AffirmedRx, a Public Benefit Corporation logo

AffirmedRx, a Public Benefit Corporation

Remote Jobs

Patients over Profits - We are dedicated to designing a PBM solution that is ideal for your members and for you.

28 open rolesTeam 11,50H1B No SponsorLatest: Jul 14, 2026, 3:49 PM UTCCompany SiteLinkedIn
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28 Jobs

AffirmedRx, a Public Benefit Corporation logo

Implementation Manager

AffirmedRx, a Public Benefit Corporation

Patients over Profits - We are dedicated to designing a PBM solution that is ideal for your members and for you.

Full TimeRemoteSeniorTeam 11-50H1B No Sponsor

• Lead and drive client implementation projects • Partner with internal cross-functional areas such as Clinical, Eligibility and Benefits, and external vendors to ensure all client requirements are met and supported throughout the implementation process • Create a detailed action plan which considers a fixed timeline and can evaluate risks • Develop the implementation project plan and track progress relative to the plan through weekly update calls and action log maintenance • Establish client relationships and ensure client satisfaction, starting day one of Implementation • Assess risks and establish contingency plans • Communicate project status clearly and concisely to stakeholders, including executive levels • Drive project teams to specific milestones, while effectively collaborating with key internal and external stakeholders to deliver high quality and predictable outcomes • Manage work and inputs from a variety of stakeholders • Establish collaborative working relationships and develop optimized cross-functional processes • Proactively identify business risks and develop high quality strategies & tactics to effectively mitigate • Conduct “lessons learned” and feedback meetings post-implementation to improve processes for the future

United States
AffirmedRx, a Public Benefit Corporation logo

Client Implementation Specialist

AffirmedRx, a Public Benefit Corporation

Patients over Profits - We are dedicated to designing a PBM solution that is ideal for your members and for you.

Full TimeRemoteSeniorTeam 11-50H1B No Sponsor

• Support implementation activities for new clients, renewing clients and TPA (Third Party Administrators) changes by executing assigned tasks and deliverables throughout the implementation life cycle • Assist with coordinating onboarding timelines, milestones, and documentation in alignment with established project plans • Track implementation progress and help ensure tasks are completed on schedule and according to quality standards • Maintain and organize implementation artifacts, including client documentation, configuration files, and meeting materials • Identify risks, issues, or gaps and escalate appropriately to Implementation Managers • Help validate information received from clients and partners for accuracy and completeness • Work closely with Implementation Managers, Client Success Managers, and internal teams to ensure seamless handoffs and alignment • Support coordination with vendors and external partners to facilitate data exchanges, testing, and readiness activities • Participate in implementation meetings by preparing agendas, taking notes, and tracking follow-ups • Contribute to internal process improvements aimed at enhancing efficiency and client experience • Assist in monitoring key implementation metrics and service-level commitments • Ensure documentation and deliverables support downstream client success and performance guarantees • Help identify opportunities to improve workflows and reduce friction for clients and internal stakeholders

United States
AffirmedRx, a Public Benefit Corporation logo

Director – Benefit Design and Requirements

AffirmedRx, a Public Benefit Corporation

Patients over Profits - We are dedicated to designing a PBM solution that is ideal for your members and for you.

Art Director23 days ago
Full TimeRemoteLeadTeam 11-50H1B No Sponsor

• Serve as the senior PBM subject matter expert and strategic advisor to clients, consultants, and internal leadership across implementation and ongoing benefit strategy • Lead high-impact discovery and design sessions with clients, consultants, and cross-functional stakeholders to define complex benefit structures, including formulary strategy, cost-sharing models, accumulator logic, specialty tiers, step therapy protocols, and regulatory considerations • Shape and influence client benefit strategies by aligning industry best practices, market trends, and AffirmedRx platform capabilities • Anticipate risk and proactively address gaps in benefit design or documentation, partnering with senior implementation and account leadership to drive resolution • Provide executive-level oversight and guidance on benefit configuration, ensuring alignment between intended design and system build • Act as the escalation point for complex benefit design or configuration issues, driving resolution through deep expertise and cross-functional collaboration • Influence best practices for benefit setup within the adjudication platform, ensuring consistency, scalability, and accuracy • Lead and drive technology change initiatives related to adjudication systems and benefit capturing enhancements, partnering with IT and platform teams to evaluate, prioritize, and implement system improvements that reduce configuration error, improve accuracy, and scale with organizational growth • Own the testing strategy and validation framework for PBM benefits, ensuring comprehensive coverage of complex plan structures and edge cases • Oversee end-to-end testing validation, ensuring benefit logic, cost-share structures, accumulators, and compliance requirements function as designed • Drive cross-functional alignment during UAT cycles, ensuring efficient defect resolution and timely remediation • Provide executive summaries of go-live readiness, including risk assessments, issue tracking, and mitigation strategies • Ensure all implementations meet the highest standards of accuracy, compliance, and client expectations prior to go-live • Build and lead the Benefit Design & Requirements function, including defining team structure, hiring strategy, and capability roadmap • Hire, coach, and develop a high-performing team, establishing clear roles, expectations, and career progression pathways • Establish KPIs and performance metrics to measure quality, efficiency, and client outcomes • Drive continuous improvement initiatives based on implementation retrospectives, root cause analysis, and client feedback • Ensure all processes and documentation meet regulatory, audit, and contractual compliance requirements • Partner with senior leadership to align function priorities with broader organizational goals and growth strategy

Kentucky
Job Closed
AffirmedRx, a Public Benefit Corporation logo

Associate Vice President – Formulary Strategy

AffirmedRx, a Public Benefit Corporation

Patients over Profits - We are dedicated to designing a PBM solution that is ideal for your members and for you.

Vice President33 days ago
Full TimeRemoteMid LevelTeam 11-50H1B No Sponsor

• Own and evolve the organization’s formulary strategy, including multi-tier architecture, therapeutic category management, biosimilar positioning, and specialty drug placement ensuring alignment with net-cost principles and AffirmedRx’s transparent PBM model • Lead enterprise-level evaluation and ongoing governance of formulary tier structures, ensuring clinical defensibility, rebate alignment, and consistency with client value propositions • Define and maintain cost thresholds, tier placement logic, and formulary decision criteria that can be applied consistently across the client portfolio • Partner with Rebate Strategy and Account Management to align formulary architecture with rebate contract performance and client financial objectives • Lead formulary pipeline monitoring and serve as the internal expert on drug approvals, biosimilar transitions, specialty pipeline developments, and market shifts with formulary implications • Serve as a strategic partner to the P&T Committee, ensuring formulary decisions are evidence-based, properly documented, and communicated in compliance with applicable regulatory requirements • Oversee the development of clinical monographs, formulary recommendation summaries, and therapeutic review materials for P&T review cycles • Establish and maintain clinical review standards that govern how new molecular entities, biosimilars, and specialty products are evaluated for formulary inclusion • Review and assess clinical literature and AMCP dossiers to guide formulary positioning and support coverage policy development • Build and govern a formulary pipeline communication infrastructure, including standardized monthly and quarterly updates for clients and internal stakeholders • Translate complex formulary and pipeline developments into clear, actionable communications tailored to clinical, operational, and non-clinical audiences • Partner cross-functionally with Utilization Management, Clinical Operations, Analytics, Account Management, and IT/platform teams to ensure formulary strategy is operationally sound and technically executable • Lead formulary change management execution in compliance with CAA 2026, ACA Summary of Benefits and Coverage (SBC), ERISA and non-ERISA applicable requirements • Maintain and evolve formulary change management policies, ensuring regulatory citations are current and processes are consistently applied across clients • Monitor the regulatory landscape for developments affecting formulary design, tier structure, and clinical coverage policy • Support URAC accreditation readiness and lead formulary-related accreditation activities, assessments, and corrective action planning • Provide of the formulary strategy team, ensuring execution-level formulary work meets quality, accuracy, and timeliness standards • Coach and develop the formulary team, creating structured development pathways and accountability frameworks aligned with AffirmedRx’s people-first culture • Serve as the primary escalation point for formulary issues and decisions before they reach the VP level • Shape the future-state formulary team structure as the organization scales, including identifying talent gaps and building the case for additional headcount

United States
AffirmedRx, a Public Benefit Corporation logo

Client Manager

AffirmedRx, a Public Benefit Corporation

Patients over Profits - We are dedicated to designing a PBM solution that is ideal for your members and for you.

Client Partner33 days ago
Full TimeRemoteSeniorTeam 11-50H1B No Sponsor

• Develop and implement program strategies to optimize outcomes, enhance client experience, and improve overall plan performance • Collaborate cross-functionally with internal stakeholders, including implementations, analytics, and account management teams, to align initiatives with client needs and objectives • Serve as the primary point of contact for clients regarding program performance, outcomes, and strategic recommendations, fostering strong client relationships and trust • Analyze data and trends to identify opportunities for program enhancement, cost savings, and quality improvement, leveraging insights to drive informed decision-making • Stay informed on industry trends, regulatory changes, and best practices in program management, incorporating relevant insights into program design and implementation • Develop and deliver client presentations, reports, and updates on program performance, demonstrating value and ROI to key stakeholders • Collaborate with clients to tailor programs and initiatives to meet their unique needs, ensuring alignment with organizational objectives and priorities • Foster a culture of continuous improvement and excellence within the team, promoting professional development, knowledge sharing, and accountability for achieving program objectives • Participate in client webinars, training sessions, and other educational forums, with occasional travel to client events as needed • Provide ongoing support, including interpreting plan design, resolving phone, written, and electronic inquiries, and addressing benefit and enrollment issues • Establish and maintain relationships with key client decision-makers, understand their goals, and determine how the organization can best help them achieve results • Manage and execute client contractual requirements and guarantees • Retain and grow client relationships • Maintain an understanding of industry trends and provide clients with insights and recommendations • Meet with clients to discuss trends, review relevant data, and offer recommendations with supporting rationale for strategies • Lead client discussions on industry trends, review performance data, and provide recommendations to support plan management strategies • Develop client relationship and strategy plans • Monitor key performance indicators and facilitate timely interventions • Analyze and evaluate reporting, and create ad-hoc reports as requested • Partner with client team members and internal support teams to deliver best-in-class client service • Support implementation of new clients, plan changes, and other setup requirements, including gathering requirements, building/coding, quality review, and testing • Collaborate with the Implementation team during client onboarding to ensure a seamless transition from implementation to client management • Identify and contribute to process improvement initiatives within the team • Provide guidance on internal and external collaborative projects and priorities

United States
Job Closed
AffirmedRx, a Public Benefit Corporation logo

Director, Finance and Business Intelligence

AffirmedRx, a Public Benefit Corporation

Patients over Profits - We are dedicated to designing a PBM solution that is ideal for your members and for you.

Full TimeRemoteLeadTeam 11-50H1B No Sponsor

• Track, manage, and report on performance and cost guarantees, with a focus on Net PMPM and operational performance • Monitor pharmacy cost drivers and identify trends impacting overall spend and margin • Partner with stakeholders to implement cost containment and performance improvement strategies • Ensure alignment of financial outcomes with organizational goals and contractual commitments • Analyze network pricing, pharmacy claims data, and customer-level performance trends • Provide actionable insights to support data-driven decision-making across the organization • Establish and oversee end-to-end rebate processes, including forecasting, tracking, and reporting • Ensure accurate reconciliation of rebate accruals with pharmacy claims data • Manage customer payments and maintain strong internal controls to ensure compliance and accuracy • Support pricing and underwriting teams with real-time financial and operational insights • Develop and maintain advanced analytics to drive efficiency and value creation initiatives • Collaborate with operations, IT, and clinical teams to optimize resource allocation • Provide strategic financial guidance to enhance PBM performance and support long-term growth initiatives

United States
AffirmedRx, a Public Benefit Corporation logo

Vice President, Finance

AffirmedRx, a Public Benefit Corporation

Patients over Profits - We are dedicated to designing a PBM solution that is ideal for your members and for you.

Full TimeRemoteLeadTeam 11-50H1B No Sponsor

• Partner with the CFO to develop and execute financial strategies, policies, and procedures • Own and enhance the organization-wide budgeting and forecasting process • Incorporate market trends and data to drive more accurate financial planning • Develop and monitor long-term financial projections aligned with business goals • Deliver actionable financial analysis and insights to support executive decision-making • Leverage industry trends, data analytics, and benchmarks to inform recommendations • Provide financial input on key business initiatives, including growth strategies • Translate complex financial data into clear, strategic guidance for leadership • Act as a strategic partner to department leaders on financial performance • Track, analyze, and optimize performance against growth and efficiency targets • Collaborate cross-functionally to align financial goals with operational priorities • Support accountability and informed decision-making across the organization • Identify and implement strategies to drive growth and operational excellence • Provide financial expertise on contracts, vendor evaluations, and partnerships • Support business development activities, including capital raises and M&A • Contribute to evaluating and prioritizing strategic opportunities across the business

United States
AffirmedRx, a Public Benefit Corporation logo

Manager, Benefit Design – Requirements

AffirmedRx, a Public Benefit Corporation

Patients over Profits - We are dedicated to designing a PBM solution that is ideal for your members and for you.

Designer40 days ago
Full TimeRemoteSeniorTeam 11-50H1B No Sponsor

• Serve as the primary PBM subject matter expert and trusted advisor to new and existing clients throughout the implementation lifecycle and steady state benefit changes, guiding them from initial benefit design through validated go-live • Lead structured discovery sessions with clients and consultants cross-functionally to document plan-level intent, formulary structures, cost-sharing logic, accumulator rules, specialty tier design, step therapy protocols, and coverage gap parameters • Proactively identify gaps in client-provided documentation; work directly with the implementation lead or client manager to resolve issues before build begins, reducing downstream risk • Advise clients on industry best practices, AffirmedRx platform capabilities, and implementation considerations to help them make informed benefit design decisions • Translate complex PBM benefit configurations into clear, comprehensive benefit requirement documents that serve as the authoritative source of truth for the build team • Maintain requirement traceability throughout the lifecycle; ensuring that scope changes are captured, communicated, and reflected in all downstream deliverables • Build and continuously improve standardized requirement templates, intake frameworks, and documentation standards that scale across client engagements • Collaborate with Implementation Managers, vendors, TPAs, and clinical operations to ensure full alignment between documented requirements and system configuration • Apply hands-on benefit build knowledge to review configured plans in AffirmedRx adjudication system, validating that the build accurately reflects approved requirements prior to testing • Act as an internal resource for Implementation team members on PBM benefits, plan design logic, and configuration best practices • Flag build discrepancies early by leveraging deep familiarity with how benefit rules translate into adjudication logic • Review and validate end-to-end benefit testing results produced by the adjudication partner, confirming that plan rules, cost-sharing logic, accumulator behavior, and compliance checkpoints align precisely with approved requirements • Identify gaps in test coverage and request additional scenarios from the adjudication partner to stress-test custom scenarios, benefit interactions, and complex plan configurations • Lead UAT cycles in coordination with RxSense and internal teams; manage defect logging, resolution tracking, and remediation confirmation • Deliver clear go-live readiness reports summarizing test outcomes, open items, and risk assessments • Build, standardize, and continuously improve templates for requirements documentation, test plans, test scripts, and defect tracking • Support audit and compliance activities by ensuring all documentation meets regulatory and contractual standards • Contribute to post-implementation retrospectives, identifying recurring issues and recommending systemic improvements • As the function scales, participate in hiring, onboarding, and developing analysts

Kentucky
Job Closed
AffirmedRx, PBC logo

Associate Vice President, Patient Experience

AffirmedRx, PBC

AffirmedRx, PBC, is the only Public Benefit Corporation leading the next generation of Pharmacy Benefit Management solutions for employer groups, health plans, hospital groups and other payers. We’re committed to pass through ALL pricing, discounts and rebates we have negotiated with pharma manufacturers and pharmacies to simplify and reduce prescription drug spending. Our goal is for members to have absolute access to the safest and lowest cost medications to help maintain or restore their health. The pharmacy ecosystem is complex with layers of agreements, payment models and fees. We are committed to simplifying pharmacy benefits and helping patients feel good about their benefit provider. AffirmedRx. We're All In.

Vice President40 days ago
Full TimeRemoteMid LevelTeam 90Since 2021

Role Description The AVP, Patient Experience is a senior leader responsible for setting the vision, strategy, and standards for how AffirmedRx serves and advocates for patients across the pharmacy benefits journey. Reporting to the SVP, this role owns the Patient Experience function end to end, with Directors of Patient Care Advocacy leading Managers and Patient Care Advocates who deliver day-to-day care. The AVP defines what excellence looks like by establishing the service model, standards, and overall patient experience philosophy. This leader translates patient needs into enterprise strategy, builds a scalable operating model, and partners across the business to drive measurable improvements in outcomes, satisfaction, and retention. Additionally, the AVP is accountable for performance, quality, and continuous improvement while building the teams, governance, and culture needed to scale with the organization. What you will do: - Strategy & Vision: - Own and articulate the enterprise-wide patient experience vision and multi-year strategy, ensuring alignment with broader company goals and growth objectives. - Define the service model, standards, and patient experience philosophy that Directors and their teams operationalize. - Anticipate shifts across the PBM, payer, and healthcare landscape — regulatory, competitive, and clinical — and position the function to lead through them. - Serve as the executive voice of the patient internally, ensuring patient needs are represented in product, clinical, commercial, and operational decisions. - Organizational & People Leadership: - Lead a multi-layered organization through direct reports at the Director level, who in turn manage the Managers and Patient Care Advocates, building a structure that scales with the business. - Develop and coach senior leaders, building a deep bench of talent and clear succession across the function. - Set the culture for the organization — grounded in empathy, accountability, and patient-centered care, and hold leaders accountable for sustaining it. - Define workforce strategy, including staffing models, capacity planning, and the build/partner decisions that support efficient scaling. - Executive & External Engagement: - Partner with the executive leadership team on the health, performance, and strategic direction of the Patient Experience function. - Build and own senior-level relationships with external stakeholders — health plans, manufacturers, providers, pharmacies, and third-party financial assistance partners — to expand the resources and access available to patients. - Represent the organization in high-stakes escalations, strategic negotiations, and industry forums. - Innovation & Transformation: - Drive transformation of the patient experience through technology, automation, and process redesign, partnering with Product, IT, and Data to bring new capabilities to scale. - Champion patient insights, journey mapping, and voice-of-the-patient programs to continuously evolve the service model. - Set the enterprise standard for quality and compliance, ensuring programs meet all regulatory requirements while remaining patient-first. - Performance & Financial Stewardship: - Own the Patient Experience function’s budget and P&L, balancing cost-effective operations with investment in patient outcomes. - Define the metrics that matter — patient satisfaction (NPS/CSAT), outcomes, retention, resolution, and efficiency — and hold the organization accountable to them. - Translate data into strategy, using analytics to determine where to invest, where to improve, and how to demonstrate the function’s value to the business. Qualifications - Doctor of Pharmacy (Pharm.D.) or advanced degree in a related field, or equivalent depth of experience in clinical pharmacy / healthcare; advanced business or leadership credentials (e.g., MBA, MHA) a plus. - 15+ significant senior leadership experience in healthcare, PBM, payer, or provider settings, including experience leading leaders (managing Directors and Managers) and multi-team or multi-site organizations. - A track record of setting strategy and delivering measurable improvements in patient experience, outcomes, and operational performance at scale. - Deep fluency in pharmacy and medical benefit structures, copay assistance, prior authorization, appeals, and the broader healthcare regulatory environment. - Executive presence and exceptional communication skills, with the ability to influence at the C-suite level and represent the organization externally. - Demonstrated success leading transformation across technology, process, and culture within a large or growing organization. - Strong financial and analytical acumen, with experience owning a budget or P&L and making data-driven investment decisions. - Deep empathy for patients and an unwavering commitment to patient confidentiality and ethical standards. - Ability to work in a private, quiet workspace for remote work. - Ability to travel up to 30% for leadership meetings, team development, partner engagements, and conferences. Benefits - To impact industry change in the pharmacy benefits management space, while delivering the highest quality patient outcomes. - To work in a culture where people thrive because when OUR team thrives, OUR business thrives. - Competitive compensation, including health, dental, vision and other benefits. Company Description AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology.

Worldwide
Job Closed
AffirmedRx, a Public Benefit Corporation logo

Associate Vice President – Patient Experience

AffirmedRx, a Public Benefit Corporation

Patients over Profits - We are dedicated to designing a PBM solution that is ideal for your members and for you.

Vice President45 days ago
Full TimeRemoteMid LevelTeam 11-50H1B No Sponsor

• Own and articulate the enterprise-wide patient experience vision and multi-year strategy, ensuring alignment with broader company goals and growth objectives • Define the service model, standards, and patient experience philosophy that Directors and their teams operationalize • Anticipate shifts across the PBM, payer, and healthcare landscape — regulatory, competitive, and clinical — and position the function to lead through them • Serve as the executive voice of the patient internally, ensuring patient needs are represented in product, clinical, commercial, and operational decisions • Lead a multi-layered organization through direct reports at the Director level, who in turn manage the Managers and Patient Care Advocates, building a structure that scales with the business • Develop and coach senior leaders, building a deep bench of talent and clear succession across the function • Set the culture for the organization — grounded in empathy, accountability, and patient-centered care, and hold leaders accountable for sustaining it • Define workforce strategy, including staffing models, capacity planning, and the build/partner decisions that support efficient scaling • Partner with the executive leadership team on the health, performance, and strategic direction of the Patient Experience function • Build and own senior-level relationships with external stakeholders — health plans, manufacturers, providers, pharmacies, and third-party financial assistance partners — to expand the resources and access available to patients • Represent the organization in high-stakes escalations, strategic negotiations, and industry forums • Drive transformation of the patient experience through technology, automation, and process redesign, partnering with Product, IT, and Data to bring new capabilities to scale • Champion patient insights, journey mapping, and voice-of-the-patient programs to continuously evolve the service model • Set the enterprise standard for quality and compliance, ensuring programs meet all regulatory requirements while remaining patient-first • Own the Patient Experience function’s budget and P&L, balancing cost-effective operations with investment in patient outcomes • Define the metrics that matter — patient satisfaction (NPS/CSAT), outcomes, retention, resolution, and efficiency — and hold the organization accountable to them • Translate data into strategy, using analytics to determine where to invest, where to improve, and how to demonstrate the function’s value to the business

United States

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