Review and interpret clinical data to support prior authorization approvals and care plan recommendations.
Monitor patient adherence across disease categories including oncology and specialty conditions.
Communicate with health professionals and supervise support personnel to ensure compliance with regulations.
Shields Health Solutions provides integrated support to patients and physicians to improve medication adherence and promote evidence-based care. The company is large enough to have multiple roles and emphasizes a culture of high integrity, teamwork, and confidentiality.
Design and oversee data-driven analyses using pharmacy claims data to address strategic pharmaceutical challenges.
Interpret analytical results and communicate meaningful insights to clients through presentations and reports.
Manage consulting projects, ensuring deliverables meet client expectations and timelines.
The company is a healthcare consulting practice that helps organizations navigate complex pharmaceutical and pharmacy benefits challenges. It is a growing practice with a collaborative and dynamic culture.
Write clinical and payer marketing communications for pharmaceutical brands.
Manage account relationships and present payer strategies internally and externally.
Ensure medical accuracy and compliance with FDA requirements in all copy.
Lumanity is a global strategic partner dedicated to improving health outcomes by accelerating access to life-changing medicines through strategy, evidence, engagement, and technology. The company brings together expertise to help pharmaceutical and biotech clients solve tough challenges, with a collaborative culture focused on innovation and impact.
Lead commercial pharmacy strategy from landscape research to executive decisions within 90 days.
Drive market and competitive intelligence to inform pharmacy total cost of care decisions.
Coordinate with internal experts to size options and deliver actionable decision frameworks.
Quantum Health is a healthcare navigation and clinical management company that partners with employers to optimize pharmacy benefits and total cost of care. The company offers a remote-first culture and emphasizes collaborative strategy work among small teams.
Develop and manage complex clinical product initiatives, including clinical criteria and product roadmaps.
Analyze market information, clinical guidelines, and member claims data to support clinical product management strategies.
Collaborate with leadership and cross-functional partners to execute product strategy and represent the Clinical department in customer sessions.
Prime Therapeutics is a pharmacy benefit manager (PBM) focused on reimagining pharmacy solutions to simplify health care. It is a large, purpose-driven organization that values diversity, inclusion, and equal opportunity.
Conduct structured outreach to patients and caregivers throughout the treatment journey, providing program-approved education and support.
Identify barriers to treatment initiation and adherence, develop practical strategies, and escalate clinical or safety concerns as needed.
Accurately document interactions and outcomes while managing an assigned caseload and collaborating with case management teams.
We provide patient support programs that deliver individualized clinical education, treatment-support services, and care coordination to patients and caregivers. Our culture is supportive, dedicated, and teamwork-driven, and we are proud of our relentless focus on improving the lives of the patients we support.
Lead payer engagement and interoperability strategy for Experian Health.
Build executive relationships with health plans and guide payer-provider collaboration.
Partner with product teams to define payer-focused roadmap priorities.
Experian is a global data and technology company powering opportunities for people and businesses around the world. It has an amazing team of 25,200 people in 32 countries and a people-first, inclusive culture.
Serve as the primary day-to-day operational contact for assigned employer and health plan clients, ensuring high service and support.
Build positive working relationships with client contacts including HR teams, benefits administrators, and consultants.
Monitor account performance metrics, pharmacy spend, and utilization trends to surface insights and optimization opportunities.
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, and they promise to do what's right, always.
Lead and coach a team of more than 50 direct and indirect reports to ensure strong service performance and professional development.
Oversee daily patient service center operations, ensuring compliance with SLAs, industry regulations, and privacy requirements.
Monitor KPIs, analyze operational data, and implement improvements to enhance efficiency, service quality, and patient experience.
Our partner is a company in the regulated healthcare space, dedicated to delivering efficient and compliant patient support programs. They foster an inclusive, high-performing culture and manage a large team of over 50 direct and indirect reports.
Lead the administrative engine behind payer contracts, membership, payment distribution, and client services for IPA operations.
Partner with IPA leadership and cross-functional teams to drive strategic initiatives and value-based care performance.
Mentor and manage a team including Operations Specialists and Membership Associates, while coordinating payer meetings and reporting.
Aledade PBC is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, it has grown into the largest network of independent primary care in the U.S., with a collaborative, remote-first culture.
Review and verify physician orders, screening for allergies, interactions, dosing, and clinical protocols.
Use pharmacokinetic skills to determine dosing and monitor patient responses to selected medications.
Collaborate with hospital teams to ensure continuity of medication therapy and meet clinical program goals.
CommonSpirit Health is a nonprofit Catholic healthcare system offering integrated services through hospitals, clinics, home care, and virtual care. It has over 157,000 employees, including 45,000 nurses and 25,000 physicians, across 24 states.
Drive commercial execution leading go-to-market strategy for Veeva Compass Payer, mapping key targets and leading high-impact customer meetings.
Serve as subject-matter expert on payer data, articulating value propositions and handling objections in customer conversations.
Influence product roadmap by bridging market feedback to developers and enabling sales and marketing teams with compelling messaging.
Veeva Systems is a mission-driven life sciences cloud company that helps bring therapies to patients faster. As a fast-growing public benefit corporation with over $3B in revenue, they value doing the right thing and employee success, supporting a Work Anywhere culture.
Oversee contracted patient support agents and develop SOPs for reimbursement programs.
Liaise with cross-functional teams to resolve complex reimbursement issues and ensure training.
Manage patient and provider program issues, audits, and data analytics for continuous improvement.
Iovance Biotherapeutics is the global leader in innovating, developing, and delivering tumor infiltrating lymphocyte (TIL) cell therapies for patients with solid tumors. The company operates as an end-to-end cell therapy company with U.S.-based manufacturing scaled to serve thousands of cancer patients worldwide each year.
Lead clinical supply chain activities including labeling, packaging, global distribution, inventory management, and IP reconciliation.
Develop and maintain supply plans aligned with clinical enrollment, dosing, regulatory timelines, and study milestones.
Provide operational oversight of contract organizations for packaging, labeling, and distribution.
Entrada is a clinical-stage biopharmaceutical company developing genetic medicines for neuromuscular and inherited retinal diseases. They are a tight-knit team of experts in therapeutic development and rare diseases, dedicated to improving patients' lives.
Review de-identified clinical cases and pharmaceutical product images.
Develop scoring rubrics and provide written expert evaluations.
Assess accuracy of medical data interpretations for AI benchmarking.
Terac is building the world's largest pool of vetted human experts for AI. Researchers, AI labs, and product teams use Terac to recruit, screen, and pay study participants across industries, languages, and skill sets.
Lead strategic engagement with payers, PBMs, and GPO accounts to secure patient access.
Develop market access strategies and negotiate contracts, including value-based models.
Build and oversee payer account teams while collaborating across functions.
REGENXBIO is a gene therapy company pioneering treatments for rare and retinal diseases. The company fosters a collaborative, patient-focused culture with a talented team working to make a meaningful difference for patients and their families.
Develop and maintain senior payer relationships across a ten-state Northeast territory.
Lead account strategy for 16 accounts including Highmark, Independence, Point32Health, and UPMC.
Coordinate cross-functionally to resolve access barriers and support rare disease launches.
BridgeBio is a biopharmaceutical company using a 'moneyball for biotech' model to advance early-stage research and develop rare disease treatments. It values curiosity, experimentation, and boundary-pushing, fostering a collaborative culture with respected industry minds.
You build clinical pipelines for pharmacists, technicians, and leaders in the UK and Netherlands.
You own full-cycle recruitment: sourcing, screening, checks, and closing.
You manage agencies and partner with clinical ops to scale without bottlenecks.
AIOS is building the world’s first full-stack AI doctor, serving 200k monthly patients via Bolt Pharmacy. We're a profitable, founder-led company at $450M ARR, growing rapidly with a young and intense culture.
Oversee daily clinical pharmacy functions including prior authorization reviews, override requests, and member/provider education calls.
Support staff training, quality improvement, and lead projects to optimize pharmacy operations and clinical outcomes.
Serve as a subject matter expert and make clinical decisions based on medical necessity and contract criteria.
Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. It replaces fragmented systems with a unified claims processing platform and uses AI-powered care delivery to serve millions of Americans, fostering a mission-driven, collaborative culture.
Set the pharmacy operational excellence strategy and lead cross-functional transformation initiatives.
Partner with internal teams and vendors to align priorities and deliver measurable business impact.
Ensure regulatory compliance and build scalable PBM operating models for end-to-end pharmacy experience.
Oscar is a health insurance company built around a full stack technology platform with a focus on serving members. Founded in 2012, it emphasizes authenticity and belonging in its culture.