PBM Operations Specialist

Job Description

Job Description

We are a Chicago-based technology startup that is leading a new way forward for prescription care. We're rethinking the pharmaceutical supply chain, introducing AI-driven marketplaces that drive down costs, and new consumer tools that guide decisions on care. Led by a team of industry experts, we're fixing the high costs and broken experiences that define our pharmaceutical supply chain. We believe that better pricing, more information, and smarter tools can lower costs, empower consumers and help payers take control of their pharmacy benefits. The technology we're building is the start of a new way of working together – making better outcomes possible for all.

Waltz Health Values

• Integrity : We are committed to protecting the value of clinical care across the pharmaceutical system. We are truthful and honest in our commitments with all our partners.
• Inclusion : We advocate for change that benefits us all, a smarter system that works together. We embrace our differences as well as the unique perspectives our employees and partners bring with them.
• Access : We are focused on breaking down barriers to bring choice back to the healthcare experience. We want to help all our partners get the right prescription care at the right cost.
• Accountability : We take ownership of the quality of our work and the outcomes we deliver. Our focus is on delivering a best-in-class experience for our partners while achieving bold targets.
• Progress : We believe in moving healthcare forward in everything we do. We strive for a culture that is innovating better ways to deliver pharmaceutical care.

Job Description

Waltz Health is looking for a thoughtful, detail-oriented, organized, passionate, and creative PBM Operations Specialist who can both understand the strategic vision of our company and apply that understanding to help improve the healthcare experience and outcomes of patients. This individual will assist with the implementation and maintenance of pharmacy adjudication plans. Specifically supporting the Waltz Connect Product, with a focus on the Specialty and GLP-1 opportunities as well as our ISP Integrated Savings Programs. Deep curiosity and a desire to learn along with industry and functional experience will be critical to success in this role. As a Waltz PBM Operations Specialist, you will partner with business stakeholders and clients to understand the voice of the customer and translate that information into fully functional, high-quality pharmacy adjudication plans. The successful PBM Operations Specialist will play an essential part in the implementation and maintenance of plans supporting key clients and partners. The ideal candidate for this role will be able to combine a strong analytical and technical mindset with the ability to translate requirements into functional plan designs.

In this important role, you will collaborate with our entire team, including our Product Team, VP and SVP of Product, Chief Strategy Officer, and Chief Technology Officer.

This role reports to our Vice President, Pharmacy Product Management. You will primarily focused on the following responsibilities :

In the first 90 days you, will :

You will be successful because you have these traits and skills :

We'd love for you to have these qualifications :

Pay Range

$60k - $80k Annual salary

Benefits for Full-Time Employees