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Capital Rx Jobs (NOW HIRING)

Capital Rx

Case Underwriter

Manhattan, NY · On-site +1

$95K - $110K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health , which offers full-service health benefit ...

Capital Rx

Senior Platform Developer

Manhattan, NY

$59.50 - $78.75/hr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health , which offers full-service health benefit ...

Capital Rx

Benefit Operations Specialist

Manhattan, NY · Remote

$75K - $90K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health , which offers full-service health benefit ...

Capital Rx

Senior Backend Software Developer

Manhattan, NY · On-site +1

$110K - $190K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health , which offers full-service health benefit ...

Capital Rx

Associate Product Manager

Manhattan, NY · Remote

$75K - $119K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health , which offers full-service health benefit ...

Capital Rx

Full Stack Software Developer

Denver, CO · On-site +1

$86K - $136K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health , which offers full-service health benefit ...

Capital Rx

Benefit Operations Specialist

Denver, CO · Remote

$75K - $90K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health , which offers full-service health benefit ...

Capital Rx

Senior Backend Software Developer

Denver, CO · On-site +1

$110K - $190K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health , which offers full-service health benefit ...

Capital Rx

Senior Full Stack Software Developer

Denver, CO · On-site +1

$110K - $190K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health , which offers full-service health benefit ...

Capital Rx

Full Stack Software Developer

Manhattan, NY · On-site +1

$86K - $136K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health , which offers full-service health benefit ...

Capital Rx

Analyst, Data Exchange

Manhattan, NY · Remote

$76K - $121K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health , which offers full-service health benefit ...

Capital Rx

Associate Product Manager

Denver, CO · Remote

$75K - $119K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health , which offers full-service health benefit ...

Capital Rx

Benefits Manager

Manhattan, NY · Remote

$98K - $118K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, * Judi Health , which offers full-service health benefit ...

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$20K

$83.3K

$174K

How much do capital rx jobs pay per year?

As of Jun 10, 2026, the average yearly pay for capital rx in the United States is $83,332.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,500.00 and $111,500.00 per year, depending on experience, location, and employer.

What kind of team environment can I expect working at Capital Rx?

At Capital Rx, you will typically be part of a highly collaborative and fast-paced team focused on improving healthcare outcomes through transparent pharmacy benefits. Teams often include pharmacy technicians, clinical pharmacists, data analysts, and client service specialists working closely to deliver high-quality solutions. Open communication, innovation, and cross-functional collaboration are encouraged, so you'll regularly interact with colleagues from different departments. This dynamic environment provides excellent opportunities to learn, contribute ideas, and advance your career as the company grows.

What are the key skills and qualifications needed to thrive in the Capital Rx position, and why are they important?

To excel in a role at Capital Rx, candidates generally need a solid background in pharmacy benefit management (PBM), healthcare analytics, or related fields, paired with a relevant degree. Familiarity with claims adjudication platforms, PBM software, and data analysis tools like SQL or Excel is highly valued. Strong problem-solving abilities, attention to detail, and effective communication are essential soft skills for success. These competencies enable professionals to manage complex pharmacy benefit operations efficiently, ensure regulatory compliance, and foster positive relationships with clients and team members.

What is a Capital Rx job?

Capital Rx is a pharmacy benefit manager (PBM) that focuses on improving drug pricing transparency and patient outcomes. A job at Capital Rx typically involves roles in pharmacy operations, technology, client services, or healthcare strategy. Employees work to modernize the prescription drug payment system and enhance access to affordable medications. Positions may require expertise in healthcare, analytics, or customer relations, depending on the specific role.

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Capital Rx jobs near you
VP, Provider Reimbursement and Contracting

VP, Provider Reimbursement and Contracting

Capital Rx

Manhattan, NY • Remote

$250K - $310K/yr

Other

Posted 21 hours ago

Job description

About Judi Health

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:

  • Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,
  • Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and
  • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform.

Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health.

Position Summary

The Provider Reimbursement and Contracting Leader is responsible for architecting and advancing network solutions that integrate network design, payment innovation and high-performing provider partnerships in a unified medical-pharmacy ecosystem. This position will lead the development of differentiated network constructs, tailored ASO network solutions and high performing provider contracts with valuebased innovations that improve outcomes, optimize the total cost of care and enhance employer and member value. Importantly, this role will align network and product design strategies to ensure overall utilization and costs are optimized.

This position will partner with senior leadership, product, IT, operational analytics teams to evolve the strategic direction and market differentiation of Judi Care, ensuring a unified, forwardthinking approach that meets complex client needs, minimizing provider hassle and improving the member experience. This leader will create the foundational methods, tools and processes for provider negotiation and lead a team to execute these contracts across the country.

Position Responsibilities:

  • Network Overall Optionality: Work to contract with a range of network options to create client optionality, from large national PPO varieties to specialty networks and tailored client constructs.
  • Benchmarking, Analytical Tools and Processes: Create a foundation of tools and repeatable processes that can be employed to evaluate and value network and contracting proposals. This includes market and competitive analyses to identify opportunities for differentiation, innovation, and strategic growth across network, payment and provider performance domains.
  • Reimbursement Methods: Develop reimbursement methods that minimize provider abrasion and hassle while cultivating the right behaviors. The leader should strive to develop method that are transparently comparable and can be adjudicated in a real-time, automated manner.
  • Value-Based Design: Lead the development of valuebased payment models, performance frameworks, and incentive structures that improve outcomes, reduce total medical cost, and strengthen provider accountability.
  • HighPerforming Provider Partnerships. Identify and cultivate contracted relationships with high-performing providers and strategic provider networks (e.g. direct primary care or oncology networks) to unlock new pathways for medical and pharmacy cost optimization, improved utilization and enhanced clinical outcomes.
  • Tailored ASO Networks and Geographic Micro Networks. Select geographies based on provider and ASO concentration to enable direct contracting. Build customized network solutions aligned to employer benefit design, costofcare goals, and market needs, ensuring differentiated value for selffunded clients.
  • Product & Solution Integration. Collaborate with product and analytics teams to embed network constructs, payment models, and provider insights into scalable, marketready offerings.
  • Contracting Leadership. Lead and mentor teams responsible for provider contracting, VBC program development, and network performance management, fostering a culture of innovation and operational excellence. Oversee negotiation and execution of provider contracts, ensuring alignment with strategic goals, regulatory requirements, and performance expectations.
  • Responsible for adherence to the Capital Rx Code of Conduct.

Required Qualifications:

  • MBA or related graduate degree preferred.
  • 20+ years of experience in provider network design, VBC, and payment innovation within payer or provider organizations.
  • Proven success developing ASO network solutions and partnering with highperforming providers to reduce medical costs.
  • Strong leadership, negotiation, and stakeholder engagement skills.
  • Experience in fastpaced, highgrowth or startup environments.

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

Remote, US Salary Range
$250,000—$310,000 USD

All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

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

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found athttps://www.judi.health/legal/privacy-policy.

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