Prime Therapeutics

Analyzing pharmacy benefit data, developing reports, and providing insights to stakeholders. | Requires 2+ years in healthcare or benefits analytics, advanced Excel skills, and industry knowledge of PBM. | 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 Health Data Analyst - Remote Job Description The Health Data Analyst provides information, analyses, and consultation to internal and external stakeholders. This position assesses the performance of pharmacy benefits and/or networks and develops recommendations for improvements or enhancement to support departmental and organizational objectives. This position will participate in the development of new reports, analytical models, and products/benefit programs that align with Prime's strategic imperatives. Responsibilities • Assumes responsibility for moderately complex analytic and consultative work such as analyzing and interpreting client pharmacy benefit data, trends and reports and partnering with analytics team to deliver recommendations or project status updates to internal and external stakeholders; investigates follow up items or questions regarding project and/or request scope • Investigates key drivers of benefit performance • Create new queries using SASEG including multiple table joins, understanding of table structures, creation of detailed formulas leveraging an understanding of SAS code • Participates in development of analytic methodologies, models, reports and new products • May be responsible for Centers for Medicaid/Medicare Services reporting and analysis, including the management of directories and bid support • Other duties as assigned Minimum Qualifications • 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 • 2 years of experience in pharmacy benefits management, reporting & 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 Additional Qualifications • Advanced Microsoft Excel skills – ability to create complete formulas and efficient data manipulation. • Intermediate troubleshooting skills, including in-depth client data research, which may involve research and drivers of utilization; understands resources needed and steps/processes on how to complete the problem; able to understand when an issue arises how-to navigate to a resolution • Strong PBM industry knowledge; able to articulate the industry trends to clients and the impact of trends and changes to client financials • Ability to establish rapport and effectively influence at all levels within an organization • Ability to communicate effectively and present complex data to a wide variety of audiences Preferred Qualifications • Knowledge of the PBM (Pharmacy Benefit Management) industry and PBM data; understands key PBM metrics (such as PMPM, generic utilization) • Experience working with large sets of pharmacy, claims, medical, and/or financial data • Previous experience in a client facing or consultative role • Extensive experience using analytic tools; familiarity with SAS EG • Alteryx experience 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 $66,000.00 - $106,000.00 based on experience and skills. 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.

Lead complex financial pricing analyses, develop models and reports, and influence pricing strategies across the organization. | Requires 8+ years in financial analysis, PBM industry knowledge, and proficiency in tools like SQL, Tableau, or Python. | 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 Principal Pricing Analyst - REMOTE Job Description The Principal Pricing Analyst leads complex analyses, financial modeling, and reporting to create new business insights and strategies for Prime's financial pricing programs and will drive the strategic vision for financial pricing analyses and reporting. Will also provide complex consultation and analytic insight to internal and external stakeholders and is a primary contact for financial pricing information. Responsibilities • Provide leadership and subject matter expertise on Prime's financial pricing programs • Develop analytic recommendations that directly impact Prime's financial pricing strategies, financial contract management, profit drivers and the organization's financial value statement • Lead the development of financial analytic pricing methodologies, models, reports and new products to drive and influence business decisions and outcomes • Demonstrate advanced knowledge of Prime's financial pricing practices and analytic models; develop solutions to a variety of complex problems • Drive enterprise-wide transformation and process improvement to financial pricing analytics processes and programs • Other duties as assigned Minimum Qualifications • Bachelor's degree in applied math, statistics, engineering, accounting, finance, economics, business, computer sciences or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required • 8 years of work experience in pricing or financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field • 3 years of experience using Tableau, SQL, SAS, Alteryx, Teradata, R, or Python technologies • Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications • Extensive PBM industry knowledge and deep understanding of the financial levers of a PBM; ability to articulate the industry trends to internal and external clients, and the impact of trends and changes to PBM and client financials • Ability to establish rapport and effectively influence at all levels within an organization • Expert ability to communicate effectively and present complex data to a wide variety of audiences • Expert influencing skills to drive change and adoption of new analytic capabilities to support pricing financial analytics Preferred Qualifications • Master's degree in Business Administration, Finance, Health Care Administration, Statistics, Computer Science, Math or related area of study • Experience in Big Data and Data Analytics 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.

No specific responsibilities provided. | No specific requirements provided. | This job listing in Suffolk - MA has been recently added. Tallo will add a summary here for this job shortly.

The role involves leading research initiatives, developing consumer insights, and supporting new product development. | Requires senior-level experience in consumer insights, market research, and leadership, with skills in qualitative and quantitative research methodologies. | This job listing in Dauphin - PA has been recently added. Tallo will add a summary here for this job shortly.

Provide HR support, employee relations, and partner with management on HR processes. | Minimum of 2 years HR experience, strong communication skills, confidentiality, and knowledge of employment laws. | 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 HR Business Partner (Remote)Job Description The HR Business Partner is responsible for providing tactical Human Resource (HR) support to Prime's employees, supervisors and managers. This position is responsible for being the first-line point of contact to support the delivery of Human Resources solutions by partnering with all other functions within Human Resources. Responsibilities • Maintain a positive employee relations climate by responding to employees' concerns, addressing issues proactively and advising management regarding proper follow up • Provide guidance and coaching to supervisors and managers on routine employee-relations and performance management issues; company policies and practices; provide recommendations to and escalate issues to HR leadership as necessary; and assist with the development and delivery of appropriate feedback or disciplinary action • Partner with Talent Acquisition on recruitment and selection process for entry level through manager level positions • Assist supervisors and managers in writing clear and comprehensive job descriptions; work closely with compensation to evaluate positions • Drive the annual performance appraisal process for designated customer groups, and audit appraisals to ensure employees receive clear, constructive and meaningful feedback • Represent the HR Business Partner team by participating on HR project teams, and may lead smaller scope projects • Other duties as assigned Minimum Qualifications • Bachelor's degree in Human Resources, Human Resources Development, Business Administration, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required • 2 years of work experience in Human Resources Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications • Demonstrated ability to independently collaborate and consult with individuals at multiple levels of the organization • Excellent communication, mediation, and conflict resolution skills • Self-motivated with the ability to handle multiple priorities and deadlines simultaneously • Able to maintain a high level of confidentiality and effectively handle sensitive issues and facilitate critical interactions • Functional knowledge of applicable state and federal employment and labor and compliance requirements • Intermediate proficiency of MS Office Suite • Developed data analysis and interpretation skills Preferred Qualifications • Experience working with HR information systems (i.e., Workday) • Experience and strong knowledge of compensation, benefits, recruitment, employment law, performance management systems, organizational effectiveness and change leadership • PHR (Professional Human Resources) Certification • Experience or knowledge of Medi-Cal or California laws and regulations 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 $66,000.00 - $106,000.00 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.

Lead and consult on complex market research and customer insights initiatives, deliver actionable strategic recommendations, influence leadership, and mentor junior analysts. | Bachelor’s degree or equivalent, 7+ years in market/customer insights, strong research and analytical skills, excellent communication and project management, with preferred MBA and healthcare experience. | 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 Principal Customer & Marketing Insights Analyst (Voice of Customer) - RemoteJob Description The Principal Customer & Marketing Insights Analyst is a subject matter expert (SME) who consults and partners with Prime leadership to recommend, lead, and deliver on market research, customer insights, and voice of customer projects and programs that yield actionable, strategic insights and recommendations. The position informs strategic business decisions and drives a culture of data-driven, customer-centric decision making. This researcher is heavily involved in all facets of the research process with a focus on being a trusted research partner and a thought leader, collaborating closely with Prime senior and executive leadership and other key stakeholders in Marketing & Communications, Client Engagement, Sales, Product Development, Operations, and other departments. Responsibilities • Serve as internal research and insights subject matter expert; consult, champion, and lead research initiatives for complex requests and strategic efforts, focused on Prime’s consumer and business customers • Establish cross-functional relationships with leaders; show the value of research and insights across the company to influence a culture of data-driven, customer-centric decision making and drive consensus • Apply very strong research expertise and business acumen to consult with leaders and key stakeholders, and translate business needs into clear research goals and appropriate research designs • Lead and execute on all aspects of quantitative and qualitative research, including recommending methodologies, designing questionnaires and discussion guides, data collection, analysis, and reporting – for independent and collaborative projects as well as ongoing programs and custom efforts • Analyze and interpret primary and secondary research findings and other data to create story-driven and concise deliverables and presentations that communicate actionable insights and strategic recommendations to influence leadership • Develop influential, engaging presentations to train departments and teams on research & insights findings or practices • respond to client, executive and other high-priority, strategic research requests • Monitor customer and industry trends; proactively inform leaders of trends via actionable insights and recommendations to inform strategic efforts • Develop department principles; identify and implement process, tech, and tool improvements, including selecting and managing high-performance, long-term vendor relationships; stay abreast of the latest research techniques and tools to improve the voice of customer program • mentor junior analysts by providing training, feedback, guidance, and coaching • Other duties as assigned Minimum Qualifications • Bachelor’s degree in business, marketing or related area of study or equivalent combination of education and/or related work experience; HS diploma or GED is required • 7 years of relevant experience in market research, customer insights, or competitive insights • 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 • Superior interpersonal and consulting skills; ability to earn people’s trust and work collaboratively across all departments and all seniority levels • Exceptional research capabilities; exceptionally skilled at primary (qualitative and/or quantitative) and secondary research • Exceptional analytical and reporting capabilities; curiosity to dig into data; ability to synthesize and organize complex information from research and multiple sources into clear and concise narratives that communicate actionable insights and recommendations to influence leadership • Exceptional written and oral communication skills with experience communicating and presenting to executive leadership and a variety of other levels • Exceptional business acumen to ensure recommendations are sound and practical • Exceptional project management skills and high detail orientation with the ability to manage and execute multiple projects simultaneously with competing deadlines in a fast-paced environment • Strong proficiency in Microsoft Office including strong PowerPoint skills Preferred Qualifications • MBA or other advanced degree • PBM or healthcare experience • Experience with Qualtrics or other survey platform 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 $108,000.00 - $184,000.00 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.

Design, develop, test, deploy and maintain technology solutions, develop test automation, collaborate cross-functionally, and participate in Agile processes. | Bachelor's degree or equivalent experience, 2+ years application development experience, eligibility to work in the US, strong problem-solving and communication skills. | 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 IT Software Engineer Build Team - Remote Job Description Job Description If you are a Software Engineer with at least 2 years' experience with some of the skills listed below, you should check us out! • .NET framework and .NET "Core" • SQL • API (Insomnia or similar tools) • Webforms • C# • VB.NET • Blazor • Entity Framework • AWS - Nice to have • EDI • Angular The IT Software Engineer is responsible for developing, testing, deploying and maintaining technology solutions. This position analyzes, designs and develops tests and test-automation. This position collaborates cross-functionally with team members to achieve innovative, business-driven technology solutions. Responsibilities • Design, develop, test, deploy and maintain technology solutions and ensure solutions meet non-functional requirements; assist with solution design • Analyze, design and develop tests and test-automation suites • Use test driven development in an agile environment • Leverage and contribute components for the continuous integration and continuous deployment pipeline for technology solutions • Collaborate cross-functionally with team members to achieve innovative, business-results driven technology solutions • Consistently apply best practices and drive for continuous improvement • Actively participate in Agile ceremonies • Other duties as assigned Minimum Qualifications • Bachelor's degree in Computer Science or related area of study, or equivalent combination of education and/or relevant work experience; High School Diploma or GED equivalent required • 2 years of experience with application development or packaged software implementations • Must be eligible to work in the United States without need for work visa or residency sponsorship Additional Qualifications • Ability to be flexible and willing partner with and learn from more senior team members • Ability to speak up to address opportunities • Strong problem-solving and analysis skills • Ability to drive innovation and be forward thinking • Strong desire to learn • Excellent documentation skills Preferred Qualifications • Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) • Previous experience working an in Agile/Product Delivery model • Previous experience in PBM / health care industry • Understanding of security implications of domain 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 $74,000.00 - $118,000.00 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.

Lead and manage operational compliance efforts including regulatory audits, quality monitoring, corrective actions, team leadership, and cross-functional collaboration to ensure adherence to regulatory and contractual obligations. | Bachelor's degree or equivalent experience, 6+ years in compliance/quality/audit in healthcare or related fields, 1+ year leadership experience, strong audit and regulatory knowledge, excellent communication and organizational skills. | 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 Manager Operational Compliance (Remote) Job Description The Manager Operational Compliance is responsible for driving the work effort, volume, analysis, implementation and productivity of all regulatory, audit (internal and external), and quality efforts to ensure the department is operating in compliance with regulatory and/or contractual obligations. This position ensures the appropriate monitoring, impact assessment, implementation and planning occurs for all incoming and changing regulatory requirements and leads the tracking, documentation, measurement, adherence, corrective action and maintenance plans on behalf of the department. Responsibilities • Oversee the operational interpretation and compliance with client delegation agreements, accreditation entities, and state or federal contractual obligations in all departmental activities, and may lead or oversee the development and maintenance of standard operating procedures (SOPS), Desktop procedures (DTPS)/User Guides, policies and process flows • Serve as point of escalation for internal and external business partners regarding regulatory, audit, and quality efforts for the designated business unit • Lead a team conducting regulatory intake, internal and external audit support, quality monitoring, and measurement, reporting, and delivery of results to the appropriate audiences • Manage the coordination and delivery of necessary artifacts for internal, client, or regulatory audits, inquiries and/or accreditation activities • Drive ongoing audit readiness for the department by identifying trends and ensuring the corresponding processes, training, communications, and documents are updated and disseminated; review audit feedback, initiate action items related to audit or compliance review findings, develop and monitor corrective action plans, and in partnership with operational compliance leadership, prepare executive reporting that summarizes operational compliance strategies, activity and results • Manage department 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 business, legal studies, finance, health services or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required • 6 years of work experience in compliance, quality, audit, regulatory, process improvement and/or operations experience in healthcare or Pharmacy Benefit Management (PBM) • 1 year of leadership/people management experience • 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 • Demonstrated knowledge of audit response protocols • Ability to effectively distill complex information into clear and compelling presentations • Strong interpersonal skills, with the ability to effectively facilitate meetings, resolve conflict, build consensus, establish rapport and collaborate effectively across departments, internally and externally, and at all levels within an organization • Critical thinking and analysis skills with the ability to translate regulations into operational requirements, solve complex problems, and/or identify process improvements • Ability to effectively represent the business and interact with external entities • Organization and prioritization skills, strong attention to detail, and the ability to simultaneously manage multiple, complex projects, under pressure and strict timeframes, without compromising quality • Expert level of proficiency in Microsoft Office Suite (Word, Excel, Power Point, Visio and database) Preferred Qualifications • Master of Business Administration (MBA) or other advanced degree • Experience working within, the assigned department • Depending on departmental assignment previous experience applying regulations to Print or Web solutions • Project management experience 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 (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.