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Prior Authorization Pharmacist, Appeals

Capital Rx


Position Summary: • Responsible for reviewing clinical coverage determination and appeals for different lines of business such as Commercial and Medicare. • Knowledgeable in all aspects of coverage determination and appeals process and assist in meeting client expectations regarding...


UX/UI Design Manager

Capital Rx

  • US - US

  • January 20, 2025


Location: Remote (For Non-Local) or Hybrid (Local to NYC area) • About Capital Rx • Capital Rx is a next generation pharmacy benefits manager, overseeing prescription benefit plans on behalf of employers, unions, and government entities. Determined to transform an outdated model, Capital...


Product Manager - Underwriting

Capital Rx


Location: New York, NY - Hybrid (Local to NYC area only) • Position Summary: • This high-performing individual will be responsible for delivering new features and functionality for JUDI, Capital Rx's enterprise health platform. • Position Responsibilities: • Lead the product development strategy of...


Talent Sourcer

Capital Rx


Location: Remote (For Non-Local) or Hybrid (Local to NYC area) • Position Summary: • As a Talent Sourcer at Capital Rx, you will play a critical role in proactively identifying and engaging high-quality candidates for a variety of technical (e.g., software engineers, DevOps engineers, QA developers)...


Senior Machine Learning Engineer

Capital Rx


Location: • Remote (For Non-Local) or Hybrid (Local to NYC area) • Position Summary: • • Join our mission to infuse cutting-edge AI/ML/GenAI into pharmacy benefits as a Senior Machine Learning Engineer. • We are looking for an experienced software engineer with machine...


Prior Authorization Pharmacist, Appeals

Capital Rx

  • US - US

  • January 22, 2025


Position Summary: • Responsible for reviewing clinical coverage determination and appeals for different lines of business such as Commercial and Medicare. • Knowledgeable in all aspects of coverage determination and appeals process and assist in meeting client expectations regarding...


Senior Formulary Operations Manager - Medicare

Capital Rx


This position is responsible for providing operational support for the evaluation, implementation, and maintenance of both custom and standard Medicare Part D formularies and utilization management. • Additionally, this role will be client facing when supporting new client implementations, will be...


Senior Implementation Project Manager - Health Plan

Capital Rx

  • US - US

  • January 3, 2025


Location: Remote (For Non-Local) or Hybrid (Local to NYC area) • Position Summary: • The Senior Implementation Project Manager oversees effective, accurate and timely transition of new clients to Capital Rx. Establishes implementation project plans, defines, and gathers requirements,...