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

Dir, Specialty Clinical Solutions/Medical pharmacy exp required- REMOTEJob Description

Supports overall Medical Pharmacy Product line for health plans through validated program enhancements, creation of usable, client collateral materials with marketing, and onsite client presentationsLeads evaluation and identification opportunities for improved management of Medical benefit drugs through clinical research and analytics that improve medical cost savings and provide clinical quality initiativesManages current clients in all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization, Post Service Claim Edits, Site of Service and any additional programs. Develops new opportunities and expands programs for existing clients.Works with analytics team to provide business rules and develop new drug to market cost impact analyses for health plan clientsManages Medical Pharmacy development needs for potential new clients. Identifies and develops opportunities for improved process efficiencies for Medical Pharmacy programs.Identifies enhanced reporting methodologies for Medical Pharmacy Programs.Supports development and production of Medical Pharmacy Trend Report, owning specific sections as delegatedSupports development, production and monitoring of Specialty Pharmacy Pipeline Report.Communicates and collaborates effectively with all internal stakeholdersProvides Medical Pharmacy expertise within the organization to other business units and within Magellan RxDevelops potential opportunities and all research and materials for  presentations at National pharmacy/healthcare industry meetings, white papers and published papers.Develops appropriate submissions for program presentations at National meetings and for publication acceptance.

Potential pay for this position ranges from $143,000.00 - $243,000.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

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, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by 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.