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 TitleDirector, Clinical Strategy and Integrated Specialty Solutions - RemoteJob DescriptionThe Specialty Clinical Program Director is responsible for shaping and executing the clinical strategy for Specialty therapeutic categories. This position leads the development and oversight of a comprehensive portfolio of Specialty clinical programs, driving innovation, measurable outcomes, and strategic alignment with business goals. This role serves as a Specialty subject matter expert and strategic partner, collaborating across clinical, technical, operational, and business teams to deliver innovative, scalable solutions and also collaborates with external stakeholders, ensuring the successful delivery of Specialty programs and contributing to the advancement of strategic business initiatives. This role may be responsible for the development and delivery of strategic business roadmaps for medical, pharmacy, or integrated specialty solutions.
Responsibilities
- Develop clinical solutions and strategic roadmaps for specific therapeutic categories; oversee the development and implementation of product solutions
- Lead or provide support to Specialty program and product teams in development and maintenance of any additional specialty solutions
- Maintain knowledge of key industry trends
- Provide insight into competitor products and services
- Partner with the following stakeholders for:
- Health Outcomes and Analytics teams: to manage/monitor data in areas such as: trend/net trend, net ingredient cost, utilization % change, brand inflation, specialty network savings, formulary compliance, rebate/Rx, specialty network savings, UM savings for pharmacy and medical benefits, Reimbursement solutions, Site of Care, Coupons, 340b
- Pharmacy Relations Trade: for collaboration on new programs that may impact manufacturer contracting, manufacturer contract performance and other areas as needed.
- Pharmacy team: to serve as strategy partner for UM programs, medical policy, formulary, pipeline, P&T committee recommendations, maintenance of drug lists, etc.
- Strategize with Networks to develop and assist with management of therapeutic category performance and reporting
- May lead or support in presenting program results and solutions to Clients
- Other duties as assigned
Minimum Qualifications
- Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree
- 3 years of pharmacy experience in a PBM, managed care, specialty pharmacy or cross-benefit management
- Current pharmacist license to practice in the applicable state(s)
- Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
- Ability to facilitate change
- Ability to develop relationships and influence at all organizational levels
- Demonstrated ability to distill complex concepts or situations into concise and compelling communications
- Critical thinking skills and ability to anticipate issues and develop innovative solutions
- Ability to travel 25%
Preferred Qualifications
- Advanced degree or Certification in specific therapeutic category
- Integrated Specialty: Medical and pharmacy drug management experience
- Integrated Specialty: Cross-functional project and/or product development, influencing leaders and business decisions
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.
Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills.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.
Prime Therapeutics Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Prime Therapeutics and has not been reviewed or approved by Prime Therapeutics.
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Healthcare Strength — Health coverage is described as comprehensive, with medical, dental, and vision options and plan designs that include low deductibles for some choices. Wellness screenings and related incentives add perceived value to the health offering.
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Retirement Support — Retirement benefits stand out through a 401(k) match that is characterized as generous and immediately vested. This structure improves the overall long-term value of the total rewards package.
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Strong & Reliable Incentives — Annual incentive bonuses are positioned as a meaningful component of total compensation and are often portrayed as substantial when performance goals are met. Incentive eligibility appears broadly available across roles, boosting the perceived completeness of rewards.
Prime Therapeutics Insights
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What We Do
Everything we do is connected to helping people get the medicine they need to feel better and live well. It’s meaningful work and we’ve been doing it for over 20 years. In the pharmacy benefit management (PBM)industry, we’re different. We’re owned by 18 not-for-profit Blue Cross and Blue Shield health plans. This allows us to control costs and empower our employees to put members first. It’s a successful combination. We have the lowest pharmacy trend in the industry and serve 28+ million members throughout the US. In addition to core PBM services, we work closely with our clients to implement the right benefit design, clinical and specialty programs, formulary and networks. A few key products: • NetResults™ • Specialty Drug Management • Best in Care™ • GuidedHealth® • Advanced Fraud, Waste and Abuse: Member and Prescriber Investigations • Prime Analytics™ • CareCentered Contracting™Controlled Substance Management Program Join us! Prime is always looking for smart, purposeful people to join our team. We’re growing fast which means there are plenty of opportunities to advance and grow in your career. At the same time, Prime supports flexibility and offers generous PTO so you can enjoy an enviable work/life balance. We’re a privately held company -big enough to make a difference and small enough for you to have an impact. Follow Prime on LinkedIn to learn more.
