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.

19 open rolesTeam 11,50H1B No SponsorLatest: May 27, 2026, 3:49 PM UTCCompany SiteLinkedIn
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19 Jobs

AffirmedRx, a Public Benefit Corporation logo

Vice President, Client Management

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 President7 days ago
Full TimeRemoteLeadTeam 11-50H1B No Sponsor

• Define and execute the strategic vision, operating model, goals, and long-term roadmap for the Client Management organization • Serve as executive sponsor and strategic leader for key client, broker, and consultant relationships • Represent the voice of the client within executive leadership discussions and influence organizational priorities, service models, and business decisions • Drive enterprise accountability for client experience, satisfaction, retention, and strategic relationship performance • Own accountability for client retention outcomes across the book of business, leading strategies that strengthen executive relationships, deepen long-term partnerships, and proactively address renewal and at-risk dynamics • Provide executive oversight of strategic account planning and client health monitoring, identifying retention risk early and mobilizing cross-functional response to protect and grow client relationships • Partner closely with Sales and Growth leadership to support new business pursuits, RFP responses, and finalist presentations, contributing client management expertise and operational credibility to win strategies • Identify and synthesize client-level trends across the book of business — including utilization patterns, formulary dynamics, satisfaction indicators, and emerging client needs — and translate them into action for individual clients and AffirmedRx more broadly • Lead, mentor, and develop a high-performing Client Management leadership team and broader organization • Drive organizational effectiveness, succession planning, leadership development, and talent strategy

United States
AffirmedRx, a Public Benefit Corporation logo

Pricing 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.

Pricing Analyst21 days ago
Full TimeRemoteSeniorTeam 11-50H1B No Sponsor

• Develop pricing and underwriting responses to bids and RFPs, ensuring consistency, efficiency, and alignment with business objectives • Work closely with other relevant teams to prepare and submit bid responses, as well as support follow up questions, as needed • Implement pricing strategies and underwriting policies in alignment with the company’s overall business objectives • Analyze market trends, competitor pricing and industry dynamics to formulate effective pricing and underwriting approaches • Translate the unique offerings of AffirmedRx into common industry terms • Conduct comprehensive pricing analyses to determine optimal pricing structures for pharmacy pricing model • Monitor and evaluate the performance of existing pricing strategies and make recommendations for adjustment as needed • Develop and/or incorporate rebate projections into overall pricing for bids and evaluate areas for future potential improvement • Conduct precursor analyses (claims repricing, rebate forecasting, disruptions, savings projections) to be used in development of comprehensive pricing offers • Stay informed about industry trends, regulatory changes, and market dynamics that may impact pricing and underwriting • Conduct market research to understand customer behavior, competitive landscapes, and emerging opportunities and incorporate into overall and bid specific strategies • Validate, edit, and draft narrative responses to financial and pricing related RFP questions • Periodically review and update database responses to ensure consistency with evolving strategies and go to market messaging • Collaborate with business development in negotiating pricing terms and conditions with clients • Ensure contracts align with underwriting guidelines and pricing strategies • Participate in pre-bid, finalist, and other sales meetings as the pricing SME helping to articulate AffirmedRx’s unique pricing model and guarantee structure to the market • Communicate pricing and underwriting strategies, decisions, and updates to internal stakeholders • Provide insights and recommendations based on data analysis and market intelligence

United States
AffirmedRx, a Public Benefit Corporation logo

Service Operations 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.

Operations39 days ago
Full TimeRemoteSeniorTeam 11-50H1B No Sponsor

• Serve as the day-to-day point of contact for claims processing and contact center vendors, fostering strong working relationships to ensure smooth operations and service delivery • Manage day-to-day vendor interactions, addressing any challenges, concerns, or questions that may arise and ensuring that issues are resolved promptly • Coordinate with internal teams to communicate vendor capabilities, limitations, and updates, aligning vendor performance with client needs and expectations • Track and monitor vendor performance guarantees, including claims processing turnaround times, call center response times, and other key performance indicators (KPIs) to ensure SLA adherence • Identify and escalate issues, performance deviations, and service disruptions, managing the resolution process to ensure timely and effective outcomes • Collaborate with the vendor and internal teams to implement corrective actions when performance does not meet agreed-upon standards • Provide reporting and analytical support to the Client Management team, ensuring that data related to vendor performance, claims processing, and contact center activities is captured, analyzed, and delivered in a timely manner • Develop and maintain regular performance dashboards and reports to keep internal stakeholders informed of vendor performance, trends, and any emerging issues • Utilize reporting tools to identify opportunities for operational improvements and service delivery enhancements • Collaborate with both vendors and internal teams to identify and implement process improvements aimed at enhancing the efficiency, quality, and accuracy of claims processing and contact center operations • Monitor ongoing service delivery and propose strategies to optimize workflows, reduce errors, and improve the overall member experience • Ensure that the vendor's services are compliant with all regulatory and contractual requirements • Work closely with internal teams, including Client Management and Member Experience, to ensure seamless communication and integration between vendors and internal systems or processes • Act as a liaison between internal stakeholders and vendors to ensure alignment on expectations, timelines, and key deliverables • Provide support for any client-facing meetings or discussions related to vendor performance, issues, or ongoing improvements

Kentucky
Job Closed
AffirmedRx, a Public Benefit Corporation logo

Strategic Client Success Partner – PharmD Required

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 Partner40 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, Clinical Client Success

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

• Serve as a senior clinical expert providing advanced clinical insight, data interpretation, and strategic recommendations to strengthen Client Success Partner (CSP)-led client engagements and planning • Attend client meetings alongside CSPs as a clinical authority, contributing subject-matter expertise and program updates while remaining a support function rather than the primary relationship owner • Lead the development of pre-meeting clinical briefs, talking points, and data-driven insights to ensure CSPs are fully prepared for client discussions • Translate complex clinical findings into clear, actionable strategies that align with client goals and drive measurable outcomes • Support and contribute to finalist presentations by providing clinical narrative development, data validation, and executive-level clinical positioning to strengthen win strategy • Translate formulary strategy decisions, drug pipeline developments, rebate considerations, and policy changes into clear, executive-level client narratives that align with broader business objectives • Ensure CSPs are equipped with timely, accurate, and actionable insights related to formulary updates, utilization management criteria, high-cost drug strategies, and evolving market trends • Serve as a liaison between Formulary Strategy and Client Success, driving consistent, two-way communication and alignment across teams • Guide and support CSPs in articulating the clinical and financial rationale behind key decisions in a way that resonates with client stakeholders • Lead the analysis of pharmacy and clinical data to identify trends, risks, and opportunities, translating insights into actionable, client-focused strategies that drive outcomes • Provide strategic oversight for clinical program requirements, including formulary optimization, utilization management strategies, adherence initiatives, and specialty cost-containment efforts • Develop and deliver executive-level clinical content for business reviews, client reporting, presentations, and finalist presentations, ensuring a compelling and data-driven narrative • Ensure all client recommendations and clinical strategies are grounded in accurate, data-driven insights and aligned with organizational objectives • Provide leadership and oversight to CSPs navigating clinical and benefit change requests, ensuring alignment with clinical appropriateness, operational feasibility, and financial considerations such as rebates • Collaborate cross-functionally with Clinical Operations, Pricing, and PCA/UM teams to validate strategy and execution prior to client communication • Guide CSPs in clearly articulating the rationale, impact, and value of clinical changes to client stakeholders • Oversee implementation of approved clinical and benefit changes to ensure accuracy, consistency, and alignment with intended outcomes • Serve as a strategic partner across Formulary Strategy, Clinical Operations, PCA/UM, Clinical Programs, Reporting/Analytics, and Client Success leadership • Provide a unified, enterprise-level clinical perspective to ensure alignment, operational clarity, and consistent client messaging • Act as a trusted advisor to internal stakeholders, fostering collaboration and driving clinical excellence across the organization

United States
Job Closed
AffirmedRx, PBC logo

Clinical Pharmacist, Formulary Management

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.

Full TimeRemoteMid LevelTeam 90Since 2021

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. Join us in improving health care outcomes for all! We promise to do what’s right, always. Position Summary: The Formulary Management Pharmacist plays a crucial role on the Formulary Strategies Team, by being responsible for developing and maintaining formularies as well as working cross functionally to ensure operational compliance. This position will lead Pharmacy and Therapeutics committee meetings, provide clinical recommendations across drug classes, develop utilization management protocols, and monitor the drug pipeline to forecast future formulary strategies. What you will do: - Remain current with industry trends and provide clinical intelligence to internal teams and clients - Monitor drug pipeline and assess new drugs to the market to determine appropriate formulary management strategies - Develop and present clinical material at Pharmacy and Therapeutics Committee meetings, ensuring clarity and relevance - Work closely with upstream and downstream partners on formulary decisions and updates - Analyze large data sets to identify utilization trends/outliers and implement appropriate utilization management edits - Investigate/resolve clinical issues and escalate issues to management as required - Collaborate with internal and external teams to support client inquiries and provide insight on drug spend, utilization, clinical alternatives, and formulary compliance - Assist in responding to clinical RFI and RFP questions - Communicate formulary changes, formulary status, and clinical benefit coverage to internal and external teams - Provide oversight of client specific formulary marketing materials - Work with analysts to oversee clinical edit/drug list development and ensure appropriateness of formulary and clinical benefit adjudication in claims processing system - Participate in implementation meetings and provide clinical and operational support for the transition of new clients over to AffirmedRx standard or custom formularies - Develop formulary management programs and cost savings initiatives - Ensure formulary is compliant with regulatory requirements - Develop and maintain department process documents What you Need: - Registered pharmacist, RPh or PharmD required - Active and unrestricted Pharmacist license - 3-5 years of managed care or PBM experience, preferred - Formulary management experience, preferred - Residency/fellowship completion, preferred - Ability to manage multiple projects at a time, required - Analytical thinking and strong problem solving abilities - Knowledge of pharmacy benefit design, drug utilization management, and healthcare regulations - Strong attention to detail and accuracy in data management - Effective communication and presentation skills to interact with cross-functional teams and clients - Proven time management, organizational, and multi-taking skills - Ability to work independently and collaboratively within a team - Proven commitment to high quality work - Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, etc.) - Willingness and ability to travel (10%-20%) What you get: - 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. Note: AffirmedRx is committed to providing equal employment opportunities to all employees and applicants for employment. Remote employees are expected to maintain a professional work environment free of distractions to ensure optimal performance and collaboration.

United States
AffirmedRx, a Public Benefit Corporation logo

Director, Client Success

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

• Provide oversight of client account management team with a focus on member and client satisfaction, trend management, client retention, and regulatory compliance • Responsible for developing Executive to Executive relationships with strategic clients • Maintain regular contact with clients, client representatives, and other internal members of the account team regarding ongoing pharmacy operations • Lead development of client relationship strategy plans • Participate as needed in meetings with clients, prospects, consultants, and brokers in support of client needs, retention, and new business development • Participate in client webinars, training, and other forums to educate • Establish and develop relationships with key client decision-makers, understand their healthcare strategy and goals, determine how AffirmedRx can best help them achieve their desired results • Maintain an understanding of industry trends and provide clients with insights and recommendations • Meet with clients to discuss trends, review relevant pharmacy data, and provide recommendations with supportive rationale for strategies • Support client discussions on clinical trends, review relevant pharmacy data, and provide recommendations with supportive rationale for clinical and plan management strategies • Monitor key performance indicators and facilitate timely interventions • Analyze and evaluate pharmacy benefit reporting and create ad-hoc reports as requested • Develop and maintain department process and procedures • Foster cross functional and inter-professional work teams to drive results in support of the strategic plan of the organization • Partner with client team members and internal support teams to provide best-in-class member and client service • Collaborate with cross-functional teams to support sales, reporting, proposals, and formulary initiatives • Partner with implementation leaders and the analytics team to provide quality service and intelligence that preserves high satisfaction and retention scores • Identify and contribute to process improvement efforts within the team • Lead, coach and mentor team of Client Success Strategic Partners • Lead key internal operations initiatives and general business needs/operations, as required

Kentucky
Job Closed
AffirmedRx, a Public Benefit Corporation logo

Quality 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.

Manager71 days ago
Full TimeRemoteSeniorTeam 11-50H1B No Sponsor

• The Quality Manager oversees and implements quality management programs to ensure compliance and high standards across healthcare operations • This role leads quality improvement initiatives to enhance patient care, streamline processes, and support overall organizational goals • The Quality Manager analyzes and interprets data to identify trends, uncover opportunities, and drive measurable improvements across healthcare and pharmacy benefit management services • This position monitors and updates policies and procedures to ensure alignment with regulatory requirements and industry best practices • The Quality Manager collaborates with cross-functional teams to address challenges, develop solutions, and implement effective, sustainable process improvements.

Kentucky
Job Closed
AffirmedRx, a Public Benefit Corporation logo

Compliance Paralegal

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.

Paralegal71 days ago
Full TimeRemoteSeniorTeam 11-50H1B No Sponsor

• The Compliance Paralegal supports the legal and compliance team by conducting research, preparing documentation, and ensuring adherence to regulatory requirements. • This role assists in monitoring company policies, maintaining compliance records, and drafting reports for internal and external audits. • The Compliance Paralegal also helps coordinate regulatory filings and communicates with relevant agencies as needed, including managing the organization’s state licensure applications, renewals, and state reporting requirements. • Prepare regulatory filings, conduct routine audits, and organize documentation for legal reviews • Collaborate with attorneys and business leaders to support compliance initiatives and respond to regulatory inquiries • Provide guidance to internal stakeholders on compliance requirements • Ensure compliance with applicable laws, regulations, and company policies • Collaborate with cross-functional teams • Conduct research and stay updated on relevant state licensure legislation and laws and industry trends

United States
Job Closed
AffirmedRx, a Public Benefit Corporation logo

Senior Data Operations Engineer

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.

Data Engineer71 days ago
Full TimeRemoteSeniorTeam 11-50H1B No Sponsor

• Manage File Transfer and Security: • Design and maintain secure client data gateways using SFTP • Administer SharePoint file security and permissions to ensure HIPAA compliance • Ensure complete data isolation for sensitive client information • Infrastructure Automation and Data Workflows: • Build and operationalize scripts using Python and PowerShell to automate file movements • Implement proactive pipeline monitoring and automated data cleanup processes • Develop automated notifications and workflows using Microsoft Power Platform (Power Apps, Power Automate) • Modern Data Stack (ETL/ELT) and Data Transformation: • Map incoming data formats CSV, Flat Files, DB files, EDI 834 Enrollment or EDI 835/837 claims files into the Data Warehouse • Develop and optimize dbt models to transform raw claims and eligibility data • Prepare analytics-ready tables to support business intelligence and reporting needs • Data Troubleshooting: • Perform root-cause analysis on complex data sets • Identify and resolve logic errors within Accumulators, Pharmacy Claims, and Eligibility files • Ensure data integrity across multiple pipelines and formats • Professional Communication: • Provide clear, concise technical guidance to internal teams • Translate technical database errors into actionable solutions for non-technical stakeholders • Maintain consistent communication to support cross-functional collaboration

United States
Job Closed

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