Lead financial and analytical oversight of pharmacy benefit performance, managing Net PMPM cost and rebate processes.
Monitor network pricing, pharmacy claims trends, and customer-level performance to drive data-informed decision-making.
Partner cross-functionally with operations, IT, and clinical teams to identify cost trends and improve resource allocation.
AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. They are committed to making pharmacy benefits easy to understand and straightforward to access, always acting in the best interest of employers and the lives they impact.
Collaborate with Sales and Proposals teams to craft winning PBM offers for enterprise clients, emphasizing AWP discount and rebate guarantee pricing.
Conduct repricing and member experience analyses, compose compelling offers, and generate pricing for RFP platforms.
Collaborate with Legal and other teams to ensure pricing strategy aligns with contracting and supports SmithRx's growth.
SmithRx is a venture-backed Health-Tech company disrupting the Pharmacy Benefit Management sector with a next-generation drug acquisition platform. With hundreds of thousands of members since 2016, the company fosters a mission-driven, collaborative culture guided by integrity, courage, and togetherness.
Lead deep-dive analyses of clinical and technical denials to uncover root causes affecting hospital reimbursement and operational efficiency.
Partner with hospital leadership and revenue cycle teams to present findings and support operational transformation initiatives.
Design and deliver training and documentation to improve denial prevention practices across teams and departments.
Our partner is a healthcare services organization operating in revenue cycle management and analytics. It is a growing company with strong client relationships and a focus on operational transformation.