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This job is with WTW, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly. You will be a key member of the client service team, engaging directly with clients and establishing relationships across all levels of the client organization. You will substantially contribute to the management of projects, leveraging your experience as a benefits expert to make recommendations on plan design and management for the full array of health and benefits programs. You will have the opportunity to position yourself to grow into a senior relationship management and/or leadership role by serving as a pivotal point of contact on projects and working alongside industry experts on cutting edge solutions. Play a lead role in the design and management of group medical, dental, wellbeing, life, disability and absence management benefits for clients. Responsibilities include: • Materially contributing to and/or leading project management; monitoring progress against established objectives, budgets, timelines, deliverables and quality standards; and serving as day-to-day contact for clients, • Proactively advising clients and providing superior client service, • Contributing to the creation of benefit plan analysis, design, cost savings and funding strategies, • Providing benefit enrollment support, including preparing materials and presentations, verifying policy and plan information, and updating internal systems as necessary., • Ensuring client compliance adherence by managing completion of reports and administrative actions for clients including Form 5500 filings, policy checking and delivery, monthly reporting of client and carrier information, summary plan descriptions and certificates, • Engaging specialist resources and subject matter experts in health management, absence and disability management, pharmacy, data analytics and compliance, • Supporting the generation of new business by participating in prospecting opportunities as part of a broader team, • Building relationships internally and collaborating effectively on cross-functional teams, • Mentoring junior colleagues, • 6+ years’ experience in the design/management of health and welfare plans gained in a consulting or brokerage environment or similar experience in a consultative role gained at a carrier or vendor, • Desire and ability to expand relationships with current clients, • Polished and well developed oral and written communication skills, • Self-starter attitude and ability to work independently and as part of a team, • Flexibility and proven ability to identify and resolve issues, • Strong analytical, creative and integrative skills, • Excellent Microsoft Office skills, particularly in Excel and PowerPoint, • State Life and Health license required within 90 days of joining, • CEBS designation, or health and welfare actuarial or underwriting training desired Employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity. This position will remain posted for a minimum of three business days from the date posted or until a sufficient/appropriate candidate slate has been identified Company Benefits WTW provides a competitive benefit package which includes the following (eligibility requirements apply): • Health and Welfare Benefits: Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program), • Leave Benefits: Paid Holidays, Annual Paid Time Off (includes state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), ___ (only included for Washington roles), • Retirement Benefits: Qualified contributory pension plan (if eligible) and 401(k) plan with annual nonelective company contribution. Non-qualified retirement plans available to senior level colleagues who satisfy the plans’ eligibility requirements. Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records. At WTW, we trust you to know your work and the people, tools and environment you need to be successful. The majority of our colleagues work in a ”hybrid” style, with a mix of remote, in-person and in-office interactions dependent on the needs of the team, role and clients. Our flexibility is rooted in trust and “hybrid” is not a one-size-fits-all solution. We understand flexibility is key to supporting an inclusive and diverse workforce and so we encourage requests for all types of flexible working as well as location-based arrangements. Please speak to your recruiter to discuss more. EOE, including disability/vets

This job is with WTW, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly. Description Our Health and Benefits business helps large and mid-size clients control health and welfare plan costs, improve health outcomes and promote employee engagement through broad-based, state-of-the-art interventions. We provide solutions encompassing creative plan design, vendor evaluation and management, pricing and funding strategies, data analytics, valuation support, compliance and governance strategies. We also provide Specialty consulting services including clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product based solutions such as our pharmacy purchasing coalition round out our broad-based suite of offerings. The Role This role will support the growth of voluntary insurance consulting opportunities across the U.S. Southeast region. The position will partner closely with the Senior Director, serving as a subject matter expert across new business development, go-to-market strategy, service design, and the ongoing management of voluntary benefit solutions for WTW clients. Responsibilities include executing and evolving the regional growth and sales strategy, with a strong focus on continuous refinement of the voluntary benefits product offering. Key operational activities involve designing and scaling the infrastructure required to support effective client delivery, including training and enabling Health & Benefits consultants, fostering cross–line-of-business collaboration, and coordinating with external partners and carrier partners to ensure seamless execution. Performance Objectives: Clients * * Lead and manage multiple client engagements * * Partner with the Senior Director to drive Voluntary Benefits marking and sales efforts for region * * Provide consulting guidance to clients regarding a multi-year voluntary plan. Work with Senior Director on client strategy and execution * * Support health and benefits colleagues in the strategic assessment and sales preparation for WTW prospects Excellence * Coordinate with VB business development support team to ensure service levels meet or exceed client expectations and professional excellence standards * Ensure quality of deliverables and enforcement of critical deadlines through effective communication Financial * Review / manage sales pipeline and ongoing commission information * Reconcile commissions and revenue to plan People * Build relationships with internal and external resources * Share feedback with business development support team * Additional projects as assigned * Note: Employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity. ⁠⁠⁠The Requirements * Minimum 5 years in insurance industry * Bachelor’s degree in business or related field * Hold a valid insurance license or be willing to obtain * Practical knowledge of Voluntary Benefits market * Ability to work independently and collaboratively * Service-oriented mindset * Ability to travel – approximately 20% * This role will be on a remote set-up This position will remain posted for a minimum of three business days from the date posted or until sufficient/appropriate candidate slate has been identified. Compensation and Benefits Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation (Producer roles only). Compensation The base salary compensation range being offered for this role is $100,000-$120,000 USD per year. This role is also eligible for an annual short-term incentive bonus. Company Benefits WTW provides a competitive benefit package which includes the following (eligibility requirements apply): * Health and Welfare Benefits: Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program) * Leave Benefits: Paid Holidays, Annual Paid Time Off (includes state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), ___ * Retirement Benefits: Qualified contributory pension plan (if eligible) and 401(k) plan with annual nonelective company contribution. Non-qualified retirement plans available to senior level colleagues who satisfy the plans’ eligibility requirements. Pursuant to the San Francisco Fair Chance Ordinance and Los Angeles County Fair Chance Ordinance for Employers, we will consider for employment qualified applicants with arrest and conviction records . EOE, including disability/vets

The PCP/Endo Business Specialist is responsible for developing and implementing a plan for maximizing net sales of BIPI and co-promoted diabetes products that aligns with direction from BIPI commercial leadership and with BIPI guidelines, policies, and directives. The PCP/Endo Business Specialist will conduct their business with key targeted healthcare providers and community hospitals, and may have additional responsibilities in teaching hospitals, federal and military hospitals, managed health care facilities, group purchasing organizations, integrated delivery networks, etc. As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to directly contribute to the companies' success. We realize that our strength and competitive advantage lie with our people. We support our employees in a number of ways to foster a healthy working environment, meaningful work, mobility, networking and work-life balance. Our competitive compensation and benefit programs reflect Boehringer Ingelheim's high regard for our employees. • Utilizes product knowledge and demonstrated selling skills in order to influence targeted health care professionals to support the use of BIPI promoted diabetes products. Executes brand strategies to ensure that company sales and marketing messages are delivered appropriately to customers. Establishes and maintains effective communication/cooperation/coordination with co-promotion partners and BIPI employees., • Completes pre-call plans to meet key stakeholder needs. Builds discussion around customer needs and opportunities. Fosters customer network development and communication. Has accurate and timely follow-up discussions with customers. Fosters ongoing trust with customer as relationship develops. Uses appropriate BIPI Sales Training techniques to facilitate the customer decision making process. Coordinates the engagement of healthcare providers through a range of personal and non-personal channels, according to customer preferences., • Identifies top plans for customers. Engages customers in comprehensive discussions on the payer environment, co-pays, and formulary access. Works with Managed Care Area Managers to generate and sustain support for products on MCO formularies. Develops and influences an extended team to pull-through MCO decisions. Delivers on "continuation of care" model, including discharge protocol, treatment algorithms, disease management, etc., • Analyzes qualitative and quantitative territory information to optimize territory business plan and customer calls. Monitors local market conditions for changes that impact business. Develops plans to optimize allocation of key resources, including samples, co-pay cards, funds for speaker programs, and funds for in-office meals. Adjusts implementation plans on a regular basis (speaker mgmt., advocate development, etc.). Leverages opportunities that meet both territory and brand tactics. Utilizes supporting analysis tools to plan activity, report and monitor resource utilization, and maintain account and customer records. Completes all administrative responsibilities as directed by management. Successfully completes all Sales Training requirements., • Identifies thought leaders, innovators and advocates to support BIPI products. Works with trained speakers for diabetes topics and products. Provides feedback and follow-up to speakers and attendees. Initiates contacts and network-building among advocates and customer groups. Develops plans to develop speakers and thought leaders. Manages programs and budgets to stay within standards., • Works effectively with all customer-facing roles (i.e. Account teams, Medical teams, etc.) in a given geography to meet customer needs and deliver net sales objectives. Demonstrates strong collaboration and communication as customers evolve and ownership of accounts transition from traditional to account based. A minimum of two (2) years successful sales and/or marketing experience in pharmaceutical/healthcare industry, pharmacy, B2B, customer engagement services or equivalent Experience in diabetes therapeutic area preferred. History of successful performance Meets expectations for the key competencies required for this role Proficiency in Excel, Word, Outlook, and database applications Ability to travel (may include overnight travel) Should reside in territory geography or be willing to relocate; exceptions to be granted by senior sales leadership. Valid Driver's License and an acceptable driving record Authorization and ability to drive a Company leased vehicle or authorized rental vehicle. Physical Demands / Surroundings Daily Travel within territory throughout the work day with multiple stops and visits to office buildings, hospitals and clinics. Going up and down stairs, bending, walking and lifting above head to shelf pharmaceutical material or goods. Periodic overnight travel for training and meetings. Intermittent repetitive lifting up to 40 lbs. Visual Demands Pass state motor vehicle vision requirement to operate motor vehicle. Must be able to work both with external and internal customers. Comfortable in new environments and adverse conditions. Temperaments/Mental Requirements Must be able to work with diverse groups of people in similar roles, interact with medical practitioners, business partners, manage stress and conflict associated with gaining access to physicians in a highly competitive environment. Level of Proficiency Must have the ability to learn and retain complex material, pass tests demonstrating product and disease-related knowledge and deliver content to physicians verbally in a clear, effective and accurate manner in strict compliance with regulatory and other requirements. Attendance / Schedule At least 40 hours per week, requires morning and evening flexibility as necessary to meet physician's schedules and coordinate evening speaker programs Must be able to function in a self-directed work environment. Proficient in remote engagements with key customers via video conferencing platforms. Able to deliver clear and compliant sales presentations remotely using video, phone and digital media applications. Understands how to build customer relationships that facilitate live and virtual engagement opportunities. These physical and mental requirements represent a sampling of the physical / mental requirements considered essential to the position. Although this is an accurate representation, it is by no means complete and may be changed or updated as needed. It is an essential function of/minimum qualification for this position that the employee/applicant be eligible and authorized under all U.S. Export Laws (defined below): a) to be employed by the Company; and b) to receive any technology from the Company that may be required to perform the duties of this position or to which an applicant/employee may, by virtue of holding such position, be provided access by the Company or any third parties during the course of employment. "Export Laws" means the Export Administration Regulations ("EAR") of the U.S. Commerce Department's Bureau of Industry and Security, presently at 15 CFR 730-799, and the economic sanctions regulations of the U.S. Treasury Department's Office of Foreign Assets Control (OFAC), presently at 31CFR Chapter V, as they may be amended from time to time.

Hiring Now for 10 Remote/Work from Home Pharmacy Technicians for work!! Hours: Mon to Fri, any 8 hour shift between 7:00AM - 8:00PM; Possible Saturday rotation Pay Rate: $20. Hour I have listed a brief Job Description for these Remote/Work from Home Pharmacy Technician positions below for you to rev

Knowledge of typical pharmacy and warehouse product flows and workforce · Hands-on experience with TraceLink or a similar DSCSA compliance platform · Advanced proficiency in Microsoft Office Suite, specifically Excel and PowerPoint · Proven track record managing queues and driving process improve

Clinical Pharmacist Advisor – Medicare (Remote, Contract to hire) Job Type: Contract to hire Pay Rate: $53/hour Location: Fully Remote (U. Key Responsibilities Review and process Medicare Part D pharmacy benefit requests and appeals Ensure accurate case setup by reviewing internal notes, documenta

Clinical Pharmacist – Pharmacy Advisor Program Remote Work From Home Must reside in AZ, HI, TX, IL, FL, or PA and hold an active pharmacist license in that state Full Time Compensation $53. What You Will Do Provide consultation and education to patients regarding disease states and medication ther

Organisation type:** - National or regional health plans - Blue Cross Blue Shield (Blues) organisations - Medicaid Managed Care Organisations (MCOs) - Medicare Advantage plans - Commercial insurers - Integrated payer organisations Role: - Pharmacy Director / VP Pharmacy - Head of Pharmacy Benefi

Overview At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Endocrinology - REMOTE Job Description The Physician Clinical Reviewer is a key member of the utilization management team and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. This role routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan members and staff whenever a physician's input is needed or required. Responsibilities Physician Clinical Reviewer – Job Description Responsibilities • Reviews cases in which clinical determinations cannot be made by the Initial Clinical Reviewer., • Discusses determinations with requesting physicians or ordering providers, when available, within the regulatory time frame of the request by phone or fax., • Provides clinical rationale for standard and expedited appeals., • Provides assistance and acts as a resource to Initial Clinical Reviewers as needed to discuss cases and problems., • Utilizes medical/clinical review guidelines and parameters to assure consistency in the physician review process so as to reflect appropriate utilization and compliance with Prime's policies/procedures, as well as URAC and NCQA guidelines., • Ensures documentation of all communications with medical office staff and/or physician/provider is recorded in a timely and accurate manner., • Participates in ongoing inter-rater reliability training and testing., • Assists the Medical Director and/or VP, Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines, and/or system support., • On a requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions., • On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability for utilization management while working in conjunction with the VP, Medical Director., • Other duties as assigned. Minimum Qualifications • Doctor of Medicine (MD), Doctor of Osteopathic Medicine (DO) or Bachelor of Medicine, Bachelor of Surgery (MBBS) international degree with successful completion of United States based internship and residency (and successful completion of United States based fellowship for subspecialists) required, • Current, unrestricted license to practice medicine in one or more states of the United States, • Board Certified by one of the following: American Board of Medical Specialties (ABMS), American Board of Osteopathic Specialties (ABOS), American Board of Internal Medicine or American Board of Osteopathic Internal Medicine (ABIM/ABOIM) Additional Qualifications • Familiarity with the principles and procedures of utilization management as practiced in managed care organizations Preferred Qualifications • Medicare Part D experience. Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $90.87 - $154.33 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail. Equal Opportunity and Accessibility Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email .

Job Posting Title MedDrive Program Director – REMOTE Job Description The MedDrive Program Director leads the overall clinical strategy and implementation, portfolio of clinical solutions, outcomes and tracking for specified therapeutic categories. This includes medical drug policy, cross benefit management, trend management, medical drug management capabilities, and specialty programs. This position will establish and maintain cross-functional partnerships with capability owners to drive successful execution of MedDrive programs. The role serves as subject matter expert for MedDrive clinical solutions and specific therapeutic categories for internal and external stakeholders, including competitive intelligence. Responsibilities • Maintain competitive intelligence of best-in-class medical drug management solutions in the market, focusing on clinical management through medical drug policy or other utilization management programs; also strategies to manage medical drug using non-clinical, administrative, or other methods., • Lead the development and implementation of strategies for the Medical Drug Business Committee and serve as an internal SME to cross-functional client teams, participating in client-facing meetings to translate and advise on the implementation of proposed strategies., • Develop clinical and business solutions for the MedDrive (MedicalRx) program specific therapeutic categories; oversee the development and implementation of product solutions., • Partner with stakeholders:, • Health Outcomes and Analytics teams – manage and monitor data in areas such as trend and net trend, net ingredient cost, utilization % change, brand inflation, specialty network savings, formulary compliance, rebate/Rx, specialty network savings, UM savings for pharmacy and medical benefits., • Client Engagement teams – consult on strategies and present specific solutions to clients., • Pharmaceutical Trade Relations – collaborate on new programs that may impact manufacturer contracting and performance., • Clinical Program Development – partner for MedDrive program on UM policies, formulary placement, pipeline, P&T committee recommendations, and maintenance of drug lists., • Strategize with Network Management to develop and assist with management of therapeutic category performance., • Provide support to product team in development and maintenance of any MedDrive solution collateral., • Other duties as assigned. Minimum Qualifications • Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy degree and current pharmacist license in good standing with the State Board of Pharmacy in the state where the position is located. Additional Qualifications • Ability to facilitate change., • Ability to develop relationships and influence at all organizational levels., • Demonstrated ability to distill complex concepts into concise and compelling communications., • Critical thinking skills and ability to anticipate issues and develop innovative solutions. Preferred Qualifications • Health Plan and PBM experience., • Advanced degree or certification in a specific therapeutic category. Every employee must understand, comply with, and attest to the security responsibilities and controls unique to their job and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Equal Employment Opportunity Statement Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives, including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email .

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Director, Clinical Strategy and Integrated Specialty Solutions - Remote Job Description The Specialty Clinical Program Director is responsible for shaping and executing the clinical strategy for specialty therapeutic categories. This position leads the development and oversight of a comprehensive portfolio of specialty clinical programs, driving innovation, measurable outcomes, and strategic alignment with business goals. This role serves as a specialty subject matter expert and strategic partner, collaborating across clinical, technical, operational, and business teams to deliver innovative, scalable solutions and also collaborates with external stakeholders, ensuring the successful delivery of specialty programs and contributing to the advancement of strategic business initiatives. This role may be responsible for the development and delivery of strategic business roadmaps for medical, pharmacy, or integrated specialty solutions. Responsibilities • Develop clinical solutions and strategic roadmaps for specific therapeutic categories; oversee the development and implementation of product solutions., • Lead or provide support to specialty program and product teams in development and maintenance of any additional specialty solutions., • Maintain knowledge of key industry trends., • Provide insight into competitor products and services., • Partner with the following stakeholders for:, • Health Outcomes and Analytics teams: to manage/monitor data in areas such as trend/net trend, net ingredient cost, utilization % change, brand inflation, specialty network savings, formulary compliance, rebate/Rx, specialty network savings, UM savings for pharmacy and medical benefits, reimbursement solutions, site of care, coupons, 340B., • Pharmacy Relations Trade: for collaboration on new programs that may impact manufacturer contracting, manufacturer contract performance and other areas as needed., • Pharmacy team: to serve as strategy partner for UM programs, medical policy, formulary, pipeline, P&T committee recommendations, maintenance of drug lists, etc., • Strategize with Networks to develop and assist with management of therapeutic category performance and reporting., • May lead or support in presenting program results and solutions to clients., • Other duties as assigned. Minimum Qualifications • Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree., • 3 years of pharmacy experience in a PBM, managed care, specialty pharmacy or cross-benefit management., • Current pharmacist license to practice in the applicable state(s)., • Must be eligible to work in the United States without the need for work visa or residency sponsorship. Additional Qualifications • Ability to facilitate change., • Ability to develop relationships and influence at all organizational levels., • Demonstrated ability to distill complex concepts or situations into concise and compelling communications., • Critical thinking skills and ability to anticipate issues and develop innovative solutions., • Ability to travel 25%. Preferred Qualifications • Advanced degree or certification in specific therapeutic category., • Integrated specialty: medical and pharmacy drug management experience. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Equal Opportunity Employer Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email .

This is a remote position based in the United States, emphasizing strong organizational skills, attention to detail, and a background in pharmacy. A leading healthcare solutions provider is seeking a Pharmacy Dispensing Support Representative to provide consultative support and ensure efficient laun

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Trade Client Relations Director - Remote Overview The Trade Client Relations Director is responsible for the analysis, modeling and delivery of innovative pharmacy and medical rebate strategies and cost saving solutions to Prime's clients to ensure Prime is delivering the highest quality and lowest cost of care to its members. This position will work collaboratively with key internal stakeholders to understand, measure, and present financial opportunities to Prime's clients. Responsibilities • Work collaboratively with peers, negotiators, and Prime's clients to model and track rebate and cost saving opportunities; support rebate related product development and implementation, • Lead and coordinate work for Prime's Medicare Center of Excellence, maintaining an in depth understanding of work in progress, working closely with internal and external partners to ensure all timelines and deliverables are met, • Demonstrate an understanding of rebate guarantees, pharmaceutical manufacturer rebate agreements, drug trends, and requirements to optimize client savings; identify potential barriers to implement strategies and effectively collaborate to align on a path forward, • Complete analysis to support formulary and medical drug management strategies and contract analysis recommendations for client, • Develop client specific models which support formulary strategy recommendations, working with partners in negotiation, specialty, clinical, and government programs to formulate aligned recommendations, • Partner with internal and external stakeholders to provide client specific support for rebate savings and account reconciliation reporting; identify and realize Best in Care (Valued Based) strategies; support rebate related products and provide consultation on drug strategies to enhance client adoption and rebate value, • Other duties as assigned Minimum Qualifications • Bachelor's degree in business, healthcare management or other related field of study or equivalent combination of education and/or related work experience; HS diploma or GED is required Additional Qualifications • Experience in financial analysis, • Excellent oral and written presentation skills, with demonstrated communication and financial presentation skills to all levels of management, • Ability to establish rapport and build relationships at all levels within an organization, • Expert negotiation and influencing skills, • Proven financial analysis and data analysis skills, with advanced proficiency in Access/Excel Preferred Qualifications • Experience with drug spend and formulary strategies, • Broad understanding of PBM industry, operations, and business strategies Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the Benefits at a glance button for more detail. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email .

A healthcare staffing company seeks a Pharmacy Technician 1 for a remote position in Atlanta, GA. The ideal candidate has a high school diploma, up to 2 years of relevant experience, and a State Pharmacy Technician License for Georgia. This position offers a flexible schedule with remote work option

The role involves drafting complex documents, analyzing healthcare law issues, and negotiating with external entities. A leading pharmacy benefit manager is seeking a remote Paralegal Senior to manage legal functions and collaborate with attorneys and paralegals. Candidates should have a Bachelor’

Defining the financial and operational opportunities for savings due to internal and external non-adherence to standard pharmacy warehouse receiving procedures Position Responsibilities: · Monitor and manage serialization exceptions using TraceLink SCWM platform, ensuring timely investigation and r

A leading pharmacy benefit manager is seeking a Pricing Analyst to conduct financial modeling and analytic reporting. This remote position requires a Bachelor's degree and 2 years of pricing or financial analysis experience. Key responsibilities include analyzing pharmacy claims data and developing

Pharmacy Claims Auditor - Remote. The Pharmacy Claims Auditor is responsible for identifying and evaluating potential waste and compliance through the pharmacy audit process and educating Prime's network pharmacies and driving contract compliance. Current Registration with State Board of Pharmacy in

Network Management experience within Pharmacy Benefit Management (PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting. Responsible for effectively managing the pharmacy contract from negotiation of all terms, en

We are seeking a dedicated Pharmacy Technician to join our team, focusing on supporting Medicare and Medicaid patients. Current pharmacy technician license. Experience in managed care and pharmacy settings.

Responsibilities Negotiate market competitive low to medium-high complexity pharmacy agreements for assigned pharmacies across all channels including retail, mail, specialty and quality-based channels and lines of business aligned to Supply Chain COGS strategies and compliant with Network Managemen

Job Description Whether you are working in a Pharmacy looking for additional income, an established healthcare sales professional, or looking to break into Medical Sales, Healthcare Marketing Group, LLC is a great opportunity for you. As a Pharmacy Relationship Manager, you will help drive the growth of our company through building and retaining customer relationships. You can even change the way healthcare is delivered to Americans. Our Pharmacy Savings Card works like GoodRx and SingleCare. With savings of up to 80% off prescriptions, we provide the highest discounts in the industry! We are now seekingPharmacy Relationship Managers in your area!* What does a Pharmacy Relationship Manager do? • Educate Pharmacy Staff about how their customers can save up to 80% on prescriptions, • Provide Savings Cards by engaging with medical offices and educating Office Staff about how their patients can save up to 80% on medications What you need to qualify: • Pharmaceutical/medical sales experience is preferred but not required, • Sales skills with a proven track record, • Exceptional interpersonal skills (building strong relationships), • Excellent verbal and written communication skills, • Ability to work independently to oversee accounts and increase revenue, • Reliable transportation (this position is partially remote and you will be visiting medical professionals in your area) *We are currently hiring Pharmacy Relationship Managers in the San Antonio metropolitan area. Please only apply to one city; your desired territories will be discussed during the interview. Benefits Training and compensation: • We include comprehensive training and ongoing coaching, • Monthly Bonuses, • Great Commission!

Job DescriptionCompany Description At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us! Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA. Job Description The Remote – based Virtual Sales Representative (VSR) - Rare Disease will serve as a vital role to the EVERSANA client partnership by meeting and exceeding assigned territory sales goal. Our VSR will establish working relationships with assigned Health Care Providers and Support Staff. This person will communicate information on our client’s product, as well as educate Customers on relevant patient assistance programs and overall assistance with the reimbursement process. EVERSANA Deployment Solutions offers our VSRs competitive hourly compensation, lucrative bonus potential, paid time off, company paid holidays, excellent training, employee development programs, 401-k plan with an employer match, and an incredible list of comprehensive employer benefits that includes medical, dental, and vision insurance along with a whole host of other valuable programs. ESSENTIAL DUTIES AND RESPONSIBILITIES: Our employees are tasked with delivering excellent business results through the efforts of their teams. These results are achieved by: • Complete assigned product training at an advanced level, developing a comprehensive understanding of general disease state, assigned product features and benefits, and core selling messages, • Develop expertise in delivery of core selling messaging for assigned promoted products, • Meet or exceed call expectations and sales attainment goals set forth by the Client, • Ensure that sample and literature requests are generated accurately and perform appropriate follow up and investigation on product shipments as needed, • Maintain database entries on targeted customer calls including attempts, product discussions, literature requests, and sample requests, • Provide feedback and recommendations to team leadership on areas and opportunities for improvement, • Comply with all company, PDMA, compliance and regulatory policies and guidelines, • Work independently from "remote" home office, • Cultivate assigned virtual territory & be accountable for measurable results, • Compensated based on a mix of overall volume/metrics and outcomes, • Occasional travel required, • All other duties as assigned #LI-SJ1 Qualifications MINIMUM KNOWLEDGE, SKILLS AND ABILITIES: The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required. • Bachelor's degree from an accredited college or university OR equivalent experience, • 2 + years of sales experience in an outbound Virtual/Tele-sales, • Experience in rare disease a plus, • Proficiency in Microsoft Office software especially Word, Excel and Outlook required with the and ability to learn new software as needed, • Excellent communication & rapport building skills, • Must be able to articulate WHY you are interested in this specific role – what appeals to you?, • Ability to articulate complex clinical data, • Solid and persuasive communication skills, • Ability to learn complex medical topics, industry compliance guidelines, patient assistance programs, pharmacy and insurance landscapes, • Aptitude and confidence to converse with physicians, as well as all levels of medical office staff, • Stable internet connection adequate to support voice over VoIP calls and virtual call platforms, • Familiarity with Sales Force Automation (SFA) application is preferred Additional Information OUR CULTURAL BELIEFS Patient Minded I act with the patient’s best interest in mind. Client Delight I own every client experience and its impact on results. Take Action I am empowered and hold myself accountable. Embrace Diversity I create an environment of awareness and respect. Grow Talent I own my development and invest in the development of others. Win Together I passionately connect with anyone, anywhere, anytime to achieve results. Communication Matters I speak up to create transparent, thoughtful, and timely dialogue. Always Innovate I am bold and creative in everything I do. Our team is aware of recent fraudulent job offers in the market, misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites, unsolicited e-mails, or even text messages claiming to be a legitimate company. Some of these scams request personal information and even payment for training or job application fees. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA. EVERSANA is committed to providing competitive salaries and benefits for all employees. If this job posting includes a base salary range, it represents the low and high end of the salary range for this position and is not applicable to locations outside of the U.S. Compensation will be determined based on relevant experience, other job-related qualifications/skills, and geographic location (to account for comparative cost of living). More information about EVERSANA’s benefits package can be found at eversana.com/careers. EVERSANA reserves the right to modify this base salary range and benefits at any time. From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility. Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process, please contact us at . Follow us on LinkedIn | Twitter

A healthcare solutions provider is seeking a Pharmacy Network Consultant Principal to manage pharmacy contracts and negotiations. This remote position requires a Bachelor's degree, extensive experience in Network Management within the healthcare industry, and strong negotiation skills.

Candidates should have over 5 years of data science experience, with strong SQL and Python skills, particularly in healthcare contexts. A healthcare technology company is seeking a Senior Data Scientist to analyze medical and pharmacy claims data. This remote role focuses on building scalable data p

A leading pharmacy benefits organization is seeking a Pharmacy Network Consultant Senior to develop and manage pharmacy networks primarily in a remote capacity.

A leading healthcare company is seeking a Clinical Pharmacist for a remote role focusing on utilization management. Candidates must hold a PharmD or BS in Pharmacy, have a valid pharmacist license, and possess one year of relevant experience.

A pharmacy benefit manager is seeking a Remote Drug Information Pharmacist. Candidates should have a Doctor of Pharmacy (PharmD) or Bachelor of Science degree in Pharmacy, a current pharmacist license, and at least one year of relevant experience.

Job DescriptionPosition: Market Physician Executive (MPE) Monogram Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. The MPE will lead our in-home multi-specialty polychronic care model in an assigned market. Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses(RN), licensed clinical social workers (LCSW), and pharmacists (PharmD). The MPE will collaborate with Monogram Health’s Multi[1]Specialty Platform to leverage employed specialists to deliver in-home specialty care. Monogram Health deploys a proven risk[1]based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms to predict the appropriate level of care. Aligning with the quadruple AIM, the MPE will focus to improve patient experience, population healthoutcomes, provider satisfaction and lower costs. The primary goal of each MPE to deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment. Reporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market. In support of the advance practice providers the MPE is expected to review and approve care plans and direct the treatment plans for our patients. The MPE will collaborate with community physicians, facilities, and partners in peer to peer and direct patient care decision making. Roles and ResponsibilitiesClinical Guidelines Execution – 25% • Know, understand, and deliver on Monogram Health’s proprietary evidenced based clinical pathways., • Ensure adherence to established clinical guidelines and Monogram Model of Care., • Review and approve APP, RN, SW and PharmD plans of care., • Appropriate and timely patient document within Salesforce and Athena clinical activities, interventions, and tasks., • Review, approve and co-sign APP encounters., • Clinical and Operations Performance and Quality Improvement – 25%, • Overall accountability for reducing total cost of care and Medical Loss Ratio., • Responsible for clinical outcomes to include, but not limited to, clinical interventions closure, inpatient/outpatient, • utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure, • Actively lead daily high risk and concurrent review rounds., • Direct supervision of front line clinical and operations team members., • Oversee and delegate operational responsibility to Market Manager, to deliver on daily operations, such as patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management., • Regularly assess and present market performance and outcomes to Executive and Senior Leaders .Patient Care and Treatment – 25%, • Provide direct and indirect patient care (including diagnosis and treatment of disease)., • Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways., • Conduct Peer to Peers with community, facility, and health plan partners., • Order labs, referrals, and complete actions to drive patient outcomes, close care gaps, and Clinical Intervention closure.Population Health Management (PHM) – 20%, • Provide clinical guidance and direction to Market teams to drive Population Health Management activities, including, • identifying and intervening on High-Risk Patients, formulating strategies to reduce admissions/readmissions, complete, • quality post hospital discharge visits, and improving the quality of visits., • Collaborate with Medical Economics, Finance and other stakeholders to root cause and action against utilization trends impacting care and outcomes., • Present and guide population health strategies in clinical and operational meetings., • Conduct patient reviews to target high utilizers, high risk and high opportunity patients and patient cohorts.Miscellaneous – <5%, • Participate in Monogram On-Call activities Needs will vary; 7 days on call minimum once/quarter., • Provide coverage for other MPEs, during PTO or vacancy, as needed.Position Requirements, • Must be willing and able to obtain hospital privileges at required facilities., • This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel., • Demonstrated experience applying evidence based clinical criteria., • Experience in renal care and geriatrics., • Strong management and communication skills., • Active, unrestricted state medical license required in each state within the market., • Experience with high need Medicare Advantage and managed Medicaid populations., • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment., • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states., • MD (Medical Doctor) or DO degree from an accredited medical school., • BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine,, • Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.Benefits, • Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts, • Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources, • Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

Job DescriptionCompany Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients. As a growing and innovative organization, we operate with a high degree of agility. Employees are expected to adapt to evolving business needs, step in to support cross-functional initiatives, and contribute beyond traditional role boundaries when needed. This collaborative and flexible mindset is essential to our success. We encourage cross-training, ongoing development, and a commitment to learning across all areas of the business—ensuring we continue to grow and you continue to thrive as a high-performing, mission-driven team. Join us as we put healthcare on a better path!! Job Description The Sr. Director, Health Plan Relationships is the executive owner of assigned self-insured health plan client relationships and serves as the primary liaison between client leadership and internal operations. This role is accountable for seamless client transition from Sales through implementation and into ongoing performance management and servicing. The Sr. Director owns the day-to-day executive relationship, performance delivery oversight, and strategic value realization across care management, analytics and analytic platform, utilization management, claims processing, benefits administration, and HEDIS quality performance. The Sr. Director ensures that each client achieves measurable improvement in total cost of care, utilization efficiency, quality outcomes, and member experience — positioning the organization as the market-leading high-value, low-cost partner in value-based health plan services. Why This Role Matters This position ensures seamless transition from commercial promise to operational performance. By owning the full client lifecycle — from contract signature through implementation and into measurable value realization — the Sr. Director directly safeguards retention, revenue stability, and market differentiation. WHAT YOU'LL BE DOING Client Transition, Implementation & Lifecycle Ownership • Serving as the executive owner of new client transitions from Sales to contract execution., • Leading formal handoff process from Sales to Operations, ensuring scope clarity, contractual alignment, performance guarantees, and implementation readiness., • Working with Operations to develop a summary implementation plan that can be used for client alignment and tracking, • Establishing implementation governance structure, milestone tracking, and executive reporting cadence., • Ensuring on-time, on-budget, and contractually compliant go-live., • Partnering with implementation, operational, and consultative teams to drive successful onboarding, including, where applicable, based on contract scope:, • Data integration and eligibility feeds, • Claims platform setup and configuration, • Benefit plan build validation, • Utilization management program alignment, • Care management workflows and member outreach readiness, • Analytics platform deployment and reporting configuration, • Transitioning the client from the implementation phase to steady-state servicing with clear performance baseline metrics and first-year value roadmap., • Serving as the single accountable executive point of contact for assigned self-insured employer health plans., • Building trusted, C-suite relationships (HR, Finance, Benefits, Population Health leadership)., • Acting as the conduit for surfacing blockers to senior client leaders (in sync with operations) in a clear, actionable, and trust-based manner, • Leading recurring executive business reviews (QBRs), performance reviews, and strategic planning sessions., • Providing consultative support to client executive and operational teams to increase customer/company synergies., • Translating complex operational and clinical data into clear executive-level insights and actions., • Total cost of care (TCOC), • Utilization management effectiveness (IP vs ASC site-of-care optimization, medical necessity integrity, observation vs inpatient trends, SNF LOS), • Care management engagement and impact, • Claims accuracy and financial integrity, • Benefit plan performance and optimization, • HEDIS gap closure and quality outcomes, • Partner cross-functionally with operations, clinical leadership, analytics, and claims teams to ensure contractual performance delivery., • Cost containment opportunities, • Site-of-care migration opportunities, • Avoidable ED/IP utilization reduction strategies, • Pharmacy optimization opportunities, • Quality improvement and risk capture gaps, • Benefit design leverage points, • Develop strategic recommendations that align financial performance with improved member outcomes., • Identifying opportunities for service expansion within existing accounts (analytics platform adoption, UM enhancements, care management programs, etc.)., • Supporting renewal strategy and retention through demonstrable performance and executive alignment., • Ensuring care programs and operational workflows are optimized for a seamless member experience., • Monitoring member satisfaction indicators and recommending process improvements., • Successful new client implementations (on-time, on-budget, clean go-live), • Client retention and renewal rates, • Year-over-year total cost of care trend reduction, • Improvement in utilization efficiency (IP admits per 1,000, site-of-care optimization, SNF LOS reduction), • HEDIS measure improvement and gap closure rates, • Care management engagement and impact metrics, • Executive client satisfaction scores (NPS among executives and key influencers), • Expansion of revenue within existing accounts Qualifications WHAT YOU'LL NEED FOR SUCCESS • 4+ years of experience in healthcare client service and strategy, program implementation, and/or support for value-based care services and technologies., • Demonstrated experience leading client implementations and cross-functional onboarding processes., • Healthcare and value-based care dynamics, • Utilization management processes, • Claims processing and benefit administration, • Population health analytics, • HEDIS quality measurement, • Demonstrated experience managing executive-level client relationships., • Strong financial acumen with ability to analyze cost-of-care drivers and ROI., • Exceptional communication and executive presentation skills., • Clinical or advanced business degree (MBA, MHA, MPH, RN), • Experience working with employer-sponsored health plans or TPAs., • Background in value-based care models or alternative payment arrangements., • Familiarity with population health analytics platforms and reporting tools. Additional Information The base salary for this role is $170,000.00 to $180,000.00. This is a fully remote position with expected travel up to 50% to various client locations. ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. • We are Driven by Accountability — grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike., • Always Growing, Always Learning — staying curious and continuously improving inspires us to shape a better future for healthcare., • With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve., • At Guidehealth, Every Voice Matters — we believe our collective strength is rooted in the unique perspectives of each team member., • And through Empathy in Action, we build stronger connections with those who count on us. While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include: • Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs., • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered., • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution., • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected., • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times., • Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals., • Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need. COMPENSATION: The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements. SECONDARY EMPLOYMENT At Guidehealth, we value transparency and collaboration as part of our commitment to excellence. As your primary employer, we kindly ask all team members to disclose any secondary employment, regardless of whether it may present a potential conflict of interest. To ensure smooth teamwork and availability, employees must be accessible during our stated working hours. We foster connection and engagement by asking team members to join virtual meetings with their cameras on.

Serves as a liaison between members, providers, and internal pharmacy teams to resolve non-clinical issues efficiently, including identifying opportunities for improving outreach processes, documentation quality, and operational efficiency. Pharmacy Technician in a hospital, retail, or managed care

Job Description Hi, we're Oscar. We're hiring an Associate, Medical Economics to join our Medical Economics team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Associate, Medical Economics, is part of our Medical Cost Analytics team within the Medical Economics department. The Associate reports to the Senior Director, Medical Economics, and is part of a team that analyzes medical costs to understand trend drivers, project financial outcomes, monitor programs, and identify cost savings opportunities. You will partner with Medical Economics leadership, Data Science, Finance, Payment Integrity, and other analytic support responsibilities to ensure accurate projections are reflected in management reporting. You will report into the Senior Director, Medical Economics. Work Location: This is a remote position, open to candidates who reside in: Atlanta, GA. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote Pay Transparency: The base pay for this role is: $111,034 - $145,733 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities: • Work under the guidance of the Senior Director, Medical Economics., • Maintain sophisticated models to forecast the financial impact of proposed changes to clinical and payment policies. Conduct sensitivity analyses and stress testing on models to understand the range of potential outcomes under multiple utilization and cost scenarios., • Develop knowledge of industry best practices and work to drive innovation., • Perform in-depth analysis of integrated claims and operational data (medical, pharmacy, lab, auths) to identify cost and trend drivers., • Provide proactive financial guidance on latest clinical trends and their potential impact on our financial performance., • Accomplish retrospective studies to measure the actual financial and clinical outcomes of implemented policies, comparing results against initial projections., • Build repeatable analytic processes that scale across programs., • Create executive-ready visualizations tailored to different stakeholder audiences (clinical vs. financial)., • Promote and shape Oscar best practices concerning automation and documentation. Contribute to department initiatives around automation, AI use, and tooling improvements., • Compliance with all applicable laws and regulations, • College degree in a STEM field: e.g. Economics, Actuarial Science, Health Economics, Biostatistics, Health Informatics, Health Services Research., • 4+ years of quantitative analysis experience using SQL., • Associate or Fellow of the Society of Actuaries (SOA), or on the track to become one. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

The ideal candidate will have a PharmD or Bachelor of Pharmacy degree and an unrestricted U.

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About the job Remote Clinical Pharmacy Clerk Remote Clinical Pharmacy Clerk needs 2+ years experience Remote Clinical Pharmacy Clerk requires: National Certification as Pharmacy Technician (PTCB) Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Must be a team player, be organize