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 Determined to transform an outdated model, Capital Rx’s mission is to change how prescription benefits are priced and administered in the US, unlocking enduring social change. Through our platform approach, Capital Rx delivers data-driven insights and actionable strategies that reduce costs while improving patient outcomes. Our commitment to innovation, technology, and service is why Capital Rx is among the fastest-growing PBMs in the country.

About The Role

In the role, you will be responsible for key activities in developing our company’s strategy around leveraging AI to reduce costs and improve internal business practices and processes. This position will report directly to the Vice President of Information Technology.

You will partner with internal stakeholders to review existing workflows and identify opportunities to inject AI into said processes. You will partner with senior leadership to quantify and plan those improvements. You will implement those improvements with engineering and operations team resources.

Responsibilities

Act as subject matter expert for all IT AI efforts.
Assist partner teams in improving their workflows by introducing AI tools as needed.
Develop overall corporate strategies for the utilization of AI for non-deterministic workloads.
Some initial efforts could include:
- Partner with the IT Security team to identify opportunities to utilize ML to help in incident response and classification.
- Partner with the Marketing team to identify opportunities to optimize cost via ML-based content generation.
- Partner with the HelpDesk team to automate routine responses and drive routine issue remediation via ML and AI automation.
- Partner with Analytics teams to identify opportunities to utilize ML/AI in detecting data anomalies and/or complex trends.
- Partner with the Prior Authorization team to identify opportunities to leverage ML/AI in extracting data points from incoming faxed PA requests, to drive automation and reduce manual review time.

Qualifications / Profile

Two or more years of experience in applying AI to practical and comprehensive technology solutions.
Proven experience with ML, deep learning, TensorFlow(or similar tools), Python, and NLP.
Experience with program leadership, governance, and change enablement.
Experience with cloud environments.
Knowledge of basic algorithms, object-oriented and functional design principles, and best practice patterns.
Experience with REST API development, NoSQL design, RDBMS design, and optimizations.
Experience with Redshift and Snowflake is ideal.
Experience with Agile methodologies.
Ability to work in cross-functional teams.
Extreme attention to detail and highly organized.
Strong written and verbal communication skills.
The desire to learn constantly and dive into new areas with unfamiliar technologies.
Preference for those who have worked in the health care industry with a strong preference for Pharmacy Benefit Management expertise.

Preferred Qualifications

MBA and/or MS degree (or equivalent) preferred

Base Salary: $150,000 - $185,000

This range represents the low and high end of the anticipated base salary range for the NY - based position. The actual base salary will depend on several factors such as: experience, knowledge, and skills, and if the location of the job changes.

Additional Benefits Included: Annual Performance Based Bonus and Stock Options/Equity

Capital Rx values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Capital Rx

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