Network Client Services Manager

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 Title

Network Client Services ManagerJob Description

The Networks Client Services Manager is responsible for managing Prime's network products and supporting key internal stakeholders in the socialization and adoption of network strategies and initiatives for assigned clients. This position is accountable for supporting, managing and facilitating the implementation of operational plans for a complex set of programs and critical initiatives, including the review and integration of applicable state and federal regulations or guidance into Prime's contracts and Provider Manual. The Network Client Services Manager supports efforts to ensure all network (non-financial) performance guarantees are met as well as supporting financial guarantee management and interests.

Responsibilities

• Collaborate with clients, the Director of Network Client Services, and other key stakeholders to identify areas of focus and potential projects where process redesign/improvement can impact efficiency, quality, profitability, competitive position and customer satisfaction; provide recommendations to Network Management leadership regarding opportunities and improvement initiatives
• Support the execution and adoption of new network strategies and initiatives and ensure compliance and measures to support pharmacy network performance are appropriately represented in new or changing programs
• Work with clients, Director of Network Client Services, and other key stakeholders related to specific network products and initiatives to evaluate and synthesize client requests and provide guidance on implementation requests
• Participate in the preparation and delivery of performance-based presentations for internal and external stakeholders to drive quality improvement programs and network design changes
• Support Client facing teams in business case and project request development; serve as liaison back to the impacted stakeholders within Network Management to identify and resolve all associated risks or action items
• Facilitate and support client specific action plans and tracking methodology, including the management of a single view dashboard
• Other duties as assigned

Education & Experience

• Bachelor's degree in finance, business, healthcare management or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED required

• 5 years of related work experience in client facing roles within healthcare, pharmacy benefit management (PBM) or retail pharmacy to include at least 2 years of experience working directly with Medicaid and Medicare or other regulatory guidance
• Must be eligible to work in the United States without need for work visa or residency sponsorship

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

• Demonstrated interpersonal effectiveness with the ability to mesh client and internal business working partnerships
• Well-developed analytical, organizational, interpretive, and time-management skills
• Demonstrated ability to simultaneously manage multiple projects within strict timelines, under pressure
• Demonstrated ability to establish rapport and build relationships at all levels within an organization
• Negotiation and influencing skills

Preferred Qualifications

• Knowledge and experience in Retail Pharmacy, or working with Retail and Chain provider representatives and/or Provider Performance Indicators
• Prior experience with Pharmacy Network Contracting
• Experience working with Commercial and Medicare and/or Medicaid programs
• Track record of success in dealing effectively with complex projects entailing frequent interaction with executives

Physical Demands

• Ability to travel up to 10% of the time
• Constantly required to sit, use hands to handle or feel, talk and hear
• Frequently required to reach with hands and arms
• Occasionally required to stand, walk and stoop, kneel, and crouch
• Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

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.

Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills.

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.