RxSense

Business Intelligence Developer

• Design, build, and maintain gold-layer data models and a governed metrics layer in Snowflake using dbt — clean, tested, documented, and version-controlled.
• Establish metric definitions as the single source of truth: calculated once, reused everywhere, with clear ownership and change management.
• Push transformation and calculation logic upstream into the warehouse so the consumption layer stays simple, consistent, and high-trust — eliminating per-dashboard logic and manual rework.
• Partner with data engineering on the boundary between raw/silver pipelines (theirs) and the gold/metrics layer (yours).
• Build and maintain dashboards, reports, and analytics experiences in our enterprise BI platform that sit on top of governed metrics rather than reinventing logic.
• Translate business questions into both the underlying metric and the visualization that communicates it.
• Champion data quality, consistency, and trust across all delivered analytics, ensuring numbers hold up under scrutiny.

Senior BI Developer

Director

• Own strategic relationships with retail pharmacy and affordability solution partners, serving as their primary point of contact, advocate, and growth advisor.
• Manage and grow a portfolio of high-value partnerships and the products and services tied to them, including digital marketplaces, GlobalBIN solutions, and prescription savings clubs.
• Navigate multi-layered partner organizations, from executive leadership to field operations, building alignment on shared goals and strategic objectives.
• Serve as a thought partner to partners and clients navigating their own organizations through the process of developing, launching, and growing products and services.
• Drive collaborative business planning, forecasting, and execution of initiatives that strengthen partner performance and engagement.
• Identify and activate high-leverage opportunities across partnership programs to grow revenue and deepen partner relationship.
• Track performance goals and partner feedback, surfacing insights that inform pricing, operations, the product roadmap, and strategic direction.
• Present partner performance reviews and growth roadmaps to internal and external audiences, including executive stakeholders, in person and virtually.
• Take a leading role in new business activity with prospective clients and partners, from first pitch through signed agreement.
• Lead proposal development for new initiatives and renewal cycles, with ownership of scope, value modeling, and delivery planning.
• Lead contracting and negotiation processes in coordination with finance, legal, and executive leadership.
• Prepare briefings, memos, and presentations to share findings, gain alignment, and communicate progress and results internally and externally.
• Serve as the connective tissue between retail pharmacy and affordability solution partners and internal teams, including product and technology, pricing, marketing, and data analytics, to keep mission-critical initiatives on track.
• Coordinate the work streams needed to deliver on partnership commitments on time and on budget, without owning those functions directly.

Director, Partnership Solutions

AI Engineer

• Build and maintain end-to-end deployment pipelines for AI-powered applications, including artifact builds, environment promotion, rollback, and observability hooks.
• Stand up and operate the runtime and lifecycle infrastructure for production agents, including deployment, versioning, monitoring, rate-limiting, and retirement.
• Own how the organization provisions, rotates, scopes, and meters access to model provider APIs (Anthropic, OpenAI, and others).
• Build evals into the CI/CD pipeline so no agent or LLM-powered service ships without passing a defined eval bar.
• Stand up self-hosted inference for workloads where managed APIs aren't the right fit.
• Design and build the shared developer harness that every AI-powered service uses.
• Partner with finance on cost visibility, including token accounting and per-feature cost attribution.
• Write documentation, runbooks, and clear interfaces.
• Participate in code review and promote collaboration and best practices.

Principal AI Ops Engineer

• Architect and build production systems across a multi language stack: C#/.NET services, Python AI and data pipelines, and occasional TypeScript
• Set the example for an AI forward, high technical standard across the broader engineering organization, leading through craft rather than organization wide authority
• Design and drive adoption of offline evaluation frameworks (test suites, golden datasets, regression harnesses wired into CI/CD) for LLM based and other non deterministic components
• Build online evaluation and monitoring that continuously assesses live model and system behavior in production, including drift and regression detection
• Partner with engineering leadership to surface systemic risks in AI features, such as reliability, correctness, and drift, and drive the fixes
• Lead architecture reviews for major initiatives and mentor senior and staff engineers on system design, evaluation methodology, and AI forward practices
• Prototype and ship new AI capabilities

Principal Software Engineer – AI-Native

Auditor

• The Pharmacy Network Auditor is responsible for the maintenance and growth of the Pharmacy Network Audit program and processes at RxSense
• Evaluates, reports and monitors all aspects pertaining to Pharmacy Network Auditing services
• Serves as a subject matter expert regarding standard monitoring measures, auditing procedures, and best practices
• Assesses risks suggested by audit vendor, performs appropriate audit procedures, and collaborates with pharmacy management for efficient issue resolution
• Drafts and communicates audit findings to internal stakeholders; provides Quarterly Network Audit Performance Reports to leadership
• Screens and summarizes authorized vendor audit results
• Reviews results to identify fraudulent, erroneous, or abusive billing activity
• Analyzes claims data for potential investigational FWA breaches of network pharmacies
• Maintains audit documentation, and prepares statistical data for review and action
• Develops and updates Standard Operating Procedures for audit and FWA Programs
• Collaborates with key stakeholders to support pharmacy network initiatives.

Pharmacy Network Auditor

Administration

• Own and lead the full implementation lifecycle for large, complex, or strategic clients from initiation through production deployment, ensuring all contractual deliverables are met on time and within scope.
• Serve as the primary benefits configuration expert on client implementations, leading all discovery, requirements gathering, and configuration sessions.
• Anticipate and proactively mitigate implementation risks; develop contingency plans and communicate issues to leadership with recommended solutions.
• Review and validate benefit set-ups performed by junior analysts prior to client go-live.
• Configure and maintain complex benefit designs, clinical rules, pharmacy networks, pricing structures, accumulators, and hierarchies across the RxSense platform.
• Develop deep expertise in RxSense claims platforms and serve as an internal resource for platform capabilities and limitations.
• Lead root-cause analysis on complex benefit set-up issues; develop and implement process changes to prevent recurrence.
• Conduct impact analysis for platform changes, client requests, and identified issues affecting benefit configurations.
• Build and sustain trusted advisor relationships with clients, serving as a consultative partner on benefit design strategy and platform optimization.
• Represent Benefits Administration in cross-functional meetings, client steering committees, and escalation calls.
• Partner with Client Services, Pharmacy Networks, UAT/QA, IT, Finance, and Clinical teams to drive flawless implementations and ongoing client satisfaction.
• Provide mentorship, training, and day-to-day guidance to Benefits Administration Analysts and other team members.
• Develop and deliver training materials for internal staff and private-label clients on benefit set-up requirements and platform best practices.
• Act as an escalation point for the team on complex or ambiguous benefit configuration challenges.
• Identify and lead initiatives to improve departmental workflows, documentation, and quality standards.
• Assist the Director in developing and maintaining department policies, procedures, and best practices.
• Contribute to strategic projects and product initiatives as a subject matter expert.

Senior Benefits Administration Analyst

Operations

• Configure, update, and maintain custom and standard formularies within the claims adjudication system.
• Ensure accuracy and alignment of formulary builds with client intent, clinical strategy, and regulatory requirements.
• Troubleshoot adjudication issues and discrepancies; conduct detailed analysis to resolve defects and anomalies.
• Participate in client implementations by gathering and documenting formulary requirements.
• Serve as a clinical capabilities subject matter expert.
• Collaborate with internal teams to ensure smooth integration of formulary solutions.
• Perform audits to validate formulary configuration accuracy.
• Monitor claim processing to detect and correct potential issues proactively.
• Assist in analyzing and presenting data related to formulary performance or disruptions.
• Pull, organize, and aggregate data and reports to support client meetings and formulary strategy presentations.
• Support client interactions as needed, including responding to formulary-related inquiries and assisting in training sessions.
• Work closely with clinical partners to ensure translation of clinical direction into accurate system configuration.
• Contribute to development and documentation of internal workflows, best practices, and training materials.
• Lead or contribute to special initiatives such as process optimization, disruption analyses, or platform enhancements.
• Recommend and implement improvements to ensure greater accuracy, efficiency, and scalability of formulary operations.