or apply directly on AffirmedRx, PBC's site. We never take the application ourselves.
Is this posting real?
- This role has been open
- 20 days AffirmedRx, PBC's roles stay open a median of 21 days
- Reposted
- No
- Salary listed
- No 0% of AffirmedRx, PBC's roles list one
- Ghost-job risk at AffirmedRx, PBC
- moderate 3 stale, 0 reposted of 11 open
- Hiring momentum
- 16 roles opened in the last 90 days ↑ up vs. the prior 90 days
- Last confirmed on the employer's board
- 2026-09-17
Measured from postings appearing on and disappearing from AffirmedRx, PBC's own greenhouse board since 2026-08-03. Full hiring picture for AffirmedRx, PBC.
About this role
The PBM Claims Adjudication Specialist at AffirmedRx is responsible for developing and maintaining client eligibility and accumulator files to ensure data accuracy. This role involves hands-on PBM claims adjudication, coding automation for file processing, and managing secure file transmissions via SFTP. The specialist will also troubleshoot data discrepancies and collaborate with team members to resolve complex client issues.
- benefits
- 1/5
- freshness
- 4/5
- career value
- 4/5
- role clarity
- 5/5
- pay transparency
- 0/5
Scored from the posting itself — how clearly the role is described, how much it says about pay and benefits, and how recently it was listed. Not a judgement of AffirmedRx, PBC as an employer.
What you need
- Bachelor’s degree in a related field, or equivalent experience
- Deep, hands-on experience with PBM claims adjudication
- 7+ years of direct PBM experience building and maintaining client eligibility files and accumulator files
- Strong knowledge of NCPDP standards, claims processing rules, and benefit design as they relate to file build and testing
- Experience with SFTP setup, configuration, and management for secure client file transmission
- Excellent troubleshooting and problem-solving skills
Nice to have
- Experience working with the RxSense platform
What you get
- Competitive compensation, including health, dental, vision and other benefits
Worth weighing
- Remote employees must maintain a professional work environment free of distractions
- No salary listed
Summarised from AffirmedRx, PBC's posting. Read the full original.
Listed by AffirmedRx, PBC on their greenhouse job board, last confirmed open on 2026-09-17. PitchMeAI is not the employer.