Principal Solution Strategist - JUDI - Remote

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.

We are currently on the lookout for a Principal Solution Strategist to help lead the Medicare and Medicaid migrations for the JUDI program.

Job Description

The Principal Solution Strategist is responsible for partnering with cross functional stakeholders and senior leaders to implement innovative solutions that advance or achieve Prime’s strategic priorities. This role will drive operational readiness for new business and/or products, drive operating efficiencies and reduction of operating expenses, own the stakeholder experience, and is a key decision maker on building new capabilities. This role involves complex decision making, is client facing, and acts as a strategic liaison between the business and vendor partners to ensure the Strategic Solutions roadmap is created, managed, and executed timely within business and contractual requirements and in support of Prime’s strategy.

Responsibilities

• Oversee one or more strategic initiatives in partnership with Operations and/or IT

• Collaborate with all levels of cross-functional stakeholders and senior leaders to advance strategic enterprise initiatives; responsibilities may include conducting research, providing input on test strategy and test cases, leading the development of data analytics solutions that deliver actionable insights, driving end-to-end process improvement and other efficiencies to reduce operating expenses, supporting the implementation or uplift of capabilities, tools and platforms

• Create strong vision alignment with internal and external business partners, vendors, business segments, and functional areas, ensuring coordination and unified approach to work; partner with key internal and external stakeholders to educate, implement, and provide strategic consultation

• Proactively build and maintain a network of key relationships to continuously understand business dynamics and appropriately influence business decisions

• Monitor ongoing product performance and usage of features and act as point of contact for enterprise, vendor, and client questions, concerns and suggestions

• Serve as a thought leader to help drive teams to conclusions and realized business value in tangible product outcomes

• Responsible for internal and external communication and messaging to improve and foster transparency, education, and cohesive enterprise messaging

• Other duties as assigned

Minimum Qualifications

• Bachelor's degree in business, Healthcare Administration, IT or related area of study, or equivalent combination of education and/or relevant work experience

• 7 years of related work experience in product development, business analysis or leading business processes

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

Additional Qualifications

• Understanding the adjudication process

• Strong verbal and written communication skills

• Ability to present complex material to a variety of audiences in plain language

• Ability to self-learn new processes and/or software to solve analytic problems

• Demonstrated influencing skills with the ability to lead and drive change

• Proven ability in building a trusting and safe environment to air issues and concerns and support collaborative or independent problem solving

Preferred Qualifications

• PBM/health experience

• Medicare, Medicaid, CMS background

• Desire to be a SME

• Work with Prime solutions that support Echo, Encounter, Edge, FIR, NX or willing to learn

• Experience working on and coaching cross-functional teams aligned to a strategic priority

• Experience driving process optimization, improving efficiencies or reducing operating costs

• Experience implementing new tools, platforms and products

• Experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical

• Experience with commercial software design concepts, practices, and procedures

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 (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.