Lead strategic growth and operational management of pharmacy benefit and managed care relationships nationwide.
Oversee contract evaluation, negotiation, implementation, and renewal with major healthcare payers.
Analyze reimbursement trends and contract performance to support revenue optimization and business growth.
This company operates in the specialty pharmacy sector, supporting patients with chronic and rare illnesses. It is a mission-driven, rapidly growing environment focused on improving access, care, and outcomes for patients with complex healthcare needs.
Manage formularies, coverage determinations, and benefit design for PBM services.
Resolve clinical inquiries from members, clients, providers, and pharmacies.
Support P&T Committees with drug monographs, summaries, and medication policies.
OHSU is Oregon's only public academic health center with hospitals, clinics, and research schools. It is Portland's largest employer and a national research hub, welcoming diverse backgrounds.
Lead cross-functional teams for claims adjudication, benefit configuration, and production support.
Drive modernization and strategic roadmap for pharmacy claims and configuration capabilities.
Oversee client benefit plan implementation, regulatory compliance, and operational metrics.
Prime Therapeutics is a pharmacy benefit manager (PBM) focused on reimagining pharmacy solutions to simplify healthcare. The company fosters a purpose-driven, inclusive culture and is an equal opportunity employer.
Partner with Customer Success to deliver measurable 340B outcomes for a portfolio of clients.
Lead implementations, manage timelines, and ensure consistent execution across client workflows.
Analyze data to surface trends, optimize referral capture, and drive client performance.
NuvemRx helps community health providers simplify pharmacy operations with software, intelligence, and expert support. It is a fast-growing, mission-driven company that values ownership, collaboration, integrity, and service.
Take operational problems from roughly defined to fully optimized, owning the design and implementation.
Design and document operating procedures, define metrics, and ensure data integrity.
Partner with product, train teams, and hand off sustained processes with clear ownership.
Finni Health helps BCBAs go independent by providing infrastructure for credentialing, payer contracting, revenue cycle, HR, compliance, and software. They are a YC-backed, small team moving fast in a heavily regulated industry.
Partner with cross-functional teams to design market solutions and define scope for new markets.
Write integration requirements for data exchange between Nomi and claim lifecycle partners.
Own network configuration and pricing, from rate sheet to correctly priced claim.
Nomi Health rebuilds the healthcare system to eliminate waste, focusing on clear pricing, faster payments, and data-driven decisions. They are a team of over 300 employees who challenge the status quo and build better solutions.
Operate as the lead point of contact for assigned partners, maintaining strong relationships and acting as a trusted advisor.
Manage partner initiatives, including contract management, negotiation, and product expansion, while coordinating with internal teams.
Oversee partner transactions, analyze key metrics, and ensure timely delivery of solutions according to contractual commitments.
HealthEquity's mission is to save and improve lives by empowering healthcare consumers. The company is a notable player in the health benefits space, fostering a culture of innovation and collaboration among its team members.
Support the AVP of Client Success - Health Plans in operationalizing a large strategic health plan partnership.
Coordinate reporting, renewals, and lifecycle operations across multiple lines of business and employer groups.
Drive cross-functional coordination and process improvements to ensure consistent execution.
Twin Health empowers people to improve and prevent chronic metabolic diseases like type 2 diabetes and obesity using AI Digital Twin technology. With over $100 million raised and a passionate, collaborative team, Twin Health is scaling rapidly across the U.S. and globally.
Lead client management and retention efforts within an assigned region, ensuring customer satisfaction and revenue growth.
Serve as the primary liaison between customers, TPA leadership, and internal teams, providing consultative account management.
Drive strategic initiatives to improve client retention, operational alignment, and overall financial performance.
Point C is a national third-party administrator that delivers customized self-funded benefit programs. We are a mission-driven company focused on innovative cost containment solutions.
Act as the face of Vida, owning end-to-end client relationships and ensuring client satisfaction.
Perform data analysis, present strategic recommendations, and identify up-sell opportunities.
Collaborate with internal teams across product, design, engineering, sales, and marketing to develop solutions.
Vida is a virtual, personalized obesity care provider that uses evidence-based treatment to help patients manage obesity and related conditions. It is a fast-paced startup trusted by Fortune 100 companies, with a culture that values diversity and inclusion.
Owning client onboarding, operational support, and service delivery for assigned clients from go-live through steady state.
Managing delegated services including Eligibility, UM, PHM, Claims, Quality, CX, and Credentialing, ensuring compliance.
Tracking SLA performance, preparing report-outs, and serving as escalation owner for client operational issues.
Guidehealth is a data-powered healthcare company using AI and predictive analytics to make great healthcare affordable and improve patient outcomes. It is a physician-led, fully remote organization that values empathy, collaboration, and continuous learning.
Own and evolve provider support workflows, automation, and data practices to enable provider success.
Partner with clinical leadership across the provider lifecycle from onboarding through retention.
Design systems and automation to reduce administrative burden and help prevent provider burnout.
They operate a high-impact telehealth platform focused on improving access to specialized care. The organization is growing and values operational excellence, clinician support, and innovation in workflow automation.
Collaborate with Sales and Proposals teams to craft winning PBM offers for large enterprise clients.
Conduct repricing and member experience analyses, and compose compelling offers for RFP platforms.
Evaluate risks associated with pricing strategies and support legal negotiations on contract terms.
SmithRx is a rapidly growing, venture-backed Health-Tech company disrupting the expensive and inefficient Pharmacy Benefit Management (PBM) sector with a next-generation drug acquisition platform. The company has a mission-driven and collaborative culture that inspires employees to transform the U.S. healthcare system.
Serve as the main point of contact for TPA clients during new group implementations, gathering requirements and documenting them in standard templates.
Maintain detailed project plans and open items logs, coordinating day-to-day tasks for Implementation Managers and Specialists to ensure productivity.
Act as a liaison between internal teams (contracting, invoicing) and the Implementation Team, providing go-live support and participating in post-go-live improvement discussions.
SmithRx is a rapidly growing, venture-backed Health-Tech company disrupting the Pharmacy Benefit Management sector with a next-generation drug acquisition platform. With hundreds of thousands of members onboarded since 2016, SmithRx fosters a mission-driven, collaborative culture guided by integrity, courage, and togetherness.
Lead strategic reviews and resolve operational frictions for top US health insurance clients.
Build relationships with client leaders in Claims, Quality, and Member Experience.
Collaborate with sales to identify expansion opportunities and maintain high Net Promoter Scores.
Smile Digital Health makes it easy for healthcare stakeholders to collect and exchange data with our leading FHIR-based data liberation platform. We were #19 on Deloitte's Technology Fast 50 Ranking for 2024, and our solutions are used in over 20 countries.
Lead a key strategic relationship with a large health system or payer, driving growth and operational rigor.
Apply sales principles and stakeholder management to navigate complex healthcare landscapes.
Champion partner needs while integrating standard methodologies and balancing growth goals.
Rula is a mental health care company dedicated to making quality care evidence-based and compassionate. They are a remote-first company with a diverse and inclusive culture, currently hiring in most U.S. states.
Lead Data Operations teams to drive operational excellence and improve cross-functional processes.
Manage teams responsible for ingesting, processing, and delivering files, setting clear standards and measurements.
Collaborate with cross-functional teams to identify business requirements for client implementation and product development.
Personify Health provides a personalized health platform for employers, health plans, and health systems. The company fosters a mission-driven culture where diverse perspectives drive real impact on people's health.
Design and architect Salesforce solutions that integrate patient, clinician, and insurance data with operational tools.
Work directly with operations teams to understand needs and build high-impact features that accelerate patient matching and clinician licensing.
Set technical standards through design review, documentation, and mentoring, while taking ownership of the most complex implementation challenges.
Rula is a mental healthcare company connecting patients to therapists and clinicians via a digital platform. The company is remote-first and values diversity, equity, and inclusion, with a small team where individual impact is significant.
Own and continuously improve operational processes that support Ro's frontline teams, partnering cross-functionally to increase efficiency and consistency.
Run day-to-day onboarding for clinical and non-clinical frontline teams, delivering a seamless new hire experience with multiple internal teams.
Own and operate the support desk for frontline teams, resolving tickets within SLA and strengthening self-service to reduce recurring needs.
Ro is a direct-to-patient healthcare company providing telehealth, labs, and pharmacy services nationwide. Since 2017, it has helped millions of patients and is consistently recognized as a top workplace in Health Care, New York, and for Women and Parents.
Own the strategy and performance of a complex portfolio of primary care partnerships, driving adoption, retention, and measurable performance improvement.
Build trusted relationships with clinical and operational leaders, serving as a strategic advisor on value-based care and workflow transformation.
Analyze data, lead performance reviews, and implement interventions to ensure sustained provider success and expansion.
Counterpart Health, a subsidiary of Clover Health, develops AI-enabled technology that supports primary care physicians in diagnosing and managing chronic conditions. They are a remote-first company with a diverse team of experts in value-based care and technology, dedicated to improving patient outcomes and reducing healthcare costs.