Maxor National Pharmacy Services, LLC

Pharmacist

• Develop business, industry, competitive, client, and technical knowledge to formulate pricing strategy, and to execute financial modeling of comprehensive pricing strategies
• Consult with internal leaders and departments to coordinate relevant cross functional activities in support of network performance management efforts to maximize the organization’s competitive position
• Support GHP NetOptimizer consulting opportunities related to MAC / Network pricing including, but not limited to: generating financial models to reprice claims and calculate MAC pricing network lease opportunities data blending with reporting outcomes / compliance provide insights on proposals assist in implementation strategies
• Evaluate, track, and monitor pharmacy contracted network pricing terms and provide recommendations on pharmacy contract terms
• Execute and implement dynamic pricing strategies in response to market fluctuations to provide competitive, profitable, and best of class pricing offers
• Provide MAC Management support as needed including but not limited to, Pharmacy / Client Custom MAC evaluation and strategic recommendations to adhere to any applicable contracted Pharmacy GER reconciliation
• Develop and maintain ongoing analytics and processes for Brand Effective Management
• Manage client contract network guarantees to ensure accuracy and eliminate liability payments to clients
• Support additional consulting efforts where clients require custom pricing/network management
• Collaborate with the Underwriting team to provide recommendations on pricing / networks offerings and negotiation strategy to achieve revenue, profitability targets, and margin retention, for new and existing customers
• Provide consultative services to internal support teams for processes improvements
• Manage supporting analysts in all tasks aforementioned and provide continuous training where needed
• Proactive identification and closure of network gaps as well as development of performance reports

Senior Director, Pharmacy Analytics and Strategy

DevOps Engineer

• Design, build, and maintain CI/CD pipelines across development, QA, training, and production environments
• Standardize and optimize deployment processes for consistent, reliable, and scalable delivery
• Administer and support Azure DevOps pipelines, including repositories, agent pools, environments, and service connections
• Implement infrastructure-as-code (IaC) and reusable automation solutions for environment setup and application delivery
• Configure and support cloud and on-premises environments to ensure performance, stability, and alignment with business needs
• Drive adoption of automated testing, validation checks, and quality gates within CI/CD pipelines
• Troubleshoot build, deployment, and environment issues and perform root cause analysis
• Implement monitoring, alerting, and logging solutions to improve reliability and reduce risk
• Leverage AI-assisted tools to enhance development workflows, code validation, and pipeline efficiency
• Evaluate and recommend tools and process improvements to increase delivery performance and developer productivity
• Partner with engineering teams throughout planning, design, and delivery processes
• Provide guidance on DevOps best practices, deployment strategies, and pipeline design
• Act as a liaison across development, infrastructure, security, networking, and data teams
• Ensure delivery processes meet security and compliance standards, including access controls and audit requirements
• Maintain documentation for systems, pipelines, and processes and identify improvement opportunities

DevOps Engineer II

Customer Success Manager

• Lead process improvement initiatives across the Client Services division to increase compliance, efficiency, and quality assurance.
• Identify, map, analyze, and redesign operational workflows; document current and future state processes with clear standards and controls.
• Continuously monitor existing processes for opportunities to reduce friction, standardize practices, and improve team performance.
• Maintain a complete and current library of process documentation for Client Services operations.
• Gather requirements, build project timelines, assign accountability, and drive completion of internal improvement initiatives.
• Lead high-priority, one-time client-facing projects in coordination with the Client Services team
• Oversee complex, cross-functional projects requiring coordination across Client Services, Operations, Finance, Clinical, and Marketing.
• Track and report on project status, risks, and outcomes to relevant stakeholders and leadership.
• Manage all aspects of third-party vendor relationships including procurement standards, contract compliance, onboarding, and ongoing operational oversight.
• Serve as the primary internal point of contact for vendor escalations and performance issues.
• Evaluate vendor performance against established standards and make recommendations for changes as needed.
• Create and maintain client- and member-facing marketing materials including PowerPoint presentations, flyers, brochures, and email communications.
• Ensure all materials reflect current VytlOne branding, product updates, and regulatory requirements.
• Develop and distribute internal Client Services communications as needed, including team announcements, product updates, and process change notifications.
• Comply with VytlOne’s Ethical Business Conduct policy and Compliance Program
• Promptly report any allegations of impropriety to the Compliance Department
• Remain free from exclusion under OIG and SAM Medicare/Medicaid lists
• Complete all required training within established timeframes.

Client Success Manager

Client Services Representative

• Own the profitable renewal of assigned clients including strategy development, internal resource coordination, and external negotiation with plan sponsors and benefits consultants.
• Lead Annual Client Plans for each account: setting goals, identifying risk, documenting strategy, and driving execution.
• Proactively identify and address client retention risk; escalate high-risk situations with recommended action plans.
• Build and maintain trusted peer-level relationships with national and regional benefits consultants and brokers supporting the book.
• Monitor and manage book-level profitability, ensuring alignment with assigned thresholds and financial targets.
• Develop with assigned SAEs, annual pharmacy benefit performance analyses and strategic recommendations for each client.
• Directly supervise SAEs and AEs; set clear expectations, provide regular coaching, and conduct performance evaluations.

Director, Client Services

Operations

• Process and support daily/weekly client batch file updates working directly with account managers, implementation teams and clients.
• Conduct member and file research, file processing, manual updates, data analysis, troubleshoot and resolve integration and data quality issues.
• Demonstrate knowledge of VytlOne’s PBM platform, application, file integration functions/standards and client specific configurations.
• Handle routine work stream assignments and ensure quality, service levels, productivity and customer standards are consistently met.
• Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program.
• Maintain regular attendance in accordance with established policies.
• Perform other job-related duties as assigned.

Operations Analyst

• Interpret and fill drug orders accurately and timely
• Ensures the appropriateness of all medication orders, new prescriptions or refills, in reference to the client’s diagnosis, weight/body surface area, allergies, and drug interactions as evidenced by a review of the active medication profile, provider notes, and available pertinent laboratory information.
• Conduct/Review Drug Utilization Reviews to check for drug duplication, interactions or allergies.
• Review non-formulary drug requests using predetermined criteria.
• Review prior authorization requests using predetermined criteria.
• Maintain current knowledge of drug therapies and drug reactions and interactions by reading professional literature, attending seminars and through professional affiliations.
• Contact and confer with physicians regarding questions or irregularities with prescription practice whenever safety or established alternatives have not been utilized.
• Monitor drug therapy for contraindications, interactions, allergies and appropriateness.
• Documents / maintains initial patient assessments, reassessments and care management plans in the electronic patient management program, e.g., Asembia, CPR Plus.
• Provide drug information to meet the needs of medical and nursing staff members through direct contact or in-service programs.
• Provide patient information and counseling.
• Participate as an active member and facilitator in process improvement teams.
• Prepare provider newsletters or articles to keep providers updated.
• Provide individual and group training, in-services and other consultations to unit staff and providers to optimize therapy.
• Work with medical directors and staff in developing and carrying out various clinical initiatives.
• Generate and review standard monthly and quarterly reports, as required.
• Attend and participate in other programs, committees, meetings, and functions as required.
• Assist in the development of clinical, utilization management, ad hoc and production reports and programs.
• Assist in formulary, rebate analyses and pharmacoeconomic studies and initiatives.
• Perform retrospective drug utilization review: identify drug, physician, and patient utilization trends; make interventions as appropriate; monitor and document outcomes.
• Assist in the generation, maintenance, and distribution of formulary alternative lists, maintenance drug lists, and new drug to market lists.
• Work cooperatively with other staff members to enhance the team concept.
• Supervise pharmacy technicians in the routine performance of their duties.
• Participate in the development and implementation of the Performance Improvement Program.
• Assist in overseeing clinical procedures.
• Complete facility audits as assigned.
• Maintain regular attendance in accordance with established policies and procedures.
• Perform other job-related duties as assigned.
• Promptly report any allegations of impropriety to the Compliance Department.
• Comply with VytlOne’s Ethical Business Conduct policy and VytlOne’s Compliance Program.
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
• Complete required training, as assigned, within the established timeframes.
• Designated Person Only – Serve as the Designated Person by completing and maintaining all required training and certifications to ensure compliance with USP , USP , and all applicable company policies and procedures.

Clinical Pharmacist – VytlOne Specialty Pharmacy

IT Support

• Investigate, analyze, and resolve hardware and associated software and communications problems with computer systems
• Perform complex hardware repairs and maintenance on a wide range of PC-based computers and peripherals
• Provide advanced hardware technical assistance and support
• Troubleshoot and resolve system hardware, software, and communications failures and conflicts
• Install, integrate, and configure new computer systems and hardware for users
• Provision, modify, and deprovision user access for systems and applications in accordance with access policies and documented standard operating procedures
• Review, prioritize, and process problem reports; document the progress of projects.
• Document technical processes and support procedures and contribute to standardization to ensure consistency, efficiency, and knowledge sharing
• Assist in multiple audits: Quarterly system access, software, licensing
• Maintain a high-level quality of customer service standards in dealing with and responding to questions.
• Perform other job-related duties as assigned.
• Follow Procedures for call length, and escalation process
• Resolve Tickets to meet set SLA’s

Service Technician II – IT Help Desk

Business Analyst

• Oversee and implement VytlOne’s pricing strategy for VytlOne’s PBM opportunities.
• Drive full pricing process for traditional and pass through PBM RFP opportunities.
• Gather, assess and evaluate quantitative elements of a new client and existing client renewal opportunities working in a team environment with the Pricing/Underwriting Management, Pricing Analysts, Sales/Account Management teams, etc.
• Research and monitor competitors and industry trends.
• Streamline processes and models to drive efficiency and accuracy.
• Provide financial support for prospect contract negotiations and respond to RFP financial requests.
• Assist in presenting pricing model and strategy to senior leadership.
• Communicate range of pricing scenarios/options to internal stakeholders.
• Lead intradepartmental projects and company projects.
• Work with Sales and Leadership teams in creating pricing and product positioning strategies.
• Lead functional & organizational initiatives as required.
• Develop, maintain and distribute ad-hoc reports and financial models as needed.

Principal Business Analyst – Pricing and Underwriting

Underwriter

• Work in partnership with Networks, Rebates, Sales Operations, and Account Management to win and retain clients through demonstrating Maxor’s value proposition
• Support the development of PBM financial offerings including the pricing for retail network, mail order, specialty, formulary rebate, and ancillary prices
• Provide support with all Requests for Proposal requirements and positioning
• Prepare financial models based on knowledge of customer needs, costs and financial goals
• Analyze and use qualitative and quantitative data and incorporates understanding into decision criteria
• Utilize economic, financial, and industry data to accurately diagnose business strengths and weaknesses by channel, as well as able to analyze and act on threats and business opportunities
• Support the development of financial models and present deals in Executive Committee meetings
• Execute the corporate contracting strategy as determined by established policies
• Analyze, manipulate, and draw relevant conclusions based on research of the market, customer demands and Maxor’s bottom line
• Coordinate activities necessary to put together pricing strategy for outside customers
• Prepare financial pricing models to offer attractive deals to customers while ensuring Maxor’s ongoing financial success
• Partner with Account Management to conduct analyses of performance of existing contracts
• Ensure contract execution is consistent with contract terms and monitor consistency of contract terms across various customers
• Present information in a meaningful and relevant manner to VytlOne executives, potential customers, etc.

Manager, Pricing and Underwriting

QA Engineer

• Audit and review workflows, processes, assessments, and related documentation
• Evaluate calls using voice and screen recordings
• Assess competencies across job roles
• Collect and review quality measures on a monthly, quarterly, and annual basis
• Review reports and statistics to support digital applications
• Perform quality checks on websites and other technology links
• Support the Rare and Orphan Care Team, as assigned
• Complete additional quality-related monitoring, as needed
• Ensure compliance with the VytlOne Business Code of Conduct and all company policies and procedures
• Report allegations of impropriety promptly to the Compliance Department
• Comply with VytlOne’s Ethical Business Conduct Policy and Compliance Program
• Remain free from exclusion under the OIG and SAM Medicare/Medicaid lists
• Complete required training within established timeframes
• Ability to cope with the mental and emotional stress of the position
• Maintain regular attendance in accordance with policy
• Perform other job-related duties, as assigned.

Quality Assurance Specialist – Specialty Pharmacy

• Oversee and coordinate key operational functions to ensure organizational efficiency and alignment with strategic goals.
• Manage and organize operational projects, lead daily activities and meetings, and support vendor relationships.
• Help maintain current accreditations, develop training materials, and provide essential support for the Specialty.
• Monitor and manage internal and external IT items to drive timely resolution and continuous process improvement.
• Demonstrate commitment to the company's core values and integrity in support of patients and partners.

Operations Manager – Specialty

Customer Support

• Work in conjunction with the Operations Manager to assure compliance with service expectations and achievement of performance goals and objectives
• Prepare reports and maintain records/maintain records as requested or required
• Develop, implement, and deliver training programs for all levels of pharmacy personnel
• Coordinate training schedule with members of management
• Develop and maintain continual education support materials to assist the pharmacy staff in learning the specialized pharmacy systems
• Confer with management, supervisors and employees to gain knowledge of work situations requiring training and to better understand changes in policies, procedures, regulations, and/or business technologies
• Test trainees to measure progress and to evaluate effectiveness of training
• Frequently report on progress of employees under guidance during training periods
• Participates in the maintenance of corporate compliance and legal board of pharmacy inspection parameters
• Monitor methods used by employees for Guardian Rx and/or POS and make on the spot corrections when needed
• Assist employees with problems concerning “how to” perform specific tasks related to the pharmacy systems
• Assists with staff training and the implementation of processes related to meeting accreditation standards

Pharmacy Support Specialist

• Responding to end-user inquiries that may be received by phone calls, email, chats, and ticket requests for support to resolve pharmacy systems, claim adjudications, and issues with VytlOne Bolt-on’s
• Accessing product information or the solution database to research, troubleshoot, and deliver solutions
• Advising users on the methods, steps, and actions to resolve and avoid future issues and provides documentation as needed
• Documents incidents using ticketing system
• Escalates problems to appropriate levels or teams to achieve issue resolution
• May support upgrades of software or devices, set up user profiles, or re-set passwords
• Fulfills all service level standards for response time and quality
• Establishing and maintaining relationships with end users on behalf of the company

Pharmacy Services Help Desk Support Specialist II

Manager

• Responsible for creating a superior customer experience for health center partners
• Directly oversees assigned clinical programs in order to manage the quality and execution at Health Center Pharmacies
• Accountable for all activities of the assigned clinical programs
• Communicates and escalates any program needs and status to the RVP of Operations
• Provides educational and consultant services in pharmacology and drug therapy to patients and professional staff
• Serves as a team leader for process improvement activities
• Prepares outcome assessment reports and helps clinic teams optimize pharmacotherapy and prescription operational methods
• Supports clinics and pharmacies as assigned
• Dispenses prescribed medications and ensures compliance with all applicable laws and regulations

Regional Clinical Manager – West Region

Business Intelligence Analyst

• Produce all standard pharmacy network reports on a timely basis.
• Design and produce customized reports as needed
• Work with Benefits/Systems on setting up and maintaining pharmacy networks
• Analyze network data and assist with meeting pricing guarantees
• Design and maintenance of networks as it pertains to overall generic (MAC) and brand pricing strategies
• Create and maintain automated solutions to network team processes, and the processes of other teams as needed
• Create reporting, including self service reporting when possible, to meet the needs of business partners
• Assist with pricing changes and implementation
• Research and respond to RFP inquiries
• Provide geo-analysis/spatial and other analytic support
• Think creatively to identify areas for improvement in Network processes, research potential improvements, and implement improvements through the creation or modification of network team processes
• Demonstrate compliant and ethical behavior in the performance of job responsibilities, including complying with all applicable federal and state laws and regulations, Code of Ethics, Standards of Conduct and any applicable policies and procedures
• Assist managers and directors with special projects as needed
• Collaborate with other Network/Provider Relations team members to complete tasks
• Interact with Audit, Sales, Underwriting, Benefits/Systems, Account Management, Legal, and other departments as needed
• Inclusion on special projects and tasks that could be assigned as needed
• Promptly report any allegations of impropriety to the Compliance Department.
• Comply with Maxor’s Ethical Business Conduct policy and Maxor’s Compliance Program.
• Remain free from exclusion under the OIG and SAMS Medicare/Medicaid lists.
• Complete required training, as assigned, within the established timeframes.
• Must be able to cope with the mental and emotional stress of the position.
• Maintain regular attendance in accordance with established policies.
• Perform other job-related duties as assigned.