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AnewHealth

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Manager, Learning and Development

AnewHealthAnywhereFull-time
View Job
Compensation$120K - 150K a year

Design, develop, and deliver learning solutions, support talent management processes, and lead organizational learning programs. | Requires 5+ years in Learning & Development, expertise in instructional design tools like Articulate Rise and Storyline, experience with LMS management, and familiarity with embedding AI tools. | AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details The Learning & Development Manager is responsible for designing, delivering, and operationalizing learning solutions that support organizational capability, talent growth, and performance. This role blends instructional design expertise, talent management oversight, and strategic program management to create an engaging, modern learning ecosystem. This leader partners closely with HR, business leaders, subject matter experts, and external vendors to build scalable learning experiences, advance talent processes, and drive a strong culture of growth, performance, and engagement. The ideal candidate is both a builder and an operator—tech-savvy, data-driven, comfortable with AI-enabled tools, and energized by creating meaningful employee experiences. Responsibilities Learning Development & Instructional Design Design, develop, and deliver high-quality learning content using adult learning theory, blended learning strategies, and performance-focused design methods to create memorable and effective learning solutions. Embed AI tools into learning workflows to accelerate content creation, improve personalization, and enhance learner engagement. Manage, audit, and update content in Workday Learning, ensuring programs remain relevant, modern, and aligned with capability needs. Measure and track the effectiveness of learning programs, analyzing engagement, knowledge retention, and behavioral change to ensure a tangible impact on performance Gather and analyze insights from feedback surveys, focus groups, and business data to form insightful recommendations on how to improve program content, processes, and delivery Facilitate leadership learning experiences and high-potential development programs Talent Management & Performance Processes Partner with HRBPs and business leaders to help facilitate key talent management processes, including talent reviews, succession planning, and development planning. Drive the annual performance management cycle, including trainings for goal-setting, and year-end conversations. Analyze performance and talent data to identify trends, skill gaps, and opportunities for capability-building. Consult with HR Business Partners and leaders on development strategies and high-potential talent support. Program Management & Employee Engagement Lead organizational programs such as mentorship, coaching, leadership development cohorts, onboarding enhancements, and other enterprise learning initiatives. Help drive enterprise employee engagement strategies, including designing and managing programs that boost motivation, connection, and experience. Oversee vendor relationships and partnerships to deliver leadership development, coaching, and other learning experiences. Manage program metrics, impact measurement, and continuous improvement. Strategic Partnering & Culture Building Serve as a consultant to leaders on learning strategies and talent development opportunities. Build strong cross-functional partnerships across HR and operational teams to align learning and talent solutions with business objectives. Champion the use of AI, digital tools, and innovative practices that modernize learning and elevate development experiences. The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position. Qualifications These represent the desired qualifications of the ideal candidate. They are not meant to limit consideration for candidates who do not meet all of the standards listed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education Bachelor’s degree in HR, Organizational Development, Education, or related field preferred (or equivalent work experience). Experience 5+ years of experience in Learning & Development, Talent Management, Organizational Development, or related fields. Other Skills & Abilities Required Strong instructional design expertise and hands-on development experience with Articulate Rise and Storyline. Experience managing or administering a Learning Management System, ideally Workday Learning. Demonstrated experience supporting talent processes such as talent reviews and succession planning. Skilled at building and managing programs (mentorship, coaching, leadership, etc.). Familiarity and comfort embedding AI tools into the learning design and talent workflows. Excellent communication, facilitation, and stakeholder management skills. Preferred Experience in a complex or matrixed environment (e.g., healthcare, multi-site operations). Certification in instructional design, coaching, leadership development, or talent management methodologies. A strong team player ethos (no job is too small or too large) and a willingness to take on additional responsibilities as needed Physical Demands This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Must be able to commute to multiple site locations within assigned territory. May be necessary to work extended hours as needed. Expected Hours of Work This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis.] Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel Travel may be required for special organization or department events, department team meetings, trade shows, conferences, and other client engagements. AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire. AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country. AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. The company enables better health and quality of life for patients while helping the healthcare organizations who support them improve key clinical and cost outcomes. Established in 2023 through the combination of ExactCare Pharmacy and Tabula Rasa HealthCare, AnewHealth provides a suite of solutions that includes comprehensive pharmacy services with national dispensing; proprietary science-based technology to optimize medication therapy; full-service pharmacy benefit management; and specialized support services for PACE (Program of All-Inclusive Care for the Elderly). Today, AnewHealth cares for more than 100,000 people nationwide through strong healthcare partnerships with risk-bearing providers, primary and specialty care providers, kidney care and dialysis providers, home health organizations, and managed care plans. Don’t see a job that fits your skills? Share your information with us, and we can reach out to you when something becomes available! Just click Introduce Yourself below or in the top-right corner of the page. Create an account with us, and you can get alerts when jobs become available that peak your interest! Click on Sign In in the top-right corner and Create Account. Once logged in, click on Job Alerts in the top-right corner to create a job alert. Visit our website to learn about AnewHealth, our award-winning culture and benefits! AnewHealth and its affiliated companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Learn About Our Culture

Instructional Design
Learning Management Systems (Workday Learning)
Talent Development
Direct Apply
Posted 9 days ago
AN

Senior Director, Strategic Payer Relations

AnewHealthAnywhereFull-time
View Job
Compensation$200K - 250K a year

Manage and develop strategic relationships with payer organizations to optimize access, reimbursement, and network performance. | Extensive experience (10+ years) in payer relations, healthcare strategy, or related roles, with proven engagement with senior payer stakeholders. | AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details The Senior Director, Strategic Payer Relations is a senior leader responsible for managing and advancing strategic relationships with assigned payer organizations. This role serves as the primary relationship owner for designated payers and is accountable for payer access, retention, reimbursement performance, and overall relationship health. Operating within the newly formed Payer Relations and Market Strategy organization, the Senior Director will engage routinely with Director-, Vice President-, and Senior Vice President-level payer leaders and will represent the organization in high-impact discussions related to network participation, reimbursement models, and payer performance optimization. This role works in close collaboration with internal clinical, contracting, policy, analytic, finance and operational leaders to ensure coordinated execution of payer strategies that support enterprise revenue and margin growth. Key Responsibilities Strategic Payer Relationship Management Serve as the primary relationship owner for a defined portfolio of strategic payer organizations. Lead executive-level engagement with payer stakeholders, including Directors, Vice Presidents, and Senior Vice Presidents. Establish and maintain strong, credible relationships that support network access, retention, and reimbursement improvement objectives. Ensure consistent, coordinated communication and positioning across all payer interactions. Lead master account planning for assigned portfolio and conduct payer quarterly business reviews Reimbursement & Performance Optimization Drive initiatives aimed at improving reimbursement performance and financial outcomes across assigned payer relationships. Partner with internal contracting, clinical effectiveness, pharmacy, and finance teams to support payer-specific strategies. Monitor payer performance trends, identify gaps or risks, and proactively address issues impacting access, reimbursement, or operational execution. Cross-Functional Collaboration Collaborate closely with peers across Clinical Effectiveness & Stars Experience, Government & Professional Affairs, Strategic Contracting, and Market Strategy. Align payer engagement activities with enterprise priorities, regulatory considerations, and contracting strategies. Support internal readiness for payer discussions by coordinating data, insights, and materials as needed. Governance, Execution & Communication Support governance processes related to payer engagement, escalation, and decision-making. Prepare executive-level summaries, updates, and recommendations for senior leadership as required. Ensure disciplined follow-through on commitments made to and by payer organizations. Maintain accurate documentation of payer interactions, priorities, and outcomes. Function Development Support Contribute to the development of scalable processes, tools, and best practices for the evolving Strategic Payer Relations function. Support onboarding, mentoring, and collaboration with other Senior Directors as the team expands. Assist the Vice President, Strategic Payer Relations, in shaping role clarity, engagement models, and operating cadence during the function formation phase. Qualifications Required Qualifications Bachelor’s degree required; advanced degree preferred. 10+ years of progressive experience in payer relations, health plan engagement, healthcare strategy, contracting support, or related healthcare leadership roles at payer organizations including PBMs, Health Plans or government payer organizations. Demonstrated experience engaging senior-level payer stakeholders (Director, VP, SVP). Strong understanding of payer structures, reimbursement models, network access dynamics, and healthcare economics. Proven ability to operate effectively in complex, matrixed organizations. Strong executive communication skills, both written and verbal. Preferred Qualifications Experience supporting payer strategies across national and/or regional payers. Background working closely with contracting, clinical, pharmacy, or reimbursement-focused teams. Experience contributing to new function or capability development within a healthcare organization. Ability to synthesize complex information into clear executive-level insights. Key Competencies Executive presence and credibility with external stakeholders Strategic thinking and disciplined execution Strong collaboration and influence without direct authority Analytical mindset with a focus on outcomes Comfort operating in evolving and ambiguous environments High degree of accountability and follow-through Working Relationships Internal: President & Chief Payer Relations and Market Strategy Officer, VP Strategic Payer Relations, Clinical Effectiveness & Stars Experience, Government & Professional Affairs, Strategic Contracting, Finance, Analytics, Growth, Legal, and Operations External: Strategic payer organizations, including PBMs, national and regional health plans and other payer entities AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire. AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country. AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. The company enables better health and quality of life for patients while helping the healthcare organizations who support them improve key clinical and cost outcomes. Established in 2023 through the combination of ExactCare Pharmacy and Tabula Rasa HealthCare, AnewHealth provides a suite of solutions that includes comprehensive pharmacy services with national dispensing; proprietary science-based technology to optimize medication therapy; full-service pharmacy benefit management; and specialized support services for PACE (Program of All-Inclusive Care for the Elderly). Today, AnewHealth cares for more than 100,000 people nationwide through strong healthcare partnerships with risk-bearing providers, primary and specialty care providers, kidney care and dialysis providers, home health organizations, and managed care plans. Don’t see a job that fits your skills? Share your information with us, and we can reach out to you when something becomes available! Just click Introduce Yourself below or in the top-right corner of the page. Create an account with us, and you can get alerts when jobs become available that peak your interest! Click on Sign In in the top-right corner and Create Account. Once logged in, click on Job Alerts in the top-right corner to create a job alert. Visit our website to learn about AnewHealth, our award-winning culture and benefits! AnewHealth and its affiliated companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Learn About Our Culture

Healthcare strategy
Payer relations
Contracting and reimbursement models
Direct Apply
Posted 9 days ago
AN

Senior Manager, Client Solutions

AnewHealthAnywhereFull-time
View Job
Compensation$120K - 200K a year

Leading healthcare data integration projects, managing teams for healthcare product deployments, and ensuring client retention through process improvements. | Minimum 5 years in healthcare implementation or services leadership, with expertise in healthcare data standards, regulatory frameworks, and EHR workflows. | AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details The Sr. Manager of Client Solutions leads customer integrations and deployments with a focus on bridging client data and process from clients applications such as the EMR to Anew Health products. This role leads direct report(s) and an assigned portfolio ensuring the continuity of data to our solutions while delivering exceptional service. This leader leverages strong project management skills, process improvement tools, and service excellence. This role will develop EHR configurations leading to product retention, data service capabilities, and streamline operations for Anew teams. This leader will work with account management, operations & integration teams with a focus on client interoperability and data sharing. The position collaborates with client leadership, internal teams, and supports growth initiatives to align our ongoing digital front door client experience transformation, Net Promoter Score (NPS), and overall customer satisfaction. The Sr. Manager enables a data-driven culture that supports innovation, equity, and continuous improvement throughout the organization and across customers. The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position. Qualifications: These represent the desired qualifications of the ideal candidate. They are not meant to limit consideration for candidates who do not meet all of the standards listed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education Degree in Business, Health Information, Data Science, Information Systems, Public Health, or a related field; PhD or MBA. Experience Minimum of 5 years in healthcare implementation and/or services leadership. Demonstrated success in leading enterprise-wide deployments within healthcare such as hospitals, ambulatory care settings, pharmacy, payers, or healthcare technology companies. Experience managing operations and or support teams driving adoption of products and services alongside Electronic Health Record (EHR), Patient Accounting, Revenue Cycle, Coding & Audit Services. Track record of delivering measurable improvements through client retention. Strong understanding of healthcare data standards (HL7, FHIR), regulatory frameworks (HIPAA, HITECH), and clinical workflows. Proven expertise in leading implementations across multiple products and customer types. Advanced knowledge of Electronic Health Record(s), Patient Accounting, Medical Coding & Audit, and Pharmacy products and workflows. Schedule: This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: Travel may be required for special organization or department events, department team meetings, trade shows, conferences, and other client engagements. AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire. AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country. AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. The company enables better health and quality of life for patients while helping the healthcare organizations who support them improve key clinical and cost outcomes. Established in 2023 through the combination of ExactCare Pharmacy and Tabula Rasa HealthCare, AnewHealth provides a suite of solutions that includes comprehensive pharmacy services with national dispensing; proprietary science-based technology to optimize medication therapy; full-service pharmacy benefit management; and specialized support services for PACE (Program of All-Inclusive Care for the Elderly). Today, AnewHealth cares for more than 100,000 people nationwide through strong healthcare partnerships with risk-bearing providers, primary and specialty care providers, kidney care and dialysis providers, home health organizations, and managed care plans. Don’t see a job that fits your skills? Share your information with us, and we can reach out to you when something becomes available! Just click Introduce Yourself below or in the top-right corner of the page. Create an account with us, and you can get alerts when jobs become available that peak your interest! Click on Sign In in the top-right corner and Create Account. Once logged in, click on Job Alerts in the top-right corner to create a job alert. Visit our website to learn about AnewHealth, our award-winning culture and benefits! AnewHealth and its affiliated companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Learn About Our Culture

Healthcare Data Standards (HL7, FHIR)
Healthcare Implementation & Support
Electronic Health Records (EHR)
Direct Apply
Posted 12 days ago
AnewHealth

Senior Manager, Client Solutions

AnewHealthAnywhereFull-time
View Job
Compensation$120K - 150K a year

Lead healthcare data integrations and deployments, ensuring client data continuity and service excellence, while managing teams and improving processes. | Experience in healthcare implementation, healthcare data standards, and managing enterprise deployments, with a focus on client retention and operational excellence. | AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details The Sr. Manager of Client Solutions leads customer integrations and deployments with a focus on bridging client data and process from clients applications such as the EMR to Anew Health products. This role leads direct report(s) and an assigned portfolio ensuring the continuity of data to our solutions while delivering exceptional service. This leader leverages strong project management skills, process improvement tools, and service excellence. This role will develop EHR configurations leading to product retention, data service capabilities, and streamline operations for Anew teams. This leader will work with account management, operations & integration teams with a focus on client interoperability and data sharing. The position collaborates with client leadership, internal teams, and supports growth initiatives to align our ongoing digital front door client experience transformation, Net Promoter Score (NPS), and overall customer satisfaction. The Sr. Manager enables a data-driven culture that supports innovation, equity, and continuous improvement throughout the organization and across customers. The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position. Qualifications: These represent the desired qualifications of the ideal candidate. They are not meant to limit consideration for candidates who do not meet all of the standards listed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education • Degree in Business, Health Information, Data Science, Information Systems, Public Health, or a related field; PhD or MBA. Experience • Minimum of 5 years in healthcare implementation and/or services leadership. • Demonstrated success in leading enterprise-wide deployments within healthcare such as hospitals, ambulatory care settings, pharmacy, payers, or healthcare technology companies. • Experience managing operations and or support teams driving adoption of products and services alongside Electronic Health Record (EHR), Patient Accounting, Revenue Cycle, Coding & Audit Services. • Track record of delivering measurable improvements through client retention. • Strong understanding of healthcare data standards (HL7, FHIR), regulatory frameworks (HIPAA, HITECH), and clinical workflows. • Proven expertise in leading implementations across multiple products and customer types. • Advanced knowledge of Electronic Health Record(s), Patient Accounting, Medical Coding & Audit, and Pharmacy products and workflows. Schedule: This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: Travel may be required for special organization or department events, department team meetings, trade shows, conferences, and other client engagements. AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire. AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country. Work Location: Remote

Healthcare Data Standards (HL7, FHIR)
Healthcare Implementation & Support
Project Management
Verified Source
Posted 12 days ago
AN

Senior Director, Strategic Payer Relations

AnewHealthAnywhereFull-time
View Job
Compensation$NaNK - NaNK a year

Manage and develop strategic relationships with payer organizations, optimize reimbursement and performance, and collaborate across functions to support enterprise revenue growth. | 10+ years of experience in healthcare payer relations or related roles, engaging with senior payer stakeholders, understanding healthcare economics, and operating effectively in complex organizations. | AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details The Senior Director, Strategic Payer Relations is a senior leader responsible for managing and advancing strategic relationships with assigned payer organizations. This role serves as the primary relationship owner for designated payers and is accountable for payer access, retention, reimbursement performance, and overall relationship health. Operating within the newly formed Payer Relations and Market Strategy organization, the Senior Director will engage routinely with Director-, Vice President-, and Senior Vice President-level payer leaders and will represent the organization in high-impact discussions related to network participation, reimbursement models, and payer performance optimization. This role works in close collaboration with internal clinical, contracting, policy, analytic, finance and operational leaders to ensure coordinated execution of payer strategies that support enterprise revenue and margin growth. Key Responsibilities Strategic Payer Relationship Management Serve as the primary relationship owner for a defined portfolio of strategic payer organizations. Lead executive-level engagement with payer stakeholders, including Directors, Vice Presidents, and Senior Vice Presidents. Establish and maintain strong, credible relationships that support network access, retention, and reimbursement improvement objectives. Ensure consistent, coordinated communication and positioning across all payer interactions. Lead master account planning for assigned portfolio and conduct payer quarterly business reviews Reimbursement & Performance Optimization Drive initiatives aimed at improving reimbursement performance and financial outcomes across assigned payer relationships. Partner with internal contracting, clinical effectiveness, pharmacy, and finance teams to support payer-specific strategies. Monitor payer performance trends, identify gaps or risks, and proactively address issues impacting access, reimbursement, or operational execution. Cross-Functional Collaboration Collaborate closely with peers across Clinical Effectiveness & Stars Experience, Government & Professional Affairs, Strategic Contracting, and Market Strategy. Align payer engagement activities with enterprise priorities, regulatory considerations, and contracting strategies. Support internal readiness for payer discussions by coordinating data, insights, and materials as needed. Governance, Execution & Communication Support governance processes related to payer engagement, escalation, and decision-making. Prepare executive-level summaries, updates, and recommendations for senior leadership as required. Ensure disciplined follow-through on commitments made to and by payer organizations. Maintain accurate documentation of payer interactions, priorities, and outcomes. Function Development Support Contribute to the development of scalable processes, tools, and best practices for the evolving Strategic Payer Relations function. Support onboarding, mentoring, and collaboration with other Senior Directors as the team expands. Assist the Vice President, Strategic Payer Relations, in shaping role clarity, engagement models, and operating cadence during the function formation phase. Qualifications Required Qualifications Bachelor’s degree required; advanced degree preferred. 10+ years of progressive experience in payer relations, health plan engagement, healthcare strategy, contracting support, or related healthcare leadership roles at payer organizations including PBMs, Health Plans or government payer organizations. Demonstrated experience engaging senior-level payer stakeholders (Director, VP, SVP). Strong understanding of payer structures, reimbursement models, network access dynamics, and healthcare economics. Proven ability to operate effectively in complex, matrixed organizations. Strong executive communication skills, both written and verbal. Preferred Qualifications Experience supporting payer strategies across national and/or regional payers. Background working closely with contracting, clinical, pharmacy, or reimbursement-focused teams. Experience contributing to new function or capability development within a healthcare organization. Ability to synthesize complex information into clear executive-level insights. Key Competencies Executive presence and credibility with external stakeholders Strategic thinking and disciplined execution Strong collaboration and influence without direct authority Analytical mindset with a focus on outcomes Comfort operating in evolving and ambiguous environments High degree of accountability and follow-through Working Relationships Internal: President & Chief Payer Relations and Market Strategy Officer, VP Strategic Payer Relations, Clinical Effectiveness & Stars Experience, Government & Professional Affairs, Strategic Contracting, Finance, Analytics, Growth, Legal, and Operations External: Strategic payer organizations, including PBMs, national and regional health plans and other payer entities AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire. AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country. AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. The company enables better health and quality of life for patients while helping the healthcare organizations who support them improve key clinical and cost outcomes. Established in 2023 through the combination of ExactCare Pharmacy and Tabula Rasa HealthCare, AnewHealth provides a suite of solutions that includes comprehensive pharmacy services with national dispensing; proprietary science-based technology to optimize medication therapy; full-service pharmacy benefit management; and specialized support services for PACE (Program of All-Inclusive Care for the Elderly). Today, AnewHealth cares for more than 100,000 people nationwide through strong healthcare partnerships with risk-bearing providers, primary and specialty care providers, kidney care and dialysis providers, home health organizations, and managed care plans. Don’t see a job that fits your skills? Share your information with us, and we can reach out to you when something becomes available! Just click Introduce Yourself below or in the top-right corner of the page. Create an account with us, and you can get alerts when jobs become available that peak your interest! Click on Sign In in the top-right corner and Create Account. Once logged in, click on Job Alerts in the top-right corner to create a job alert. Visit our website to learn about AnewHealth, our award-winning culture and benefits! AnewHealth and its affiliated companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Learn About Our Culture

Stakeholder Engagement
Strategic Communication
Policy & Regulatory Navigation
Direct Apply
Posted 17 days ago
AnewHealth

National Account Executive (West Coast)

AnewHealthAnywhereFull-time
View Job
Compensation$110K - 150K a year

Manage and grow high-level client relationships, lead strategic account planning, and ensure client success and retention. | Minimum of 6 years in account management or healthcare operations, proven experience with executive relationships, and proficiency in Salesforce. | AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details The National Account Executive serves as a strategic leader responsible for cultivating and managing high-level client relationships to ensure the continued success and expansion of AnewHealth’s PACE services. This role requires a balance of executive relationship management, operational excellence, and client retention expertise to optimize the customer experience, support evolving client needs, and drive organizational success. The ideal candidate is an accomplished account leader who thrives on engaging with client executives, aligning AnewHealth solutions with their strategic goals, and developing innovative approaches to client success. They will demonstrate exceptional leadership, collaboration, and problem-solving abilities to expand and strengthen AnewHealth partnerships on the west coast. Responsibilities Strategic Account Leadership and Client Retention • Serve as the executive relationship lead for PACE partnerships within the west coast region, fostering long-term, trust-based relationships with client leadership (CMO, CFO, CEO, Executive Directors, etc.). • Lead national and regional account planning initiatives to drive client success and ensure alignment with AnewHealth’s strategic objectives. • Serve as an escalation point to support center level AM team members. • Act as a AnewHealth’s Brand Ambassador for the PACE market. Articulating the unique value and impact of our PACE services. • Conduct executive-level quarterly business reviews with client leadership to assess performance, identify opportunities for operational improvement, and ensure customer satisfaction. • Collaborate cross-functionally with service line leaders to design and execute client retention and engagement strategies. • Lead (or organize) regional team members in aligning national partnership goals. • Promote the adoption of new technologies, features, and initiatives across client organizations. • Represent the voice of the customer internally, providing insights and feedback to enhance AnewHealth’s offerings and service delivery. • Maintain thorough and accurate documentation of client interactions and activities in Salesforce CRM. Post-Implementation Client Success • Partner with Implementation, Operations, QA/PI, and Finance teams to ensure seamless client transitions and early-stage success. • Conduct frequent follow-ups with new client leadership during their first year to ensure stability, satisfaction, and alignment with contractual obligations. Contract Renewal and Retention Management • Lead the end-to-end process of contract renewal strategy, ensuring timely execution in collaboration with Legal, Finance, and internal leadership teams. • Evaluate existing client agreements to identify opportunities for optimization, expansion of services, and enhanced value delivery. • Develop data-driven retention plans tailored to each account, addressing risks, challenges, and areas for growth. • Monitor key account metrics and client satisfaction indicators to anticipate potential issues and implement proactive solutions. • Facilitate quarterly business reviews with client executives to communicate performance outcomes, partnership milestones, and strategic recommendations. • Ensure consistent alignment between AnewHealth’s service delivery and client goals, reinforcing long-term trust and partnership continuity. • Maintain accountability for retention goals within assigned regions, partnering with internal teams to drive outcomes and measure success. Education & Representation • Represent AnewHealth at national, regional, and state PACE conferences and industry events. • Stay informed on evolving trends, best practices, and innovations in healthcare and PACE programs. Qualifications • Bachelor’s degree in Business, Sales, or a related field required (or equivalent experience). • Minimum of 6 years of progressive experience in account management, client success, or healthcare operations. • Proven experience managing and growing executive-level client relationships. • Demonstrated leadership skills with experience guiding teams and influencing cross-functional initiatives. • In-depth knowledge of the healthcare industry; Understanding of pharmacy operations preferred; PACE experience preferred. • Strong contract management and negotiation skills. • Excellent written and verbal communication and presentation abilities. • Ability to travel as needed up to 12 trips a year. Skills & Abilities • Strategic thinker with the ability to translate client needs into actionable business solutions. • Exceptional interpersonal and executive communication skills. • Strong organizational, analytical, and problem-solving abilities. • Proven ability to lead through influence and inspire cross-functional collaboration. • Energetic, goal-oriented, and capable of managing multiple priorities in a dynamic environment. • Proficiency with Salesforce CRM and standard business software applications. • Emphasis on presentations skills and competence in Power Point. • Commitment to professionalism, confidentiality, and diversity in client engagement. Travel • Up to 12 trips a year, as needed. AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire. AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country. Compensation Range: $110000 - $15000/annually

Account Management
Client Relationship Building
Healthcare Industry Knowledge
Verified Source
Posted 21 days ago
AN

Sr. Data Staff Engineer

AnewHealthAnywhereFull-time
View Job
Compensation$120K - 160K a year

Architect, develop, and oversee secure pharmacy system integrations ensuring compliance with healthcare standards and lead technical teams. | 5+ years in healthcare integration engineering with deep knowledge of NCPDP standards, Python, C# .NET, Databricks, and leadership experience. | AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details Responsibilities Architect, develop, and oversee secure integration solutions for pharmacy systems ensuring compliance with NCPDP Telecommunications Standard and NCPDP SCRIPT (SureScripts) Standard. Lead the design and implementation of robust Pharmacy EDI workflows to support financial and supply chain operations. Develop and maintain APIs and data transformation components using Databricks, Python, and C# .NET, T-SQL, ensuring high performance and scalability. Serve as the technical expert for integration best practices, security standards, and troubleshooting complex interface issues. Collaborate closely with stakeholders across pharmacy operations, compliance, and IT to understand integration requirements and deliver reliable solutions. Oversee the monitoring and optimization of integration workflows to ensure data integrity and system uptime. Create and maintain clear technical documentation for interfaces, data mappings, and workflows. Mentor integration engineers, review code and design deliverables, and promote knowledge sharing within the team. Stay current with evolving pharmacy and healthcare interoperability standards, recommending enhancements to maintain compliance and drive innovation. Requirements Bachelor’s degree in Computer Science, Information Systems, Healthcare Informatics, or related field (or equivalent experience). 5+ years of experience in integration engineering, interface development, or systems integration within the pharmacy or healthcare domain. Deep knowledge and hands-on experience with NCPDP Standards focusing on Telecommunications and SureScripts (SCRIPT). Extensive experience with healthcare EDI transactions Advanced proficiency in Python and C# .NET for building robust integration solutions. Strong hands-on experience with Databricks or similar platforms for data orchestration and transformation. Proven ability to design and manage complex integration architectures, including APIs (REST, SOAP) and secure data exchange protocols. Demonstrated leadership skills with experience mentoring engineers and leading technical projects. Excellent problem-solving abilities and clear communication skills. Preferred Qualifications Experience working with pharmacy benefit managers (PBMs), retail pharmacy chains, or health information exchanges (HIEs). Familiarity with cloud-based integration tools and modern data architecture, Azure is preferred. Knowledge of NCPDP, HL7, FHIR, or other healthcare interoperability standards AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire. AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country. AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. The company enables better health and quality of life for patients while helping the healthcare organizations who support them improve key clinical and cost outcomes. Established in 2023 through the combination of ExactCare Pharmacy and Tabula Rasa HealthCare, AnewHealth provides a suite of solutions that includes comprehensive pharmacy services with national dispensing; proprietary science-based technology to optimize medication therapy; full-service pharmacy benefit management; and specialized support services for PACE (Program of All-Inclusive Care for the Elderly). Today, AnewHealth cares for more than 100,000 people nationwide through strong healthcare partnerships with risk-bearing providers, primary and specialty care providers, kidney care and dialysis providers, home health organizations, and managed care plans. Don’t see a job that fits your skills? Share your information with us, and we can reach out to you when something becomes available! Just click Introduce Yourself below or in the top-right corner of the page. Create an account with us, and you can get alerts when jobs become available that peak your interest! Click on Sign In in the top-right corner and Create Account. Once logged in, click on Job Alerts in the top-right corner to create a job alert. Visit our website to learn about AnewHealth, our award-winning culture and benefits! AnewHealth and its affiliated companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Learn About Our Culture

NCPDP Telecommunications Standard
NCPDP SCRIPT (SureScripts) Standard
Healthcare EDI transactions
Python
C# .NET
Databricks
T-SQL
API design (REST, SOAP)
Integration architecture
Mentoring and leadership
Direct Apply
Posted 7 months ago

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