Analyze and support audits related to prior authorizations and compliance within healthcare, managing communication and collaboration with various teams and clients.

The Formulary Consultation Director leads custom formulary modeling and consultations, collaborates with clinical teams, ensures regulatory compliance, and develops client relationships while managing a team.

Process and finalize prior authorization requests, collaborating with clinical pharmacists, managing inquiries, and ensuring compliance with healthcare standards.

The Formulary Admin Specialist I supports formulary maintenance, manages client inquiries, and processes formulary submissions. They ensure accurate tracking and quality control of drug updates for various clients, with a focus on Medicare Part D and internal communication.

The Software Engineer III will design, develop, test software, resolve issues, ensure robust applications, collaborate with teams, and mentor junior staff.

Manage client analytical activities, lead a team, analyze data for insights, and improve departmental metrics. Requires experience with SQL and analytics.

The role involves processing prior authorization requests, ensuring accuracy and timeliness, and collaborating with clients and team members to resolve inquiries and maintain service quality.

The role involves developing financial analytic strategies, managing key stakeholders, and overseeing rebate analytics quality while leading a team and ensuring client satisfaction.

The Director of Strategic Account Management leads account teams, develops client-specific plans, manages client relationships, and oversees projects ensuring timely deliverables and quality service.

The Technical Writer creates and edits technical documents, user guides, and training materials, ensuring clear and accurate communication. They support process improvements and documentation administration related to internal operations.

The Principal Underwriting role involves financial analysis, strategy development, client management, and evaluation of business costs related to pharmacy benefits management.

Designs and implements IT solutions while maintaining systems for corporate uptime. Collaborates on capacity planning and technical documentation, ensuring the integrity of data and systems.

The Account Executive will contribute to improving healthcare solutions, collaborating with teams, and ensuring customer satisfaction in pharmaceutical benefits management.

The Account Manager I-III will be responsible for managing client accounts, ensuring client satisfaction, and developing strategies to improve service delivery and healthcare outcomes.

The Configuration Analyst III supports client configuration of benefits and formulary, ensuring compliance with change requests and providing client support through documentation, testing, and collaboration with internal teams.

The Appeals and Grievance Coordinator I processes appeals and grievances, ensuring compliance with regulations and providing customer service, utilizing various business applications to evaluate requests.

The PDP Program Associate is responsible for client support, claims adjudication, program implementation, and operational support for PDP programs in healthcare.

The Instructional Designer analyzes, designs, develops, and evaluates training programs, creates instructional materials, assists in delivering training, and communicates effectively with diverse audiences to enhance learning experiences.

The Operations Support Coordinator provides customer service and research support across departments, ensures client requirements are met, and identifies process improvements.

This role supports the Clinical Account Services team by generating reports, developing documents, and collaborating with teams to improve healthcare processes, under general supervision.