Prime Therapeutics LLC

Execute IT compliance processes, test and verify controls, collect risk metrics, support audits, and maintain security standards. | Bachelor's degree and 2 years of experience in Information Security, IT, Risk Management, Audit or Finance with knowledge of compliance frameworks and security controls. | 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 IT Risk & Controls Analyst - RemoteJob Description The Risk & Controls Analyst is responsible for executing processes that ensure IT's compliance with regulatory, industry and client security requirements. This role is responsible for working with cross-functional teams on the day to day operational activities needed to support the Security Governance Risk and Compliance program. Responsibilities • Update and publish organization wide security standards, policies and procedures • Test and collect evidence that controls are designed and operating effectively, including evidence needed to verify compliance to security requirements to HITRUST, SOC 2, HIPAA, and client contracts • Collect metrics to monitor risk and compliance status, assist in vendor and system security risk assessments, including drafting responses to client RFP and assessment requests • Work with IT to coordinate audit testing and track audit remediation • Other duties as assigned Minimum Qualifications • Bachelor's degree in an analytical discipline such as Computer Science, Finance, or Sciences or related area of study, or equivalent combination of education and/or related work experience; HS diploma or GED is required • 2 years of experience in Information Security, Information Technology, Risk Management, Audit or Finance • 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 • Ability to conduct meetings and give presentations • Good analytical and critical thinking skills • Ability to multi-task and manage multiple priorities • Knowledge of Governance, Risk and Compliance area topics • Basic understanding of regulatory and/or compliance requirements and frameworks (PCI, HIPAA, SOC1, SOC2, HITRUST, NIST, etc.) • Basic working knowledge of security solutions and controls Preferred Qualifications • Experience producing metrics reporting, writing and presenting communications • Experience in a regulated industry, health care preferred 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. 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 direct underwriting teams to provide pricing and margin recommendations, oversee workflows, ensure accurate RFP responses, and collaborate with leadership on strategic initiatives. | Bachelor's degree or equivalent, 8+ years related experience including 5+ years leadership, strong underwriting and mathematical skills, and ability to communicate and negotiate at executive levels. | 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 Director, Underwriting - REMOTEJob Description The Director of Underwriting is responsible for leading the Underwriting team responsible for providing information, analyses, and RFP support for the Organization to develop recommendations for pricing terms and structure. This position is responsible for providing overall direction and leadership to the underwriting teams, which includes oversight of both direct and carve-in lines of business. The Director is also responsible for serving as an expert consultant on matters pertaining to underwriting, performance guarantees, margin, and other financial considerations. Responsibilities • Provides both strategic direction and day to day guidance to a team of underwriters and managers, to maintain expert underwriting support and meet the needs of the organization • Works with Blue Plan Underwriting and Sales Executive leadership to develop, drive, and execute ASO pricing and margin strategies • Oversees and coordinates workflow for the underwriting team • Works with proposal unit to ensure responses, including pertinent definitions and caveats, for the financial responses to all RFPs are complete and accurate • Consults with Legal and Client Engagement to ensure, contractual deal terms, caveats, and other pertinent information is accurate and supports the deal as underwritten • Responsible for ensuring standard operating procedures are adhered to and that all bids are properly tracked and documented • Collaborate with management on staffing plans, productivity metrics and initiatives to improve efficiencies within the department • Other duties as assigned Education & Experience • Bachelor's degree in Mathematics, Accounting, Finance or related are of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required • 8 years of related experience and/or training • 5 years of leadership/people management experience • Must be eligible to work in the United States without need for work visa or residency sponsorship Additional Qualifications • In-depth knowledge of mathematical applications used in underwriting function including the ability to calculate figures such as discounts, proportions and percentages, as well as the ability to apply basic concepts of business mathematics and algebra in underwriting problems • Exceptional communication skills; ability to distill complex material into easy-to-understand presentations, effectively respond to questions and engage a variety of audiences • Strong team player with a customer service approach • Ability to effectively communicate with Senior Leadership Team and Executive Leadership Team. Presents recommendations to Executive Leadership on new pricing methodologies and follows through on execution of key strategies • Ability to persuade and influence executive leadership at Prime, current Blue and prospective Blue plans with key initiatives to support margin and growth objectives for the self-insured pharmacy market • Ability to negotiate with difficult external audiences and partners to support Prime and Blue plan objectives Preferred Qualifications • 3 years of experience as an Underwriting Manager with PBM experience Physical Demands • 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 $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. 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.