Program Manager Sr - 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.

The Senior Program Manager is accountable for leading and executing core programs. This role serves as the interoperability program manager and API lead, while also supporting the business execution data team. This position is responsible for driving enterprise-wide alignment on interoperability requirements mandated by the Centers for Medicare & Medicaid Services (CMS) and ensuring organizational compliance with CMS interoperability mandates.

Responsibilities

• Develop, execute, and lead operational plans for programs and initiatives related to assigned line of business across all market segments and for maintaining alignment and identifying interdependencies between all program level work efforts
• Collaborate with various business units, cross functional teams and key stakeholders to ensure timely, accurate and on budget implementation of programs
• Conduct analysis, designs solutions, and monitors performance against metrics, business and/or client requirements
• Manage products/programs and implement tools/enhancements to ensure new strategies are successfully developed and implemented
• Collaborate with other business units to develop business cases to support new program opportunities/enhancements and performance target metrics
• Other duties as assigned

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; HS diploma or GED is required

• 5 years of work experience in healthcare, PBM, specialty pharmacy, or health care consulting
• 1 year of project/program management experience

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

Additional Qualifications

• Ability to work in self-directed environment
• Critical thinking skills and ability to anticipate issues and develop innovative solutions
• Proficient with Microsoft Office (Excel, Access, Word, PowerPoint)
• Ability to manage competing priorities and deadlines

Preferred Qualifications

• Master’s degree in Business Administration, Healthcare, or related field
• Experience with interoperability requirements mandated by CMS
• Experience in client facing roles effectively communicating and building relationships with clients
• Experience in driving enterprise-wide alignment

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.

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.