Serve as a key subject matter expert on Medicare, Medicaid, and drug pricing policy issues impacting the pharmaceutical/biotech, health insurance, pharmacy, and PBM industries.
Generate strategic and tactical recommendations for clients that are responsive to their policy and business needs.
Oversee multiple complex engagements at a time from proposal development through delivery.
Avalere Health strives to ensure every patient is identified, treated, supported, and cared for equally. They bring Advisory, Medical, and Marketing teams together to forge unconventional connections, building a future where healthcare is not a barrier.
Responsible for supporting the implementation, maintenance, analysis, and quality assurance of ConnectiveRx pharmaceutical affordability programs.
Accountable for program set-ups and maintenance, performs quality control on program setups and updates, and investigates adjudication outcomes and data discrepancies.
Applies business rules consistently to ensure operational accuracy and program integrity and works independently on routine tasks.
ConnectiveRx helps pharmaceutical manufacturers untangle the complex prescription process. They bring together diverse voices to allow patients to build trusting relationships with their medication brands. ConnectiveRx offers comprehensive benefits including medical, dental, vision, life, and disability insurance.
Support and help execute ŌURA’s federal government relations strategy.
Monitor, assess, and communicate relevant legislative, regulatory, and political developments.
Build and maintain relationships with Members of Congress and other key external stakeholders.
Oura's mission is to empower every person to own their inner potential. They provide millions of people with Oura Ring to understand and improve their health. Oura is a quickly growing company focused on helping people live healthier and happier lives, ensuring that our team members have what they need to do their best work — both in and out of the office.
Manage all aspects of Patient Support Center program operations and lead a team of Case Manager Supervisors.
Monitor team activity, Service Level Agreements (SLAs), and Key Performance Indicators (KPIs).
Serve as the subject matter expert (SME) for the Case Manager role and program needs with key stakeholders.
Novartis focuses on the needs of people and a community committed to meeting them through innovative science to improve lives. They foster a collaborative environment where individuals can learn and thrive together.
Own the post-enrollment member engagement and retention strategy, building and optimizing multi-channel journeys to keep patients active.
Write and refine empathetic, patient-facing content and build/manage campaigns in tools like Iterable and Twilio, using data to monitor performance and identify improvements.
Partner cross-functionally with Clinical Operations and Product to translate care workflows and program updates into clear, action-oriented messaging that builds trust.
Cadence builds a remote care delivery system focused on proactive, daily health monitoring for older patients to improve outcomes and reduce hospital visits. It is a fast-growing healthtech company with a performance-driven culture where employees are expected to take initiative and own outcomes, as lives depend on their work.
Identifies and develops professional relationships with thought leaders and healthcare professionals.
Supports research initiatives and serves as a liaison for investigator-initiated research.
Delivers impactful presentations and provides accurate assessments of community needs.
Mirum Pharmaceuticals is dedicated to transforming the treatment of rare diseases by advancing scientific discoveries. They are collaborative, creative, and experienced professionals with a culture embodying care, authenticity, dedication, and fun.
Managing lobbying contractors ensuring their activity is tracked and delivered.
Supporting compliance across lobbying activity, relevant disclosures and requirements.
Building dashboards, reporting frameworks and quarterly operating reviews tied to KPIs.
VGW is an interactive entertainment company that develops free-to-play online social games. Values like inclusivity, flexibility, and career growth are encouraged within the company of employees who enjoy a healthy work-life balance.
Deliver an outstanding customer experience by supporting inquiries across phone, email, text, and chat.
Manage high-complexity insurance workflows and inbound support requests to collect documentation.
Partner with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment and continuity of care.
Expressable is a virtual speech therapy practice that aims to transform care delivery and expand access to high-quality services. Since 2019, they serve thousands of clients with a focus on parent-focused intervention and an e-learning platform with home-based learning modules.
Drive Capricor’s U.S. distribution channel strategy, including 3PL selection and oversight.
Build and run Capricor’s U.S. patient services model across therapeutic areas, including referral intake.
Map, standardize, and enhance patient journeys across programs to reduce access friction.
Capricor Therapeutics is a biotechnology company dedicated to advancing transformative cell and exosome-based therapies for rare diseases. The company's lead cell therapy is in late-stage development for Duchenne muscular dystrophy, and they are also working on targeted delivery and vaccinology.
Drive solution adoption, educating consultants and employers on the value and integration of solutions.
Deliver strategic education and serve as the escalation point for technical and clinical questions related to Pareto solutions.
Partner with Product, Clinical, and vendor partners to improve solution performance at scale through feedback.
ParetoHealth's mission is collective greatness, transforming employee health benefits since 2011. They help small and medium-sized businesses fight rising healthcare costs with financing innovations and a growing ecosystem of partners.
Develop and execute a strategic business plan to target and establish relationships with key decision makers and stakeholders in a geographical area.
Effectively call on physicians, nurses, and other healthcare providers across multiple medical subspecialties, managing relationships through a mix of in-person and virtual engagement.
Utilize data sources and CRM systems to maximize strategies and efficiencies to attain or exceed assigned sales and profit goals.
Azurity Pharmaceuticals is a privately held specialty pharmaceutical company that focuses on innovative products for underserved patients. The company has an integrated approach and partner network to expand its commercial portfolio and pipeline, with a talented and dedicated team focused on patient benefit and quality.
Leads Patient marketing strategies for COMP360, inclusive of digital/media efforts and patient support materials.
Partners with Commercial Operations, Sales Leadership, and Medical Affairs to drive Patient awareness.
Owns creation of marketing materials that educate Patients and Care Partners on COMP360's value proposition.
Compass Pathways plc is a biotechnology company dedicated to accelerating patient access to evidence-based innovation in mental health. The Company is headquartered in London, UK, with offices in New York City in the US and focuses on developing novel treatments that have the potential to improve the lives of those who are suffering with mental health conditions.
Manage relationships for clients with varying levels of complexity and take ownership of resolving client issues.
Lead regular client meetings, maintain action logs, and manage project plans for moderate to complex projects.
Analyze client benefits strategy and suggest improvements, identifying opportunities for increased member participation.
HealthEquity's mission is to save and improve lives by empowering healthcare consumers. We are passionate about providing solutions that allow American families to connect health and wealth, and we value our employees.
Help network development and contracting goals within designated geographies.
Develop and refine local contracting strategies to drive provider participation in Medicare Advantage, Direct Contracting and other value-based initiatives.
Address and resolve any concerns raised by providers and effectively communicate those solutions to internal stakeholders.
Clover Health is a Medicare Advantage and Prescription Drug plan changing how healthcare is delivered by combining data with human empathy to keep members healthier. They are passionate and mission-driven individuals, working together to solve the most complicated problem in the world: healthcare.
Review and process patients’ enrollment forms for the Patient Assistance Program.
Assist patients on the phone with PAP program enrollment by verifying pre-screening and qualifying tasks.
Notify patients and healthcare providers of approvals, denials, and any next steps needed to continue the enrollment process.
CareTria aims to help patients access coverage for their prescribed medications. We provide telephone support and administrative functions. The company offers comprehensive benefits and is an Equal Opportunity Employer, indicating a commitment to a positive and inclusive work environment.
Execute Relationship Cadence: Maintain consistent communication with state regulatory boards, ensuring multi-year contract renewals.
Tactical Solution Mapping: Translate the company's capabilities into outcomes tied to agency efficiency and public protection.
Manage Opportunities Through the Lifecycle: Advance opportunities via a consultative approach, aligning implementation timelines with agency deadlines.
Propelus simplifies workforce compliance management across healthcare, delivering seamless solutions through technology and data to reduce risk. With over 20 years as a trusted leader, the company champions a connected healthcare ecosystem and a culture recognized for being a best place to work.
Directly lead and manage a team of Patient Support Associates to ensure medication adherence or timely prior authorization.
Proactively manage support in assigned hospitals and/or clinics to ensure patients receive medications on-time.
Provide front-line supervision and ongoing coaching and performance management to Patient Support team.
Shields Health Solutions is a specialty pharmacy management service provider. They are a fast-growing company that values motivated self-starters with a positive outlook and a focus on high-quality work.
Serve as the primary contact for CM/UM programs and operational questions related to the MyCare Platform.
Build relationships with provider offices through outreach and timely follow-up, resolving issues within defined turnaround times.
Educate providers on submission requirements, documentation, timelines, and available CM/UM resources.
Personify Health created a personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together. They serve employers, health plans, and health systems with data-driven solutions that reduce costs while improving health outcomes.
Lead outbound business development efforts to identify, research, and engage prospective partners.
Develop and execute go-to-market strategies for net-new partner categories.
Build and manage a robust pipeline across multiple verticals simultaneously, advancing opportunities.
BetterHelp's mission is to remove the traditional barriers to therapy and make mental health care more accessible. They are the world’s largest online therapy service with over 30,000 licensed therapists, committed to being part of the solution, and invest in their team’s well-being and professional development.