Senior Director Financial Modeling & Pricing

Posted 6 Days Ago
Be an Early Applicant
Home, PA, USA
In-Office
164K-279K Annually
Senior level
Insurance
The Role
Leads enterprise pricing analytics and financial modeling, including forecasting, ROI analysis, financial reporting, pricing and underwriting model standardization, process improvement, client communication, and strategic planning. Manages department staffing, budget, performance, employee development, and cross-functional stakeholders while driving quality and operational transformation across Prime’s pricing and modeling functions.
Summary Generated by Built In

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 Title

Senior Director Financial Modeling & PricingJob Description

The Senior Director of Financial Modeling and Pricing has overall enterprise responsibility for all pricing analytics and financial modeling team activities and will be the primary point of contact on all related work requests. This position will serve as the primary internal business leader across all pricing analytics and financial modeling requests and projects by planning, coordinating, and leading pricing and financial modeling team and related Subject Matter Experts (SME). In addition, this role will define and drive a comprehensive enterprise wide pricing analytics strategy and support financial modeling utilizing an enterprise wide Subject Matter Expert approach in support of Prime's strategic and long term objectives.

Responsibilities

  • Drive enterprise wide transformation and process improvement to pricing and forecast analytics work products
  • Develop standard execution processes within all pricing and financial modeling work stream activities
  • Create cost/benefit, ROI analysis and other financial reports and models to support the business with critical evaluation on both strategic and financial impacts to Prime
  • Provide comprehensive and relevant financial analysis and reporting to Prime management
  • Responsible for client relationship and communication to understand and document pricing analytics projects based on capacity and capabilities
  • Champion and lead standardization of new best practice processes, procedures, and templates related to pricing and underwriting models
  • Conduct performance reviews, quarterly check-ins and staff 1:1s to guide performance management and employee development efforts and manage toward departmental goals, including quality and process improvement efforts
  • Manage department budget, staffing, performance and development, and consistently demonstrate Prime's leadership expectations during interactions with direct reports, cross functional and external stakeholders
  • Other duties as assigned

Minimum Qualifications

  • Bachelor's degree in Finance, Accounting, Math, Business or related area of study or equivalent combination of education and/or work experience; HS diploma or GED is required
  • 10 years of relevant work experience, to include:
  • 5 years of managed care or related PBM experience
  • 3 years of experience in the areas of project management, quality improvement and business analysis
  • 7 years of leadership/people management experience

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

Additional Qualifications

  • Strong interpersonal communication skills, including team leadership, conflict resolution and listening
  • Action oriented ability to identify and implement opportunities
  • Ability to manage multiple, complex project simultaneously without compromising quality
  • Ability to work under pressure and strict timeframes

Preferred Qualifications

  • Master's Degree and/or Actuarial Credentials (ASA or PSA)
  • Member of Professional Pricing Society

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 $164,000.00 - $279,000.00 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.

Skills Required

  • Bachelor's degree in Finance, Accounting, Math, Business, or a related field, or equivalent education and work experience
  • High school diploma or GED
  • 10 years of relevant work experience
  • 5 years of managed care or related PBM experience
  • 3 years of project management, quality improvement, and business analysis experience
  • 7 years of leadership or people management experience
  • Eligible to work in the United States without work visa or residency sponsorship
  • Strong interpersonal communication skills, including team leadership, conflict resolution, and listening
  • Ability to identify and implement improvement opportunities
  • Ability to manage multiple complex projects without compromising quality
  • Ability to work under pressure and strict timeframes
  • Master's degree
  • Actuarial credentials, such as ASA or PSA
  • Membership in the Professional Pricing Society

Prime Therapeutics Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Prime Therapeutics and has not been reviewed or approved by Prime Therapeutics.

  • Healthcare Strength Health coverage is described as comprehensive, with medical, dental, and vision options and plan designs that include low deductibles for some choices. Wellness screenings and related incentives add perceived value to the health offering.
  • Retirement Support Retirement benefits stand out through a 401(k) match that is characterized as generous and immediately vested. This structure improves the overall long-term value of the total rewards package.
  • Strong & Reliable Incentives Annual incentive bonuses are positioned as a meaningful component of total compensation and are often portrayed as substantial when performance goals are met. Incentive eligibility appears broadly available across roles, boosting the perceived completeness of rewards.

Prime Therapeutics Insights

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The Company
HQ: Eagan, MN
3,577 Employees
Year Founded: 1987

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.

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