Career Opportunities with Capital Rx

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Clinical Operations Specialist

Department: Clinical Operations

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

Position Responsibilities:

  • Supports the development of Capital Rx’s autonomous pharmacy and therapeutics functions
  • Interpret fiscal and operational needs to support Capital Rx’s business goals
  • Creates financial modeling to identify opportunities for rebate optimization and lowest net cost strategies
  • Works cross-functionally with internal and external stakeholders to develops strategies and identifies opportunities for new or enhanced financial opportunities related to drugs/drug classes
  • Creates and implements metrics and supports performance measures to establish rebate performance objectives
  • Implements new processes and best practices related to formulary and rebate optimization
  • Work collaboratively with internal and external stakeholders
  • Responsible for the adherence to the Capital Rx Code of Conduct including reporting of noncompliance

Minimum Qualifications:

  • Bachelor's Degree required
  • Experience in managed health care or pharmacy benefit management
  • Experience performing analyses on medical and pharmacy claims to identify opportunities for cost optimization
  • Knowledge of data management and modeling
  • Skilled in Excel, SQL and Tableau
  • Proven ability to work well and collaboratively, with multiple teams or departments for business growth or profitability goals
  • Ability to balance multiple complex projects simultaneously
  • Exceptional written and verbal communication skills
  • Extremely flexible, highly organized, and able to shift priorities easily
  • High attention to detail and a self-starter
  • Commitment to delivering high quality work product

Preferred Qualifications:

  • Advanced degree, preferred
  • Experience with contracting negotiations, strategy development and contract redlining experience, preferred

Base Salary: $85,000 - $115,000

Nothing in this position description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

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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