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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 26, 2025


Location: Remote (For Non-Local) or Hybrid (Local to NYC area) • Position Summary: • The UX/UI Design Manager serves a dual-purpose role on the UX/UI Design Team. They not only deliver expert level product design solutions, they are also in a position to leverage their years of experience...


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...


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 Licensing Specialist

Capital Rx


Location: • Remote (For Non-Local) or Hybrid (Local to NYC area) • Position Overview: • • Under the leadership of the Licensing Manager, the Senior Licensing Specialist is responsible for helping prepare and file Capital Rx's state and local licensing and registration, renewals, change...


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,...