Solutions Architect

🕒 Setembro 30

🌵 Arizona – Remoto

🌵 Arizona – Remote

💵 $85.000 - $118.000 / ano

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

💻 Engenheiro de Soluções

👻 Score fantasma 11%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 41 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.

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Personify Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2023

🏥 Saúde

💼 Consultoria

📦 Logística

Healthcare • Consulting • Logistics

A Personify Health é a primeira empresa de plataforma de saúde personalizada, projetada para capacitar indivíduos e organizações a alcançar melhores resultados de saúde através de soluções e serviços sob medida. Eles oferecem uma gama abrangente de soluções, incluindo navegação de bem-estar, gerenciamento de cuidados e administração de planos de saúde, atendendo a empregadores, sistemas de saúde, planos de saúde e corretores. Seu objetivo é simplificar as experiências de saúde e aumentar o engajamento, ajudando, em última análise, as empresas a otimizar seu investimento na saúde e bem-estar dos colaboradores.

Descrição

• Design end-to-end TPA operational workflows across eligibility, claims, billing, and benefit administration • Translate ambiguous cross-functional operational requirements into structured solutions • Map current-state PBM systems and build future-state data flows and file exchanges • Partner with Pharmacy Strategy to establish file formats, data exchange standards, and SLAs • Lead PBM partner performance reviews and escalation management • Drive new vendor onboarding, including legal, data-sharing, and technical requirements through go-live • Partner with PBMs to influence product development for current and prospective clients • Develop training materials and educate Account Management, Implementation, and Tech Ops • Monitor drug cost containment, PMPM performance, and vendor cost outcomes • Identify savings opportunities • Maintain pricing structures and rebate guarantees • Negotiate rebate and pricing agreements • Provide leadership visibility into TPA and PBM operational health • Represent program performance in client reviews • Build SOPs and documentation supporting continuous improvement

🎯 Requisitos

• 7+ years of experience in healthcare, TPA operations, product, systems architecture, implementation, or related fields • Background in PBM operations, data file formats, data dictionaries, and compliance requirements • Experience with pharmaceutical rebate structures, formulary management, and drug cost containment strategies • Working knowledge of legal and regulatory requirements governing PBM operations and data sharing, including HIPAA and CMS • Track record mapping complex processes and building end-to-end workflow designs • Knowledge of data management systems and analytics tooling • Knowledge of PBM data file formats and data exchange standards • Knowledge of rebate and pricing agreement structures • Knowledge of process documentation and SOP development tools

🏖️ Benefícios

• Competitive base salary • Comprehensive medical and dental through our own health solutions • Unlimited PTO • Mental health support • Retirement planning • Financial protection • Professional development with clear career progression and learning budgets • Mission-driven culture where diverse perspectives drive real impact • Wellness programs • Other employee perks • Full benefits package starting day one

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