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 Pharmacy Network Compliance - Remote

Job Description

The Director Pharmacy Network Compliance will lead the creation of a strategic roadmap for the pharmacy network compliance function and work with key internal stakeholders across the enterprise to coordinate operational support. This position will be accountable for the intake, implementation and management of projects, system development and enhancements and/or training and turnover to the applicable operational area while driving aggressive change programs and effective partnerships across the business.

Responsibilities

Develop and lead the implementation of Pharmacy Network Compliance initiatives in alignment with Prime's goals and strategic imperatives; may develop key performance indicators and metrics to inform and support business decisions

Drive operational and process improvements within Network Management and in partnership with key internal business leaders to ensure projects are completed and turned over to operational teams to facilitate ongoing management and benefit realization

Develop and manage department budgets, staff goals and objectives, project plans and resource allocations; responsible for cost management, including staff time tracking, productivity standards and expense management

Ensure client and regulatory requirements are incorporated into shared operating procedures; develop standardized processes that use work standardization and on-line tools so that efficiency and scalability are achieved; define and achieve operational and service metrics (e.g., quality, time and cost metrics)

Direct and oversee processes, procedures and related reporting to ensure regulatory requirements and applicable accreditation/certification standards are met; ensure that action plans are in place to prevent repeat internal or external audit findings as applicable

Provide leadership and/or support for business analysis, system enhancements, business deliverables, and project management services in support of designated operational areas; may also drive the development and maintenance of standard operating procedures and desktop procedures

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

Education Experience

Bachelor's degree in Business, IT, Project Management, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required

8 years of work experience in Healthcare, PBM, Operations, Regulatory Compliance Business Analysis and/or Project Management

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

Strong leadership skills with the ability to effectively select, develop, engage, coach, retain, leverage, and mobilize top talent

Effective written and verbal communication skills

Ability to think critically and anticipate the broad impact of decisions

Ability to establish rapport and build relationships at all levels within an organization

Superior negotiation and influencing skills

Advanced ability with Microsoft Office applications

Preferred Qualifications

MBA

Previous experience developing and overseeing Business Analysis, Project Management, System Development, Training and/or Quality Programs

Physical Demands

Ability to travel up to 10% of the time

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 $108,000.00 - $184,000.00 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, 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.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

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.

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 [email protected].