Sr. Financial Consultant - Remote

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Hiring Remotely in Home, PA
Remote
81K-138K Annually
Insurance
The Role

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

Sr. Financial Consultant - RemoteJob Description

The Senior Financial Consultant plays a crucial role in providing information, analyses, and consultation to both internal and external stakeholders. This position is responsible for evaluating the total cost performance of benefits, products, and services, and developing recommendations for improvements or enhancements to support Prime Therapeutics and client strategic goals. A key aspect of this role is building and maintaining strong client relationships, ensuring effective communication and collaboration. The Senior Financial Consultant proactively anticipates client needs, identifying opportunities for improvement and addressing potential challenges before they arise. Additionally, this position will maintain and develop analytical models and work closely with Prime's Strategic Business Units (SBUs) to drive client success

Responsibilities

  • Delivers comprehensive client trend analysis, modeling, and consultation
  • Consults with and presents analysis outcomes to account teams, Health Plan and Employer group clients, and cross-functional partners, including Supply Chain, Underwriting, and product owners
  • Collaborates with Health Plans to support Fully and Self-Insured groups, using KPIs and financial insights to drive sales and retention. Regularly engages with internal and client decision-makers—monthly, quarterly, and as needed—to discuss PBM economics, explore opportunities, and develop strategies for industry trends and market events
  • Partners with SBUs to provide total cost management; analyzes complex trend drivers, financial Key Performance Indicators (KPIs) and reports; provides recommendations with SBU partners to drive comparative selling, product adoption and trend management
  • Provides benefit design solutions; collaborates with SBU's to enhance modeling, reporting and methodologies
  • Proactively promote cost savings by advocating Prime's products and solutions to ensure strong member and client experience
  • Engages in additional Enterprise workstreams and initiatives, potentially presenting them to Senior Leadership

Education & Experience

  • Bachelor's degree in Mathematics, Finance, or related field, or the equivalent combination of education and/or relevant work experience; HS diploma or GED is required
  • 5 years of experience in pharmacy benefits management, reporting and analytics, benefits consulting, healthcare, financial services or related field
  • 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

  • Must possess strong interpersonal skills and demonstrate exemplary verbal and written communication abilities
    • Intermediate experience using analytic tools, including SAS and SQL programming, Excel, and Tableau
    • Advanced troubleshooting skills, including in-depth client data research, focusing on trend drivers
    • Subject matter expert in one or more areas within the industry (pharmacy trend, health plan benefits, etc.)
    • Ability to coach and mentor others

Preferred Qualifications

  • Pharmacy Benefit Management experience
  • Experience conducting complex analysis on large sets of pharmacy, claims, medical, and/or financial data
  • Previous experience in a client facing, consultative role
  • Project/program management experience

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.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

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.

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The Company
HQ: Eagan, MN
3,577 Employees
On-site Workplace
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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