Jobs at Prime Therapeutics

Manages multiple complex projects across business and IT stakeholders, overseeing scope, quality, budget, risks, issues, schedules, and project lifecycle deliverables. Leads planning, execution, governance, change control, conflict resolution, executive communications, and service quality monitoring. Mentors project managers and contributes to project management practice maturity and continuous improvement.

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 Salesforce CRM strategy, roadmap, administration, modernization, and operational performance. Oversees platform enhancements, AI capabilities, integrations, self-service solutions, requirements, testing, maintenance, budgets, vendors, and contracts. Builds and manages a Salesforce team while partnering with senior leaders and cross-functional stakeholders to deliver business transformation, automation, process improvements, and measurable value.

Leads enterprise back-end digital experience strategy, API and interoperability roadmaps, data-sharing governance, and modernization initiatives. Directs healthcare interoperability programs involving FHIR, NCPDP, CMS requirements, APIs, cloud, and legacy integration migration. Aligns architecture, engineering, security, compliance, legal, operations, product, clients, and partners while managing a high-performing team and measuring adoption, reliability, compliance, reuse, and value delivery.

Leads enterprise AI strategy, governance, adoption, and value realization. Partners with executives and cross-functional teams to develop AI roadmaps, manage governance forums and risk evaluations, identify transformation opportunities, measure business impact, evaluate vendors and platforms, and promote responsible AI adoption across healthcare and business operations.

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.