Sr. Solution Strategist - Benefit Configuration - JUDI - Remote

Posted 15 Days Ago
Be an Early Applicant
Hiring Remotely in Home, PA
In-Office or Remote
94K-160K Annually
Senior level
Insurance
The Role
The Senior Solution Strategist collaborates with stakeholders to implement strategic initiatives, improve operational efficiency, and support new business readiness, ensuring effective delivery and communication across teams.
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

Sr. Solution Strategist - Benefit Configuration - JUDI - RemoteJob Description

The Senior Solution Strategist - Benefit Configuration is responsible for partnering with cross-functional stakeholders to implement solutions that advance or achieve Prime’s strategic priorities. This role will support operational readiness for new business and/or products, assist with driving operating efficiencies and supporting the reduction of operating expenses, improving the stakeholder experience, and building new capabilities. The Senior Solution Strategist will be responsible for completing associated time-bound deliverables that may include gathering information, analyzing problems, making recommendations, driving decisions, reporting, and change management to prevent business disruption.

Responsibilities

  • Oversee one strategic initiative in partnership with Operations and/or IT
  • Collaborate with cross-functional stakeholders to advance strategic enterprise initiatives; responsibilities may include overseeing execution of strategic solution workstreams, conducting research, 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
  • Prepare reports, impact analyses, metrics and presentations utilized to provide recommendations on product discovery and definition, lead estimation efforts and delivery at performance review sessions
  • Create, develop and maintain strong relationships with internal partners, external vendors and customers to ensure adherence to schedule and effective delivery of strategic solutions
  • Provide informal coaching to stakeholders
  • Assist with 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
  • 5 years of related work experience in benefit configuration, 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

  • The ability to drive configuration of benefits
  • Strong verbal and written communication skills
  • Ability to quickly establish rapport and build relationships at all levels within an organization
  • Skilled at meeting facilitation, conflict management, and consensus building
  • Proven ability to prioritize and set work direction
  • Demonstrated ability in collaboration, negotiation, and analysis of complex business and/or technology problems
  • Ability to identify and remove obstacles to delivery/progress

Preferred Qualifications

  • PBM/health care experience
  • Experience working on cross-functional teams aligned to a strategic priority,
  • 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

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 $94,000.00 - $160,000.00 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 (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.

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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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