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Liviniti

501 - 1000 employees

Founded 2011

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Liviniti is a pass-through pharmacy benefit manager (PBM) that helps employers and health systems reduce prescription drug costs through transparent pricing, clinical programs, and drug sourcing. The company offers 100% rebate pass-through, a flat administrative fee, access to claims and rebate details for full visibility, customizable formularies and networks, prior authorization focused on lowest net cost, and specialized solutions like LivLite for managing GLP‑1 weight-loss drugs. Liviniti emphasizes B2B service, clinical value, and continuous innovation to lower pharmacy spend while maintaining member support and service.

📋 Description

• Ensure adherence to best practices and industry standards • Collaborate with cross-functional teams to gather requirements and translate business needs into technical solutions • Architect and optimize database structures for efficient data storage and retrieval in the adjudication system • Implement backend functionalities and business logic supporting business processes, accuracy, and regulatory compliance • Advise leadership and the technology team on project status and improvement opportunities • Work independently and within a team on special nonrecurring and ongoing projects • Abide by HIPAA obligations related to Protected Health Information (PHI) • Complete required HIPAA training and demonstrate competency • Mentor junior developers on cost-effective development and coding best practices • Troubleshoot problems and provide effective paths forward • Document architecture, workflows, and implementation guides for internal and external stakeholders • Develop and integrate RESTful APIs • Communicate with management, customers, vendors, business partners, and external technical teams • Ensure compliance with HIPAA, HITRUST, and other healthcare data security standards

🎯 Requirements

• Proficiency with Visual Studio • Proficiency with C# • Proficiency with SQL Server stored procedures, functions, and general administration • Experience with Git repositories • Experience with flow-charting tools such as Lucid Charts • Understanding and some experience in Figma • Experience with Azure DevOps build pipelines and releases • Ability to work with external APIs for internal business processes • Ability to identify cost-effective development solutions • Ability to mentor junior developers • Ability to communicate effectively across management levels, customers, vendors, and business partners • Ability to troubleshoot problems in unknown situations and provide effective feedback • Ability to work independently and make logical business decisions with general guidance • Ability to consolidate ideas and collaborate with cross-functional working groups • Working knowledge of prescription claim electronic data interchange and the pharmacy reimbursement cycle • Familiarity with pharmacy management, including adjudication, formularies, and pricing is a significant plus • Ability to communicate with outside vendors and their technical teams • Compliance with HIPAA, HITRUST, and other healthcare data security standards • Proficiency in RESTful API development and integration • Five years of software engineering experience • Minimum of five years of experience in the Healthcare or Claims Adjudication space • Two years of software engineering experience in a healthcare finance setting is preferred • Direct healthcare finance experience, especially self-funded medical benefit plans or healthcare provider connectivity • Experience with Surescripts RTPC, ePrescriber, and Touchless PA • Familiarity with NCPDP Script, X12, and other pharmacy-related standards • Experience with Mirth Connect, Redox, or InterSystems HealthShare • Familiarity with EHR systems and pharmacy benefit managers (PBMs) • Working knowledge of MediSpan drug data • Availability during core hours of 8:00AM to 5:00PM CT • Ability to work extended hours, weekends, and holidays as required by industry demands

🏖️ Benefits

• Medical, Dental, Vision Insurance • Disability and Life Insurance • Employee Assistance Program • Remote Work Options • Generous Paid-Time Off • Annual Reviews and Development Plans • Retirement Plan with company match immediately 100% vested • Minimal travel (1% - 5%) may be required from the remote location

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