RxBenefits, Inc.

Pharmacist

• Participate in multiple client projects simultaneously while ensuring all role deliverables are accomplished on time and accurately documented.
• Complete a second level review of the data gathering process for new client implementations which includes: meticulous review of incumbent plan documents, claim file analysis, and review of other critical benefit design set-up information.
• Serves as the pharmacy benefit expert on the following projects: new client implementations, medical vendor changes, eligibility changes, TPA changes, PBM to PBM transitions, and other complex clients requests.
• Actively communicates with and relays benefits design set-up information to internal stakeholders including the Project Lead and Benefit Configuration Specialist.
• Ensure the client’s benefit intent and benefit design are aligned, accurately documented and communicated.
• Attend and participate in client and vendor calls.
• Lead consultative and dynamic conversations with clients and EBCs regarding the benefit set-up and program/product selection.
• Proactively review existing project workflows/deliverables and communicate process improvement opportunities.
• Serves as a benefit expert and resource to support department and corporate initiatives.
• Actively seeks to improve product, program, and benefit design knowledge as well as staying up to date on new products and market conditions.
• Track and log defined tasks and deliverables within Clarizen.
• Appropriately support the risk management team and the Client Command Center process.
• Meet KPI goals as defined by Operations leadership and department.
• Other duties as assigned.

Pharmacy Design Consultant

Full-stack Engineer

• Design, develop, and maintain application features across frontend (React, Next.js) and backend services (Python, Go, node.js)
• Participate in architectural design discussions and contribute to technical direction of applications and services
• Implement RESTful APIs and backend services following SOLID design principles and microservices best practices
• Write clean, testable, maintainable code with appropriate unit, integration, and end-to-end tests
• Own services through the full SDLC: requirements, design, coding, testing, deployment, monitoring, and support
• Work within an Agile team with product owners, QA, and engineers to deliver incremental value
• Collaborate closely with offshore team members, ensuring clear requirements, shared design understanding, and consistent coding standards
• Mentor junior and mid-level engineers (onshore and offshore) through code reviews, pairing, and coaching
• Contribute to CI/CD pipeline improvements for automated, reliable deployments to AWS
• Work with AWS services (EKS, Lambda, API Gateway) and Kubernetes/EKS for container orchestration
• Participate in on-call rotations to troubleshoot production issues, perform root cause analysis, and implement fixes
• Ensure solutions are scalable, reliable, and secure, meeting internal and external customer needs
• Stay current with emerging technologies and propose improvements to enhance capabilities and productivity
• Collaborate with leadership to evolve technical standards, coding guidelines, and best practices
• Investigate and apply modern AI frameworks, LLMs, and prompt engineering methods to build advanced automation and decision-making capabilities.

Full Stack Software Engineer, IV

Program Manager

• The Program Manager will lead and orchestrate multiple related projects and programs within an assigned strategic portfolio, overseeing execution from initiation to successful performance and benefits realization.
• This position will also manage and mentor project managers while contributing to the continued development and maturity of the enterprise program management office (ePMO).
• The Program Manager is responsible for building and maintaining relationships with key leaders and stakeholders to drive continuity, alignment, and collaboration within a portfolio of strategic initiatives.
• Occasional travel may be required for onsite projects or team meetings.
• Prioritize, plan, and manage strategic enterprise projects and programs.
• Ensure program strategic alignment and manage dependencies, risks, and issues through proactive mitigation, escalation, and resolution.
• Lead cross-functional teams and manage shared resources across projects.
• Track program goals, timelines, budgets, and deliverables, removing barriers to success.
• Lead change management activities for assigned projects and programs to drive change readiness, adoption, and business value realization.
• Collaborate cross-functionally with executive sponsors, department leaders, and subject matter experts to ensure successful initiative execution and alignment with strategic priorities, while adapting to evolving priorities and navigating complex situations.
• Communicate program status, risks, and dependencies to the ePMO Director and senior stakeholders to enable data-driven decision making.
• Provide accurate program metrics and insights to support portfolio-level reporting and executive dashboards.
• Drive transparency and accountability across programs through effective reporting, adherence to established governance standards, and communication practices that create clarity amid ambiguity.
• Lead and mentor Project Managers to ensure consistent and successful project delivery, providing direction and clarity in complex or ambiguous situations.
• Partner with the ePMO Director to enhance and mature processes, tools, and governance standards to promote continuous improvement and operational excellence.

Program Manager – ePMO

• Collaborate closely with Product Owners, UI/UX designers, and digital strategists.
• Contribute to the architectural design and direction of the technical infrastructure.
• Research, evaluate and recommend alternative solutions.
• Design, develop, test, deploy and maintain application code.
• Write unit/integration tests.
• Oversee integrations with internal systems and 3rd party services.
• Ensure performance, security, accessibility, and responsive design best practices are followed.
• Collect and analyze metrics to drive implementation decisions.
• Design, improve and document processes.
• Review and collaborate with other engineers on their code.
• Support your team through encouragement and by example.
• Mentor and share knowledge within the team and across the department.
• Deliver on personal and team deadlines and goals.

Software Engineer IV

• Design and build real-time data pipelines and streaming infrastructure using Apache Flink and related technologies
• Develop and maintain stateful processing layers for fast, reliable data enrichment
• Design and build backend services in Golang, Java, or Python that process data reliably at scale
• Build, train, and deploy traditional ML models to surface insights and power data-driven features, owning the workflow from feature engineering through production monitoring
• Build scalable services that integrate ML model inference, feature stores, and real-time scoring into production workflows
• Build tooling and infrastructure for data quality, validation, and pipeline observability
• Implement monitoring and observability for data pipelines and ML models, including data quality metrics and drift detection
• Ensure solutions meet enterprise standards for reliability, security, compliance, and observability
• Partner with product and data teams to translate business problems into ML and data engineering solutions
• Participate in architectural design and recommend technical solutions
• Review and collaborate with other engineers on their code
• Mentor and share knowledge within the team and across the department

Software Engineer III, ML

• Develop and maintain backend services, APIs, and integrations.
• Build and enhance frontend experiences using Next.js and React.
• Write clean, maintainable, and well-documented code.
• Participate in code reviews and incorporate feedback from senior engineers.
• Troubleshoot and resolve defects in development, test, and production environments.
• Support integrations between internal platforms and external systems.
• Work within Agile/Scrum teams to deliver incremental product value.
• Contribute to automated testing and quality practices.
• Follow secure coding, compliance, and data protection practices.
• Use CI/CD pipelines, version control, and modern development tools.
• Participate in technical learning and knowledge sharing with the team.

Associate Software Engineer

• Overseeing day-to-day interactions with pharmacy consultants and analytic vendors
• Driving strategic insights through data and reporting
• Strengthening partnerships to support business growth
• Reporting to the Senior Director of Broker Relations
• Coordinating with internal teams, vendors, brokers, and client outcomes
• Managing high-volume communication with vendors
• Coordinating vendor RFP requests and ensuring timely communication between vendors and internal stakeholders
• Tracking proposals, deliverables, payments, and reporting requests
• Analyzing vendor performance and engagement trends
• Building and maintaining strong professional relationships with key vendor partners

Executive Advisor, Pharmacy Consultants Manager

Business Development Rep

• Leads the business development planning and activities of the key industry 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 target industry sectors and markets through networking, holds leadership roles in influential organizations, and develops 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
• All other duties as assigned.

Business Development Executive

Analyst

• Operate as the central project manager for the business on new opportunity prospects, playing a pivotal role in connecting Brokers, BDEs, Implementation, AM, Legal, Pricing and Analytics, Finance, Marketing, Product Team, SLT, and ELT in support of closing new business.
• Manage the life cycle of Financial Analyses, RFPs, Comp Analyses, Patient Assistance Programs (PAP) Reports, and/or additional presentation documents for multiple BD partners and Brokers with a multitude of changing variables, reporting needs, communication styles, and marketing agreements.
• Lead multiple small teams with RxBenefits BDEs and Financial Analysts to manage each new opportunity project from beginning to closed status employing high level soft skills, a proactive mindset, and ensuring the results are communicated with the highest impact externally.
• Validate differing types of datasets from dozens of medical vendors and dozens of PBMs to ensure it meets the requirements for our comprehensive financial and clinical modeling.
• In coordination with small teams, ensure the timely delivery of accurate, group specific Financial Analyses, PAP Reports, Clinical FAES, and/or additional reporting/documentation.
• Be the SME on the repricing process, results, and applicability to our modeling inclusive of discount guarantees, discount schedules, channel management, B/G classifications, specialty designations, rebate eligibility, utilization trend, Utilization Management (UM) implications, Manufacturer Copay Assistance Programs (MCAP), PAP, and clinical appropriateness in alignment with RxBenefits and PBM partner products.
• Be the SME on the formulary disruption process, results, and applicability to our modeling inclusive of the incumbent designations, network disruption, RxBenefits designations, formulary exclusion impact, member impact, and formulary alternatives in connection with new prospect benefit plan designs.
• Be the SME on hundreds of RxBenefits pricing schemes and their applicability based on pricing models, formulary options, retail networks, maintenance program selections, specialty networks, fees, plan tier structure, new prospect member size, marketing agreements, broker commissions, and drug utilization.
• Be the SME on dozens of medical vendor/PBM contracts including utilization rules, B/G classification, discount applicability, rebate/fee credit applicability, contract term penalties, discount/rebate exclusions, UM terms, MCAP products, PAP, third party specialty arrangements, and their applicability on our modeling.
• Apply knowledge gained from repricing, formulary disruption, contract language, group size, claim utilization, clinical trend, and appropriate pricing scheme to deliver a custom RxBenefits Financial Analysis for every new opportunity prospect.
• Maintain flexibility with constantly changing RxBenefits PBM drug lists and the effects this has on formulary tier changes, specialty designations, LDD designations, UM components, clinical outcomes, and MCAP outcomes and their relation to specific financial, clinical, and member impacts for new opportunities.
• Maintain the resources needed to apply pricing, commission structures, and properly branded reporting for dozens of broker partners with custom level service from RxBenefits.
• Produce ad hoc reporting for BD, Brokers, and various RxBenefits team members using advanced Microsoft Excel skills (vlookups, pivot tables, etc.) to answer a broad range of questions around reprice, disruption, and member impacts for new opportunities with varying degrees of urgency to close business.
• Become the SME on new RxBenefits Product offerings in a detailed level to communicate the impacts on new prospect opportunities to BD teammates and Broker clients.
• Help prepare BDEs for finalist presentations and work with marketing on presentations.
• Become comfortable and ready to present Financial Analyses and associated GTM documents with ease and a delivery that exudes confidence around pricing, UM caveats, Clinical Products, and formulary disruption down to the single claim detail.
• Own and manage the new opportunity SalesForce (SFDC) life cycle from the analyze stage through the coordinated hand-off of closed won groups including the broker account, employer account, group plan, SOLD form, required attachments, and all the fields needed to create a smooth transition for the group as a new employer client.
• Employ expert use of SFDC reporting and dashboards to manage new opportunities through the sales pipeline, provide ad hoc connectivity information for BD and brokers, and ensure the new prospect opportunity URL contains all group information as the central location for multiple RxBenefits departments.
• Work with the BD team to update SFDC and key activity metrics for their assigned territories.
• Responsible for transitioning closed won groups into a client record for Account Management (AM) and Implementation including the initial gathering of information for the Implementation team. These responsibilities may extend further into the implementation process.
• Help prepare BDEs for each finalist meeting and work with marketing on presentations when appropriate.

Strategic Pharmacy Analyst

Director

• Responsible for leading enterprise market and competitive intelligence that informs strategic decision-making, supports growth and retention objectives, and strengthens the organization’s market positioning.
• Identify, integrate, and manage diverse intelligence sources.
• Expand monitoring and research capacity to increase coverage of competitors, market trends, and emerging signals in real time.
• Conduct proprietary and ad hoc research to support strategic planning, validating strategic assumptions and assessing market opportunities.