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 TitleSr. Dir. Clinical Acct Services - RemoteJob DescriptionManages the overall clinical services delivered to customers and various pharmacy benefit programs, including all activities associated with clinical account management in support of innovative Medicaid pharmacy benefit management. This includes clinical and utilization management, mac operations, analysis, financial management, quality assurance, and regulatory compliance, ensuring customers reduce expenses and improve care.Responsibilities
- Supervises staff including Clinical Services Managers, Clinical Pharmacists, pharmacy technicians, and the MAC operations manager.
- Directs, coordinates and supervises all clinical pharmacy client activities including pharmacy benefit management solutions and services.
- Oversees, mentors and guides achievement of monthly, quarterly, and annual projections based on financial and management objectives.
- Serves as SME for Clinical Services for all new business RFPs, enlisting help from other SMEs as needed.
- Oversees, mentors and supports leadership of pharmacy program implementation including new clients, product extensions, and other important clinical initiatives.
- Designs, implements, monitors and provides appropriate feedback on metrics based performance measurement tools.
- Drives marketing opportunities through market research, upsell across product lines and mentoring of all levels of customer clinical services.
- Maintains currency with clinical skills and knowledge of pharmacotherapy by reviewing the literature and attending in- services, seminars, and conferences.
Minimum Qualifications
- Bachelors - Pharmacy
- 10+ years Pharmacy
- 2+ years Medicare Part D (MedD)
- 5+ years Marketing
- RPH - Registered Pharmacist - Pharmacy
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
- Possess a strong knowledge base in Medicaid PBM.
- Possess the necessary customer service and supervisory/management skills and/or experience to supervise the clinical pharmacy services aspects for customers.
Preferred Qualifications
- PharmD - Doctor Of Pharmacy, State Licensure - Pharmacy
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 $143,000.00 - $243,000.00 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 Pharmacy
- 10 or more years of pharmacy experience
- 2 or more years of Medicare Part D experience
- 5 or more years of marketing experience
- Registered Pharmacist credential
- Eligible to work in the United States without visa or residency sponsorship
- Strong knowledge of Medicaid pharmacy benefit management
- Customer service and supervisory or management skills and experience
- Doctor of Pharmacy degree
- State pharmacy licensure
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
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.
