Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting TitleFinancial Solutions VP - RemoteJob DescriptionThe Healthcare Financial Solutions VP is a strategic leader responsible for driving the transition from traditional unit cost models to value-based, outcomes-driven frameworks. This role requires deep expertise in drug trend analytics, benefit design and supply chain economics across both pharmacy and medical domains, with a focus on high-impact therapies and their implications for service delivery, legal and compliance frameworks, and member/provider engagement. This position shapes financial strategies that support innovation, risk-based performance models, and market expansion.
Responsibilities
- Provide strategic oversight of projected drug trend growth, with a focus on blockbuster therapies and their cross-functional effects on service delivery, regulatory compliance, and member/provider experience
- Champion the transition from unit cost to value-based financial models, including the incorporation of performance outcome risk assumptions
- Guide benefit design strategies to ensure alignment with evolving healthcare economics and overarching enterprise objectives
- Lead comprehensive financial evaluations of new markets, partnerships, and service models to support long-term growth and innovation goals
- Monitor and interpret competitive dynamics and emerging entrants in the Pharmacy Benefit Management (PBM) space, including implications of acquisitions, service expansions, and disruptive models
- Anticipate and model future market shifts while critically assessing current business models to identify strategic gaps and opportunities
- Collaborate closely with executive leadership to integrate financial insights into enterprise strategy and operational planning
Minimum Qualifications
- Bachelor’s degree in Finance, Business, Health Care Administration, or related area of study, or equivalent combination of education and/or relevant work experience; High school diploma or GED required
- 12 years of Finance, Analytics, or Business Economics within healthcare, PBM, specialty pharmacy, or healthcare consulting
- Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
- Strong analytical and problem-solving skills with the ability to think strategically
- Excellent communication and presentation skills with ability to disseminate complex material for a variety of audiences at all levels of enterprise and key external partners and clients
- Ability to work independently and lead cross-functional initiatives
- Ability to align financial strategies with long-term organizational goals and healthcare trends
- Deep understanding of healthcare-specific financial models, reimbursement systems, and payer-provider dynamics
Preferred Qualifications
- Master’s degree in business (MBA) or health administration (MHA) or related area of study
- People leadership experience
- PBM experience
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.
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 (pregnancy, sexual orientation, and gender identity), 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.
Top Skills
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.
