M

MedImpact

Independent PBM reducing prescription costs

Build & Deployment Engineer II

Full-TimePosted on 10/21/2026
$111k - $199.8k+ Incentive compensation + 401(k) match
Senior, Expert
Bachelor's
San Diego, CA, USA
In PersonOn-site at the San Diego headquarters; domestic travel up to 10%.
DevOps & InfrastructurePlatform Engineering, DevOps Engineering
No H1B Sponsorship

About the job

Requirements
  • A Bachelor of Science or Bachelor of Arts degree and 8+ years of experience, or an equivalent combination of education and experience, plus 4 years of subject-matter expertise in the respective areas.
  • Excellent Bash, Python, and/or Groovy scripting skills.
  • Excellent understanding of software build and deployment automation frameworks.
  • Multi-year hands-on experience with industry-standard continuous integration and continuous delivery tools such as Jenkins, Git, Artifactory, Ansible, ArgoCD, and Kubernetes.
  • Hands-on expertise with Kubernetes in Azure Kubernetes Service and private cloud, including cluster administration, workload scheduling, networking (CNI), storage (CSI), role-based access control, and troubleshooting.
  • Experience with Kubernetes packaging and deployment tools such as Helm, Kustomize, and GitOps tools such as ArgoCD and Flux.
  • Multi-year hands-on experience with industry-standard continuous integration and continuous delivery and DevOps tools such as Jenkins, GitLab CI, Git, Artifactory/Nexus, and Ansible.
  • Solid UNIX command-line and Windows operating-system experience.
  • Excellent understanding of the Software Development Life Cycle.
  • Multi-year experience and excellent working knowledge of Agile and Waterfall methodologies.
  • Experience with Microsoft Project Management or similar software.
  • Experience with Microsoft Word, Excel, PowerPoint, and Outlook.
  • Ability to train and mentor less experienced staff.
  • Ability to schedule and prioritize multiple projects to ensure timely and effective delivery of IT solutions.
  • Ability to translate technical concepts to non-technical audiences in written and verbal communications.
  • Ability to work on a team and foster productive relationships with peers, management, and external clients.
  • Ability to manage multiple concurrent projects with changing priorities and deadlines.
  • Ability to work beyond standard business hours as needed.
  • Ability to apply principles of logical or scientific thinking to intellectual and practical problems.
  • Ability to apply advanced mathematical concepts such as exponents, logarithms, quadratic equations, and permutations.
  • Ability to read, analyze, and interpret scientific and technical journals, financial reports, and legal documents.
  • Ability to meet the physical demands of the job, including regularly sitting, talking or hearing, standing, walking, using hands to handle objects, occasionally lifting or moving up to 25 pounds, and maintaining close vision, color vision, and depth perception.
  • Ability to work in an environment with potential exposure to moving mechanical parts, high or precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather, electrical shock, or vibration; noise is usually moderate.
  • Must work on-site at the San Diego headquarters; remote work is not an option.
  • Must be able to work nights, weekends, or holidays as required and accommodate changes to work hours.
  • Must be willing to travel domestically up to 10% of the time.
Responsibilities
  • Research, recommend, and implement enhancements to software delivery processes and infrastructure, with emphasis on Kubernetes-based container orchestration.
  • Collaborate with IT Development and IT Operations to design and implement modern continuous integration and continuous delivery pipelines, GitOps workflows, and scalable deployment automation for on-premises systems and public cloud.
  • Apply continuous integration and continuous delivery and GitOps principles to design, develop, and maintain software build and deployment automation pipelines.
  • Design, deploy, and maintain on-premises Kubernetes and associated workloads, including Helm charts, Operators, and custom resource definitions.
  • Build and maintain containerized application delivery pipelines using Docker and Kubernetes-native tooling, including Helm, Kustomize, and ArgoCD.
  • Maintain continuous integration and continuous delivery infrastructure and developer tooling, including Jenkins/GitLab CI, Git, Artifactory/Nexus, Ansible, and Terraform.
  • Research and communicate continuous integration and continuous delivery, container orchestration, and platform engineering improvements.
  • Implement infrastructure as code practices using Terraform, Ansible, or Helm to provision and manage on-premises virtual machines, bare-metal servers, and Kubernetes infrastructure.
  • Integrate observability, logging, monitoring, and alerting tools such as Prometheus, Grafana, VictoriaMetrics, Splunk, and vmagent into pipelines for on-premises Kubernetes, cloud, and virtualized environments.
  • Implement DevSecOps practices, including automated security scanning, image vulnerability scanning, and policy enforcement using tools such as Trivy, Checkmarx, SonarQube, Semgrep, and JFrog.
  • Support API lifecycle management and automation using API gateway and management platforms such as Gravitee, including API deployment pipelines, policy configuration, and developer portal integration.
  • Recommend new technology, industry best practices, and process improvements to IT management.
  • Communicate and present designs in group settings.
  • Adopt techniques and technologies to improve software delivery efficiency.
  • Apply software engineering techniques and standards to reduce coding errors and ensure robust, efficient work products.
  • Provide documentation, training, and mentoring to IT staff on continuous integration and continuous delivery processes and tools.
  • Attend job-related training, user groups, and conferences, then suggest improvements to existing processes and tools.
  • Share knowledge with other IT staff.
  • Manage client interactions by handling difficult or emotional situations, responding promptly to client needs, soliciting feedback, responding to service requests, and meeting commitments.
Desired Qualifications
  • Familiarity with the pharmacy benefit management business model, including plans, programs, and practices, and with pharmaceutical practices and nomenclature is helpful.

About the company

MedImpact is an independent pharmacy benefit manager (PBM) serving health plans, self-funded employers, and government entities. It designs and administers prescription drug benefits to lower costs and improve member health, including core PBM services, clinical programs, and specialty drug management. It operates at a large scale with transparency and flexible pricing, negotiating rebates and processing claims for clients. Its goal is to reduce prescription drug costs while improving health outcomes through data-driven, end-to-end benefit management.

Company Size

1,001-5,000

Company Stage

Seed

Total Funding

$2.8M

Headquarters

San Diego, California

Founded

1989

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Simplify's Take

What believers are saying

  • Claria launched September 29, 2026 with claim-level rebate transparency and PMPM guarantees.
  • HCG X won PBMI’s 2026 award after 80.6% PMPQ savings and 5:1 ROI.
  • September 24, 2026 hiring of Rebekah Gregg accelerates commercialization of new digital offerings.

What critics are saying

  • The planned Medical Card System purchase adds $2.2 billion second-lien debt in 2026.
  • Puerto Rico Medicare Advantage integration creates execution risk across regulators, networks, and claims systems.
  • If employers reject rebate-driven PBMs, MedImpact’s margin base shrinks and scale erodes.

What makes MedImpact unique

  • Claria’s four pricing models give buyers rebate, guarantee, and control choices.
  • MedImpact remains the largest independent PBM, serving 20 million members.
  • URAC’s 2026 perfect accreditation score signals disciplined operations and quality control.

Help us improve and share your feedback! Did you find this helpful?

Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Wellness Program
  • Unlimited Paid Time Off
  • Paid Vacation
  • 401(k) Company Match
  • Life Insurance
  • Disability Insurance
  • Tuition Reimbursement
  • Employee Referral Bonus

Growth & Insights and Company News

Headcount

6 month growth

3%

1 year growth

12%

2 year growth

13%
Access Market Intelligence
Oct 2nd, 2026
MedImpact launches Claria, a new approach to transform PBM economics.

MedImpact launches Claria, a new approach to transform PBM economics. Serving more than 20 million members and processing more than $40 billion in pharmacy transactions annually, MedImpact has the scale, resources, technology, and solutions to provide payers a better choice in the market for pharmacy benefits and health solutions. MedImpact recently introduced Claria, an industry-first approach that transforms PBM economics by giving plan sponsors the increased transparency, control, and predictability they need to confidently manage pharmacy spend in today's healthcare landscape. The company believes payers should not choose between rebates, flexibility, and financial certainty. That's why Claria offers four configurable models, all with transparent pricing, to meet each organization's unique needs: * Claria Direct - Designed for organizations that want to maximize control over their pharmacy strategy, Claria Direct offers the ability to customize formularies, networks, dispensing channels, and value-added services. * Claria Assure - Offers modernized pricing strategies with the flexibility to customize program features all with the financial confidence of guarantees. * Claria One - A PMPM guarantee and a formulary strategy built around lower-cost therapeutic options designed for organizations seeking the highest level of financial accountability and cost management. * Claria Align - By guaranteeing a plan's PMPM spend dollar for dollar, Claria Align delivers the highest level of accountability in the portfolio and is designed to deliver the lowest pharmacy costs. In August 2026, Yahoo Finance reported that MedImpact was in talks to receive a $2.2 billion second-lien private credit loan to support the company's proposed acquisition of Medical Card System, a healthcare services organization. Medical Card System, owned by Kinderhook-backed MHH Healthcare, offers insurance plans and managed care for Medicare Advantage members in Puerto Rico. #MedImpact #PBM #Claria #pharmacybenefit #transparency #medicalcardsystem

The Mirror Democrat and Savanna Times-Journal
Sep 29th, 2026
MedImpact launches Claria(TM), a distinctively new approach to delivering pharmacy benefits.

MedImpact launches Claria(TM), a distinctively new approach to delivering pharmacy benefits. * 5 hrs ago MedImpact, the nation's largest independent pharmacy benefit and health solutions company, today introduced Claria(TM), an industry-first approach that transforms PBM economics by giving plan sponsors the increased transparency, control, and predictability they need to confidently manage pharmacy spend in today's healthcare landscape. "Claria provides a new way of delivering pharmacy benefits to our clients. It brings together the scale of MedImpact's organization to deliver competitive economics with the flexibility for clients to choose the model that meets their needs. Most importantly, Claria is designed to align our compensation with our clients' goals of managing pharmacy spend, controlling trend, and improving access to care," said MedImpact Executive Vice President Zach Johnson. "Plan sponsors gain visibility into the true net cost of medications, greater control over clinical strategies, and enhanced budget predictability." Predictability Without Compromise. Mycarrollcountynews believe payers should not have to choose between rebates, flexibility, and financial certainty. That's why Claria offers four configurable models, all with transparent pricing, to meet each organization's unique needs: * Claria Direct - Designed for organizations that want to maximize control over their pharmacy strategy, Claria Direct offers the ability to customize formularies, networks, dispensing channels, and value-added services. * Claria Assure - Offers modernized pricing strategies with the flexibility to customize program features all with the financial confidence of guarantees. * Claria One - A PMPM guarantee and a formulary strategy built around lower-cost therapeutic options designed for organizations seeking the highest level of financial accountability and cost management. * Claria Align - By guaranteeing a plan's PMPM spend dollar for dollar, Claria Align delivers the highest level of accountability in the portfolio and is designed to deliver the lowest pharmacy costs. Informed Decision Making. Claim-level rebate transparency provides visibility into the net cost of every medication, enabling more informed financial and clinical decision-making. Plan Control Over Pharmacy Strategy. Plans may implement formulary, utilization management, biosimilar, and network strategies based on their organization's needs. Aligned Incentives. Claria aligns PBM compensation with services and solutions rather than drug mix, creating a stronger partnership with a continued focus on managing cost, trend, and outcomes. Member Affordability. Mycarrollcountynews recognize that its clients value and prioritize affordable pharmacy benefits for their members. Claria will position MedImpact to lay the foundation that aligns and empowers Mycarrollcountynews to build pharmacy plans that prefer the lowest cost, and therapeutically appropriate medication now more than ever. "MedImpact has been an independent company for nearly 40 years, and we have been committed to delivering clarity and control to our clients since our inception," said Johnson. "With Claria, we are taking that commitment to an entirely new level and providing clients with even greater flexibility and freedom to navigate today's healthcare landscape." About MedImpact San Diego-based MedImpact Healthcare Systems, Inc. is the nation's largest independent health solutions, technology, and pharmacy benefit management provider. For 35 years, MedImpact has helped commercial and government healthcare payers improve member health, manage benefits, and reduce drug costs. Today, MedImpact serves more than 20 million members and processes more than $40 billion in pharmacy transactions annually. To learn more, visit Mycarrollcountynews online, follow Mycarrollcountynews on LinkedIn, or contact Mycarrollcountynews at [email protected]. Media gallery

MedImpact
Sep 24th, 2026
MedImpact names Rebekah Gregg Senior Vice President of Marketing and Digital Solutions.

MedImpact names Rebekah Gregg Senior Vice President of Marketing and Digital Solutions. Pharmacy benefits executive will help the company communicate its affordability, technology, and clinical solutions to a healthcare industry undergoing change SAN DIEGO, CA - September 24, 2026 - MedImpact, the nation's largest independent pharmacy benefit and health solutions company, has named Rebekah Gregg Senior Vice President of Marketing and Digital Solutions. Gregg joins as MedImpact brings to market new solutions that give healthcare payers greater visibility, choices, and control over pharmacy benefits and lower costs for both members and plans. "Rebekah has spent much of her career working closely with payers and knows what challenges our clients face, what they need, and how to communicate it clearly," said MedImpact Executive Vice President Zach Johnson. "Her timing is excellent. We have exciting work underway and she is the right person to help us bring new solutions to the market." Payers today are facing rising drug prices, new therapies with historically high price tags, changing regulatory and marketplace dynamics, and an affordability crisis for members at the counter. An independent company for nearly 40 years, MedImpact is taking bold action by re-engineering the drug supply chain and rolling out new technologies, formularies, models, and clinical programs. Rebekah's expertise will be critical in communicating the value of the company's innovative solutions to the marketplace. Gregg joins MedImpact from Pharmaceutical Strategies Group (PSG), an EPIC company, where she served as Chief Operating Officer. In that role, she oversaw marketing, research, and operations, and an analytics platform that was used by payers covering more than 16 million members. She also led the firm's research and satisfaction studies, giving her a close view of what plan sponsors look for in pharmacy benefit partners. Keep up to date on the latest in the industry. Press Releases Claria transforms PBM economics by giving plan sponsors the transparency, control, and predictability they need to maximize their investment in medications Press Releases HCG X program provides payers 80.6% PMPQ savings and a 5:1 ROI in year one Press Releases Leveraging supply chain innovation and award-winning lifestyle management program, new solutions deliver lower costs, improved clinical care, and greater member access Press Releases By re-engineering the drug supply chain and formularies, Patel and the MedImpact team are increasing transparency, predictability and affordability

MedImpact
Sep 11th, 2026
MedImpact wins 2026 PBMI Excellence Award for high-cost generics solution.

MedImpact wins 2026 PBMI Excellence Award for high-cost generics solution. HCG X program provides payers 80.6% PMPQ savings and a 5:1 ROI in year one SAN DIEGO, CA - September 11, 2026 - MedImpact, the nation's largest independent pharmacy benefits and health solutions company, today announced that HCG X(R), a clinically driven solution that delivers significant savings on high-cost generic (HCG) medications, has won the 2026 Pharmacy Benefit Management Institute(R)(PBMI) Excellence Award for Cost Containment. "Despite common misconceptions, not all generic drugs are inexpensive. In fact, some are much more costly than therapeutically equivalent products," said Arpit Patel, Senior Vice President, Trade Relations and Supply Chain. "As specialty drugs and GLP-1s cause pharmacy spend to spiral, our HCG solutions are delivering real savings with little to no member disruption." Using advanced analytics to track prices and claim costs for more than 2,000 drugs, HCG X excludes high-cost generics when there are clinically appropriate, lower-cost alternatives. After just one year using the HCG X program, clients experienced an average of 80.6% reduction in per member per quarter (PMPQ) spend-and greater than 5:1 ROI. One hundred percent of clients reported satisfaction with this solution, citing its value, level of support, and financial impact. "Our HCG solution is another example of our drive to lower costs without compromising access," continued Patel. "And it is further proof that payers shouldn't have to choose between lower costs and quality care." Each year, the PBMI Excellence Awards recognize organizations demonstrating innovation and leadership, and making a measurable impact on the pharmacy benefit management industry. MedImpact was also recognized in 2025 for its MedEmpower Fuel(R) personalized health and wellness app. Keep up to date on the latest in the industry. Press Releases Leveraging supply chain innovation and award-winning lifestyle management program, new solutions deliver lower costs, improved clinical care, and greater member access Press Releases By re-engineering the drug supply chain and formularies, Patel and the MedImpact team are increasing transparency, predictability and affordability Client News Biosimilars represent one of the most powerful opportunities to reduce specialty drug costs for payers and members and expand access to effective t Press Releases Strategic expansion strengthens proximity to major East Coast employers and payers while enhancing service for clients east of the Mississippi

Fox Business
Aug 13th, 2026
Nine major PBMs to display TrumpRx prescription drug prices from 2027

Nine pharmacy benefit managers will integrate TrumpRx prescription drug pricing into their benefit tools, effective 1 January 2027. The Pharmaceutical Care Management Association and participating PBMs—including CVS Health, Express Scripts, Humana, and OptumRx—will display cash prices from TrumpRx alongside plan coverage costs. The agreement covers commercial, Medicare, and Medicaid plans. Patients will see TrumpRx prices for all listed drugs, whether through presidential deals or standard pricing. CMS Administrator Dr Mehmet Oz said the commitment will help patients compare prices and find better deals. PCMA CEO David Marin stated the transparency will allow consumers to make better-informed choices about prescription drug costs. Some PBMs will use Real Time Benefit Tools to display pricing comparisons, whilst others may employ different methods.