At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Job Description

Responsibilities

• Develop and manage complex clinical product initiatives including clinical criteria
• Gather, analyze, and synthesize market information, clinical guidelines and member claims data to support clinical product management initiatives, products and strategies
• Coordinate, launch and implement new products, product enhancements, and process improvements across all stakeholders
• Represent the Clinical department as a strategic partner during customer requirement sessions
• Responsible for regulatory (URAC/NCQA, CMS, state law) oversight and external representation of the department
• Validate the accuracy of clinical product information and set up; may include user acceptance testing of applications and programs
• Establish and maintain cross-functional partnerships with leaders to drive informed decisions and successful execution of initiatives
• May be required to routinely collaborate and interact with client partners
• Other duties as assigned

Minimum Qualifications

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree

• Current pharmacist license in good standing with State Board of Pharmacy
• 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a clinical and/or managed care setting

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Microsoft Excel and Word proficiency
• Proven experience working in regulated environment
• Ability to work in ambiguous role with undefined parameters
• Exceptional relationship and communication skills; excellent written, verbal and presentation skills with the ability to convey complex ideas to diverse audiences
• Strong analytical and problem-solving skills with attention to detail and quality
• Ability to work on multiple projects simultaneously under pressure with strict timelines
• Ability to develop process efficiencies
• Ability to work well in team environment

Preferred Qualifications

• Experience in cross-functional departmental collaboration
• Broad experience in or exposure to the Pharmacy Benefit Management (PBM) business

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.  

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.