Location: Remote (For Non-Local) or Hybrid (Local to NYC area)

Position Summary:

As a member of the Enterprise Solutions team, you will pay a critical role in contributing to the success of Capital Rx’s customers leveraging JUDI, our Enterprise Health Platform, to service their own pharmacy administrative needs. The Enterprise Solution team seeks individuals who are passionate to change the landscape of claims processing while providing superior service. The expectations for growth in this role are to push beyond the core subject matter areas of expertise and serve as an expert across all domains of JUDI.

Position Responsibilities:

• Accountable for accurate translation of data analytics and reporting requirements of Capital Rx’s Software as a Service (SaaS) customers for migration and ongoing use of JUDIs data warehouses.
• Support all analytics needs of the Enterprise Solutions team members and customers.
• Leading the creation of tools and processes needed to support data transformation during and after migration.
• Execute and support existing processes such as, but not limited to:
  • Intake and conversion process for historical client data files that supports the needs of all stakeholders and streamlines the member experience.
  • Benefits and networking testing automation.
  • Member profile data migrations
  • Go live reporting suite, reducing manual review.
• Provide customers facing subject matter expertise support on JUDI’s reporting capabilities.
• Build and maintain trusting relationships with customers through superior customer service, meeting or exceeded service level metrics.
• Proactively identify execution risks that would inhibit successful launch in JUDI or negatively impact member experience and propose mitigation strategies.
• Responsible for ongoing customer support working directly with customers, vendors, and operations teams to achieve positive outcomes, within the required turnaround times to meet service level agreements.
• Take charge of critical issues or problems to key stakeholders, ensuring swift resolution and communication.
• Support testing for new JUDI functionality and regression testing to ensure new enhancements are functioning as expected and accurately processing claims transactions.
• Mentor, teach and train users on analytic skills to advance their roles.
• Provide virtual and in person product demonstrations, with the ability to sell product differentiators and resonate with current operational challenges.
• Certain times of year may require meeting participation, travel, service support or other requirements outside of standard business hours, including weekends.

Required Qualifications:

• Bachelor’s degree, with record of strong academic performance in Computer Science, Actuarial Science, Statistics, or Economics
• PBM / health plan experience preferred
• 4-5 years of proven experience in data & analytics, benefits consulting, financial consulting, etc.
• 2-3 years of experience working with AWS Redshift, and Snowflake
• Experience performing complex analyses on large sets of data
• Knowledge of data management, statistics, modeling
• Experience working with structured and unstructured data
• Proficient in SQL, JSON, Java, R, Excel, and other data visualization tools
• Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
• Extremely flexible, highly organized, and able to shift priorities
• Attention to detail & commitment to delivering high quality work product
• Ability to work effectively with virtual teams
• Ability to travel 5-10%

About Capital Rx

Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation’s electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp™, Capital Rx is executing its mission through the deployment of JUDI®, the company’s cloud-native enterprise health platform, and a Single-Ledger Model™, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare.

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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