Jobs at Prescryptive Health

Own and architect the ePrescribing platform, lead NCPDP SCRIPT standard implementation and multi-version translation, design XML schema-driven message processing, integrate with networks like Surescripts, resolve complex production incidents, drive partner onboarding/certification, and mentor engineers to improve interoperability and system reliability.

Lead design and implementation of a financial compliance program (COSO/AICPA), perform risk assessments, document processes and controls, execute periodic testing and remediation, manage deficiency tracking, coordinate with external auditors, and report control status to the CFO and executive leadership.

Lead administration, tuning, backup/recovery, and troubleshooting for SQL Server, PostgreSQL, and MongoDB. Implement observability with Datadog, build dashboards and alerts, define SLIs/SLOs, and collaborate with engineering to ensure database reliability, scalability, and performance across environments.

Lead technical direction across teams, design and implement scalable full‑stack systems, resolve cross-system issues, participate in on‑call, mentor engineers, drive architecture and platform decisions, and align engineering work to business outcomes.

Lead writing and editing of complex PBM RFPs for enterprise employers and consultants. Translate pricing, rebate, and clinical offerings into clear, persuasive responses. Manage multiple RFPs, ensure compliance and quality, coordinate cross-functional inputs, and maintain proposal templates and libraries to improve efficiency and win readiness.

Design, build, and operate end-to-end backend services, APIs, and web applications. Own features from design through production, maintain integrations, improve CI/CD and observability, troubleshoot full-stack incidents, participate in on-call rotation, and raise engineering standards.

Monitor and maintain ePrescribing network reliability, manage alerts and casework, validate prescriptions, onboard and support pharmacy/EHR partners, escalate technical issues to engineering, improve automation and documentation, and deliver operational metrics and reporting.

Manage day-to-day operational delivery for assigned employer accounts, support implementations, reporting, renewals, and client requests. Coordinate cross-functional teams, maintain HIPAA-compliant documentation, analyze pharmacy claims and utilization trends, and prepare client-ready materials to ensure contract obligations and service levels are met.

Lead design and implementation of Snowflake-centered cloud data platform and scalable ETL/ELT pipelines. Build data models, ensure governance/HIPAA compliance, optimize performance and costs, create Power BI reports, mentor engineers, migrate legacy systems, and enable analytics and AI/ML initiatives through robust data integration, testing, CI/CD, and security practices.