Health Individual Marketplace Strategies Principal - Remote

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 Individual Marketplace Strategies Principal - Remote

Job Description

The Principal of Health Individual Marketplace Strategies leads the development and execution of integration and profitability strategies for clients participating in the Individual and Small Group Exchanges under the Affordable Care Act. This position ensures quality and compliance standards are met while driving successful capability development and execution of the strategies, in support of one or more of Prime's market segments by evaluating market performance of benefits, market share, and competitive position to develop recommendations for improvements to support client strategic goals.

Responsibilities

Collaborate with leadership to identify, develop and optimize segment-specific strategies to ensure Individual Marketplace growth for Health Plan accounts

Partner with Segment Client Engagement team to review client performance metrics, market analysis, and client best practices to provide client specific recommendations for segment success

Work with Health Plan clients to ensure short and long-term product performance goals are met, including, but not limited to membership growth, market share and profitability, and benefit designs

Partner with Compliance and Government Affairs to understand, interpret and effectively communicate complex regulatory policies and contract obligations relevant to the segment, ensuring alignment and informed decision-making

Ensure timely and accurate development and implementation of federal and state regulatory milestones, deliverables, and requirement changes for assigned Health Plan clients, maintaining compliance and supporting operational readiness

Collaborate with various business units, cross-functional teams and key stakeholders to ensure timely, accurate and on budget implementation of programs

Develop and deliver executive-level presentations that communicate business objectives, project status, key challenges and achievements

Other duties as assigned

Minimum Qualifications

Bachelor's degree in Finance, Business, Health Care Administration, or related area of study, or equivalent combination of education and / or relevant work experience; HS diploma or GED is required

7 years of work experience in analytics, account management, product development, project management or consultative roles within healthcare, PBM, specialty pharmacy, health care consulting or other highly regulated industry

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

Ability to work effectively in self-directed environment

Must possess strong interpersonal skills and demonstrate exemplary public speaking, verbal and written communication abilities

Ability to influence and present complex data to a wide variety of audiences, including internal and external executives

Exceptional client relationship management and cross-functional team building skills

Skilled collaborator with proven ability to reconcile differing perspectives and drive mutually beneficial outcomes

Advanced business acumen and critical thinking skills

Preferred Qualifications

Experience in ACA / Health Care Exchange business or other Government Programs lines of business

Managed care experience

Experience in Project Management / Ownership

Experience with analytic tools like SQL programming, GCP, SAS, and visualization tools like Tableau

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.

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.

At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.

We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.

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.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.