&lt;p&gt;&lt;strong&gt;AffirmedRx&lt;/strong&gt; is on a mission to improve healthcare outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access, and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology.&lt;/p&gt;
&lt;p&gt;Join us in improving healthcare outcomes for all!&amp;nbsp; &lt;strong&gt;We promise to do what’s right, always.&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Position Summary:&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;The Compliance Analyst is a vital contributor to the organization’s commitment to maintaining the highest standards of regulatory compliance and ethical conduct. This role encompasses a wide range of responsibilities, including the continuous monitoring and auditing of compliance programs, proactively identifying and addressing potential risks, and ensuring alignment with internal policies and external regulatory requirements. The Compliance Analyst will also play a key role in analyzing and interpreting regulatory changes, providing actionable insights, and developing comprehensive guidance to support various departments in adhering to applicable laws and regulations. By fostering a culture of compliance, the Compliance Analyst will help safeguard the organization’s reputation and operational integrity.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;What you will do:&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;&amp;nbsp;&lt;/strong&gt;&lt;strong&gt;Regulatory Monitoring and Analysis:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Monitor and interpret federal, state, and local regulations affecting the PBM industry&lt;/li&gt;
&lt;li&gt;Analyze regulatory changes and assess their impact on the organization&lt;/li&gt;
&lt;li&gt;Communicate regulatory updates to relevant stakeholders and provide guidance on implementation&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;Compliance Audits and Reporting:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Conduct regular audits of compliance programs to ensure adherence to internal policies and regulatory requirements&lt;/li&gt;
&lt;li&gt;Prepare detailed reports on audit findings and recommend corrective actions&lt;/li&gt;
&lt;li&gt;Collaborate with internal departments to address compliance issues and implement corrective measures&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;Policy Development and Implementation:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Assist in the development and maintenance of compliance policies and procedures&lt;/li&gt;
&lt;li&gt;Ensure that policies are up-to-date and in line with current regulations&lt;/li&gt;
&lt;li&gt;Provide training and support to staff on compliance policies and procedures&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;Risk Assessment and Management:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Identify potential compliance risks and develop strategies to mitigate them&lt;/li&gt;
&lt;li&gt;Conduct risk assessments and monitor the effectiveness of compliance controls&lt;/li&gt;
&lt;li&gt;Work with management to implement risk management strategies and ensure ongoing compliance&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;&amp;nbsp;&lt;/strong&gt;&lt;strong&gt;Stakeholder Communication and Collaboration:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Maintain effective communication with regulatory agencies, external auditors, and other stakeholders&lt;/li&gt;
&lt;li&gt;Collaborate with legal, finance, and operational departments to ensure compliance across the organization&lt;/li&gt;
&lt;li&gt;Participate in cross-functional teams to address compliance-related issues and initiatives&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;What you need:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Bachelor&#39;s degree in Business, Healthcare Administration, Law, or a related field&lt;/li&gt;
&lt;li&gt;Minimum of 3-5 years of experience in compliance, regulatory affairs, or a related field, preferably within the PBM or healthcare industry&lt;/li&gt;
&lt;li&gt;Experience with compliance audits, risk assessments, and regulatory analysis&lt;/li&gt;
&lt;li&gt;Legal background with an understanding of healthcare laws and regulations&lt;/li&gt;
&lt;li&gt;Experience working with legal documents and regulatory filings&lt;/li&gt;
&lt;li&gt;Strong understanding of federal, state, and local regulations affecting the PBM industry&lt;/li&gt;
&lt;li&gt;Excellent analytical and problem-solving skills&lt;/li&gt;
&lt;li&gt;Strong written and verbal communication skills, with the ability to effectively convey complex regulatory information to non-experts&lt;/li&gt;
&lt;li&gt;Detail-oriented with strong organizational and time management skills&lt;/li&gt;
&lt;li&gt;Ability to work independently and as part of a team&lt;/li&gt;
&lt;li&gt;Proficiency in Microsoft Office Suite and compliance management software&lt;/li&gt;
&lt;li&gt;May require up to 10% travel&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;What you get:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;To impact industry, change in the pharmacy benefits management space, while delivering the highest quality patient outcomes.&lt;/li&gt;
&lt;li&gt;To work in a culture where people thrive because when OUR team thrives, OUR business thrives.&lt;/li&gt;
&lt;li&gt;Competitive compensation, including health, dental, vision, and other benefits.&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;Note:&amp;nbsp; &lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;AffirmedRx is committed to providing equal employment opportunities to all employees and applicants for employment. Remote employees are expected to maintain a professional work environment free of distractions to ensure optimal performance and collaboration.&lt;/p&gt;

Compliance Analyst

&lt;p&gt;&lt;strong&gt;AffirmedRx&lt;/strong&gt; is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology.&lt;/p&gt;
&lt;p&gt;Join us in improving health care outcomes for all!&amp;nbsp; &lt;strong&gt;We promise to do what’s right, always.&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Position Summary:&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;The Client Insights Analyst will be a critical member of the Client Management team, responsible for producing clear, accurate, and timely reporting that supports both external client deliverables and internal performance tracking. This role will partner closely with the Data &amp;amp; Analytics team to transform raw data into actionable insights, tailoring outputs for strategic client discussions while also monitoring key internal metrics such as performance guarantees and service-level KPIs. The Client Insights Analyst ensures that reporting is not only accurate but also tells the story behind the numbers in a way that drives client trust and internal accountability.&amp;nbsp;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;What you will do:&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Benefit Design Documentation and Set-up:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Assist&amp;nbsp;with&amp;nbsp;creating a streamlined benefit design documentation approach that aligns with&amp;nbsp;dataflows&amp;nbsp;and reporting needs&lt;/li&gt;
&lt;li&gt;Review client benefit design documentation to ensure proper intent is&amp;nbsp;captured&lt;/li&gt;
&lt;li&gt;Collaborate with the claims adjudication platform partner&amp;nbsp;regarding&amp;nbsp;proper system set-up,&amp;nbsp;test case scenarios and&amp;nbsp;proper&amp;nbsp;data&amp;nbsp;output prior to plan designs going live&amp;nbsp;&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;&amp;nbsp;&lt;/strong&gt;&lt;strong&gt;Client-Facing Reporting and Insights:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Develop and deliver standard and ad hoc client reports (e.g., utilization summaries, rebate tracking, trend analysis)&lt;/li&gt;
&lt;li&gt;Consolidate outputs across multiple data sources (claims, clinical, financial) into cohesive, client-ready packages&lt;/li&gt;
&lt;li&gt;Provide narrative insights alongside data, enabling clients to understand drivers of cost, utilization, and savings&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;Internal Performance Tracking:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Track and report on AffirmedRx’s contractual performance guarantees, ensuring accurate measurement and timely reporting to clients&lt;/li&gt;
&lt;li&gt;Monitor internal KPIs (e.g., service levels, turnaround times, call handling metrics) to ensure operational excellence&lt;/li&gt;
&lt;li&gt;Partner with leadership to identify areas of risk or opportunity based on KPI performance&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;Collaboration and Data Management:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Serve as a bridge between Client Management and Data &amp;amp; Analytics to validate data, define requirements, and troubleshoot issues&lt;/li&gt;
&lt;li&gt;Maintain a reporting library, standard templates, and documentation to ensure consistency and repeatability&lt;/li&gt;
&lt;li&gt;Develop tools or processes to streamline reporting production and minimize manual effort&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;What you need:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Bachelor’s degree in Business, Analytics, Finance, Healthcare Administration, or related field (or equivalent experience)&lt;/li&gt;
&lt;li&gt;7-10 years in reporting, analytics, or business intelligence, ideally within healthcare, PBM, or managed care&lt;/li&gt;
&lt;li&gt;Prior experience with client-facing deliverables strongly preferred&lt;/li&gt;
&lt;li&gt;Advanced Excel proficiency (pivot tables, formulas, macros); Power BI, Tableau, or other visualization tools preferred&lt;/li&gt;
&lt;li&gt;Basic SQL experience strongly preferred&lt;/li&gt;
&lt;li&gt;Strong analytical and problem-solving skills with high attention to detail&lt;/li&gt;
&lt;li&gt;Excellent written and verbal communication, with the ability to tailor insights for both internal and external audiences&lt;/li&gt;
&lt;li&gt;Comfort managing multiple deadlines and shifting priorities in a fast-paced environment&lt;/li&gt;
&lt;li&gt;Client-focused with a strong sense of ownership and accountability&lt;/li&gt;
&lt;li&gt;Ability to “connect the dots” between data, client outcomes, and business performance&lt;/li&gt;
&lt;li&gt;Highly collaborative across technical and non-technical teams&lt;/li&gt;
&lt;li&gt;Organized, detail-oriented, and process-driven&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;What you get:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;To impact industry change in the pharmacy benefits management space, while delivering the highest quality patient outcomes.&lt;/li&gt;
&lt;li&gt;To work in a culture where people thrive because when OUR team thrives, OUR business thrives.&lt;/li&gt;
&lt;li&gt;Competitive compensation, including health, dental, vision and other benefits.&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;Note:&lt;/strong&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;AffirmedRx is committed to providing equal employment opportunities to all employees and applicants for employment. Remote employees are expected to maintain a professional work environment free of distractions to ensure optimal performance and collaboration.&lt;/p&gt;

Client Insights Analyst

&lt;p&gt;&lt;strong&gt;AffirmedRx&lt;/strong&gt; is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology.&lt;/p&gt;
&lt;p&gt;Join us in improving health care outcomes for all!&amp;nbsp; &lt;strong&gt;We promise to do what’s right, always.&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Position Summary:&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;The Client Insights Analyst will be a critical member of the Client Management team, responsible for producing clear, accurate, and timely reporting that supports both external client deliverables and internal performance tracking. This role will partner closely with the Data &amp;amp; Analytics team to transform raw data into actionable insights, tailoring outputs for strategic client discussions while also monitoring key internal metrics such as performance guarantees and service-level KPIs. The Client Insights Analyst ensures that reporting is not only accurate but also tells the story behind the numbers in a way that drives client trust and internal accountability.&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;What you will do:&lt;/strong&gt;&lt;/p&gt;
&lt;p&gt;&lt;strong&gt;Client-Facing Reporting &amp;amp; Insights:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Develop and deliver standard and ad hoc client reports (e.g., utilization summaries, rebate tracking, trend analysis)&lt;/li&gt;
&lt;li&gt;Consolidate outputs across multiple data sources (claims, clinical, financial) into cohesive, client-ready packages&lt;/li&gt;
&lt;li&gt;Provide narrative insights alongside data, enabling clients to understand drivers of cost, utilization, and savings&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;Internal Performance Tracking:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Track and report on AffirmedRx’s contractual performance guarantees, ensuring accurate measurement and timely reporting to clients&lt;/li&gt;
&lt;li&gt;Monitor internal KPIs (e.g., service levels, turnaround times, call handling metrics) to ensure operational excellence&lt;/li&gt;
&lt;li&gt;Partner with leadership to identify areas of risk or opportunity based on KPI performance&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;Collaboration &amp;amp; Data Management:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Serve as a bridge between Client Management and Data &amp;amp; Analytics to validate data, define requirements, and troubleshoot issues&lt;/li&gt;
&lt;li&gt;Maintain a reporting library, standard templates, and documentation to ensure consistency and repeatability&lt;/li&gt;
&lt;li&gt;Develop tools or processes to streamline reporting production and minimize manual effort&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;What you need:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;Bachelor’s degree in Business, Analytics, Finance, Healthcare Administration, or related field (or equivalent experience)&lt;/li&gt;
&lt;li&gt;2–4 years in reporting, analytics, or business intelligence, ideally within healthcare, PBM, or managed care&lt;/li&gt;
&lt;li&gt;Prior experience with client-facing deliverables strongly preferred&lt;/li&gt;
&lt;li&gt;Advanced Excel proficiency (pivot tables, formulas, macros); Power BI, Tableau, or other visualization tools preferred&lt;/li&gt;
&lt;li&gt;Basic SQL experience strongly preferred&lt;/li&gt;
&lt;li&gt;Strong analytical and problem-solving skills with high attention to detail&lt;/li&gt;
&lt;li&gt;Excellent written and verbal communication, with the ability to tailor insights for both internal and external audiences&lt;/li&gt;
&lt;li&gt;Comfort managing multiple deadlines and shifting priorities in a fast-paced environment&lt;/li&gt;
&lt;li&gt;Client-focused with a strong sense of ownership and accountability&lt;/li&gt;
&lt;li&gt;Ability to “connect the dots” between data, client outcomes, and business performance&lt;/li&gt;
&lt;li&gt;Highly collaborative across technical and non-technical teams&lt;/li&gt;
&lt;li&gt;Organized, detail-oriented, and process-driven&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;What you get:&lt;/strong&gt;&lt;/p&gt;
&lt;ul&gt;
&lt;li&gt;To impact industry change in the pharmacy benefits management space, while delivering the highest quality patient outcomes.&lt;/li&gt;
&lt;li&gt;To work in a culture where people thrive because when OUR team thrives, OUR business thrives.&lt;/li&gt;
&lt;li&gt;Competitive compensation, including health, dental, vision and other benefits.&lt;/li&gt;
&lt;/ul&gt;
&lt;p&gt;&lt;strong&gt;Note:&lt;/strong&gt;&amp;nbsp;&lt;/p&gt;
&lt;p&gt;AffirmedRx is committed to providing equal employment opportunities to all employees and applicants for employment. Remote employees are expected to maintain a professional work environment free of distractions to ensure optimal performance and collaboration.&lt;/p&gt;

Find a Job in Data