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**
Sr Director Care Solutions - Remote
**Job Description**
The Senior Director Care Solutions is responsible for driving and supporting industry leading member care solutions which remove barriers, reduces friction, and allows members to receive the best quality care at the most appropriate site of service. This role will collaborate with cross-functional teams to progress critical Health Care Services initiatives from conception to implementation to deliver care solutions aimed at improving care and health outcomes while enhancing provider engagement and reducing the total cost of care in partnership with senior leadership and key stakeholders.
**Responsibilities**
+ Coordinate strategic planning and provide oversight and guidance to major initiatives within Health Care Services organization in coordination with key leaders
+ Support development of a comprehensive strategy for Prime's care solutions programs which consider the journey of the member while considering other activities that impact the healthcare journey
+ Support evaluation of the key components of care solutions programs, assess how Prime can effectively collaborate with key partners and providers to ensure improved outcomes, cost containment, and value-based payment models; identify and develop the key roles and technology needed to provide the determined components effectively and efficiently
+ Create and oversee a cost-benefit analysis process to support project requests; track key performance indicators (KPIs) to assess the performance of investments
+ Lead/ support process change and integration expansion, including identifying and assessing critical gaps; develop and implement remediation plans to address gaps
+ Present recommendations to develop, implement, and monitor strategic approaches, effectiveness of support, and business performance improvement opportunities
+ Collaborate with senior leaders across Health Care Services organization to create strong alignment with internal and external business partners, business segments, and functional areas, ensuring coordination and unified approach
+ Provide recommendations for improvement to ensure the capture of lessons learned and adapting approaches to measure progress of key Health Care Services goals and initiatives
+ Other duties as assigned
**Education & Experience**
+ Bachelor's degree in Business, Healthcare or related area of study or equivalent combination of education and/or relevant work experience; HS Diploma or GED is required
+ 10 years of work experience in pharmacy benefit management, managed care, pharmacy operations or healthcare consultin
+ 7 years of leadership/people management experience
+ Must be eligible to work in the United States without the need for work visa or residency sponsorship
**Additional Qualifications**
+ Demonstrated ability in managing complex projects and initiatives
+ Strong strategic-thinking, analytic, and problem-solving skills
+ Proven ability to inspire cross functional teams to meet business objectives with outstanding results
**Preferred Qualifications**
+ Master's or MBA degree in Business, Health Care Administration or Hospital Administration
+ Experience with Health Plans
**Physical Demands**
+ Ability to travel up to 10% of the time
+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
+ Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
+ Must be able to constantly operate a computer and/or other office productivity equipment
+ Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
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 $164,000.00 - $279,000.00 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.
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, 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.
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].