PBM Proposal Coordinator

True Rx Health Strategists; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

A leading healthcare technology company is seeking a Solutions Architect to innovate Pharmacy Benefit Management solutions. This role involves designing IT systems, ensuring compliance, and collaborating with stakeholders to enhance performance. Join a dynamic team that values innovation and integrity in healthcare.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

401k Matching

Paid Time Off

Flex Time

Wellness Incentives

Employer-Provided Life Insurance

Qualifications

• 7+ years in IT architecture, with at least 3 years in a PBM or healthcare environment.
• Experience with cloud computing, microservices, and healthcare interoperability standards.

Responsibilities

• Architect and design end-to-end IT solutions for PBM functions.
• Provide technical expertise and architectural guidance to development teams.
• Ensure compliance with industry regulations and implement security best practices.

Skills

Leadership

Communication

Problem-Solving

Analytical Mindset

Education

Bachelor's Degree

Tools

AWS

Azure

GCP

SQL

NoSQL

Job description

Direct message the job poster from True Rx Health Strategists

Exciting Career Opportunity: Solutions Architect at True Rx Health Strategists

Are you a dynamic IT leader with a passion for innovation in healthcare technology? True Rx Health Strategists is seeking an experienced Solutions Architect to join our team and play a key role in shaping the future of Pharmacy Benefit Management (PBM) solutions. As a Solutions Architect, you'll lead the design and implementation of cutting-edge IT systems that drive efficiency, enhance performance, and ensure compliance with healthcare regulations.

As the Solutions Architect, you'll architect and design end-to-end IT solutions that support a wide range of PBM functions, from claims processing and eligibility to formulary management and pharmacy network services. You'll work alongside business stakeholders, IT teams, and vendors to ensure the successful implementation of these solutions while maintaining alignment with our strategic goals.

100% Remote except in-office as needed for meetings and trainings

Key Responsibilities:

• Architect & Design Solutions: Develop end-to-end IT solutions to support PBM/vendor implementations & operations, including claims processing, eligibility, formulary management, and pharmacy network services.
• Technical Leadership: Provide technical expertise and architectural guidance to development teams, ensuring best practices in system design, security, and scalability.
• Integration Strategy: Design and oversee API, streaming, and system integration strategies to ensure seamless data exchange across internal and external platforms, including health plans, providers, and pharmacies.
• Compliance & Security: Ensure solutions comply with industry regulations (HIPAA, HITECH, SOC 2) and implement security best practices.
• Stakeholder Collaboration: Work closely with business leaders, product managers, QA, Operations, and IT teams to translate business needs into actionable technical solutions.
• Technology Evaluation: Assess emerging technologies and industry trends to recommend and implement innovative solutions that drive efficiency and competitive advantage.
• Documentation & Standards: Develop and maintain architectural standards, best practices, and technical documentation.

What You Bring:

• Experience: 7+ years in IT architecture, with at least 3 years in a PBM, healthcare, or payer environment.
• Technical Expertise:
• Cloud computing (AWS, Azure, or GCP)
• Microservices architecture, RESTful APIs, and event-driven designs
• Healthcare interoperability standards (FHIR, HL7, EDI)
• Database technologies (SQL, NoSQL)
• Enterprise integration patterns, ETL, middleware solutions
• Security frameworks and compliance standards (HIPAA, HITRUST, NIST, SOC 2)
• Soft Skills: Strong leadership, communication, and problem-solving abilities, with a knack for influencing stakeholders at all levels.
• Analytical Mindset: A natural systems thinker with logical and critical problem-solving skills.
• Path to Wellness: Health, Vision, & Dental Insurance, Health Savings Account, and Wellness Incentives for a balanced life.
• Financial Fitness: 401k Matching and Employer-Provided Life Insurance to secure your future.
• Work-Life Harmony: Flex Time, Hybrid/Fully Remote Work, Paid Time Off, and 8 Paid Holidays for a well-rounded lifestyle.

Our Story:

We’ve been pharmacy innovators since the Wright Brothers took flight. For more than 120 years, we have been innovating pharmacy solutions and taking care of patients. True Rx Health Strategists is led by a fourth generation of pharmacists. We are family-owned and continue to provide caring service for clients and patients. Our team of pharmacists and strategists delivers proven programs that find maximum savings and minimum disruption by creating a benefits plan that fits the unique needs of clients and patients. Learn more about us here.

Our Mission:

True Rx Health Strategists cultivates health, integrity, innovation, and care to transcend pharmacy benefit solutions for employers and patients.

Learn more about our remarkable team members.

As a pharmacist-led company, True Rx Health Strategists has an oath to treat members as patients. With our experience as health care providers, we protect companies against waste in health care spending and work hard to improve the health of employees every day. We get to improve lives by treating employees as our patients. Here are a few words from one of those lives.

True Rx Health Strategists hires equally for culture fit and technical skills and experience. If you have the aptitude and attitude, we can help you grow your career through training, mentoring, increasing responsibility, and being around other rock star team members.

True Rx Health Strategists is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Sales, Strategy/Planning, and Writing/Editing

• Industries

  Insurance and Health and Human Services

Referrals increase your chances of interviewing at True Rx Health Strategists by 2x

Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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