Prime Therapeutics

Program Manager

• Develop, execute, and lead operational plans for programs and initiatives related to assigned line of business across all market segments and for maintaining alignment and identifying interdependencies between all program level work efforts
• Collaborate with various business units, cross functional teams and key stakeholders to ensure timely, accurate and on budget implementation of programs
• Conduct analysis, designs solutions, and monitors performance against metrics, business and/or client requirements
• Manage products/programs and implement tools/enhancements to ensure new strategies are successfully developed and implemented
• Collaborate with other business units to develop business cases to support new program opportunities/enhancements and performance target metrics
• Other duties as assigned

Senior Program Manager – Trade Relations

Customer Support

• Identify high-impact customer experiences for Prime to deliver on, and define the future state using methods, tools, and deliverables that emphasize superior, end-to-end experiences
• Help teams empathize with customers by leading analysis of what people see, think, feel, and do at key points in their journeys; work with leaders to develop and track metrics to measure Customer Experience, and reveal gaps
• Help teams make ideas visible through collaborative brainstorming, sketching, and discussions
• Contribute to solution definition and requirements using persona-based journey maps, scenarios, process flows, service blueprints, and other tools/methods
• Influence senior leaders and key decision makers to drive strategic initiatives into all facets of the business (i.e. product development, clinical, operations, sales, etc.), and ultimately, to deliver customer-facing solutions
• Contribute to a multi-year Customer Experience roadmap and keep an eye on market changes, new technologies, and changing customer needs
• Listen to our customers and leverage Customer Insights studies to identify experience improvements and innovation to meet current and possible future explicit, implicit, and latent needs
• Influence design of interactions across all channels by building relationships, connecting people, and collecting insight across teams and office locations to develop holistic solutions
• Engage employees and lead culture change to align Prime employee behaviors to Customer Experience principles

Customer Experience Architect – Principal

Network Engineer

• Responsible for development and management of Prime's retail, mail, specialty and quality-based pharmacy networks
• Manage Prime's network vendor's contracting activities
• Negotiate market competitive low to medium-high complexity pharmacy agreements
• Create and manage network contracting campaigns
• Work with reporting and analytics teams to establish network reporting for pharmacy networks
• Represent Network Management department in audits and on cross-functional projects
• Ensure all contractual obligations are in adherence with company policies and legal requirements
• Establish and maintain relationships with chain, PSAOs and independent pharmacy providers

Senior Pharmacy Network Consultant

IT Support

• Cultivate a productive and supportive work environment by providing professional development opportunities, clear objectives, and resources for staff effectiveness
• Manage team performance through coaching, evaluation, and standardized performance metrics
• Facilitate strong engagement with internal and external customers, addressing business needs, resolving issues, and delivering measurable value
• Provide leadership across assigned IT ecosystem, ensuring stability, sustainability, and compliance with company standards, security, and financial policies
• Align IT strategy with organizational goals, regulatory requirements, and best practices to promote long-term quality and efficiency
• Collaborate across IT and business functions to identify solutions, improve execution, and drive innovation
• Ensure accountability by monitoring performance against budget, resources, and development priorities
• Support enterprise initiatives by implementing methodologies, services, and tools that enhance execution and productivity
• Other duties as assigned

IT Manager – AI Delivery

Underwriter

• Leading the Underwriting team responsible for providing information, analyses, and RFP support
• Providing overall direction and leadership to the underwriting teams
• Works with client engagement teams to develop, drive, and execute pricing and margin strategies
• Oversees and coordinates workflow for the underwriting team
• Works with proposal unit to ensure responses for financial responses to all RFPs are complete and accurate
• Consults with Legal and Client Engagement to ensure contractual deal terms, caveats, and pertinent information is accurate
• Assists with client contract negotiations as needed
• Engages in client and external consultant engagements
• Responsible for ensuring standard operating procedures are adhered to and that all bids are properly tracked and documented

Director, Health Plan Underwriting

Analyst

• Perform multifaceted financial analyses to assess manufacturer contract performance
• Develop rebate estimates related to pharmaceutical rebate agreements
• Assist contract negotiators with financial analyses of manufacturer rebate proposals
• Research, compile, and analyze rebate pricing and trending data
• Lead completion of RFP documents relating to the Trade Relations Department

Senior Pharmacy Trade Relations Analyst

Financial Planning and Analysis

• Independently delivers financial analysis and reporting to support the profitability of Prime business areas or units and inform departmental decision-making.
• Directs the budgeting and forecasting processes for the departments it supports.
• Develops new analytical models that utilize cost drivers and associated metrics, and supports the financial requirements of Prime.
• Acts as an advisor to business partners by framing financial insights in the context of business objectives and operational considerations.
• Has both a departmental partnership role as well as being responsible for Prime wide projects and responsibilities.
• Works with internal and external resources to analyze and interpret financial results and data including but not limited to costs, revenue and profitability.
• Provides comprehensive, timely and relevant financial analysis and reporting to Prime management business partners, and serves as a financial liaison with business units and/or the department on issues relating to budgeting and finance.
• Supports efforts to develop business cases for key projects and support of Underwriting in RFP efforts.
• Consults with Prime management and department leaders to investigate and analyze, and recommend solutions to key business issues relating to products and programs, some of which may be very complex.
• Performs in-depth analysis and/or research relating to costs, vendors, billing and other financial aspects of the business.
• Translates complex financial findings into clear recommendations to support business decisions.

Financial Analyst

Actuary

• Provide complex actuarial and pricing analyses to Prime’s clients
• Use, build, and develop innovative actuarial modeling concepts
• Collaborate with Underwriters and senior leaders on pricing initiatives
• Present results and analyses to key stakeholders and clients
• Mentor Actuarial team members to enhance actuarial knowledge

Senior Actuarial Analyst

Account Manager

• Provide strategic and operational leadership to the account executive function; serve as point of escalation and accountable leader for issue resolution across employer groups
• Establish processes and tracking methodologies to monitor performance against employer group contracts and prevent repeat issues in the future; develop and document standard operating procedures, reporting requirements, other operational activities required to serve our clients in a consistent and efficient manner
• Collaborate with the health plan client engagement and sales teams to establish and maintain direct relationships with clients; develop a consultative, service-oriented partnership with the client in order to maximize pharmacy spend through client renewals and the adoption of new or expanded use of Prime's products and services; build and maintain relationships with key client stakeholders and provide and request routine feedback from client contacts, including information on the performance of the pharmacy program and the strategic account plan
• Identify, establish and maintain relationships with key cross-functional partners on behalf of the ASO retention team; collaborate with health plan account leadership and sales to develop and implement Go-To-Market strategies and establish a regular communication cadence to monitor performance, create awareness of issues and drive process improvements across the enterprise
• Drive the adoption and consistent application of client communication and interaction principles developed by the Account Management Office; lead efforts to ensure a coordinated client experience by creating awareness, accountability, and alignment to these principles across client engagement and Prime; drive and manage client presentation template updates to include opportunity and trend analysis reporting
• Review and assign account executive's book of business and determine necessary alignment and structure to support retention and fulfillment of employer group strategic plans
• Facilitate strategic discussions with Health Plan clients regarding the status and performance of their ASO business and the identification and execution of ASO growth and retention strategies; support the development and execution of consultant engagement strategies necessary to grow the ASO market
• Ensure thorough documentation of client interactions in the Salesforce CRM tool, including but not limited to meeting agendas and notes, identified dependencies or risks, key decision points and outcomes, and any next steps, agreed actions and responsibly parties; ensure the appropriate data is captured within Salesforce in order for the tool to be leveraged as a source of truth for the overall client relationship (client interactions, products pitched and deployed, decision records, etc)
• Manage department budget, 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

Director, Account Management

Pricing Analyst

• Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness & accuracy of Prime's financial pricing programs against adjudicated claims to identify trends and draw insights to provide pricing recommendations
• Apply mathematical, statistical, and economic techniques to analyze multi-faceted and high dimensional pharmacy supply chain economic data, including market pricing, to draw conclusions, adjust drug pricing, and update forecasts based on market
• Verify the integrity of data used for analysis of Prime's financial pricing programs, including data extraction, storage, manipulation, processing and analysis
• Analyze claims data of varying complexity to identify and mitigate financial pricing issues that impact client and pharmacy financial pricing guarantee management
• Assist in achieving pricing objectives using analytic tools to develop financial pricing models, dashboards, trend reporting, profitability, margin, and savings analyses
• Collaborate with internal stakeholders to identify and define financial pricing requirements and assist with developing solutions to achieve financial pricing objectives

Paralegal

• Create, prepare, review, proof, edit and manage highly complex documents
• Research and analyze highly complex issues in a wide variety of subject areas
• Negotiate with customers, external vendors, outside counsel and government agencies
• Identify and maintain relationships with key internal business partners

Senior Paralegal – Licensing

Full-stack Engineer

• Lead design to ensure the technology solutions meet all resiliency, stability, non-functional, functional and operational readiness use cases
• Lead ongoing development, maintenance and support of existing systems and platforms
• Manage work direction, lead, influence, and provide feedback to other team members
• Participate in staffing plans to identify subject matter experts (SMEs) and provide feedback for staff performance reviews
• Own technology solutions within area, including proactive monitoring and alerting, technological roadmap and communication of overall health and future sustainability
• Drive innovation & continuous improvement
• Other duties as assigned

Senior IT Software Engineer – GCP

• Analyze, mine, and document complex healthcare claims and authorization datasets to identify patterns and trends using scripting, data blending, visualization, and statistical programming tools
• Translate high‑level business problems into data‑driven insights, potential strategies, and actionable solutions
• Partner with stakeholders to understand business needs, validate data sources, acquire datasets, and organize data into accessible, analysis‑ready formats
• Interpret analytical results and present findings as compelling data stories that answer stakeholder questions and support decision‑making at all organizational levels
• Identify and resolve complex business challenges through data analytics, statistical modeling, and appropriate methodological approaches
• Perform ad hoc analyses of varying complexity, delivering clear, timely, and actionable insights aligned with business objectives
• Provide detailed status updates and reporting on project progress, including task-level time allocation and milestones
• Coordinate, guide, and mentor analytics work performed by internal staff and external consultants to ensure accurate and timely project delivery
• Perform other duties as assigned

Health Informatics Analyst

Data Engineer

• Design, develop, test, and maintain data integration solutions that support Prime’s clinical vendor hub, Partner IQ.
• Ensure seamless data flow between clinical vendors and internal systems.
• Enable timely, accurate, and high‑quality data delivery to support Prime’s clinical programs and strategic initiatives.

Senior Software Engineer – Data Engineering

Claims Specialist

• Supports the claim payment process
• Completes regulatory requirements for pharmacy and member payments
• Performs complex in-depth analysis and works cross-functionally on projects
• Provides guidance to Accounting, Finance, IT and Claims operation functions