/chronic diseases states and therapies used within specialty pharmacy: Oncology, Transplant, Hepatitis C, Infectious Disease (including HIV), Multiple Sclerosis, Rheumatoid Arthritis, GI disorders (including IBD), Cystic Fibrosis, Psoriasis, Hyperlipidemia and many various inflammatory conditions (including Lupus) preferred. Experience/ Education: Required Licensure/Certification: Applicant must hold a Doctor of Pharmacy (PharmD) or equivalent advanced degree and be a licensed Pharmacist Years of Experience: 1+ years' experience is strongly preferred but not required. Should additional licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements. Education: PharmD or equivalent advanced degree required Job Salary: An employee in this position can expect a salary rate between $122,000 and $128,000 plus bonus pursuant to the terms of any bonus plan if applicable. The actual salary will depend on experience, seniority, geographic location, and other factors permitted by law California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy. By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment. Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms. Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process. Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Shields Health Solutions is committed to providing an inclusive hiring experience; if you need assistance or accommodation during the application or interview process, please email talentacquisition@shieldsrx.com.

Job DescriptionJob description Pharmko Staff Pharmacist Job Description Description of Job Responsibilities: Pharmko is seeking a pharmacist who is skilled in clinical, compounding, software, patient care and customer service. The desired applicant is motivated, professional, mature, loyal, eager to learn with the ability to self-manage his/her learning, growth and follow up. The purpose of this position is to fill the need for clinical and compounding pharmacist. In being such, one would need to be proficient in clinical activities as they pertain to the various business sectors in which Pharmko is involved, as well as support any business growth as it occurs. PGY-1, PGY-2 preferred. General Responsibilities: · Maintain all legally required logs, cleaning and testing requirements. · Communicate with patients to coordinate deliver, obtain payment for prescription claims, as well as counsel; · Participate and oversee compounding and be proficient in all the applicable standards; • Maintain an awareness of developments in the community and pharmaceutical fields that relate to job responsibilities and integrate them into practice;, • Sourcing and purchasing of raw materials ensuring the best cost of goods (COGs) and quality for all compounded items., • Compounding products in accordance to SOPs., • Accurately maintaining all documentation., • Material Handling., • Confirm in-house availability of raw materials for current and next compounding runs. Seek and understand schedule and demand plans. Coordinate with upstream and downstream processes by working with others in receiving, shipping, material replenishment to ensure availability of materials., • Serve as a fully integrated member of the Pharmacy Department to provide advanced clinical pharmacy services., • Oversee IV preparation and compounding extemporaneous formulations., • Responsible for reviewing and processing prescriptions, • Strong computer skills and the ability to develop a good understanding of pharmacy systems., • The Clinical Pharmacist is a licensed professional who is responsible for providing safe and appropriate pharmacy services, • The staff Clinical Pharmacist coordinates patient services with involved nurses and physicians and care coordinators, monitors patient progress toward goals and educates patients, caregivers, staff and other professionals regarding appropriate medication use., • Determines the suitability of individual patients for home care. Collects and organizes all patient-specific information needed to determine the suitability of patients for home care. Assesses patients' suitability for home care., • Designs, recommends, monitors and evaluates patient-specific pharmacy care plans for the pharmacotherapy of home care patients. When appropriate, makes suitable recommendations for modifications in the prescribed medication therapy or monitoring parameters for a home care patient. Collects and organizes patient-specific information needed to prevent, detect, and resolve medication-related problems and to make appropriate medication therapy recommendations. Appropriate monitoring parameters are identified for each patient. Completes nutritional assessment of patients and makes appropriate recommendation., • Modifies the pharmacy care plans for home care patients based on evaluation of monitoring data and other pertinent patient-specific information. Competent in use of pharmacokinetic principles and formulas. Competent in assessing patient laboratory values., • Provides medication-use education to Pharmko staff, other professionals, home care patients and/or their caregivers. Uses effective patient education techniques to provide counseling to home care patients and/or their caregivers., • Ensures continuity of pharmaceutical care to and from the home and other patient-care settings. Uses a systematic procedure to communicate pertinent patient information to and from the home and other patient-care settings., • Prepares and dispenses medications using appropriate techniques and following Pharmko policies and procedures. Accurately calibrates equipment. Prepares medications so they are appropriately concentrated, without incompatibilities, stable, and appropriately stored. Adheres to appropriate safety and quality assurance practices. Prepares labels that conform to the organization's policies and procedures. Medication contains all necessary and/or appropriate ancillary labels. Inspects the final medication before dispensing. Assures presence of authorization to dispense., • Manages the use, maintenance, and troubleshooting of medication administration equipment and medication-related equipment used in the management of home care patients. Accurately programs, maintains and gives advice to others on the use and maintenance of all medication administration and medication-related equipment used by Pharmko. Participates in the process for assessing, managing, and reporting medication-related incidents and equipment error and/or failures., • Provides concise, applicable, and timely response to requests for drug information from health care providers and home care patients. Formulates responses to drug information requests based on analysis of the literature., • Manages the use of investigational drug products according to established regulations and Pharmko policies and procedures. Utilizes pharmacy support personnel effectively. Prioritizes the workload and organizes the workflow, taking into account available resources. Needed work is accomplished in the time available. Ensures the accuracy of the work of pharmacy support personnel., • In all activities, complies with accreditation, legal, regulatory, and safety requirements., • Maintains confidentiality of patient and proprietary information. Observes legal and ethical guidelines for safeguarding the confidentiality of patient and proprietary Pharmko information. Basic Education and/or Experience Requirements • Graduate of an accredited School of Pharmacy., • Current, active Pharmacy license as granted by the State Board of Pharmacy, • One of the following:, • (a) At least one 1 year experience in a clinical pharmacy setting or residency, (b) At least one 1 year of experience in sterile IV admixture procedures (c) knowledge of sterile compounding, (d) completion of an ASHP accredited Pharmacy Residency Program, (e) knowledgeable in clinical pharmacy with at least 1 one year experience in a clinical role. Basic Qualifications • Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction., • Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions)., • Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets)., • Basic skill level in Microsoft PowerPoint (for example: inserting, rearranging, hiding and deleting slides, navigating between slides, increasing list level, adding, centering and editing text, changing views, inserting a table or a note, moving objects, printing outline view and/or running a slide show)., • Ability to complete data entry into pharmacy systems, export data, analyze, further knowledge on pharmacy systems by engaging in communication and training by software. Desired Qualifications: · Licensed Pharmacist; o Primarily in NY, however multiple licenses are appreciated · Ability to become proficient in compounding · Ability to become proficient in clinical pharmacy, specifically: o TPN o Other clinical aspects of sterile compounding pharmacy · Ability to practice evidence-based medicine. o Document all clinical decisions with a basis of literature to justify. · Strong communication skills · Courteous attitude · Understanding of pharmaceutical calculations · Average-Advanced knowledge of computer operations · Knowledge of insurance and third-party payment systems o And/or the capability to become proficient based on training § Prior authorizations, eligibilities, precise data entry of insurances · Ability to adhere to all safety standards and wear and utilize all personal protective equipment · Ability to adhere to all quality procedures and standards in the big batch, small batch and the shipping/receiving areas. Benefits: · Paid Time Off (PTO) · Health Insurance · Disability Insurance Job Type: Full-time Pay: $100,000.00 - $120,000.00 per year Expected hours: 40 per week Benefits: • Health insurance, • Paid time off, • Prescription drug insurance Healthcare setting: • Outpatient Schedule: • Monday to Friday, • On call, • Weekends as needed Experience: • Pharmacy residency/clinical or compounding pharmacy: 1 year (Preferred) License/Certification: • NYS license? (Required), • out of state license? (Preferred) Ability to Commute: • Lawrence, NY 11559 (Required) Work Location: In person

Job Description Company introduction: Compass Pathways plc (Nasdaq: CMPS) is a biotechnology company dedicated to accelerating patient access to evidence-based innovation in mental health. The Company is headquartered in London, UK, with offices in New York City in the US. We focus on developing novel treatments that have the potential to improve the lives of those who are suffering with mental health conditions and who are not helped by current treatments. We are pioneering a new paradigm for treating mental health conditions focused on rapid and durable responses through the development of our investigational COMP360 synthetic psilocybin treatment, potentially a first in class treatment. COMP360 has Breakthrough Therapy designation from the US Food and Drug Administration (FDA) and has received Innovative Licensing and Access Pathway (ILAP) designation in the UK for treatment-resistant depression (TRD) due to the pressing unmet need in this area. We are currently in phase 3 for TRD, have completed phase 2 studies for both post-traumatic stress disorder (PTSD) and anorexia nervosa and are planning a further late-stage study in PTSD. We envision a world where mental health means not just the absence of illness but the ability to thrive. - Compass Pathways. Job overview: Our Director, VA and DoD Accounts is responsible for driving and securing formulary access and coverage for COMP360 across U.S. Federal healthcare systems, including Veteran's Administration (VA), Department of Defense (DoD), TriCare, and Indian Health Services (IHS) ahead of and through launch. Reporting to the Senior Director, Strategic Payer Accounts, this individual is responsible for establishing and maintaining strategic and productive customer relationships, developing strategic account plans that support their efforts in translating the COMP360 value proposition into sustainable coverage wins, while partnering internally with Health Economics and Outcomes Research (HEOR), Medical Affairs, Government Affairs, and Commercial Operations to ensure payer strategies are fully executed with precision. Location: Remote in the United States. Reports to: Senior Director, Strategic Payer Accounts. Roles and responsibilities (Include but are not limited to): Federal Payer Account Strategy and Execution • Work closely with the Senior Director to develop and execute account strategies across VA, DoD, TriCare, and IHS payer segments to drive optimal formulary positioning for COMP360 at launch and beyond, • Stay current with dynamic market forces, customer organizational changes, and policy changes at the federal and state level, that impact Compass and/or payer customers, and incorporate those variables into proposed account strategies and tactics as necessary and appropriate, • Own strategic and tactical planning and prioritization for assigned payer accounts, profiling key decision-makers including Pharmacy Directors, Medical Directors, Clinical Pharmacy and Finance leads, and P&T committee members, • Own strategic relationships with payer customers and serve as the primary interface and negotiator for coverage, contracting, and access discussions, • Identify and proactively address barriers to formulary inclusion, developing tailored strategies to support timely P&T reviews and coverage policy development Value Communication and Pull-Through • Articulate the clinical and economic value proposition of COMP360 to payer audiences, integrating HEOR evidence, budget impact models, and real-world data to support coverage and access decisions, • Partner with the Senior Director and Finance on contracting recommendations to ensure proposals are commercially sound, aligned with government pricing compliance requirements, and GTN impacts are aligned with financial goals., • Collaborate with Sales and Patient Engagement on pull through initiatives in local VA/VISN and Military Treatment Facilities following national formulary wins Cross-Functional Collaboration • Partner closely with HEOR, Medical Affairs, Government Affairs, Sales, and Patient Engagement to align payer specific push-or-pull-through strategies and tactics, • Where applicable and possible for P&T meetings, lead and execute a multi-prong strategy:, • Collaborate with Sales and Patient Engagement to obtain HCP support, • Collaborate with Government Affairs around any relevant legislative-related tactics, • Collaborate with patient advocacy organizations (i.e. NAMI, AfPA, etc.) regarding appropriate support, • Collaborate with Sales, Patient Engagement, and Commercial Operations leadership on HCP-facing formulary and access update communications that enable effective Sales execution and pull through, • Represent the payer perspective internally, providing strategic guidance to leadership on coverage risks, opportunities, and competitive landscape dynamics Candidate Profile: • 7+ years in pharma/biotech market access, with significant direct experience in payer account management within the VA, DoD, TriCare, and IHS segments, • Proven track record negotiating, securing, and maintaining formulary access for launch-stage (and beyond) specialty or breakthrough products; CNS/psychiatry or novel treatment modality experience is a plus, • Experience executing contracts specific to the Federal payer market (i.e. Temporary Drug Pricing contracts, VA National Contracts, Provisional/Temporary pricing, etc.), as well as other innovative, outcome, and/or value based contracts, • Deep knowledge of US Federal payer landscape, formulary decision-making processes, utilization management, and prior authorization design, • Ability to translate HEOR and health economic data into compelling value narratives for payer audiences, • Hands-on launch experience at a growth-stage biotech; comfortable working in ambiguous situations and building tools and capabilities from scratch, • Exceptional stakeholder management skills; equally credible with external payer accounts and internal cross-functional partners, • Bachelor's degree required; advanced degree in Business, Public Health, Health Economics, or Pharmacy preferred, • Mission and values-aligned team player and cross-functional leader, passionate about expanding access to mental health innovation; demonstrates Compass' values: Compassion, Boldness, Inclusion, Rigour 【For NYC】Compensation Description (annually): Please note that the base salary range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location. Base pay is one part of the Total Package that is provided to compensate and recognise employees for their work and any role at Compass, regardless of the location, is eligible for additional discretionary bonuses and equity. 【Base salary per annum】:$220,000—$270,000 USDBenefits & Compensation: For an overview of our benefits package and compensation information, please visit "Working at Compass". Equal opportunities: Reasonable accommodation We are committed to building a workplace where everyone's wellbeing matters. If you need reasonable accommodation during the interview process to be at your best, please let our recruiting team know. UK applicants We are proud of our commitment to diversity and equality (pursuant to the Equality Act 2010). We do not discriminate based upon race, religion or belief, colour, nationality, ethnic or national origin, gender, pregnancy or maternity, marital or civil partner status, sexual orientation, gender reassignment, age or disability. US applicants Compass Pathways is proud to be an equal opportunity employer. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, and related medical conditions), ethnicity, age, disability, sexual orientation, gender identity, gender expression, military service, genetic information, familial or marital status, or any other status, category, or characteristic protected by applicable law. Sponsorship: Unfortunately, we cannot sponsor employment visas and can only accept applications if you have employment rights in the country to which you are applying. Data Privacy: All data is confidential and protected by all legal and data privacy requirements, please see our recruitment Privacy Notice to learn more about how we process personal data.

Job Description Reports To: Vice President, Customer Experience Location: Remote/Hybrid with 10% travel to Parsippany, NJ Position Summary We are seeking a highly skilled Program Manager to lead strategic initiatives for our cloud-based prior authorization platform as well as lead process improvement programs to benefit the entire organization. You will manage cross-functional projects, streamline operational processes, and ensure alignment between product, engineering, client success, and business operations. This is a high‑visibility role that blends program execution, operational rigor, and healthcare domain expertise. This role is ideal for someone who understands the complexities of healthcare and operations as well as the nature of working in a SaaS company. Key Responsibilities Program Leadership, Operational Support & Business Process Management • Own the end-to-end delivery of cross-functional programs that enhance our priorauthorizationSaaS platform., • Facilitate and managecross-functionaloperational projects acrossvarious areas of the organization., • Support contract management, including tracking contract status, coordinating reviews, and ensuringtimelyrenewals and compliance., • Assistwith resource planning, including capacity tracking, forecasting, and cross-team coordination., • Develop program roadmaps, timelines, and success metrics aligned with organizational goals., • Drive execution acrossproduct, engineering, operations, and client-facing teams., • Identifyand implement process improvements that enhance operational efficiency and scalability. Required Qualifications • 3–7 years of experience in program management, product operations, or implementation within healthcare technology,including at an enterpriseSaas company, • Proven ability to manage complex, multi-stakeholder programs in a fast-paced SaaS environment, • Excellent communication, analytical, and organizational skills, • Ability to manage multiple prioritiesin a face-paced environment with minimal supervision, • Highly self-motivated, professional, take-charge attitude with humility and integrity Preferred Qualifications • Direct experience with prior authorizations at a health plan, PBM, or UM organization, • Experience withPAHub(preferred) or another enterprise PA platform, • Familiarity withSDLC, • Background in pharmacy benefit management, medical benefit management, or healthcare operations, • PMP, Agile, or Lean certification Success Measures • Smooth delivery of high-impact programsand projectswithin our organization, • Clear, measurable improvements in product adoption, workflow efficiency, and client satisfaction, • Strong relationships with internal teams built on trust andexpertise, • Thought leadership in shaping the future ofa growing SaaS company Agadia Health Systems, Inc. is a leading healthcare management technology company addressing the evolving needs of the managed care market with a suite of utilization management solutions in electronic prior authorization, MTM, Part D star ratings & adherence, grievances, and formulary benefit design. Used by the nation’s largest health plans and PBMs, Agadia’s advanced technology solutions help drive operational efficiency, appropriate utilization, compliance, and profitability Agadia is an Equal Opportunity Employer This position offers a unique opportunity to influence customer success, product adoption, and the overall customer experience strategy while serving as a recognized PAHub expert across the organization. Pay Range: Actual compensation will be determined based on the candidate's experience, qualifications, and work location. Candidates in different geographic markets may be offered compensation that reflects local market conditions.

Job Description Come join CCRM Fertility, a global pioneer in fertility treatment, research, science, specializing in IVF, fertility testing, egg freezing, preimplantation genetic testing, third party reproduction and egg donation. As a member of CCRM Fertility’s diverse team of professionals, you will be a part of helping families grow and changing lives. We take pride in providing our employees with meaningful employment, a supportive culture, and a well-balanced personal & work life alignment. For more information, visit www.ccrmivf.com Location Address: Department: Clinical Work Schedule: Monday – Friday (8:00am – 4:30pm) What We Offer Our Team Members: • Generous Paid time-off (PTO) and paid holidays, • Medical, Dental, and Vision Insurance, • Health benefits eligible the first day of the month following your start date., • 401(k) Plan with Company Match (first of the month following 2 months of service), • Basic & Supplement Life Insurance, • Employee Assistance Program (EAP), • Short-Term Disability, • Flexible spending including Dependent Care and Commuter benefits., • Health Savings Account, • CCRM Paid Family Medical Leave (eligible after 1 year), • Supplemental Options (Critical Illness, Hospital Indemnity, Accident), • Professional Development, Job Training, and Cross Training Opportunities, • Potential for Over-time Pay (Time and a half), • Holiday Differential Pay (Time and a half), • Weekend Shift Differential Pay ($4.00 per hour) What You Will Do: The Clinical Coordination Assistant demonstrates knowledge and skill in the care of all infertility patients and works with the IVF Nurse Coordinator to facilitate care for the CCRM patients. This position reports directly to the Clinical Manager and takes daily direction from the Nurse Coordinators/Physician/Clinical Manager and Practice Administrator. • Transcribe, enter, scan, and verify data from source documents into the electronic medical record in an accurate and timely manner., • Place daily lab orders as directed by RN., • Obtain prior authorizations for medications as directed by RN., • Call patient pharmacy with patient prescriptions and prescription refills as directed by RN., • Perform chart audits for weekly ART meeting., • Track and audit all patient consent forms for completion. Alert RN if deficiencies noted., • Verify that patient work up status is completed and ensure communicable labs are kept up to date., • Track inventory and ensure timely documentation of all incoming and outgoing consignment medication for nurse team, as needed or as delegated., • Attend hormone meeting with the nursing team., • Assist with monitoring nurse team flags and facilitate flag completion as needed., • Assist with answering calls to nurse line and checking nurse line voicemails as needed or when delegated., • Within scope of practice, answer triaged phone calls for nursing team and document action taken in patient EMR., • Other duties as assigned. What You Bring: • High School Diploma required., • Medical Assistant certificate required., • Current BLS certification required., • 2+ years of medical assistant experience preferred. Working Conditions: The physical demands described here are representative of those which should be met, with or without reasonable accommodation (IAW ADA Guidelines), by an employee to successfully perform the essential functions of this job. This job operates in a professional office, clinical and/or laboratory setting. This role routinely uses standard office equipment such as computers, including computer keyboards and mice; telephones; photocopiers; scanners; filing cabinets. While performing the duties of this job, the employee will interact with others and ensure compliance with medical regulations, ethical guidelines, and organizational policies to maintain the highest standards of care and patient and staff safety. CCRM’s Compensation: The salary range represents the national average compensation for this position. The base salary offered will vary based on location, experience, skills, and knowledge. The pay range does not reflect the total compensation package. Our rewards may include an annual bonus, flexible work arrangements, and many other region-specific benefits. Pre-Employment Requirements: All offers of employment are conditional upon the successful completion of the CCRM Fertility onboarding process, including verification of eligibility and authorization to work in the United States. This employer participates in the E-Verify Program in order to verify the identity and work authorization of all newly hired employees. Equal Employment/Anti-Discrimination: We are an equal-opportunity employer. In all aspects of employment, including the decision to hire, promote, discipline, or discharge, the choice will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

Ability to organize, prioritize and complete assigned tasks to maximize productivity within established timeframes. Prior work experience in a retail environment preferred.

For additional details including our full equal opportunity statement, texting/outreach communication authorization, physical requirements of the job and more, please visit.

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You