AffirmedRx, a Public Benefit Corporation

Growth Marketing

• Manage the full sales cycle from lead generation to RFP submission, finalist presentations, negotiations, and contract execution
• Leverage Salesforce.com to track and report sales activities, ensuring transparency and alignment with company growth objectives
• Identify and pursue new business opportunities through coalitions, regional brokers, consultants, and direct client relationships
• Proactively anticipate customer needs and identify opportunities to position AffirmedRx as the best PBM solution
• Strengthen existing broker and consultant relationships, enhancing brand awareness and increasing sales opportunities
• Develop a deep understanding of AffirmedRx’s capabilities to educate and engage potential clients effectively
• Deliver compelling sales presentations that clearly communicate the value of AffirmedRx’s PBM solutions
• Assist in negotiating client contracts to secure favorable terms aligned with company policies and objectives
• Work closely with marketing, operations, proposals, underwriting, implementation, and client management teams to align sales efforts with broader business goals
• Adapt and contribute to a dynamic environment as AffirmedRx continues to grow and expand nationally
• Ability to transfer warm leads to client relationships in collaboration with other team members
• Ability to help onboard and train new sales team members

Director, Strategic Growth

Attorney

• Draft, review, and negotiate contracts, including vendor agreements, service contracts, NDAs, and other legal documents
• Provide legal advice and guidance to internal stakeholders on contractual matters and risk mitigation
• Ensure compliance with applicable laws, regulations, and company policies
• Manage contract lifecycle processes, including renewals, amendments, and terminations
• Partner with Compliance and Privacy
• Collaborate with cross-functional teams, including Growth, Operations, and Finance, to address legal and business needs
• Conduct legal research and stay updated on relevant laws and industry trends
• Assist in resolving contract disputes and provide support in litigation matters, if necessary
• Provide guidance on key regulatory topics, including Consolidated Appropriations Act (CAA) and Employee Retirement Income Security Act (ERISA)

Attorney, Contracts and Regulatory Operations

• Manage the full sales cycle from lead generation to RFP submission, finalist presentations, negotiations, and contract execution
• Leverage Salesforce.com to track and report sales activities, ensuring transparency and alignment with company growth objectives
• Identify and pursue new business opportunities through regional brokers, consultants, and direct client relationships
• Proactively anticipate customer needs and identify opportunities to position AffirmedRx as the best PBM solution
• Strengthen existing broker and consultant relationships, enhancing brand awareness and increasing sales opportunities
• Develop a deep understanding of AffirmedRx’s capabilities to educate and engage potential clients effectively
• Deliver compelling sales presentations that clearly communicate the value of AffirmedRx’s PBM solutions
• Assist in negotiating client contracts to secure favorable terms aligned with company policies and objectives
• Work closely with marketing, operations, proposals, underwriting, implementation, and client management teams to align sales efforts with broader business goals
• Adapt and contribute to a dynamic environment as AffirmedRx continues to grow and expand nationally

Vice President, Strategic Growth

Strategic Growth Executive

Chief Technology Officer

• Provide executive leadership in information strategy, infrastructure, and organizational growth to advance the company’s mission
• Lead the enterprise data and analytics strategy, leveraging AI and advanced tools to improve efficiency, cost savings, and decision-making
• Oversee development of scalable data platforms to deliver actionable business intelligence and client insights
• Drive evaluation and adoption of information solutions that optimize PBM processes and reporting
• Partner with operations to enhance reporting capabilities for clients and internal stakeholders
• Ensure compliance with HIPAA, SOC2, and healthcare regulatory requirements across information and data systems
• Establish and maintain a robust cybersecurity framework to safeguard sensitive information
• Oversee enterprise IT infrastructure, cloud environments, internal systems, and end-user support
• Optimize vendor management and oversee enterprise system integrations
• Implement data governance policies to ensure accuracy, integrity, and regulatory compliance
• Build and develop high-performing information management teams and align investments with business priorities
• Partner with the CFO and advise CEO, Board, and investors on information strategy, risk, and innovation

Chief Information Officer

Business Analyst

• Produce clear, accurate, and timely reporting that supports external client deliverables and internal performance tracking
• Partner closely with the Data & Analytics team to transform raw data into actionable insights
• Tailor outputs for strategic client discussions and provide narrative insights to explain drivers of cost, utilization, and savings
• Develop and deliver standard and ad hoc client reports (e.g., utilization summaries, rebate tracking, trend analysis)
• Consolidate outputs across multiple data sources (claims, clinical, financial) into cohesive, client-ready packages
• Track and report on contractual performance guarantees and ensure accurate measurement and timely reporting to clients
• Monitor internal KPIs (service levels, turnaround times, call handling metrics) and partner with leadership to identify areas of risk or opportunity
• Serve as a bridge between Client Management and Data & Analytics to validate data, define requirements, and troubleshoot issues
• Maintain a reporting library, standard templates, and documentation to ensure consistency and repeatability
• Develop tools or processes to streamline reporting production and minimize manual effort

Client Insights Analyst

Bilingual

• Serve as a liaison between patients and healthcare providers, ensuring members receive high-level care and support
• Advocate for patients' needs, provide education and guidance, and assist with navigating the healthcare system and pharmacy benefits
• Maintain knowledge and proficiency in pharmacy and medical benefit structures across payer types including Medicare, Medicaid, and commercial
• Be proficient in prior authorization and appeals processes for prescription medications
• Remain current with copay assistance eligibility and PBM regulations, policies, and industry trends
• Serve as direct member and provider contact for pharmacy benefit information and navigation support via telephone, chat, fax, email, or written correspondence
• Handle calls and correspondence from providers and members and resolve issues through follow-through and problem resolution
• Educate members and patients about coverage, benefits, and financial assistance programs and assist enrolling into third-party assistance when applicable
• Collaborate with internal and external stakeholders including members, providers, and pharmacies and leverage community-based resources
• Review claims for accuracy against benefit guidelines and contract standards and complete test claims or electronic verification when applicable
• Document all interactions professionally within specified timeframes and assist in meeting operating and productivity standards, including quality reviews

Patient Care Advocate, English/Spanish Bilingual

Analytics Engineer

• The ETL Developer is responsible for designing, developing, and maintaining healthcare data exchange solutions with providers, payers, PBMs, and other trading partners
• Work extensively with ANSI X12 and HIPAA-compliant transaction sets to support claims, eligibility, pharmacy, billing, and enrollment processes
• Partner with source systems, data stewards, and technical teams to ensure effective data governance and resolve data quality or technical issues
• Work closely with business teams (claims, eligibility, pharmacy, billing, enrollment, etc.) to gather requirements and implement data exchange solutions that meet operational needs
• Provide mentorship and technical guidance to junior analysts and engineers
• Design, develop, and maintain data exchange transactions, including maps and workflows, with healthcare providers, payers, PBMs, and other trading partners
• Collaborate with PBM partners to optimize prescription, formulary, and claims workflows
• Ensure compliance with HIPAA, CMS, and other healthcare regulations
• Monitor and improve data exchange performance, reliability, and error-handling processes
• Troubleshoot and resolve issues related to data exchange transactions, connectivity, and partner communications
• Support the development of Master Data Management (MDM) plans, including defining processes, policies, requirements, monitoring, and tool selection
• Monitor MDM services to ensure performance, correct errors, and identify areas for improvement
• Collaborate with data remediators, database administrators, network administrators, and software engineers to resolve issues and document data integration processes and system configurations

ETL Developer

Director

• Oversee the design, implementation, and maintenance of data infrastructure including data lakes, warehouse(s), and pipelines
• Ensure data quality, integrity, and compliance with internal and external standards including HIPAA compliance and other healthcare regulations
• Lead data governance initiatives and establish data management best practices
• Develop and execute a comprehensive analytics strategy aligned with business goals
• Lead the development of predictive models, dashboards, and reporting tools
• Translate complex data into actionable insights for executive leadership and business units
• Build and manage a high-performing team of data engineers, analysts, BI developers and future data scientists
• Foster a culture of innovation, collaboration, and continuous improvement
• Provide mentorship and career development opportunities
• Manage cross-functional analytics projects and ensure timely delivery of data solutions
• Partner with IT, Finance, Marketing, Operations, and other departments to identify data needs and deliver solutions
• Support strategic initiatives with data-driven recommendations and performance metrics
• Present findings and recommendations to senior leadership and influence strategic decisions
• Support external reporting requirements and payer/provider partnerships
• Travel 20%-30% as required

Director, Data Services and Reporting Analytics

Client Partner

• Develop and implement clinical program strategies to optimize patient care outcomes, medication adherence, and overall member experience and plan performance
• Collaborate cross-functionally with internal stakeholders, including pharmacy, implementations, analytics, and account management teams, to align clinical initiatives with client needs and objectives
• Serve as the primary point of contact for clients regarding clinical program performance, outcomes, and strategic recommendations, fostering strong client relationships and trust
• Analyze data and trends to identify opportunities for program enhancement, cost savings, and quality improvement, leveraging insights to drive informed decision-making and innovation
• Remain informed on industry trends, regulatory changes, and best practices in clinical program management, incorporating relevant insights into program design and implementation
• Develop and deliver client presentations, reports, and updates on clinical program performance, demonstrating value proposition and ROI to key stakeholders
• Collaborate with clients to tailor clinical programs and initiatives to meet the unique needs of their member populations, ensuring alignment with organizational objectives and priorities
• Foster a culture of continuous improvement and excellence within the patient care advocate team, promoting professional development, knowledge sharing, and accountability for achieving program objectives
• Participate in client webinars, training sessions, and other educational forums, with occasional travel to client open enrollment events or benefit fairs as needed
• Provide ongoing support which may include, but not limited to, interpreting plan design, research and resolving phone calls, written and electronic inquiries, resolving claims, benefit, and enrollment issues
• Establish and develop relationships with key client decision-makers, understand their healthcare strategy and goals, determine how AffirmedRx can best help them achieve their desired results
• Manage and execute client contractual requirements and guarantees
• Retain clients
• Communicate drug information to clients and respond to plan-specific clinical inquiries; support resolution of member-specific inquiries

Client Manager, PharmD

Operations

• Serve as the primary point of contact for day-to-day operational inquiries from clients and internal teams
• Oversee benefit design setup, annual updates, testing, and processing of change requests
• Partner with internal teams to resolve member-specific issues, including prior authorization (PA) denials, pharmacy processing errors, and eligibility concerns
• Coordinate member communications, ensuring timely approvals and accurate delivery of materials
• Maintain organized client materials, including benefit summaries, plan documentation, and project trackers
• Track, document, and report on the status of client requirements and operational timelines
• Coordinate accordingly to ensure internal and external data needs are met, timely and accurately
• Partner with internal teams (e.g., Implementation, Clinical, Operations) to ensure accurate execution of client requirements
• Support onboarding processes for new client implementations, annual benefit design changes, and benefit updates as needed
• Participate in internal meetings and projects to support client performance and continuous process improvement
• Address system configuration issues, vendor coordination, and shared NPI reporting
• Monitor accumulators and ensure compliance with PA turnaround times and other regulatory metrics
• Escalate complex issues and collaborate with leadership to ensure resolution aligns with client expectations

Client Operations Manager

Content Writer

• Take ownership of assigned proposal tasks, managing day-to-day activities to deliver high-quality work
• Establish and manage project timelines, ensuring timely completion of tasks and adherence to deadlines
• Work within a proposal collaboration tool to organize and populate content effectively
• Support supplemental projects and administrative tasks related to proposal development
• Write, edit, and refine proposal content to ensure clarity, relevance, and alignment with client needs
• Research prospects to tailor content to their industry, challenges, and culture
• Format and finalize proposals to reflect AffirmedRx’s brand and professional standards
• Review and copyedit materials developed by peers and colleagues to maintain consistency and quality
• Collaborate closely with proposal team members, Sales, Pricing, and Subject Matter Experts (SMEs)
• Partner with internal teams to create visually compelling graphical representations of written material
• Participate in database updates to maintain accurate and current proposal content
• Identify opportunities for continuous improvement in proposal development processes
• Ensure consistency, accuracy, and compliance with proposal guidelines and best practices
• Maintain a proactive approach to refining workflows for efficiency and effectiveness
• Ensure all deliverables meet AffirmedRx’s high standards for content and presentation