RxBenefits, Inc.

Analyst

• Answer first and second level support questions and escalate the rest to senior resources
• Provide excellent customer service
• Provide technical support for hardware/software
• Provide support for end users on internally used applications
• Provide remote telephone support
• Use help desk software to document problems and track them until resolution
• Provide management with information regarding support activities
• Troubleshoot complex software/hardware problems and provide solutions
• Track corporate assets

Service Desk Analyst I

Business Development Rep

• Leads the business development planning and activities of the TPA sector, practice area, and office teams to which assigned, through close collaboration with team leadership and other key relationships.
• Identifies areas for expanded services offerings to existing clients, and through consultative sales approach, coordinates follow-on activities with the industry sector
• Develops and manages a proactive and organized sales process and pipeline, and tracks achievement against strategic objectives and business plan.
• Ensures close coordination and collaboration with marketing colleagues to promote integrated support to business development efforts.
• Actively participates in increasing the company’s visibility in TPA sectors and markets through networking, holding leadership roles in influential organizations, and developing high value opportunities and business connections.
• Provides sales and business development coaching, and occasional formal training, to selected SAEs & AMs, and assists them in meeting agreed upon goals toward becoming more effective in sales techniques and client relations.
• Gathers intelligence on emerging market and industry trends to provide attorneys with an understanding of the competitive landscape and to position the company for increased effectiveness in winning new business.
• Helps create and foster a business development culture which embraces a strategic, proactive and client-centric approach in assisting SAEs & AMs with identifying, actively pursuing and closing new business opportunities.

Business Development Executive, TPA

IT Support

• Serve as the primary owner of client audit requests and RxBenefits’ liaison with client auditors
• Intake, triage, and track audit requests to ensure timely and complete responses
• Develop and maintain standardized workflows for audit response lifecycle management
• Coordinate cross-functional inputs and ensure alignment across departments
• Draft, review, and finalize responses to client audits
• Translate technical language into clear, client-facing language
• Identify gaps in documentation or processes and partner with internal teams to remediate
• Support client-facing communications related to audit findings or follow-ups
• Analyze audit trends and recurring requests to identify opportunities for process improvement and standardization
• Create and maintain an audit response library
• Escalate potential legal or compliance risks identified during audit processes
• All other duties assigned

Client Audit Manager

Security Engineer

• Own the SIEM platform end to end, including log source onboarding, correlation rule development, detection tuning, dashboarding, and platform performance and cost management.
• Lead the full incident response lifecycle, including triage, containment, eradication, recovery, root cause analysis, and post-incident reporting.
• Build and maintain detection content mapped to MITRE ATT&CK; conduct proactive threat hunts across cloud infrastructure, endpoints, identity systems, and network traffic.
• Define and enforce SOC processes, including alert triage workflows, escalation paths, on-call procedures, and operational metrics such as mean time to detect and mean time to respond.
• Manage ingestion pipelines from cloud audit logs (e.g., AWS CloudTrail), EDR, identity providers, network security platforms, and endpoint management tools into the SIEM.
• Operationalize threat intelligence feeds into detection rules, enrichment workflows, and hunting hypotheses.
• Develop automation for detection engineering, alert enrichment, and response playbooks to reduce manual analyst workload and speed response time.
• Lead in and support tabletop exercises to assess and continuously improve incident response procedures, crisis management, and disaster recovery plans.
• Correlate findings across infrastructure, application security, and identity teams during investigations, and drive permanent remediation of identified risks.
• Produce technical incident reports and SOC posture reporting that give leadership clear visibility into detection coverage, response performance, and outstanding risk.
• Define and enforce detection engineering standards, runbooks, and playbooks used across the security team.

Senior Security Engineer

Director

• Lead team of PBM Strategic Relations Managers who provided oversight of the day-to-day management of our PBM partnerships.
• Oversee the decision-making process for PBM initiatives through collaboration with RxBenefits and PBM executive leadership.
• Advise on PBM Request for Proposal (RFP) development, including review, assessment, and executive readouts.
• Hold PBMs accountable for resolving escalated service and operational issues.
• Ensure organizational readiness to support PBM programs and services by collaborating with PBM partners and cross functional teams to review, understand, and vet programs while developing and communicating RxBenefits’ internal position.
• Serve as the central conduit of PBM initiatives, ensuring timely and accurate communication across cross functional teams.
• Demonstrate transformational leadership, motivating and engaging teams while influencing behaviors toward a shared strategic vision.
• Facilitate ongoing communication with PBM leadership to maintain strong, strategic, and collaborative relationships.
• Track and report on PBM trends, successes and challenges.
• Support additional projects and responsibilities as needed.

Senior Director, PBM Strategic Relations

Team Lead

• Lead and manage daily activities of 4–5 Mentors with full accountability for new hire support, onboarding effectiveness, and early tenure performance.
• Own and deliver a full-year hiring and training class schedule aligned with Workforce Management staffing forecasts and business demand.
• Define and execute recruiting strategy, including vendor selection, sourcing approach, and candidate pipeline development.
• Partner with Recruiting and HR to ensure consistent candidate flow and successful class fill rates.
• Design and implement new hire training strategies, including both virtual and in-person delivery models.
• Define and maintain training curricula, content expectations, and learning outcomes for onboarding programs.
• Establish and execute a structured post-class support model including mentor-to-new hire buddy assignments, peer shadowing, and live call support.
• Ensure ongoing coaching and structured support for all new hires during the first 90 days.
• Track, measure, and report on new hire performance during the first 90 days and identify required interventions.
• Ensure new hires meet defined readiness and performance expectations prior to full production.
• Continuously improving onboarding and recruiting processes based on performance data and business needs.
• Own and lead change management efforts for all new processes, systems, tools, and business updates impacting Member Services.
• Develop and execute communication plans to ensure awareness, understanding, and readiness across the organization.
• Translate complex changes into clear, actionable messaging aligned to frontline execution.
• Partner with Product, Technology, Operations, and Training to ensure consistent messaging and coordinated rollout plans.
• Coordinate and deliver training and enablement efforts required for successful adoption.
• Ensure all communications are timely, accurate, and accessible to frontline staff and leadership.
• Track and report on change adoption, knowledge retention, and execution effectiveness.
• Identify gaps in adoption and implement targeted communication or training actions.
• Maintain structured prioritization, sequencing, and impact management for all changes.
• Serve as the single point of accountability for ensuring changes are successfully adopted and operationalized.

Team Lead, Member Services – Change Management

Manager

• Develop and execute the accumulations strategy aligned with organizational goals and member experience objectives
• Establish roadmaps, priorities, and governance processes for accumulations initiatives
• Drive continuous improvement efforts to enhance accuracy, scalability, and operational efficiency
• Oversee the design, implementation, and maintenance of integrated accumulations solutions across multiple products and benefit plans
• Serve as the subject matter expert for large-scale initiatives involving accumulations modernization, system integrations, and regulatory requirements
• Partner with Product, Technology, Operations, and Compliance teams to define requirements and deliver solutions
• Ensure successful execution of projects through planning, risk management, stakeholder engagement, and change management
• Monitor accumulations performance, accuracy, and reconciliation processes
• Identify and resolve complex accumulations issues affecting claims adjudication, member cost-sharing, or provider reimbursement
• Establish metrics, KPIs, and reporting frameworks to measure operational effectiveness
• Lead root cause analysis and corrective action efforts for accumulations-related incidents
• Collaborate with Claims, Benefits Configuration, Enrollment, Finance, Actuarial, and Customer Experience teams
• Partner with external vendors and technology partners to ensure seamless data exchange and integration
• Serve as the primary business leader for accumulations-related initiatives and enterprise programs
• Facilitate executive-level communications and provide regular updates on program status, risks, and outcomes
• Ensure accumulations processes comply with applicable federal and state regulations, benefit design requirements, and organizational policies
• Support audit activities and maintain documentation for accumulations controls and procedures
• Establish governance standards for accumulations configuration, testing, and deployment activities

Senior Integrated Accumulations Manager

General

• Supervise and manage daily activities of 8–15 Member Services Representatives (MSRs)
• Monitor real-time call center performance and proactively address service level issues
• Working in tandem with Workforce Management staff, managing MSR adherence to schedules, including attendance, punctuality, and break compliance
• Provide immediate, real-time direction, intervention, and call take over support as needed for complex or escalated member interactions
• Ensure all agents deliver a high-quality, accurate, and empathetic member experience
• Conduct QA call monitoring and provide coaching and feedback
• Hold agents accountable for performance metrics, call quality, and procedural compliance
• Conduct one-on-ones, coaching sessions, and formal performance reviews based on QA, KPIs, and customer feedback
• Identify and address performance gaps through coaching and disciplinary action when needed
• Ensure team members follow all policies, procedures, and system requirements
• Communicate organizational updates, process changes, and expectations clearly and consistently
• Identify training needs and partner with training teams to close knowledge gaps
• Partner with Workforce Management while maintaining direct accountability for team adherence and coverage
• Monitor dashboards and reports to identify trends and implement improvements
• Support recruiting, interviewing, and onboarding of new team members
• Develop team members through coaching, mentorship, and career development planning
• Resolve escalated member issues and reinforce best practices
• Collaborate with cross-functional teams including IT, Operations, and Account Management
• Keep leadership informed of trends, risks, and performance concerns
• Perform other duties as assigned

Team Lead, Member Services

• Follow QA testing procedures to complete standard testing scenarios and reporting for the following and additional testing as assigned.
• New client benefit implementations
• Existing client benefit changes
• Existing client benefit audits
• Complete the following standard testing scenarios:
• Documentation comparison
• Structure set-up comparison
• Review of automated Benefits test case output
• Review of Integrated Accumulation sharing
• Manual test case entry and review, using critical thinking to determine accuracy of test results
• Use critical thinking skills in reviewing test data results, reaching out internally around complex situations (such as multiple inaccuracies, poorly defined criteria or missing details, escalations) to ensure the most accurate test results are provided.
• Use Microsoft Excel to complete structure comparisons.
• Use Microsoft Access to create test case details to apply for automated testing.
• Learn all PBM documentation, software, and reporting systems for our contracted PBMs
• Accurately document detailed test results; including location of issues found, screen shots and member examples as necessary.
• Determine appropriate test plan based on the type of benefit changes.
• Update or review process documentation, as assigned.
• Assist with mentoring new or contract staff, as assigned.
• Effective internal communication, including cross-department collaboration to explain and resolve testing failures
• Identify and escalate process deficiencies and delays to supervision.
• Identify and support process improvement opportunities.
• Support new process and technology solutions, including associated user design development and user acceptance testing, as assigned.
• Supports off-hours priority work as needed, including some holidays.
• Effectively navigate Salesforce and/or proprietary software.
• Manage day-to-day work in Clarizen project management software.
• Positively accepts and promotes change.
• Assumes additional responsibilities as prescribed or directed.

Quality Analyst

• Responsible for leading a Manager of Account Management and a team of Strategic Account Executives
• Develop and manage talent: Identify the skills and performance criteria necessary for success across a variety of roles and manage staff to meet and exceed these standards
• Assist in creating career-building development plans for staff
• Coach and mentor Strategic Account Executives and Manager of Account Management
• Assist Vice President of Client Engagement in yearly strategic planning and execution of the plan
• Strategize to develop ways to increase client satisfaction and preserve loyalty and market share
• Embed AI tools into daily workflows
• Establish AI-enhanced operating rhythms
• Continuously evaluate emerging AI capabilities
• Coach and upskill the Client Engagement team on effective, responsible use of AI tools
• Conduct meetings with account teams and EBC firms to discuss BOB utilization, market updates, obstacles and dynamics
• Ensure Client Engagement standards, methods, and procedures are followed
• Evaluate team’s performance against KPI’s

Director, Client Engagement – Strategy

Solutions Engineer

• Serve as a Solutions Architect within RxBenefits Product Engineering Organization, defining, designing and documenting end-to-end solution architectures that enable delivery teams to successfully design, build, and deliver scalable, secure, and maintainable software solutions.
• Partner closely with Product, Engineering Leadership, Delivery, CloudOps, Security, and IT Teams.
• Translate business and product requirements into clear, actionable solution designs and provide architectural guidance throughout development while remaining outside of direct scrum team ownership.
• Design end-to-end solution and reference architectures spanning applications, APIs, integrations, data platforms, identity, and cloud infrastructure.
• Collaborate with Product, Engineering Managers, and other stakeholders to understand business requirements and translate them into scalable technical solutions.
• Develop proofs of concept (POCs), automation scripts, tools, and reference implementations across application, data, security, AI, and integration use cases.
• Define architectural standards, patterns, and best practices to ensure consistency and quality across teams.
• Provide architectural guidance and design clarification to development teams during implementation as needed.
• Review and validate technical designs to ensure alignment with approved solution architecture.
• Foster cross-team and cross-department collaboration to ensure solutions integrate effectively across systems.
• Participate in solution ideation, technical discovery, and product strategy discussions.
• Evaluate tradeoffs and provide recommendations across architecture options, technologies, and design approaches.
• Contribute to the evolution and documentation of SDLC and architectural governance processes.
• Ensure solutions meet non-functional requirements including scalability, performance, security, and maintainability.
• Support technical decision-making while empowering delivery teams to own implementation details.
• Deliver on personal and organizational deadlines and goals.
• All other duties as assigned.

Solutions Architect – Digital

Learning and Development

• Design, develop and execute key learning and development programs leveraging/demonstrating best practices in learning which may include incorporation of elements like e-learning, classroom training, learning communities, 1:1 sessions, action learning, and/or a blended approach.
• Partner with department representatives and subject matter experts to respond to needs for the design and delivery of training resources.
• Sit in on department trainings, meetings, and calls to better understand the needs of the assigned department(s).
• This may include working as a member of the assigned department(s) team to gain insights on the needs of the role(s) within the department.
• Proactively leverage technology, industry best practices, external networking, and alternative learning methods to continuously evolve RxBenefits learning and development activities.
• Design and deliver onboarding and employee development initiatives.
• Assist with the development and facilitation of ongoing and newly developed training initiatives.
• Manage ongoing course development/inclusion in the LMS for assigned department(s).
• Ensure linkages of learning programs with other HR and talent processes.
• Coordinate and manage assigned corporate initiatives, as needed.

Learning and Development Specialist

QA Engineer

• Focus on ensuring data accuracy, integrity, and consistency for large-scale applications
• Drive automation strategies to increase efficiency and reliability across QA processes
• Develop scalable automation frameworks or enhance existing ones for data validation, UI and API testing using Cypress.
• Build automated test script and framework for both front end and backend
• Integrate automation into CI/CD pipelines to ensure continuous quality coverage
• Partner closely with Data Engineering and Product teams to understand system architecture and data flows
• Author and execute thorough and detailed test cases and test plans
• Identify gaps in test coverage and lead initiatives to enhance validation processes
• Mentor junior QA engineers on data testing, SQL, automation practices, and best-in-class quality strategies
• Investigate data discrepancies by analyzing logs, SQL queries, API payloads, and backend services

Software Quality Engineer III

Implementation Specialist

• Take full responsibility for overseeing multiple client projects simultaneously that are at different phases.
• Ensure all project deliverables, owners, start dates and due dates are accurate in project plan.
• Maintain organized, detailed and accurate project documentation.
• Actively maintain lines of communication with Account Management, Business Development, other internal departments, and all stakeholders throughout the client project lifecycle, including status reports on project milestones, scope changes, risks, and actions.
• Ensure resource availability and proper allocation for each project.
• Proactively identify risk, communicate with all stakeholders and take appropriate steps to mitigate.
• Facilitate team meetings, documenting actions, and following up on deliverables.
• Establish and build relationships with broker partners and clients, creating a foundation of trust and superior customer service, upon which the Account Management team can build.
• Provide superior service at all times, including busy periods, while managing tight deadlines.
• Follow established project management methodologies and best practices, ensuring consistency and quality in project execution.
• Meet Key Performance Indicator goals and other performance metrics as defined by Client Onboarding leadership and department.
• Provide input on process improvements based on project experiences, contributing to the refinement of project management practices.
• Lead process improvement initiative projects during non-peak months and provide readouts.
• Act as Implementation expert in finalist meetings with potential brokers and clients.
• Demonstrate a wide degree of creativity and latitude, with minimal oversight.
• Ensure C3 cases meet the requirements of the 5 Why Methodology analysis.
• Act as a SME resource to help Implementation Teams prepare for Intro and PDX calls.
• Act as a Change Champion and exude positivity towards change management to foster acceptance amongst the team.

Implementation Manager

Pharmacist

• Engage in multiple complex client projects simultaneously while ensuring all role deliverables are accomplished on time and accurately documented.
• Execute a meticulous review of incumbent plan documents, claim file analysis, and review of other critical benefit design set-up information to inform plan specifications and recommendations to clients and brokers, taking into consideration the nuances of RxBenefits programs and those of the partnering PBM.
• Operate as the pharmacy benefit expert for new client implementations, TPA changes, PBM to PBM transitions, and end-to-end plan design audits and other projects, as requested by leadership.
• Actively communicate with and relays benefits design set-up information to internal stakeholders, including the Project Lead, Account Manager, Business Development Executive, Clinical and Benefit Configuration Specialist.
• Accountable for ensuring client’s benefit intent and benefit design are aligned, accurately documented, and communicated to all necessary parties.
• Attend and participate in client and vendor calls.
• Responsible for consultative and dynamic conversations with complex clients and brokers regarding the benefit set-up and program/product selection.
• Serves as a benefit expert and resource to support department and corporate initiatives.
• Proficiently know product, program, benefit design, services, and market conditions to make informed decisions and recommendations to clients and brokers.
• Maintain updated client-facing project plan.
• Resolve escalated issues and conflicts that arise during project execution, ensuring minimal disruption to project timelines.
• Proactively review existing project workflows/deliverables and communicate process improvement opportunities to leadership.
• Lead complex process improvement initiative projects during non-peak months, highlighting milestones and strategic outcomes and provide readouts.
• Promote best practices and actively contribute to the betterment of the team and organization.
• Demonstrate a wide degree of creativity and latitude, with minimal oversight.
• Act as Implementation expert in finalist meetings with potential brokers and clients.
• Act as a SME resource to help Implementation Teams prepare for Intro and PDX calls.
• Act as a Change Champion and exude positivity towards change management to foster acceptance amongst the team.