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 TitleMedDrive Program Director- REMOTEJob DescriptionThe MedDrive Program Director leads the overall clinical strategy and implementation, portfolio of clinical solutions, outcomes and tracking for specified therapeutic categories. This includes medical drug policy, cross benefit management, trend management, medical drug management capabilities, and specialty programs . This position will establish and maintain cross functional partnerships with capability owners to drive successful execution of MedDrive programs. This position will be the subject matter expert for MedDrive clinical solutions, and specific therapeutic categories for both internal and external stakeholders, including competitive intelligence.Responsibilities
- Maintain competitive intelligence of best-in-class medical drug management solutions in the market, with a focus on clinical management through medical drug policy or other utilization management programs; additionally, strategies to manage medical drug using non-clinical, administrative, or other methods
- Lead the development and implementation of strategies for the Medical Drug Business committee and serve as an internal SME to cross functional client teams and participate in client facing meetings to further translate and advise on the implementation of proposed strategies
- Develop clinical and business solutions for the MedDrive (MedicalRx) program specific therapeutic categories; oversee the development and implementation of product solutions
- 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, utilization management (UM) savings for pharmacy and medical benefits##Client Engagement teams in consulting on strategies and presenting specific solutions to Clients##Pharmaceutical Trade Relations: for collaboration on new programs that may impact manufacturer contracting, manufacturer contract performance and other areas as needed##Clinical Program Development: serve as a partner for MedDrive program for UM policies formulary placement, pipeline, P&T committee recommendations, and maintenance of drug lists
- Strategize with Network Management to develop and assist with management of therapeutic category performance
- Provide support to product team in development and maintenance of any MedDrive solution collateral
- Other duties as assigned
Minimum Qualifications
- Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree and current pharmacist license in good standing with the State Board of Pharmacy in the state where the position is located
- 3 years of work experience in health care, including health plan, pharmacy experience in managed care or specialty pharmacy
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
Preferred Qualifications
- Health Plan and PBM experience
- Advanced degree or Certification in specific therapeutic category
- Experience in commercial or government program medical drug management strategy
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.
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.
