Jobs at Prime Therapeutics

Leads strategic relationships and retention for employer and ASO health plan accounts. Oversees account management, client escalations, renewals, product adoption, communication standards, performance reporting, Salesforce documentation, process improvement, and cross-functional collaboration. Manages department staffing, budget, performance, and development while driving client satisfaction, growth, and retention strategies across complex healthcare accounts.

Coordinates small to medium-sized client and product implementations, initiatives, and analyses from initiation through closure. Responsibilities include requirements development, issue resolution, risk mitigation, testing, operational readiness, go-live support, workstream coordination, dependency tracking, process documentation, and client engagement. The role combines project management, business analysis, cross-functional collaboration, and solution development for complex business needs.

Leads the Client Financial Strategy function, managing a team that provides financial consulting, modeling, forecasting, pricing, profitability analysis, and strategic insights to clients. Oversees major renewals, RFPs, retention initiatives, performance guarantees, and executive stakeholder engagements. Establishes scalable consulting methodologies, reporting standards, dashboards, and operating processes while partnering with Finance, Underwriting, Account Management, Analytics, Clinical, Product, and Operations. Drives organizational effectiveness, team development, client retention, profitable growth, and enterprise financial performance.

Leads Prime Therapeutics’ client financial strategy and underwriting function through managers. Oversees pricing, forecasting, profitability, portfolio performance, governance, financial negotiations, and executive client relationships. Develops functional strategies, operating plans, talent capabilities, and enterprise financial initiatives supporting growth, retention, and profitability. Requires extensive healthcare finance, underwriting, pricing, and leadership experience, with strong executive communication and stakeholder influence skills.

Leads sourcing and procurement activities for lower-risk vendor categories, including vendor strategy, RFx administration, negotiations, contract drafting and redlining, renewals, spend analysis, reporting, and contract management. Supports sourcing initiatives, process improvements, audits, competitive events, system roadmap execution, and data integrity across procurement and contract management systems.

Leads multiple underwriting teams and oversees pricing strategy, financial analysis, competitive proposals, and underwriting operations. Develops ASO pricing and margin strategies, ensures accurate RFP financial responses, partners with Legal and Client Engagement, maintains underwriting controls, tracks bids, and improves productivity. Provides strategic guidance to managers and supports executive leadership, client relationships, staffing plans, and transformational initiatives.

Supports pharmacy rebate client operations through payment posting, dunning letters, service agreement maintenance, invoice review, and client request fulfillment. Assists with invoicing for fee-for-service, managed care, diabetic supply, and supplemental rebate programs while supporting account and rebate management teams.

Serves as a senior strategic advisor to health plan clients, consultants, and account teams. Provides market intelligence, healthcare and pharmacy strategy insights, executive briefings, thought leadership, and consultative recommendations regarding growth, affordability, member experience, total cost of care, and competitiveness. Develops expertise in payer markets, regulatory changes, provider dynamics, and healthcare innovation while identifying client opportunities and shaping strategic engagements.

Leads actuarial forecasting, pricing strategy, modeling, and risk management for pharmacy benefit clients. Oversees actuaries, develops utilization and cost assumptions, ensures actuarial work quality and scalability, collaborates on RFPs and pricing initiatives, presents complex analyses to varied audiences, and manages department staffing, budget, performance, and development.

Lead actuarial pricing, modeling, and data analyses for PBM clients. Provide strategic pricing advice, manage complex projects, mentor actuarial staff, present findings to stakeholders, and ensure regulatory and actuarial standards compliance.

Leads actuarial pricing, modeling, data analysis, projections, and RFP support for pharmacy benefit business lines. Provides strategic consulting to clients, underwriters, executives, and senior management; presents complex findings; monitors health policy and regulatory implications; ensures actuarial standards compliance; and mentors actuarial team members.

The Lead Actuary leads complex pharmacy pricing analyses, provides strategic guidance on pricing, mentors team members, and ensures compliance with regulations.