Top Tech Jobs & Startup Jobs in Boston, MA

Maintains Medicaid fee-for-service drug pricing methodologies and financial models. Incorporates NADAC, CMS, and HRSA 340B requirements; reconciles FDB and Medi-Span data; analyzes pricing impacts; supports Statements of Work, regulatory submissions, audits, and reporting. Partners with compliance, finance, legal, government programs, and clients to ensure accurate, transparent, and compliant Medicaid reimbursement models.

Leads pharmacy network financial performance across all business lines, including reconciliation, contracted reimbursement guarantees, effective-rate compliance, MAC pricing, variance management, and corrective action. Oversees Network Reconciliation and MAC Pricing teams, ensuring pricing outcomes align with contract terms and enterprise financial goals. Partners with Network Contracting, Underwriting, Finance, and Analytics leaders on governance, audit readiness, market analysis, RFP pricing, and performance execution.

Analyzes pharmacy contracts, pricing, forecasting, financial models, and network performance for retail, specialty, and mail-order pharmacies. Supports contract negotiations, renewals, strategic partner meetings, reporting, variance analysis, annual planning, and multi-year financial modeling. Collaborates with Finance, Legal, Pharmacy Informatics, Contract Managers, and leadership to develop recommendations and improve contracting performance.

Develops, tests, documents, enhances, and maintains software applications supporting business requirements. Collaborates with internal teams to define specifications, writes and debugs code, monitors performance, prepares status reports, trains end users, and supports application improvements. The role uses C#, .NET, React, AWS, databases, shell scripting, source control, and development tools. On-call availability and some travel may be required.

Develops business intelligence applications and data models using Qlik, SQL, and related tools. Performs ETL, data validation, analytics process improvement, and impact analysis for reporting changes. Provides data-driven insights, supports audits and legislative inquiries, leads stakeholder meetings, and mentors teammates as a business intelligence subject matter expert.

Leads platform engineering and FinOps teams responsible for CI/CD, developer tooling, container orchestration, observability, cloud cost governance, and software procurement. Oversees AWS usage optimization, automation, Infrastructure as Code, GitOps, compliance, and platform modernization across a hybrid cloud environment. Partners with infrastructure and cloud operations teams, defines the platform roadmap, and mentors platform engineers, DevOps engineers, and FinOps analysts.

Develops and maintains business intelligence applications, data models, reporting scripts, and analytics solutions using Qlik, SQL, and related tools. Imports data from multiple sources, validates data integrity, assesses downstream impacts, supports user testing, and collaborates with business stakeholders and IT to improve reporting processes and deliver actionable insights.

Manages implementation projects for health plans and strategic employer clients, including PBM transitions, new service launches, and vendor changes. Responsibilities include client relationship management, requirements gathering, impact analysis, project planning, status reporting, issue escalation, go-live support, travel, and post-implementation reviews. The role requires coordination with internal subject matter experts and external clients, including potential government program stakeholders.

Manages employer, health plan, and PBM client accounts; supports account strategy, renewals, quarterly business reviews, performance analysis, and client communications. Builds relationships with clients, brokers, consultants, and senior stakeholders while coordinating internal teams to resolve issues, identify solutions, support negotiations, and drive satisfaction and retention. The role requires travel to corporate headquarters and client sites.

Leads a quality assurance automation team while remaining primarily hands-on. Responsibilities include designing and maintaining scalable automation frameworks for web, mobile, and API testing; planning and executing tests; integrating automation into CI/CD pipelines; improving QA processes; establishing standards; mentoring staff; managing resources; and supporting multiple Scrum teams. The role partners with engineering, product, and DevOps teams and requires cloud-native application testing experience.