POSITION SUMMARY
The Compliance Associate reports directly to the Compliance Director and plays a key role in ensuring the organization’s adherence to all applicable federal and state regulations, contractual obligations, internal policies, procedures, and standard operating procedures (SOPs) with a particular focus on Medicare-related requirements.
The CA supports the development, implementation, monitoring, and oversight of comprehensive compliance programs designed to mitigate risk, uphold regulatory standards, and promote ethical business practices across all operational areas. The Compliance Associate collaborates with various departments to identify potential compliance risks and assists in conducting audits and investigations to address any issues. Ultimately, the Compliance Associate contributes to the organization's mission by ensuring operational compliance and protecting both patients and the organization from legal and regulatory challenges.
ESSENTIALS ROLES AND RESPONSIBILITIES
Draft agreements, amendments, and legal documents, etc., according to Company directions. Track the execution of legal documents. Review applicable local, Medicare and state regulations and file any necessary information with regulatory agencies, if appropriate. Monitor and interpret regulatory changes impacting PBM operations, including CMS guidelines, HIPAA, and Medicare Part D.Assist in maintaining compliance with Medicare regulations, including formulary management, reporting requirements, and audit readiness.Conduct periodic internal reviews or audits to ensure that compliance procedures are followed.Disseminate written policies and procedures related to compliance activities.File appropriate compliance reports with regulatory agencies if applicable.Maintain documentation of compliance activities, such as complaints received or investigation outcomes.Discuss emerging compliance issues with management or employees.Collaborate with other departments to ensure documents are processed and handled in a timely and efficient manner. Provide employee training on compliance-related topics, policies, or procedures.Assist internal or external auditors in compliance reviews, including URAC, SAE 16, and CMS audits.Prepare management reports regarding compliance operations and progress.Verify that all firm and regulatory policies and procedures have been documented, implemented, and communicated.Direct the development or implementation of compliance-related policies and procedures throughout an organization.Review or modify policies or operating guidelines to comply with changes to environmental standards or regulations. Perform other duties as assigned by the Compliance Director.TRAINING & EDUCATION
Bachelor’s degree in healthcare administration, law, or a paralegal degree.LICENSURE / CERTIFICATION
Certified Compliance & Ethics Professional (CCEP) preferred
PROFESSIONAL EXPERIENCE
1-3 years of experience in a PBM /Health Plan environment and/or Medicare-related programs1-2 years of experience working with contractual agreements.PROFESSIONAL COMPETENCIES
Knowledge:
Fully bilingual English and SpanishKnowledge of CMS regulations and Medicare compliance standardsProficiency in Microsoft Office 365 (Word, PowerPoint, Excel, etc.)Computer knowledgeBusiness process understandingKnowledge of producing clear, structured, and accurate documentation, including reports, SOPs, and compliance materials.Skills:
Skill in analyzing situations accurately and taking effective action.Demonstrated effective organizational, interpersonal, and communication skills.Strong verbal and written communications skillsTime Management Skills: Establishing priorities and accomplishing tasks in a timely manner.Problem-solving skills.Integrity and ethicsStrategic planningSkills in delivering clear, engaging, and professional presentations to groups of clients, adapting tone and content to suit diverse audience.Client-focused communicationAbilities:
Ability to read and interpret documents and write reports and correspondence.Ability for public speaking & client engagementAble to effectively interact with internal departments, company clients, members, and other healthcare professionals.Ability to work independently and with minimal supervision, demonstrating initiativeAbility to handle sensitive or confidential information is critical.Teamwork: the ability to work in a team environment.PHYSICAL AND MENTAL DEMANDS
The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. While performing the duties of this job, the employee is regularly required to talk or hear, sit, stand, and walk.The position requires that the weight be lifted, and force is exerted up to 50 pounds.Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.ENVIRONMENTAL AND WORKING CONDITIONS
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. Require evening or weekend work.PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans
POSITION SUMMARY
The Rebates Financial Analyst is responsible for preparing rebate submissions, validating claims data, tracking manufacturer payments, and supporting financial reconciliation and client reporting.
ESSENTIAL ROLES AND RESPONSIBILITIES
Rebate Operations & Administration
Prepare manufacturer rebate submissions and supporting data filesValidate eligible claims against rebate contract requirementsTrack submission timelines and manufacturer or intermediaries’ payment statusInvestigate and resolve discrepancies related to utilization, eligibility, or payment amountsMaintain rebate documentation and audit trailsData Analysis & Validation
Reconcile expected versus received rebate paymentsPerform trend and variance analyses to identify payment issuesValidate data inputs for completeness and accuracy prior to submissionSupport ad hoc rebate analyses requested by Finance or ManagementFinancial & Close Support
Assist with rebate receivable and payable calculations and true‑upsSupport month‑end and quarter‑end close activitiesProvide data and explanations for finance and accounting teamsHelp ensure rebate data aligns with financial reporting and internal controlsClient Reporting & Audit Support
Assist in preparing client rebate reports (earned, paid, owed)Support responses to client rebate inquiries and auditsCompile documentation requested during internal or external reviewsEnsure outputs align with client contractual termsProcess Documentation & Improvement
Maintain and update standard operating procedures (SOPs)Identify opportunities to improve data accuracy, efficiency, or automationSupport system testing or process changes as needed
TRAINING & EDUCATION
Bachelor’s degree in finance, Accounting, Business, Economics, Analytics, or related field
PROFESSIONAL EXPERIENCE
2–4 years of experience in healthcare operations, rebates, finance, or data analysisExperience working with:Manufacturer rebates or chargeback processesPBMs, health plans, or healthcare financial operationsPROFESSIONAL COMPETENCIES
Knowledge:
Fully Bilingual English and SpanishStrong proficiency in Microsoft ExcelPowerBIBasic SQL knowledge and Access Financial AnalysisBudgetingAccounting Closing Cycle ProcessSkills:
Analytical and problem‑solving mindsetProven attention to detail and ability to work with large data setsHigh accuracy and data integrity focusAbility to follow complex contractual rulesClear written and verbal communicationComfortable working in a small‑team, fast‑paced environmentAbility to balance routine work with ad hoc requestsPHYSICAL AND MENTAL DEMANDS
ENVIRONMENTAL AND WORKING CONDITIONS
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Require evening or weekend work.PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans
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This position reports to the Accounting Supervisor. It will perform one or more of the following accounting processes: accounts receivable, accounts payable, payroll, collection, bank reconciliations, accounts and report analysis, journal entries, account reconciliations to prepare monthly financial statements, among others.
ESSENTIALS ROLES AND RESPONSIBILITIES
Prepares and send receivable invoices and credits to customers. Resolves collection. Records cash receipts and generates/prepares aging, customers and billing reports. Maintains customer confidence and protects operations by keeping financial information confidential. Enters payable invoices, reviews their accuracy, supporting documents and approval. Issues payments by verifying documentation is complete and requesting approval disbursements to authorized personnel. Analyzes expenses and payables accounts. Generates/prepares aging, and suppliers/vendors reports. Prepares informatives (480, 1099), and related tax returns and payments.Reviews employees’ time and attendance report, validates and enters expense reports and any other payment/deduction or adjustment. Prepares payroll, review reports, review informatives (w2) and payroll tax returns, and ensures that payments and government reports are disbursed accurately and on time.Prepares month-end general ledger accounts reconciliations, subsidiaries, and records journal entries. Reconcile financial discrepancies by collecting and analyzing account information. Prepares recurring and ad-hoc financial reports by collecting, analyzing, and summarizing account, vendor, and/or customer information. Maintains accounting controls by following and recommending policies and procedures. Maintains financial security by following internal controls. Follows and complies with GAAP, federal and state regulations requirements by studying existing and new legislation and enforcing its adherence. Contributes to team effort by accomplishing company and department goals. Perform other job-related duties as assigned.TRAINING & EDUCATION
Bachelor’s Degree in accounting.LICENSURE / CERTIFICATION
Candidate for CPA or CMA certification.PROFESSIONAL EXPERIENCE
Three years’ experience as Accountant, preferred but not required.PROFESSIONAL COMPETENCIES
Good oral and written communication skills at all levels.Attention to detail.Deadline and results oriented.Ability to work independently or part of a team.Strong analytical skills.Adaptability to changing priorities, processes, structures or situations.Fully bilingual English and Spanish.PHYSICAL AND MENTAL DEMANDS
The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. While performing the duties of this job, the employee is regularly required to talk or hear, sit, stand, and walk.The position may require lifting and moving equipment up to 25 pounds.Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.ENVIRONMENTAL AND WORKING CONDITIONS
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, and printers. The position may require evening or weekend work to support maintenance windows, system updates, and incident response.PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans
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The Software Developer reports to the Software Engineering Manager and is responsible for maintaining, enhancing, and optimizing mission‑critical backend systems that process high‑volume transactional data. The incumbent will develop and support multi‑tier applications, web services, and system integrations while ensuring performance, stability, and data integrity across complex environments. The Software Developer will collaborate with Business Owners, Product teams, and cross‑functional stakeholders to gather requirements, design technical solutions, and execute development initiatives following structured development methodologies.ESSENTIALS ROLES AND RESPONSIBILITIES
Maintain, enhance, and optimize complex backend systems built primarily in C++.Design, develop, and support web applications, backend services, and multi‑tier system architectures.Analyze high‑volume transactional workflows to ensure efficiency, scalability, and performance.Develop, maintain, and integrate REST and SOAP APIs, as well as Web Services.Support and maintain Windows Services and related system components.Work closely with MS SQL Server databases to optimize performance, maintain data integrity, and troubleshoot issues.Collaborate with business teams to gather requirements, understand processes, and automate business functions.Create and maintain technical documentation, including system specifications, project plans, data models, and configuration guidelines.Participate in structured development processes leveraging Azure DevOps (or similar tools), Git repositories, and CI/CD pipelines.Contribute to release planning activities, sprint execution, and team coordination as required.Support ongoing continuous improvement efforts by recommending enhancements to existing systems and development practices.Ensure adherence to development standards, quality assurance practices, and security requirements.TRAINING & EDUCATION
Bachelor's Degree in Computer Science, Computer Engineering, Software Engineering or equivalent work experience.LICENSURE / CERTIFICATION
Not applicable
PROFESSIONAL EXPERIENCE
More than 4 years of professional software development experience.Strong hands-on experience with C++ in production environments.Experience developing web applications and backend services.Strong experience with MS SQL Server (performance, queries, optimization).Solid understanding of Object‑Oriented Programming (OOP) principles.Experience with multi‑tier system architecture.Knowledge and practical experience in performance optimization, multithreading, and memory management.Experience developing and integrating Web Services and REST/SOAP APIs.Experience working within structured development environments (Azure DevOps or similar), including Git and CI/CD pipelines.Fully bilingual: English & Spanish.Strong analytical, diagnostic, and troubleshooting skills.Preferred Experience (Nice to Have):
ASP.NETC#MVC architectureAngular or ReactHTML, JavaScript, CSSExperience in healthcare or other regulated industriesPROFESSIONAL COMPETENCIES
KnowledgeStrong understanding of backend development, system architecture, and emerging technologies.Proficiency in Microsoft Office applications.Knowledge of software design patterns, multi‑tier architectures, and distributed systems.Understanding of structured development processes, source control, and DevOps practices.SkillsFluency in spoken and written English and Spanish.Strong analytical, problem‑solving, and debugging skills.Excellent verbal and written communication skills.Effective collaboration skills to work with technical teams, business stakeholders, and cross‑functional partners.Organizational skills, planning, prioritization, and time management.Ability to analyze business needs, translate them into technical requirements, and propose scalable solutions.AbilitiesAbility to work effectively in complex and performance‑driven environments.Proven capability to manage multiple projects, competing priorities, and tight deadlines.Ability to work independently or as part of a collaborative team.Capacity to communicate technical concepts clearly to technical and non‑technical audiences.Ability to adapt to changing business needs and evolving technologies.Demonstrated drive for results and accountability.PHYSICAL AND MENTAL DEMANDS
The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. While performing the duties of this job, the employee is regularly required to talk or hear, sit, stand, and walk.The position requires that the weight be lifted, and force is exerted up to 50 pounds.Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.ENVIRONMENTAL AND WORKING CONDITIONS
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. Require evening or weekend work.PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans
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The Account Manager reports to the Accounts Director and is responsible for overseeing all matters related to PharmPix clients and servicing. The Account Manager is the point of contact between our company and our clients to help solve problems and achieve business goals for their assigned accounts.
ESSENTIAL ROLES AND RESPONSIBILITIES
Act as the main point of contact in all matters relating to client concerns and needs.Build and strengthen client relationships to achieve long-term partnerships and acquire new customers. Develop trusted advisor relationships with key accounts, customer stakeholders and executive sponsors.Develop a thorough understanding of our service offerings to better upsell and cross-sell to clients.Meet regularly with other members of the team to discuss progress and find new ways to improve business.Ensure the timely and successful delivery of our solutions according to customer needs and objectives.Clearly communicate the progress of monthly/quarterly initiatives to internal and external stakeholders.Forecast and track key account metrics.Provides proactive and strategic support for achieving business goals and ensuring deliverables are on time in full (OTIF) and meet the quality levels expected by internal and external customers. Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizationsLiaise between the customer and internal teams. Assist with challenging client requests or issue escalations as needed.Provide oversight of projects and client initiatives and assist in the interpretation and context of client requests.Responsible for the daily monitoring and updating of Account Management MS Planners and Power BI Dashboards. Maintains a complete understanding of client contract terms including the monitoring, reporting of performance guarantees and service improvements. Ensures that all assigned contracts are monitored and reported as stated in the terms. Coordinates client training on appropriate systems, tools, and other services available when required. Accountable for providing direction, monitoring progress, promoting teamwork and effective communication for the Key Account Specialist. Responsible for setting and documenting annual goals in ADP platform. Other projects and duties as assigned by the Accounts Director and/or the Executive team.TRAINING & EDUCATION
Bachelor’s degree in business or healthcare related field; or equivalent work experience.Master’s degree a plus.LICENSURE / CERTIFICATION
Not applicable.PROFESSIONAL EXPERIENCE
4 + years’ experience in the health insurance industry, PBM or professional job-related experience4 years client services or account management is preferred.
PROFESSIONAL COMPETENCIES
Knowledge:
A thorough understanding of the managed care industries from the perspective of a PBM as well as providers of care. Knowledge of the purposes, organization and policies of the community’s health care delivery and pharmacy regulations/regulatory agencies.Fully bilingual English and Spanish.Proficiency in Microsoft Office.Skills:
Must be detail oriented and highly organized.Manage multiple priorities and work independently or in a team in a fast-paced environment.Possess a high degree of initiative, judgment, discretion, and decision-making to achieve organizational objectives.Effective and Strong verbal, written and presentation communication skills.Demonstrate ability to develop strong working relationships. Customer focus and ability to meet client expectations. Skills in negotiations and diplomacy.
Abilities:
Ability to engender a team spirit at all levels of the organization.Ability to organize and integrate organizational priorities and deadlines.Ability to work independently or part of a team. Demonstrate ability to establish and maintain quality control standards.Ability to develop and maintain productive relationships with other internal departments, PharmPix clients and other health care professionals. Ability to manage people and provide team leadership.
PHYSICAL AND MENTAL DEMANDS
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. While performing the duties of this job, the employee is regularly required to talk or hear, sitting, standing, and walking.The position requires that weight be lifted, and force be exerted up to 25 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.PharmPix is an Equal Employment Opportunity Employer Minorities / Females / Disable / Veterans
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