Specialty Operations Consultant - Remote

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

Specialty Operations Consultant - Remote

Job Description

The Specialty Operations Consultant partners with clients to provide consultation, strategic and tactical planning, and analysis intended to drive the implementation of specialty programs and solutions. This position collaborates on client facing communications and initiatives in support of Prime's Commercial, Medicare, and Medicaid books of business ensuring specialty programs are delivered and managed successfully.

Responsibilities

• Serve as primary internal and client resource for specialty program support and implementations
• Develop and maintain positive client relationships and provide consultative services in conjunction with the Client Engagement team to support a client program that mirrors client strategic initiatives
• Gather data and conduct complex analysis, provide product recommendations, and guidance to retain current clients
• Manage implementation activities, to include developing, documenting, and maintaining key requirements and deliverables through project work plans; provide ongoing project status updates to stakeholders
• Support project and workstream activities for new Blue and large employer group specialty and mail implementations; Lead routine and/or existing client implementation efforts
• Negotiate satisfactory resolutions to escalated client issues and communicate between operations, vendors, and the client
• Support ongoing evaluation and maintenance of current processes, job aids and training for specialty products
• Other duties as assigned
  
  

Education & Experience

• Bachelor's degree in business or related area of study, or equivalent combination of education and/or work experience; HS Diploma or GED required
• 2 years of client service experience in healthcare or insurance
• Must be eligible to work in the United States without need for work visa or residency sponsorship
  
  

Additional Qualifications

• Well-developed organization, analytical, interpretative and time management skills
• Demonstrated oral and written communication skills
• Ability to simultaneously manage multiple projects within strict timelines, under pressure
  
  

Preferred Qualifications

• Project management experience
• Previous Pharmacy Benefit Management (PBM) experience
• Proficiency using MS Office
  
  

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 $66,000.00 - $106,000.00 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.

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

Specialty Operations Consultant - Remote

Job Description

The Specialty Operations Consultant partners with clients to provide consultation, strategic and tactical planning, and analysis intended to drive the implementation of specialty programs and solutions. This position collaborates on client facing communications and initiatives in support of Prime's Commercial, Medicare, and Medicaid books of business ensuring specialty programs are delivered and managed successfully.

Responsibilities

• Serve as primary internal and client resource for specialty program support and implementations
• Develop and maintain positive client relationships and provide consultative services in conjunction with the Client Engagement team to support a client program that mirrors client strategic initiatives
• Gather data and conduct complex analysis, provide product recommendations, and guidance to retain current clients
• Manage implementation activities, to include developing, documenting, and maintaining key requirements and deliverables through project work plans; provide ongoing project status updates to stakeholders
• Support project and workstream activities for new Blue and large employer group specialty and mail implementations; Lead routine and/or existing client implementation efforts
• Negotiate satisfactory resolutions to escalated client issues and communicate between operations, vendors, and the client
• Support ongoing evaluation and maintenance of current processes, job aids and training for specialty products
• Other duties as assigned
  
  

Education & Experience

• Bachelor's degree in business or related area of study, or equivalent combination of education and/or work experience; HS Diploma or GED required
• 2 years of client service experience in healthcare or insurance
• Must be eligible to work in the United States without need for work visa or residency sponsorship
  
  

Additional Qualifications

• Well-developed organization, analytical, interpretative and time management skills
• Demonstrated oral and written communication skills
• Ability to simultaneously manage multiple projects within strict timelines, under pressure
  
  

Preferred Qualifications

• Project management experience
• Previous Pharmacy Benefit Management (PBM) experience
• Proficiency using MS Office
  
  

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 $66,000.00 - $106,000.00 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.