Jobs at AffirmedRx, PBC

Serves as the day-to-day operational contact for employer and health plan clients. Supports benefit administration, eligibility updates, plan changes, implementations, renewals, reporting, and issue resolution. Coordinates across Operations, Eligibility, Billing, Clinical, and IT teams, maintains account documentation in Salesforce, monitors performance and pharmacy utilization, prepares client reporting, and identifies service improvements and cost-saving opportunities.

Leads the Client Executive function for strategic health plan and PBM accounts. Manages, coaches, and develops the team; owns client retention, renewals, expansion, consultant and broker relationships, contract economics, and escalation management. Partners cross-functionally on account strategy, reporting, onboarding, organizational scaling, and renewal performance. Personally manages high-value relationships and complex renewals while building a scalable client ownership model.

Leads a specialized data operations team supporting PBM client eligibility and accumulator data. Owns file layouts, data mapping, SFTP transmissions, coding automations, monitoring, change control, and data integrity. Applies hands-on claims adjudication expertise to troubleshoot issues and support client onboarding and escalations. Serves as Scrum Master, manages team performance, coordinates cross-functional priorities, and improves operational processes. Requires direct client communication and 10%–20% travel.

Drives revenue growth and market expansion for a pharmacy benefits management company. Manages the full sales cycle, identifies prospects through broker, consultant, and employer relationships, oversees RFPs and finalist presentations, delivers sales presentations, negotiates contracts, and strengthens strategic partnerships. Collaborates with marketing, operations, proposals, underwriting, implementation, and client management teams. Requires extensive healthcare or pharmaceutical sales experience, strong PBM knowledge, and up to 50% travel.

Leads pharmacy trend forecasting, pipeline surveillance, biosimilar and formulary strategy, utilization management, and cost-of-care optimization. Evaluates emerging therapies, specialty drug trends, and market developments; develops mitigation roadmaps, financial impact assessments, and pharmacoeconomic analyses. Partners with clinical, financial, specialty, and trade stakeholders to support formulary decisions, Pharmacy and Therapeutics Committee recommendations, client reporting, and executive decision-making.

Maintain and monitor Snowflake data warehouse and ingestion pipelines. Troubleshoot file/load/data quality issues, operate SFTP/drop-zone/file automation, support scheduled loads, build dbt models and tables, document runbooks, and serve as backup for core warehouse operations while collaborating with engineering and IT.