MedOne Pharmacy Benefit Solutions

Account Manager

• Independently researches, analyzes, and resolves routine clinical account–related administrative issues and inquiries, collaborating with Clinical Account Managers and internal partners as appropriate.
• Assists Clinical Account Managers with day-to-day administrative duties, including monitoring and managing Clinical Team Help Desk requests and CAM-tagged issues.
• Triages incoming communications requiring Clinical Account Management input, including assisting with management of shared CAM group email inboxes and other intake channels.
• Categorizes and prioritizes requests based on urgency, clinical relevance, and required level of CAM involvement.
• Collaborates on projects involving gathering, organizing, and tracking clinical account data, documentation, and workflows.
• Interprets and communicates clinical operational processes and administrative workflows to assist with issue resolution and process improvement.
• Assists with administrative components of specialty review authorization processes, including specialty pharmacy assignment.
• Supports intake, review, submission, and tracking of specialty review authorization administrative applications.
• Coordinates with Pharmacy, Clinical, Operations, and Account Management teams to facilitate timely processing of requests.
• Works with Clinical Account Managers on new client, vendor, and clinical program onboarding tasks.
• Creates and maintains internal materials including templates, job aids, and training documentation.
• Contributes to CRM maintenance, reporting support, and workflow enhancement projects.
• Maintains confidentiality and compliance with HIPAA and organizational policies.

Clinical Account Coordinator

Full-stack Engineer

• Lead the end-to-end implementation of complex features and systems, contributing significant hands-on development using C#, .NET, REST APIs, React, TypeScript, SQL Server, and related tools.
• Write high-quality, maintainable, and performant code across the full stack, modeling engineering best practices.
• Own technical design decisions and ensure consistency in coding standards, patterns, and engineering practices.
• Identify and mitigate technical risks early in the delivery lifecycle.
• Coordinate development efforts across modules ensuring teams delivery cohesive, integration solutions.
• Break down complex technical problems into executable tasks and implement key components while guiding others through remaining work.
• Collaborate with other technical leaders to resolve dependencies, integration challenges, and sequencing issues.
• Serve as the primary technical point of contact for cross-team dependencies and integration points.
• Support release plans by validating technical readiness, risk areas, and delivery timelines.
• Partner with product owners, business analysts, UX designers, and architects to translate roadmaps and requirements into technical plans.
• Provide technical feasibility analysis, recommend solutions and participate in roadmap and spring planning activities.
• Communicate progress, risks, and tradeoffs clearly to technical and nontechnical stakeholders.
• Mentor developers and peers on design approaches, coding techniques, testing practices, and debugging strategies.
• Promote engineering excellence by championing best practices, code review rigor, and continuous improvement that aligns with the team’s coding standards.
• Support professional growth of team members through coaching and knowledge sharing.
• Ensure solutions meet high standards for scalability, resiliency, performance, and security.
• Lead complex troubleshooting efforts, root-cause analysis, and sustainable resolution of critical issues.
• Contribute to improvements in CI/CD pipelines, observability, testing strategies, and deployment processes.
• Drive continuous improvement in areas such as code quality, runtime performance, security, and maintainability.
• Stay up to date on the latest industry trends, emerging tools, frameworks, and development techniques.
• Maintain architectural and technical documentation for shared components.

Lead Software Engineer

Administration

• Support the PLAD team with implementation efforts, including plan-building activities within the claims adjudication system for new and existing clients.
• Assist with testing plan builds, system changes, and program modifications while documenting testing results.
• Assist with testing software releases. This includes both regression testing and software enhancements.
• Maintain accountability for timely resolution of configuration errors.
• Monitor claims for processing errors.
• Research and respond to claim inquiry questions.
• Assist with documenting, building, maintaining, and testing pharmacy networks.
• Assist with recording processes and documentation to support the PLAD team and Business Architecture.
• Educate others on system capabilities, system implementation approach, and test results.
• Cultivate positive relationships and collaborate effectively with internal teams.
• Participate in ongoing professional development to stay updated on the latest Pharmacy Benefits Management (PBM) products and services.
• Perform other duties as assigned by the supervisor.

Plan Administration Specialist

• Ensures consistent standards across pharmacy networks and software systems by developing and executing thorough test plans, documenting results, and collaborating closely with stakeholders.
• Performing inspections and tests at various stages of plan design and pharmacy networks to identify defects or issues.
• Creating and implementing quality assurance policies and procedures.
• Identifying workflow or production issues and proposing solutions.
• Recording processes and documentation to support PLAD and Business Architecture.
• Educating team members on quality standards and inspection processes.
• Developing comprehensive software test plans outlining strategies, objectives, and resources.
• Designing and executing manual and automated tests to identify bugs and ensure software functionality.
• Documenting and reporting software defects, collaborating with software provider to resolve issues.
• Verifying that new code changes do not negatively impact existing functionality.
• Monitoring and tracking quality assurance metrics, such as defect densities and open defect counts.
• Working closely with software, product managers, and other stakeholders to ensure software meets user needs.

Clinical Account Coordinator

Lead Software Engineer

Plan Administration Specialist

Plan Administration Quality Coordinator