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Sr. Director
Multi-PBM Program
Updated on 2/1/2023
Locations
Remote • United States
Experience Level
Entry
Junior
Mid
Senior
Expert
Requirements
  • MBA or equivalent experience
  • Experience working with complex systems and large datasets
  • Excellent understanding of claims processing and margin drivers
  • Creative spirit with pragmatic problem solving
  • Ability to dive into the details to develop creative solutions to optimize margin at the micro and macro level
  • Ability to manage the needs of the business, our partner PBMs, and most of all our end users
  • Excellent written and verbal communication skills
  • Ability to respond calmly, quickly, and decisively to unpredictable or unexpected events and changes
Responsibilities
  • Increase program volume by optimizing prices for our end users through our multi-PBM platform
  • Improve margin by developing algorithms that channel claim adjudication to our partner PBMs driven by our needs, our partner goals, and our end users
  • Expand program capabilities, increase program flexibility and expand the program to additional business segments by working with IT
  • Partner with internal stakeholders to organize data and build a business case for specific solutions and programs
  • Investigate and identify new opportunities through analysis
  • Identify important partners and decision makers within potential and existing businesses and create meaningful lasting relationships
  • Establish regular consistent communication with potential and existing partners including reporting and quarterly business reviews
  • Develop a solid overall understanding of company products and solutions
  • Develop team members
RVO Health

1,001-5,000 employees

Digital media healthcare platform