Top Tech Jobs & Startup Jobs

Lead financial analysis and modeling for prescription drug pricing and provider network contracting. Conduct unit cost, contract valuation, budgeting, target setting, and performance reporting. Partner with underwriting, legal, operations, clinical, and account teams and communicate findings to clients and leadership to support cost-reduction initiatives.

Lead execution of a capability roadmap for PBM digital portals: define features and requirements, prioritize backlog with a cross-functional Agile team, manage stories and dependencies, ensure QA and UAT, align roadmaps with Sales/Finance/Operations, and use data and client feedback to drive product decisions.

Lead and grow an AI/ML engineering team to design, build, and integrate generative AI solutions into PBM workflows. Define strategy and roadmap, ensure HIPAA-compliant engineering and model governance, select technologies and vendors, collaborate cross-functionally, deploy production LLMs, monitor performance and ROI, and drive continuous improvement.

Manage a portfolio of residential and healthcare partner accounts, serving as primary liaison between Genoa pharmacy operations and client sites. Drive retention, onboarding, issue resolution, billing follow-up, and growth through regular site visits and remote outreach. Coordinate cross-functional teams, support vaccination and clinic events, monitor KPIs, and maintain territory coverage and documentation to ensure service continuity and strong client relationships.

Manage, design, and administer mainframe and LinuxOne storage for HPC and zSeries platforms. Perform capacity planning, configure IBM Flash Systems, support 24/7 on-call, use AI tools to automate workflows, troubleshoot with application teams, and implement storage replication and changes.

Lead end-to-end Prospective Program portfolio, define unified roadmap and commercialization strategy, drive digital automation, improve provider experience and operational efficiency, and deliver growth and profitability.

Perform actuarial analyses and trend forecasting for health insurance; identify affordability opportunities; build and maintain actuarial models and reports; analyze claims and membership data; communicate technical results to non-actuarial stakeholders; leverage AI and automation to improve workflows.

Provide front-line customer service and administrative support in a specialty pharmacy: greet customers, look up orders, operate POS, resolve basic billing issues, manage supplies, coordinate couriers and shipping, and support compliance tasks like temperature monitoring and shipping verification.

Perform insurance eligibility checks and obtain pre-authorizations, coordinate with hospital departments on prior authorization workflows, interact with patients to resolve account issues, and use Windows-based systems to research and resolve issues to maximize client profitability.

Execute hospice sales strategy by building relationships with referral sources, educating the medical community about services, documenting sales activities, and serving as liaison between referral sources, patients/families, and agency staff to grow referrals and market share.