Teams at VytlOne

Leads complex client and third-party administrator integrations for pharmacy benefit management operations. Supports batch file processing, EDI workflows, automated job monitoring, data reconciliation, issue resolution, and data quality management. Serves as a subject matter expert on PBM eligibility, claims, accumulator processing, and client-specific configurations. Collaborates with clients and internal teams, documents requirements, resolves exceptions, and maintains service, quality, and productivity standards.

Manages relationships with 340B covered entities and contract pharmacies, providing account support, training, troubleshooting, compliance guidance, performance reporting, mock audits, and savings optimization. Leads client calls, translates customer needs into solution plans, analyzes capture rates, resolves data issues with technical teams, and identifies process improvements. Requires strong knowledge of 340B guidelines, split billing, contract pharmacy operations, and healthcare account management.

Provides regulatory research, interpretation, and advisory support for 340B pharmacy programs. Monitors federal and state requirements, HRSA guidance, manufacturer restrictions, and pharmacy laws; translates changes into operational guidance, policies, training, and audit support. Partners with Legal, Compliance, Pharmacy Services, and clients on risk assessment, onboarding, contract pharmacy arrangements, and program integrity. The role requires strong knowledge of 340B regulations, healthcare compliance, HIPAA, regulatory research, and client communication in a fully remote environment.