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AffirmedRx
AffirmedRx
4 open remote positions
AffirmedRx is a pharmacy benefit management company on a mission to improve healthcare outcomes by bringing clarity, integrity, and trust to the industry. They are a mission-driven organization committed to patient-centered care and ethical practices.
Benefits Overview
4 of 4 jobs
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Open Positions
Act as a trusted liaison between patients and healthcare providers, providing expert guidance on pharmacy benefits. Own patient cases end-to-end, resolving coverage, prior authorization, and appeals issues. Collaborate with stakeholders to ensure members navigate the healthcare system with confidence.
Pharmacy Benefits
Prior Authorization
Claims Analysis
Communication
Problem Solving
Serve as the second escalation point for complex client issues and support executive leadership with strategic updates. Lead and mentor the implementation team, driving high-quality planning and cross-functional collaboration. Develop strategies to meet performance guarantees and enhance client satisfaction through proactive decision-making.
Leadership
Project Management
Healthcare
Client Management
Cross-functional Collaboration
Monitor daily Snowflake loads, file ingestion, and scheduled jobs to ensure data accuracy. Serve as backup for core data warehouse operations to maintain continuity during absences. Build and maintain tables, views, and dbt models to enhance the data warehouse.
SQL
Snowflake
Dbt
Python
Azure
Designs, builds, and validates advanced analytics to turn pharmacy, claims, clinical, and member data into decisions. Applies AI/NLP to analyze unstructured clinical and member text and automate clinical workflows. Builds probabilistic matching logic for member identity resolution and produces clinical and pharmacy analytics.
Python
SQL
Machine Learning
NLP
Data Modeling