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  • Head of Pharmacy Operations

    Healthcare IT

    Head of Pharmacy Operations

    $180K - 210K per year
    Salary
    job location icon
    San Francisco, California, United States
    Location
    job industry icon
    Healthcare IT
    Industry
    job work mode icon
    On Site
    Working model

    About the job

     

    ⚡ Head of Pharmacy Operations

    🏥 Health Tech

    🌎 On-Site, Bay Area

    💲 Competitive Base + Bonus

     

    Are you ready to shape the future of healthcare access at a fast-growing, VC-backed HealthTech startup using AI to streamline access to critical medications?

     

    We are looking for a Head of Pharmacy Operations to lead and scale the clinical operations arm of our AI-powered platform. This is a high-impact leadership role focused on driving clinical quality and operational excellence, specifically within pharmacy prior authorization (PA) and appeals processes.

     

    👨‍💻 Responsibilities

    • Lead and optimize our prior authorization and appeals review operations
    • Manage and scale internal and external (BPO) clinical teams
    • Drive workflow enhancements for pharmacy appeals and clinical reviews
    • Ensure accuracy and compliance across all clinical outputs
    • Partner closely with engineering to improve AI model inputs and outputs
    • Develop performance metrics and dashboards for quality monitoring

     

    👩‍🎓 Required Background

     

    We are specifically seeking candidates with experience at a PBM managing pharmacy prior authorization and appeals review teams. Candidates should have deep expertise in evaluating the clinical criteria that lead to approvals or denials.

     

    • Experience managing prior authorization and/or appeals teams at a PBM (e.g., Navitus) or PBM-like company (e.g., TruDataRx)
    • Deep understanding of what makes a prior auth or appeal succeed or fail across a wide range of drug classes
    • Track record of developing and optimizing clinical workflows related to medication access

     

    ✅ Qualifications

    • Extensive experience with pharmacy prior authorization and appeals processes
    • Operational leadership experience in a PBM or PBM-aligned setting
    • PharmD or equivalent clinical background preferred
    • Analytical mindset and strong executional rigor
    • Bonus: familiarity with SQL or healthcare analytics
    • Startup, payer, or healthtech experience is a plus

     

    ⭐ Benefits

    • High-impact, mission-driven work
    • 401(k)
    • Comprehensive health benefits
    • Generous parental leave
    • Training and career progression opportunities

     

    📧 Interested in applying? Connect with the Hiring Team and click the ‘Easy Apply’ button.

     

    ⚡ Storm3 is a HealthTech recruitment firm with clients across London, Europe, and North America. To discuss open opportunities or career options, please visit www.storm3.com and follow the Storm3 LinkedIn page for the latest jobs and intel.

    Apply now

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    $180K - 210K per year
    San Francisco, California, United States
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  • Enterprise Account Executive

    Digital Health Insurance
    Remote

    Enterprise Account Executive

    job location icon
    New York, New York, United States
    Location
    job industry icon
    Digital Health Insurance
    Industry
    job work mode icon
    Remote
    Working model

    Enterprise Account Executive
    📍 Hybrid – New York, NY
    💼 Senior Level | Full-Time
    💰 $165K–$330K annually (base + commission)

    About the Role
    We’re a mission-driven healthtech company transforming how employees access and engage with their healthcare benefits. Our AI-powered platform helps individuals better understand and utilize their health coverage, leading to smarter care and improved outcomes.

    As an Enterprise Account Executive, you’ll be a critical part of our B2B Sales team, responsible for generating new revenue and managing the full sales cycle—from prospecting to contract negotiation and close. You’ll work across departments to bring in strategic clients and shape how organizations experience our solution.

    This role is hybrid and based in New York City, reporting to the VP of Sales.

    Key Responsibilities

    • Own and manage the full enterprise sales cycle from outreach through contract execution

    • Build and maintain strong relationships with key stakeholders and decision-makers

    • Conduct discovery calls, product demonstrations, and solution mapping based on client needs

    • Partner cross-functionally with Marketing, Product, and Customer Success to drive value throughout the sales process

    • Effectively communicate the ROI and strategic benefits of the platform

    • Negotiate contracts and close deals in a timely, consultative manner

    • Serve as a point of escalation for commercial and relationship-related issues

    • Track progress in CRM and maintain accurate forecasting and pipeline visibility

    Qualifications

    • 7–10 years of enterprise sales experience in SaaS, ideally with exposure to healthcare or HR tech

    • Proven track record of exceeding quota and closing complex deals with multiple stakeholders

    • Strong consultative selling approach with excellent communication and negotiation skills

    • Comfortable working independently and collaboratively in a fast-paced, high-growth environment

    • Highly organized with the ability to prioritize, manage time effectively, and meet deadlines

    • Bachelor’s degree preferred, or equivalent relevant experience

    • Proficiency in additional languages is a plus

    Benefits

    • Comprehensive health plan (medical, dental, and vision)

    • Mission-driven culture with a passionate, supportive team

    • Competitive compensation and performance-based incentives

    If you’re passionate about transforming the employee healthcare experience and closing high-impact deals, we’d love to hear from you.

    Apply now

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    New York, New York, United States
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  • Senior Product Manager

    Healthcare IT

    Senior Product Manager

    $140K - 160K per year
    Salary
    job location icon
    Massachusetts, United States
    Location
    job industry icon
    Healthcare IT
    Industry
    job work mode icon
    On Site
    Working model

    About the job

     

    ⚡ Senior Product Manager

    🏥 HealthTech SaaS – Risk Adjustement

    🌎 Remote

    💲 140,000 – 160,000 + Bonus

     

     

    Interested in joining a rapidly expanding health technology firm delivering cloud-based solutions that embed into top-tier EHR platforms?

     

     

    Their tools empower provider groups and healthcare systems with real-time clinical decision support and risk adjustment insights and they are looking to add an experienced Product Manager to help shape and guide our product vision. This role is ideal for someone who thrives in a fast-paced environment and is passionate about healthcare innovation. You’ll own the full product lifecycle—from strategy and market analysis to requirements gathering, backlog management, and customer engagement. You’ll also serve as a key liaison between engineering, sales, and clients.

     

     

    👨‍💻 Responsibilities:

     

    • Build a comprehensive understanding of the platform’s features, capabilities, and use cases
    • Collaborate on product strategy and contribute to the development of the product roadmap
    • Collect and prioritize requirements from users, internal teams, and industry trends
    • Write clear, actionable user stories with appropriate context and justification
    • Lead backlog grooming and support agile sprint planning with the development team
    • Conduct competitive analysis and track emerging trends in clinical decision support and risk adjustment
    • Serve as a product expert during sales discussions and client trainings
    • Provide input on feature prioritization and product direction based on customer feedback

     

     

     

    👩‍🎓Qualifications:

     

    • 5+ years of product management experience in healthcare technology, ideally focused on Medicare Advantage or risk adjustment
    • Strong knowledge of Medicare risk adjustment models and regulatory landscape
    • Bachelor’s degree in a technical, business, or science-related field
    • Familiarity with EHR interoperability standards and APIs (e.g., FHIR, CCDA, HL7)
    • Previous experience in a startup or fast-growth environment preferred
    • Comfort working with distributed/remote teams
    • Exceptional communication, organization, and cross-functional collaboration skills
    • Proven ability to lead without formal authority

     

     

    ⭐ Benefits:

     

    • Annual performance-based bonus
    • Company-matched 401K plan
    • Generous paid time off

     

    📧 Interested in applying? Please Connect with the Hiring Team and

    click on the ‘Easy Apply’ button

     

    ⚡ Storm3 is a HealthTech recruitment firm with clients across North America. To discuss open opportunities or career options, please visit our website www.storm3.com and follow the Storm3 Linked In page for the latest jobs and intel.

    Apply now

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    $140K - 160K per year
    Massachusetts, United States
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  • Full-Stack Engineer

    Healthcare IT
    Hybrid
    Hybrid : 1

    Full-Stack Engineer

    $170K - 190K per year
    Salary
    job location icon
    New York, United States
    Location
    job industry icon
    Healthcare IT
    Industry
    job work mode icon
    Hybrid
    Working model

    About the job

     

    ⚡ Senior Full-Stack Engineer

    💊 Healthcare Tech

    🌎 New York City (hybrid, or on-site)

    💸 $180k base + equity and perks!

    If you are interested in joining a fast-paced recently funded startup then this is the opportunity for you! They are seeking a product minded Senior Software Engineer to work across their existing product as well as to lead development of exciting new projects!
     

    Responsibilities:

    • Work on exciting greenfield and exploratory products
    • Develop new features for their existing product
    • Lead product strategy with other Senior Engineers
    • Full product ownership
    • Report directly to the CTO

     

    Requirements:

    • Must be product-minded
    • Comfortable across the full stack
    • Startup experience is a big plus
    • HealthTech experience is also a big plus

     

    Why apply:

    • Perfect opportunity to get in early at a fast-moving startup
    • Great opportunity to shape product direction
    • Competitive base salary and equity ownership
    • 401k match
    • Platinum Health Insurance
    • Unlimited PTO

     

    🌎 New York City (hybrid, or on-site)

    📧 Interested in applying? Please click on the ‘Easy Apply’ button or alternatively email me your resume at jacob.scotting@storm3.com

    ⚡ Storm3 is a HealthTech recruitment firm with clients across major tech hubs in North America. To discuss open opportunities or career options, please visit our website at storm3.com and follow the Storm3 LinkedIn page for the latest jobs and intel

    Apply now

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    $170K - 190K per year
    New York, United States
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  • Head of Product

    Drug Discovery Tech

    Head of Product

    $200K - 250K per year
    Salary
    job location icon
    San Francisco Bay Area, California, United States
    Location
    job industry icon
    Drug Discovery Tech
    Industry
    job work mode icon
    On Site
    Working model

    About the job

     

    ⚡ Head of Product – AI solutions in Life Sciences

    🏥 AI | Biotechnology | Life Sciences

    🌎 On-Site / Hybrid Palo Alto

    💲 Competitive Base + Bonus + Equity

     

    Interested in joining a deep-tech startup on a mission to reshape biology and medicine using the power of Generative AI? Backed by top-tier talent from AI and biomedical science, they are building the next generation of foundational models designed specifically for the life sciences and looking to bring in a product leader to work directly with the leadership team and the cross functional team and drive growth!

     

    👨‍💻 Responsibilities:

     

     

    • Define and own the product strategy for AI-driven tools used in biotech, pharma, and research
    • Translate scientific needs into clear, actionable product roadmaps
    • Partner with ML engineers, domain scientists, and designers to build user-friendly, high-impact tools
    • Collaborate with stakeholders to gather feedback and ensure continuous improvement
    • Lead end-to-end product lifecycles—from vision to launch and iteration

     

     

    👩‍🎓Qualifications:

     

     

    • Degree in Computer Science, Engineering, or related technical field
    • Industry experience in life sciences, biotech, or healthcare technology
    • Strong understanding of AI/ML, especially large models and deep learning systems
    • Experience building tech products for non-technical users
    • Familiarity with biological data (genomics, proteomics, single-cell, etc.)
    • Ability to lead cross-functional teams and align them toward a shared product vision

     

     

    👩‍🎓Nice to Haves:

     

     

    • Passion for applying AI to meaningful problems in biology and medicine
    • Experience launching products in highly regulated or complex environments
    • A track record of inspiring teams and shipping breakthrough technologies

     

     

    ⭐ Benefits:

     

     

    • Interesting and meaningful work
    • 401k
    • Comprehensive benefits
    • Generous parental leave
    • Training and career progression opportunities

     

     

    📧 Interested in applying? Please Connect with the Hiring Team and

    click on the ‘Easy Apply’ button

     

     

     

    ⚡ Storm3 is a HealthTech recruitment firm with clients across London, Europe and North America. To discuss open opportunities or career options, please visit our website www.storm3.com and follow the Storm3 Linked In page for the latest jobs and intel.

    Apply now

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    $200K - 250K per year
    San Francisco Bay Area, California, United States
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  • Staff SWE – Computational Chemistry

    Drug Discovery Tech

    Staff SWE – Computational Chemistry

    $180K - 260K per year
    Salary
    job location icon
    San Francisco, California, United States
    Location
    job industry icon
    Drug Discovery Tech
    Industry
    job work mode icon
    On Site
    Working model

    About the job

     

    👩‍💻 Principal Software Engineer (Computational Chemistry/Molecular Dynamics)

    💊 AI Drug Discovery Unicorn (Series B)

    🌎Remote within US

    💸 Competitive base + hefty equity

     

    This start-up is truly a leader in deep learning & generative AI, merging cutting-edge models with biology research to accelerate disease treatment & drug discovery.

     

    They are seeking engineering experts to help develop new medicines and play a critical role in building out their software platform

     

    Responsibilities:

    • Build and maintain complex computational chemistry workflows for drug discovery
    • Work closely with computational chemists and CADD scientists to productionize new computational methods for molecular property prediction
    • Help scale our data infrastructure to handle billions of datapoints and hundreds of thousands of parallel QM and molecular dynamics jobs

     

    Requirements:

    • A deep thinker who reasons from first principles, balances attention to detail with architectural thinking, and has an investigational curiosity to find the root cause of a problem
    • Comfortable working across all levels of the software stack, building intuitive APIs and libraries for computational chemists
    • Experienced working in the fields of computational chemistry and drug discovery
    • Experienced writing production code and driving projects to completion
    • Fields of education include immunology, molecular and cell biology, biochemistry, or related disciplines

     

    🌎 Remote within the USA

    📧 Interested in applying? Please click on the ‘Easy Apply’ button or alternatively email me your resume at stefani.lukic@storm3.com

     

    ⚡ Storm3 is a HealthTech & Biotech recruitment firm with clients across major Tech hubs in Europe, APAC and North America. To discuss open opportunities or career options, please visit our website at storm3.com and follow the Storm3 LinkedIn page for the latest jobs and intel

    Apply now

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    $180K - 260K per year
    San Francisco, California, United States
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  • VP Sales

    Healthcare IT

    VP Sales

    $200K - 250K per year
    Salary
    job location icon
    Dallas, Texas, United States
    Location
    job industry icon
    Healthcare IT
    Industry
    job work mode icon
    On Site
    Working model

    About the job

     

    ⚡ SVP Sales (Enterprise Health Systems)

    💼 AI Clinical Workflow (Series C $100m+)

    🌍 Remote (United States)

    💰 Competitive Salary ($200,000-$250,000) + Uncapped Commission + Equity

     

    I am working with an industry leader in AI clinical workflow market, who are actively seeking a SVP Sales. This organisation received a staggering amount of funding in their Series C round this year and are looking to grow their GTM team in H2 of 2025.

     

    Too much time is being taken up where doctors are writing notes in their EMR system rather than focusing on their patients. This proprietary platform digitizes natural clinician-patient conversations, which are converted into comprehensive medical notes and structured data in real time, integrating with major EHR’s seamlessly.

     

    This solution relieves clinicians of administrative burden, in turn, reducing burnout, increasing clinician efficiency and improving patient access.

     

    Responsibilities:

    • Own a territory of Enterprise accounts including large integrated delivery networks and health systems.
    • Drive the full complex sales cycle within ‘zero based accounts’ from identification, relationship building with key stakeholders, contracting and negotiation through transition to customer teams within assigned market segments.
    • Manage a small team of sales representatives, responsible for managing team revenue and ensuring high performance.
    • Learn and understand different product offerings and solutions to address customer objectives and support a range of specialties.
    • Become intimately familiar with the structure of hospital and physician practices in order to communicate the business value of our service and the ROI of our products.
    • Work closely and collaboratively cross-functionally with Product, Clinical Operations, Account Management and Marketing teams.

     

    Requirements:

    • 10+ years of sales experience selling SaaS, NLP, AI, ML or LLM type solutions to enterprise level health systems and IDNs.
    • Existing relationships with senior executives at enterprise level health systems and IDNs. (CMO’s, CMIO’s, CIO’s and Physician Executives).
    • Experience managing and closing complex sales cycles using solution selling techniques.
    • Experience closing average deal sizes of $500k ARR and above.
    • Proven track record of hitting quota sizes of $2m and above.
    • Domain expertise in AI first products including clinical natural language processing and machine learning.
    • Willingness to travel up to 50%.

     

    Benefits:

    • Competitive Salary (dependent on experience)
    • Uncapped commission (potential to earn 2x salary)
    • 401k program
    • 100% coverage of employee medical, dental and vision.
    • 75% coverage for dependent medical, dental and vision.
    • 16 weeks paid parental leave
    • Remote
    • Flexible working hours
    • Unlimited PTO, plus 12 holidays

     

    📧 Interested in applying? Please click on the ‘Easy Apply’ button or for a confidential chat – oliver.hill@storm3.com

     

    ⚡ Storm3 is a HealthTech recruitment firm with clients across London, Europe and North America. To discuss open opportunities or career options, please visit our website www.storm3.com and follow the Storm3 LinkedIn page for the latest jobs and intel

    Apply now

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    $200K - 250K per year
    Dallas, Texas, United States
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  • Sr. Director, Community Engagement

    TeleHealth

    Sr. Director, Community Engagement

    job location icon
    New York, New York, United States
    Location
    job industry icon
    TeleHealth
    Industry
    job work mode icon
    On Site
    Working model

    ⚡ Senior Director of Community Engagement

    🎯 Healthcare Community Platform

    🌎 Remote (U.S. based)

    💸 $160K – $190K base salary+ Bonus + some cool stipends!

     

    We’re partnering with a fast-growing digital health platform that powers a unique online community for healthcare professionals worldwide. This is the go-to space where physicians, pharmacists, and other clinical leaders come together to connect, share insights, and improve patient care.

     

    The team is hiring a Senior Director of Community Engagement to scale member engagement and retention across its expanding community. The ideal candidate blends community-building instincts with lifecycle marketing strategy, and has experience increasing active users, launching scalable engagement programs, and building long-term member affinity. This role will lead a cross-functional team and drive key KPIs tied to retention, satisfaction, and community health.

     

    🔍 What You’ll Be Doing

    • Own the vision and roadmap for engagement across multiple HCP segments
    • Launch scalable programs and monitor and optimize KPIs tied to engagement, retention, and satisfaction
    • Lead strategy across the full member lifecycle—from onboarding to reactivation
    • Manage a Lifecycle Marketing Manager to build and scale email, in-product, and event-driven campaigns
    • Design and grow member-driven programs (events, promotions, content, etc.)
    • Lead community content strategy and collaborate with internal and contract creators
    • Work with product and analytics to identify pain points, motivations, and growth levers

     

    🎯 What You Bring

    • 10–14+ years in community engagement, lifecycle marketing, or member growth
    • Experience building professional communities (healthcare or B2B)
    • Familiarity with lifecycle tools (e.g., Marketo) is a bonus

     

    💡 Perks & Benefits

    • Base salary: $160K – $190K
    • Bonus
    • 401K + 3% company match
    • Unlimited PTO
    • Medical, Dental & Vision insurance
    • Phone reimbursement
    • Gym and wellness stipend
    • Lunch stipend every Thursday

     

    📧 Interested in applying? Click the ‘Easy Apply’ button or reach out directly to mohamed.salah@storm3.com for a confidential chat.

    Let me know if you’d like to tailor this further for LinkedIn or a careers page!

    Apply now

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    New York, New York, United States
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  • Claims Operations Director

    Family And Fertility
    Remote

    Claims Operations Director

    job location icon
    New York, New York, United States
    Location
    job industry icon
    Family And Fertility
    Industry
    job work mode icon
    Remote
    Working model

    ⚡ Claims Operations Manager

    🎯 Fertility Employee Benefits Technology

    🌎 Remote, Travel may be required

    💸 $110K – $160K + Bonus

     

    Storm3 is working with a well-known fertility benefits company that makes a lasting impact on families through the whole journey – from pre-conception and fertility to parenting. Their mission is to provide high-quality care throughout the whole family solution experience. The company is looking to expand its sales team. The role is an independent contributor who has experience in selling into enterprise accounts and managing relationships with HR and decision-makers. An ideal candidate is someone who has experience in selling to HR leaders and decision-makers with 8+ years of experience.

     

    Qualifications/Requirements:

    • Experience in Health Plan Claims
    • Management experience
    • HIPAA, ICD-10, NDC/GPI, & CPT/HCPCS coding knowledge
    • Strong performance management and productivity optimization skills, including reporting, analysis and recommendations.

     

    Responsibilities:

    • Plans, organizes and manages key claim functions.
    • Monitors and tracks staff and department performance against established productivity and quality metrics, including regular audits assessing department performance. Identifies and acts on both positive and negative performance trends to ensure attainment of goals.
    • Oversees day-to-day claims operations, including claims evaluation, adjudication and customer service in accordance with contract and Company quality and production standards.
    • Reviews claim audits for completeness, accuracy of information and compliance with WIN’s policies, standards and procedures. Resolves any issues or directs claim to team lead/area manager for resolution prior to payment.

     

    Benefits:

    • Salary $110K – $160K
    • Bonus
    • Remote environment with travel
    • Competitive PTO
    • Health benefits option
    • Wellness benefits
    • Competitive bonus structure, depending on performance.

     

    📧 Interested in applying? Please click on the ‘Easy Apply’ button or for a confidential chat – mohamed.salah@storm3.com

     

    ⚡ Storm3 is a HealthTech recruitment firm with clients across London, Europe and North America. To discuss open opportunities or career options, please visit our website www.storm3.com and follow the Storm3 Linked In page for the latest jobs and intel

    Apply now

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    New York, New York, United States
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  • VP Growth

    Clinical Workflow Automation
    Remote

    VP Growth

    $175K - 20K per year
    Salary
    job location icon
    Palo Alto, California, United States
    Location
    job industry icon
    Clinical Workflow Automation
    Industry
    job work mode icon
    Remote
    Working model

    ⚡ Vice President of Growth – AI Platform for Healthcare

    🚀 Reports to CEO

    🌍 United States (Remote)

    💰 Competitive Salary ($175,000-$200,000) + Uncapped Commission

    💵 OTE $400k+ & Early-Stage Equity Options

    ————————————————————————————————————

    About the company:

    This start-up company specializes in providing AI-powered solutions designed to enhance clinical decision-making and operational efficiency within large healthcare systems. By utilizing advanced machine learning algorithms and data analytics, the company’s platform helps healthcare providers identify key patterns in patient data, predict outcomes, and optimize treatment pathways. Their tools integrate seamlessly with existing Electronic Health Records (EHR) and other clinical systems, making it easier for healthcare professionals to access actionable insights in real time.

    ————————————————————————————————————

    Role Overview:

    The VP Growth will be an early sales hire and be responsible for leading the sales strategy of their AI platform to large health systems, IDNs and hospitals across the United States. This person will drive revenue growth through strategic partnerships, enterprise sales, and cultivating long-term relationships with key executive stakeholders and decision makers within these organizations.

    ————————————————————————————————————

    Key Responsibilities:

    • Own a territory of Enterprise accounts including large integrated delivery networks and health systems.
    • Drive the full complex sales cycle within ‘zero based accounts’ from identification, relationship building with key stakeholders, contracting and negotiation through transition to customer teams within assigned market segments.
    • Become intimately familiar with the structure of hospital and physician practices in order to communicate the business value of our service and the ROI of our products.
    • Work closely and collaboratively cross-functionally with Product, Clinical Operations, Account Management and Marketing teams.
    • Be creative in sales strategy, identification of key champions at health systems to accelerate deal cycles to close.

    ————————————————————————————————————

    Key Qualifications:

    • 10+ years of experience in enterprise sales, with at least 5 years in a leadership role within healthcare.
    • Proven success in selling complex AI/technology solutions to large health systems, hospitals, or healthcare providers.
    • Deep understanding of the healthcare ecosystem, developing relationships with C-suite executives including but not limited to CMIO, CMO, CIO, CFO.
    • Start-up/early-stage company experience is a must!
    • Proven track record of closing deals at $500k ARR and above. Proven track record of hitting quotasof $3M+.

    ————————————————————————————————————

    What they offer:

    • Competitive salary and lucrative, uncapped commission structure.
    • Comprehensive benefits package (health, dental, vision, retirement plans).
    • Opportunities for career growth and leadership development.
    • Opportunity to work at a fast-paced, dynamic and entrepreneurial early-stage organization.
    • Access to cutting-edge AI technology and an opportunity to make a meaningful impact on the healthcare industry.
    • Flexibility for remote work, with travel to key accounts as needed.

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    $175K - 20K per year
    Palo Alto, California, United States
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Head of Pharmacy Operations

$180K - 210K per year
Salary
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San Francisco, California, United States
Location
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Healthcare IT
Industry
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On Site
Working model

About the job

 

⚡ Head of Pharmacy Operations

🏥 Health Tech

🌎 On-Site, Bay Area

💲 Competitive Base + Bonus

 

Are you ready to shape the future of healthcare access at a fast-growing, VC-backed HealthTech startup using AI to streamline access to critical medications?

 

We are looking for a Head of Pharmacy Operations to lead and scale the clinical operations arm of our AI-powered platform. This is a high-impact leadership role focused on driving clinical quality and operational excellence, specifically within pharmacy prior authorization (PA) and appeals processes.

 

👨‍💻 Responsibilities

  • Lead and optimize our prior authorization and appeals review operations
  • Manage and scale internal and external (BPO) clinical teams
  • Drive workflow enhancements for pharmacy appeals and clinical reviews
  • Ensure accuracy and compliance across all clinical outputs
  • Partner closely with engineering to improve AI model inputs and outputs
  • Develop performance metrics and dashboards for quality monitoring

 

👩‍🎓 Required Background

 

We are specifically seeking candidates with experience at a PBM managing pharmacy prior authorization and appeals review teams. Candidates should have deep expertise in evaluating the clinical criteria that lead to approvals or denials.

 

  • Experience managing prior authorization and/or appeals teams at a PBM (e.g., Navitus) or PBM-like company (e.g., TruDataRx)
  • Deep understanding of what makes a prior auth or appeal succeed or fail across a wide range of drug classes
  • Track record of developing and optimizing clinical workflows related to medication access

 

✅ Qualifications

  • Extensive experience with pharmacy prior authorization and appeals processes
  • Operational leadership experience in a PBM or PBM-aligned setting
  • PharmD or equivalent clinical background preferred
  • Analytical mindset and strong executional rigor
  • Bonus: familiarity with SQL or healthcare analytics
  • Startup, payer, or healthtech experience is a plus

 

⭐ Benefits

  • High-impact, mission-driven work
  • 401(k)
  • Comprehensive health benefits
  • Generous parental leave
  • Training and career progression opportunities

 

📧 Interested in applying? Connect with the Hiring Team and click the ‘Easy Apply’ button.

 

⚡ Storm3 is a HealthTech recruitment firm with clients across London, Europe, and North America. To discuss open opportunities or career options, please visit www.storm3.com and follow the Storm3 LinkedIn page for the latest jobs and intel.

Apply now

Add your LinkedIn profile URL
Upload your CV/resume or any other relevant file. Max. file size: 128 MB.
By ticking this box, you consent to receive emails and marketing communications from Levin (PP Recruitment Holdings Ltd), you can unsubscribe at any time (see Privacy Policy). By providing your mobile number, you agree to receive SMS messages from Levin. Reply STOP to opt out. Msg & Data rates may apply; message frequency varies. You acknowledge that Levin will handle your data per its Privacy Policy.

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