Prime Therapeutics

Lead the client financial strategy team and advise clients and senior stakeholders on financial, contractual, pricing, profitability, and strategic matters. | Requires a bachelor’s degree, relevant financial or analytical experience, people-management experience, and advanced financial modeling, forecasting, pricing, profitability, and executive consulting skills. | 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 Director Client Financial Strategy - Remote Job Description The Director of Client Financial Strategy leads a team responsible for delivering financial consulting, strategic analysis, and financial insights that help clients achieve business objectives while advancing Prime’s financial performance and growth strategy. This role provides senior leadership across client financial strategy, team performance, consulting methodology, and stakeholder management while serving as a trusted advisor to clients, Account Management, Underwriting, Finance, Product, Clinical, and executive stakeholders. The Director oversees complex client financial strategies, resolves significant financial issues and opportunities, builds scalable consulting practices, and develops a high-performing team that strengthens client relationships, improves retention, and supports profitable growth. Responsibilities Lead, develop, and manage a team of Client Financial Strategy Consultants, Senior Consultants, and Principals, establishing priorities, performance expectations, talent strategies, and professional development plans that support organizational objectives Provide executive-level financial consultation to key client stakeholders, serving as a senior escalation point and trusted advisor for complex financial, contractual, pricing, profitability, and strategic business matters Oversee development and execution of client financial strategies, performance reporting, forecasting, financial modeling, and value realization initiatives that improve client outcomes and support Prime's business objectives Lead financial strategy support for major renewals, market checks, RFPs, retention efforts, performance guarantee discussions, and other high-impact client initiatives; Represent Client Financial Strategy in executive, client, and cross-functional leadership forums while influencing enterprise decisions related to client financial performance and business growth Partner with Account Management, Underwriting, Finance, Analytics, Clinical, Product, and Operations leaders to align financial recommendations, client strategies, and business priorities across the organization Establish and advance financial consulting methodologies, dashboards, reporting standards, analytical frameworks, and best practices that improve scalability, consistency, quality, and efficiency Oversee complex financial analyses, profitability assessments, trend evaluations, pricing analyses, and scenario modeling to identify risks, opportunities, and strategic recommendations for clients and Prime leadership Drive organizational effectiveness through workforce planning, resource allocation, process improvement, technology adoption, and operating model enhancements that improve team productivity and client service outcomes Other duties as assigned Minimum Qualifications Bachelor's degree in Finance, Accounting, Economics, Business Administration, Healthcare Administration, or related area of study, or equivalent combination of education and relevant work experience; HS diploma from an accredited school or equivalent GED required 8 years of work experience in strategic finance, healthcare finance, underwriting, pricing, financial consulting, client financial management, analytics, or related disciplines 5 years of leadership, supervisory, or people management experience Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications Advanced financial modeling, forecasting, pricing, and profitability management expertise Strong knowledge of healthcare economics, pharmacy trend drivers, contract economics, and risk management principles Demonstrated ability to lead multiple priorities through teams while balancing client, operational, and financial objectives Strong executive communication and consultative partnership skills with the ability to influence stakeholders across matrixed organizations Ability to translate complex financial information into actionable business recommendations for internal and external stakeholders Demonstrated leadership experience building, leading, coaching, and developing high-performing teams in a matrixed environment Advanced knowledge of financial strategy, forecasting, profitability analysis, strategic planning, financial modeling, value realization, pricing methodologies, and business performance management Strong executive presence and ability to influence senior client stakeholders, executive leaders, and cross-functional partners Ability to translate highly complex financial information into executive-level recommendations, business strategies, and actionable decisions Demonstrated success leading client-facing financial consulting functions, strategic initiatives, and organizational change efforts Strong business acumen with the ability to balance client needs, financial stewardship, growth objectives, and operational considerations Experience establishing scalable processes, operating models, performance metrics, and consulting methodologies Preferred Qualifications Pharmacy benefit management, healthcare, managed care, health plan, employer benefits, specialty pharmacy, pharmaceutical, or healthcare consulting experience Experience leading client financial strategy, strategic account consulting, underwriting, pricing, healthcare economics, or similar client-facing financial functions Experience supporting large, complex, or strategic client portfolios and executive client relationships Experience with pharmacy trend management, rebate economics, pricing strategies, healthcare contract structures, performance guarantees, and value-based financial arrangements Master's degree in Business Administration, Finance, Economics, Healthcare Administration, or related field CPA, CFA, or other relevant professional designation 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 $124,000.00 - $211,000.00 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.

Lead the Benefit Plan Administration team, ensuring accurate benefit-plan configuration while managing performance, project execution, and escalated stakeholder issues. | Requires a bachelor's degree, at least six years in operations management, pharmacy benefit management, or a related field, two years of leadership experience, and proficiency with business systems and Microsoft Office. | 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 Manager, Operations - Remote Job Description The Manager of Benefit Plan Configuration is responsible for leading and developing the Benefit Plan Administration team across multiple lines of business to ensure accurate and consistent programming of benefit plans. This role ensures operational goals, performance guarantees, and service level agreements (SLAs) are achieved by managing team performance, creating project plans, and overseeing execution against deadlines. The position applies deep knowledge of departmental workflows to assess cross-functional impacts and collaborates with internal and external stakeholders, including customers, members, and providers, to resolve escalated issues and deliver high-quality service. Responsibilities Manage employee performance through defined scorecards and performance metrics and provide ongoing feedback, coaching, direction, and development Lead the team in organizational data validation projects to support major system enhancements or release updates Oversee project management, programming, testing, and documentation activities to drive performance and ensure service level agreements (SLAs) are met or exceeded Schedule employees, manage capacity, and coordinate activities to maintain appropriate workflow Develop and document workflows, system requirements, system impact analyses, system design, process analyses, and testing, including reasonableness checks, using software development methodology to deliver efficient, cost-effective solutions as directed Identify reporting needs based on system programming and workflows; document reporting requirements and conduct testing of new reporting prior to implementation in production Create and maintain necessary functionality in ticketing systems, benefit landscapes, and workflows; recommend and implement solutions and evaluate results Partner with client-facing teams to resolve client concerns and ensure identified improvement opportunities are effectively addressed and implemented Other duties as assigned Minimum Qualifications Bachelor’s degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma from an accredited school or equivalent GED required 6 years of work experience in operations management, pharmacy benefit management, healthcare, insurance, retail, analytics, or operational compliance 2 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 Advanced analytical and problem-solving skills with demonstrated ability to evaluate operational workflows and identify cross-functional impacts Ability to lead teams through multiple, concurrent projects while ensuring compliance with strict timelines, SLAs, and performance guarantees Proficiency in Microsoft Excel, Word, and business systems used for benefit configuration, with the ability to translate data into actionable insights Demonstrated ability to develop and implement process improvements to drive efficiency and quality Strong interpersonal, communication, and facilitation skills with the ability to influence across internal and external stakeholders Ability to prepare and deliver documentation, reporting, and audit responses that ensure compliance with organizational and regulatory standards Preferred Qualifications 3 years of people management experience in PBM environment Experience analyzing benefit plans and programming rules to demonstrate a benefit structure with an automated claims processing system 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 $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 (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.