RxSense

• Own and lead the full implementation lifecycle for large, complex, or strategic clients from initiation through production deployment, ensuring all contractual deliverables are met on time and within scope. • Serve as the primary benefits configuration expert on client implementations, leading all discovery, requirements gathering, and configuration sessions. • Anticipate and proactively mitigate implementation risks; develop contingency plans and communicate issues to leadership with recommended solutions. • Review and validate benefit set-ups performed by junior analysts prior to client go-live. • Configure and maintain complex benefit designs, clinical rules, pharmacy networks, pricing structures, accumulators, and hierarchies across the RxSense platform. • Develop deep expertise in RxSense claims platforms and serve as an internal resource for platform capabilities and limitations. • Lead root-cause analysis on complex benefit set-up issues; develop and implement process changes to prevent recurrence. • Conduct impact analysis for platform changes, client requests, and identified issues affecting benefit configurations. • Build and sustain trusted advisor relationships with clients, serving as a consultative partner on benefit design strategy and platform optimization. • Represent Benefits Administration in cross-functional meetings, client steering committees, and escalation calls. • Partner with Client Services, Pharmacy Networks, UAT/QA, IT, Finance, and Clinical teams to drive flawless implementations and ongoing client satisfaction. • Provide mentorship, training, and day-to-day guidance to Benefits Administration Analysts and other team members. • Develop and deliver training materials for internal staff and private-label clients on benefit set-up requirements and platform best practices. • Act as an escalation point for the team on complex or ambiguous benefit configuration challenges. • Identify and lead initiatives to improve departmental workflows, documentation, and quality standards. • Assist the Director in developing and maintaining department policies, procedures, and best practices. • Contribute to strategic projects and product initiatives as a subject matter expert.

• Configure, update, and maintain custom and standard formularies within the claims adjudication system. • Ensure accuracy and alignment of formulary builds with client intent, clinical strategy, and regulatory requirements. • Troubleshoot adjudication issues and discrepancies; conduct detailed analysis to resolve defects and anomalies. • Participate in client implementations by gathering and documenting formulary requirements. • Serve as a clinical capabilities subject matter expert. • Collaborate with internal teams to ensure smooth integration of formulary solutions. • Perform audits to validate formulary configuration accuracy. • Monitor claim processing to detect and correct potential issues proactively. • Assist in analyzing and presenting data related to formulary performance or disruptions. • Pull, organize, and aggregate data and reports to support client meetings and formulary strategy presentations. • Support client interactions as needed, including responding to formulary-related inquiries and assisting in training sessions. • Work closely with clinical partners to ensure translation of clinical direction into accurate system configuration. • Contribute to development and documentation of internal workflows, best practices, and training materials. • Lead or contribute to special initiatives such as process optimization, disruption analyses, or platform enhancements. • Recommend and implement improvements to ensure greater accuracy, efficiency, and scalability of formulary operations.

• Interpret data, analyze results, and provide ongoing reports. • Identify, analyze, and interpret trends or patterns in complex data sets. • Work with business counterparts to understand the business context and requirements and apply them as a basis for the utilization and analysis of data. • Gain a deep understanding of the data model, critical data entities and data elements in the data warehouse, data marts, and related databases. • Acquire data from primary or secondary data sources for the purpose of analysis and reporting to business stakeholders. • Build client facing output format and support automation for repeatable reports. • Perform root cause analysis on data issues or anomalies, and communicate findings clearly. • Contribute to developing scalable, self-service BI dashboard (e.g., in Qlik, or other BI tools). • Collaborate cross-functionally to improve data pipelines, processes, and data governance.

• Identify, conceive, and deliver without supervision, with complete latitude for independent judgment. • Analyze and decompose the existing client-server applications and identify services that can be migrated to a microservice architecture. • Partner with engineering managers, lead engineers, product managers and designers to deeply understand the needs of our users to architect and leverage most effective technical solution to build a product that serves those needs • Build infrastructure to handle millions of transactions and secure, sensitive health data • Design and architect software capable of reaching millions of users • Write modular, secure, and well-tested code • Ensure our development environment is best in class by delivering improvements to internal tooling and direct partnership with our product platform teams • Articulate a technical vision for a more enlightened way of working and work with multi-functional partners to deliver that vision • Conduct performance reviews. • Mentor less experienced peers and display leadership as and when needed • Take product operational responsibility set measurable goals, and meet them • Manage technical debt, ensure code quality and participate in code reviews • Promote collaboration and best practices such as simplicity, automation, good design patterns, code coverage and reusability • Own and maintain existing application platforms as part of the team, and look for opportunities to improve them

• Develop strong C-suite, SVP, and VP relationships across targeted clients. • Understand the client’s organization and structure, market, membership, business drivers, key performance indicators, and making the connection between client needs and RxSense capabilities. • Become a trusted advisor for client decision makers. • Manage the client contract, ensuring that our financial, technical and operational obligations are met or exceeded; Lead contract renewal process to ensure the best possible solutions are offered to clients. • Develop, communicate, and execute strategic account plan with RxSense internal teams to drive client growth and satisfaction, inclusive of RFP support, underwriting/pricing assistance, system and product enhancements. • Monitor client satisfaction throughout the year as measured by issue resolution, growth, and managing to clients’ performance expectations. • Stay abreast of changing market dynamics within the pharmacy benefit management industry with a particular focus on technology driven competitors and the use of technology to reduce the cost of prescription drug benefits. • Have superior knowledge of innovations and regulatory compliance in PBM ancillary services such as rebate administration, network management and member tools for health management. • Lead and drive cross functional deliverables in partnership with Operations, Product, Engineering, and other departments; communicate regularly with clients and internal partners on the status of their initiatives. • Collaborate with Operations and Product teams to bring client driven innovations and products to the business for development consideration. • Continuously learn and be knowledgeable about how our products work and how they can be used to our clients’ competitive advantage. • Be knowledgeable on the cash discount marketplace; learn and market RxSense’s marketing and analytics capabilities to clients who want to market their own cash discount card.

We are a healthcare technology company that provides platforms and solutions to improve the management and access of cost-effective pharmacy benefits. Our technology helps enterprise and partnership clients simplify their businesses and helps consumers save on prescriptions. As a leader in SaaS technology for healthcare, we offer innovative solutions with integrated intelligence on a single enterprise platform that connects the pharmacy ecosystem. With our expertise and modern, modular platform, our partners use real-time data to transform their business performance and optimize their innovative models in the marketplace. Position Summary: The Software Engineer Manager will lead a small team (offshore/onshore), delegate work to team of engineers and willing to be a hands-on developer and an individual contributor with an architectural and technical design mindset for a core piece of our platform product. This position will be part of a cross-functional, largely autonomous product engineering team, collaborating with other engineers, designers and the product managers to scale our cloud-based web platform. The individual in this position will be required to manage, guide and mentor other less experienced engineers on both their team and across our company. Accountable for the design, architecture, quality, and measurability of the systems. This role requires a blend of leadership skills, technical expertise, and a significant experience in design and development of microservices. Essential Duties and Responsibilities: - Identify, conceive, and deliver without supervision, with complete latitude for independent judgment. - Analyze and decompose the existing client-server applications and identify services that can be migrated to a microservice architecture. - Partner with engineering managers, lead engineers, product managers and designers to deeply understand the needs of our users to architect and leverage most effective technical solution to build a product that serves those needs - Build infrastructure to handle millions of transactions and secure, sensitive health data - Design and architect software capable of reaching millions of users - Write modular, secure, and well-tested code - Ensure our development environment is best in class by delivering improvements to internal tooling and direct partnership with our product platform teams - Articulate a technical vision for a more enlightened way of working and work with multi-functional partners to deliver that vision - Conduct performance reviews. - Mentor less experienced peers and display leadership as and when needed - Take product operational responsibility set measurable goals, and meet them - Manage technical debt, ensure code quality and participate in code reviews - Promote collaboration and best practices such as simplicity, automation, good design patterns, code coverage and reusability - Own and maintain existing application platforms as part of the team, and look for opportunities to improve them Education/Experience/Competencies: - BS (or higher, g., MS, or Ph.D.) in Computer Science or related technical field involving coding, or equivalent technical experience - Experience managing a team both onshore/offshore - Experience migrating client-server architecture to microservices architecture and a good working knowledge of message queuing systems. - 10+ years of work-related industry experience developing high-performance web applications in C#/ .NET - Experience architecting and developing distributed systems design - 3 + years of hands on experience in design and development of microservices and Restful API's. - Proficiency with relational databases (like MySQL or SQL Server) and performance tuning - Extensive knowledge of your development stack; for example with C#, have a comprehensive understanding of the .NET, .NET Core, MVC, WebAPI, IIS - Solid CS fundamentals with experience across a range of disciplines, with one or more area of deep knowledge and experience - Consistent track record of developing, shipping, and maintaining large-scale web applications with a user mindset - A comprehensive understanding of complex backend architectures and their core pieces, such as service models, protocols, reliability, deployment, and capacity - Experience working with AWS offerings such as EC2, ALBs, RDS, Beanstalk, API Gateway or with a different cloud provider and similar services - Demonstrated experience to understand the tradeoffs to technical design decisions, risk assessment and mitigation activities - Experience in analyzing and troubleshooting application issues in a timely fashion - Experience working in Agile DevOps/CICD model - Proven analytical thinking and problem-solving skills - Must have excellent communication skills both verbal and written. - Experience and familiarity with NoSQL technologies such as MongoDB, DocumentDB required - Experience with specific technologies such as Redis, ElasticSearch, Containerization (Kubernetes, Docker) required. Salary Range: $175,000 - $200,000 RxSense believes that a diverse workforce is a more talented and productive workforce. As such, we are an Equal Opportunity and Affirmative Action employer. Our recruitment process is free from discriminatory hiring practices and all qualified applicants are considered for employment without regard to race, color, religion, sex, gender, sexual orientation, gender identity, ancestry, age, or national origin. Neither will qualified applicants be discriminated against on the basis of disability or protected veteran status. We believe in the strength of the collaboration, creativity and sense of community a diverse workforce brings.

We are a healthcare technology company that provides platforms and solutions to improve the management and access of cost-effective pharmacy benefits. Our technology helps enterprise and partnership clients simplify their businesses and helps consumers save on prescriptions. As a leader in SaaS technology for healthcare, we offer innovative solutions with integrated intelligence on a single enterprise platform that connects the pharmacy ecosystem. With our expertise and modern, modular platform, our partners use real-time data to transform their business performance and optimize their innovative models in the marketplace. Position Summary: The Strategic Client Success Executive is the primary owner of the client relationship, responsible for client retention, organic growth, and client satisfaction through the building of long-term, mutually beneficial partnerships with clients. This position serves as the strategic lead on large and complex clients and manages the enterprise strategy and growth road map for those clients. In this capacity, the SCSE must accelerate client value by leading our long-term consultative strategy and overall client relationship to become the client’s trusted advisor. The SCSE is the “face of the company” to our clients, working with client decision makers from the C-Suite and executive healthcare leaders to assess their needs, align RxSense relevant capabilities, products, and services to solve their issues as well as ensure client satisfaction and consistent service. The SCSE is the liaison and advocate between RxSense and the client regarding requests for system / technical features and functionality, escalated service issues and helping the client grow their business. This role will work with cross functional teams to develop and execute strategy to support client goals and satisfaction. The ideal candidate must possess a thorough understanding of the PBM environment and the broader healthcare system. Exceptional communication, reasoning, negotiation and presentation skills are critical for success. Essential Duties and Responsibilities: - Develop strong C-suite, SVP, and VP relationships across targeted clients. - Understand the client’s organization and structure, market, membership, business drivers, key performance indicators, and making the connection between client needs and RxSense capabilities. - Become a trusted advisor for client decision makers. - Manage the client contract, ensuring that our financial, technical and operational obligations are met or exceeded; Lead contract renewal process to ensure the best possible solutions are offered to clients. - Develop, communicate, and execute strategic account plan with RxSense internal teams to drive client growth and satisfaction, inclusive of RFP support, underwriting/pricing assistance, system and product enhancements. - Monitor client satisfaction throughout the year as measured by issue resolution, growth, and managing to clients’ performance expectations. - Stay abreast of changing market dynamics within the pharmacy benefit management industry with a particular focus on technology driven competitors and the use of technology to reduce the cost of prescription drug benefits. - Have superior knowledge of innovations and regulatory compliance in PBM ancillary services such as rebate administration, network management and member tools for health management. - Lead and drive cross functional deliverables in partnership with Operations, Product, Engineering, and other departments; communicate regularly with clients and internal partners on the status of their initiatives. - Collaborate with Operations and Product teams to bring client driven innovations and products to the business for development consideration. - Continuously learn and be knowledgeable about how our products work and how they can be used to our clients’ competitive advantage. - Be knowledgeable on the cash discount marketplace; learn and market RxSense’s marketing and analytics capabilities to clients who want to market their own cash discount card. Qualifications: - Bachelor’s degree is required or similar training and/or experience. - 7+ years of progressively more sophisticated account management experience. - 5+ years’ experience in pharmacy benefit management, cash discount card marketing and management, or the combination of the two - Proven ability to foster strong relationships with trust and credibility at the C-Suite, SVP, and VP levels. - Client-centric focus with strong consultative skills. - Demonstrate the initiative and experience to proactively identify issues, plan work and meet goals on schedule. - Strong analytical and critical thinking skills; ability to build a business case using data, market research and industry knowledge. - Experience in successfully aligning teams in complex, matrixed organizations to actively manage relationships and work towards common business goal. - Masterful organizational, communication and leadership skills. - Excellent written and verbal communication skills with the ability to communicate information and ideas clearly and concisely. - Proven ability to influence internal and external decision makers. - Ability to work in a dynamic, growth-oriented company where change is constant. - This position may be done remotely and will require ~30% travel. Salary Range: 120,000 - 140,000 RxSense believes that a diverse workforce is a more talented and productive workforce. As such, we are an Equal Opportunity and Affirmative Action employer. Our recruitment process is free from discriminatory hiring practices and all qualified applicants are considered for employment without regard to race, color, religion, sex, gender, sexual orientation, gender identity, ancestry, age, or national origin. Neither will qualified applicants be discriminated against on the basis of disability or protected veteran status. We believe in the strength of the collaboration, creativity and sense of community a diverse workforce brings.

• The Product Manager owns the strategy, roadmap, and delivery of core healthcare benefit solutions, including Coordination of Benefits (COB), Pharma Copay programs, Client Organization Model Administration (Hierarchy), the Member Portal experience, and high-level Benefit Administration Portal navigation. • This role is responsible for defining and executing a product vision that delivers measurable value to payers, PBMs, pharmacies, manufacturers, and ultimately patients—balancing regulatory requirements, operational efficiency, platform usability, and user experience. • In addition to core benefit functionality, this role oversees the administration of complex client hierarchies that mirror real-world organizational structures, ensuring scalable and flexible configuration across enterprise customers. • The Product Manager also drives the evolution of the Member Portal, delivering intuitive, self-service capabilities that improve engagement, transparency, and satisfaction. • At the platform level, they shape the enterprise navigation framework within RxIQ to ensure consistent, logical, and efficient user flows across modules supporting role-based workflows without extending into identity and access management ownership. • By deeply understanding customer workflows, industry standards, and compliance considerations, the Product Manager identifies opportunities to streamline benefit processing, improve financial accuracy, reduce friction across stakeholders, and enhance program performance. • They translate business and market needs into clearly defined product requirements, prioritized backlogs, and outcome-based success metrics. Through close partnership with engineering, architecture, operations, and commercial teams, they ensure scalable, reliable, and compliant solutions are delivered with clarity around scope, acceptance criteria, and quality expectations. • The role also drives continuous improvement through data-driven experimentation and iteration—leveraging launch results, performance metrics, and customer feedback to optimize capabilities, expand impact, and inform strategic investment decisions. As the product manager for these critical benefit platforms and enterprise experience layers, this leader ensures alignment across cross-functional teams while maintaining a strong focus on long-term platform scalability, customer value, and business growth.

• The Product Manager – Clinical & Authorization Platforms owns the strategy, roadmap, and execution of RxSense’s clinical rules infrastructure and prior authorization capabilities. • This role is responsible for the platform functionality that enables clients to configure, operationalize, and scale their clinical policies and utilization management programs. • Ensure accurate implementation of client-defined clinical criteria into configurable system logic. • Design scalable configuration models that support multiple enterprise clients without degrading performance. • Maintain consistency between formulary integration, clinical edits, and authorization workflows. • Lead the evolution of electronic PA submission, review, approval/denial, exception, and appeals processes. • Define and monitor KPIs that measure workflow efficiency, automation, and rule effectiveness.

We are a healthcare technology company that provides platforms and solutions to improve the management and access of cost-effective pharmacy benefits. Our technology helps enterprise and partnership clients simplify their businesses and helps consumers save on prescriptions. As a leader in SaaS technology for healthcare, we offer innovative solutions with integrated intelligence on a single enterprise platform that connects the pharmacy ecosystem. With our expertise and modern, modular platform, our partners use real-time data to transform their business performance and optimize their innovative models in the marketplace. Position Summary: The Product Manager owns the strategy, roadmap, and delivery of core healthcare benefit solutions, including Coordination of Benefits (COB), Pharma Copay programs, Client Organization Model Administration (Hierarchy), the Member Portal experience, and high-level Benefit Administration Portal navigation. This role is responsible for defining and executing a product vision that delivers measurable value to payers, PBMs, pharmacies, manufacturers, and ultimately patients—balancing regulatory requirements, operational efficiency, platform usability, and user experience. In addition to core benefit functionality, this role oversees the administration of complex client hierarchies that mirror real-world organizational structures, ensuring scalable and flexible configuration across enterprise customers. The Product Manager also drives the evolution of the Member Portal, delivering intuitive, self-service capabilities that improve engagement, transparency, and satisfaction. At the platform level, they shape the enterprise navigation framework within RxIQ to ensure consistent, logical, and efficient user flows across modules supporting role-based workflows without extending into identity and access management ownership. By deeply understanding customer workflows, industry standards, and compliance considerations, the Product Manager identifies opportunities to streamline benefit processing, improve financial accuracy, reduce friction across stakeholders, and enhance program performance. They translate business and market needs into clearly defined product requirements, prioritized backlogs, and outcome-based success metrics. Through close partnership with engineering, architecture, operations, and commercial teams, they ensure scalable, reliable, and compliant solutions are delivered with clarity around scope, acceptance criteria, and quality expectations. The role also drives continuous improvement through data-driven experimentation and iteration—leveraging launch results, performance metrics, and customer feedback to optimize capabilities, expand impact, and inform strategic investment decisions. As the product manager for these critical benefit platforms and enterprise experience layers, this leader ensures alignment across cross-functional teams while maintaining a strong focus on long-term platform scalability, customer value, and business growth. To Be Successful in This Role, the Ideal Candidate Will - Develop deep expertise across Coordination of Benefits (COB), Pharma Copay programs, Client Organization Model Administration (Hierarchy), Member Portal experiences, and Benefit Administration Portal navigation. - Understand how enterprise client hierarchies mirror real-world organizational structures and how those structures drive benefit configuration, eligibility, reporting, and operational workflows. - Distill complex healthcare benefit, compliance, and platform concepts into clear, actionable insights for both technical and non-technical stakeholders. - Balance regulatory requirements, operational efficiency, financial accuracy, and user experience when defining product direction. - Think holistically about the enterprise platform experience—ensuring cohesive navigation and intuitive workflows across modules. Expectations - Serve as the subject matter expert for COB, Pharma Copay programs, Client Organization Model Administration (Hierarchy), Member Portal capabilities, and Benefit Administration Portal navigation within RxIQ. - Lead strategy and execution for system enhancements, new client implementations, RFP support, and configuration models across these domains. - Ensure client organizational structures are scalable, flexible, and accurately represented within the platform to support complex enterprise needs. - Drive evolution of the Member Portal to enhance self-service capabilities, transparency, and engagement for end users. - Shape and optimize high-level enterprise navigation patterns to ensure consistent, logical, and efficient user flows across the RxIQ platform (excluding direct IAM ownership). - Remain current with regulatory and industry requirements (COB, Medicare, Medicaid, and related benefit regulations) to ensure ongoing compliance. - Partner with engineering, architecture, operations, and commercial teams to define quarterly roadmaps aligned to long-term platform vision. - Collaborate across adjudication and other core enterprise product areas to maintain a comprehensive understanding of the full RxSense platform ecosystem. - Own and manage the product backlog, prioritizing development based on measurable business impact, customer value, scalability, and risk mitigation. - Develop detailed feature specifications with clear acceptance criteria and outcome-based success metrics. - Leverage data, performance metrics, launch outcomes, and customer feedback to drive continuous improvement and strategic investment decisions. - Demonstrate strong systems thinking and intellectual curiosity to understand how benefit logic, hierarchy models, and enterprise workflows function at a foundational level. - Define and execute a forward-looking strategy across benefit platforms and enterprise experience layers that aligns with RxSense business goals and customer needs. Desired Skills & Experience - 4+ years of experience at a PBM or healthcare organization, with direct exposure to Coordination of Benefits (COB), Medicaid, and/or Medicare programs. - 4+ years working within agile product teams, business functions, or related environments. - Experience with benefit administration platforms, organizational hierarchy models, or enterprise SaaS configuration tools strongly preferred. - Familiarity with member-facing web or mobile portal experiences and UX considerations. - Understanding of enterprise SaaS navigation frameworks and cross-module user experience design. - Experience using JIRA (or similar tools) for roadmap planning, backlog management, sprint visualization, and prioritization. - Proven ability to self-manage, make data-driven decisions, and operate both autonomously and collaboratively in cross-functional environments. - Strong written and verbal communication skills, with demonstrated ability to align engineering, operations, compliance, and commercial stakeholders. - Strategic mindset with the ability to connect platform scalability, customer value, compliance requirements, and business growth objectives. Salary Range: 100,000 - 149,000 RxSense believes that a diverse workforce is a more talented and productive workforce. As such, we are an Equal Opportunity and Affirmative Action employer. Our recruitment process is free from discriminatory hiring practices and all qualified applicants are considered for employment without regard to race, color, religion, sex, gender, sexual orientation, gender identity, ancestry, age, or national origin. Neither will qualified applicants be discriminated against on the basis of disability or protected veteran status. We believe in the strength of the collaboration, creativity and sense of community a diverse workforce brings.