Prime Therapeutics

Pharmacy Network Consultant Principal - Remote

Home, USA · Principal

Work authorization required$94k-$160kDetected 84 days ago

CybersecurityNegotiationSupply ChainOrganizational Skills

About the role

This position is accountable for creation and management of pharmacy contracts and negotiations to ensure competitiveness and serves as the liaison between Prime's Network Management and Specialty teams.
In addition, Prime retains the right to change or assign other duties to this job.

Lead and implement network initiatives by facilitating and performing network analyses, contracting activities and fee schedule development aligning with strategy, priorities and projects goals
maintain key compliance criteria and implement quarterly reporting processes for all contracted network retail pharmacies
collaborate with Clinical Program Directors to identify potential performance gaps
work with internal and external partners to develop and manage corrective action plans
Responsible for effectively managing the pharmacy contract from negotiation of all terms, ensuring Prime and Pharmacy compliance and document retention aligning with Prime's Record Information Management (RIM) policies
Work closely with Prime's legal team to update contract documents including agreements and applications for utilization in contracting/re-contracting activities based on new network participation requirements
Analyze network retail pharmacy quarterly reports to ensure compliance with reporting and participation requirements; collaborate with Clinical Program Directors to identify potential performance gaps; work with internal and external partners to develop and manage corrective action plans

HS diploma or GED is required
Must be eligible to work in the United States without the need for work visa or residency sponsorship

Excellent verbal and written presentation skills
Demonstrated understanding of network reporting and analysis for specialty pharmacy
Demonstrated ability to establish trust and credibility
form working relationships with all levels of an organization
Demonstrated ability to work independently and on highly complex contract language and agreements
strong attention to detail
Enhanced organizational skills with the ability to work on multiple projects simultaneously
Demonstrated ability to problem solve and interpret complex data

Potential pay for this position ranges from $94,000.00 - $160,000.00 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 (https://www.primetherapeutics.com/benefits).

Bachelor's degree in business or related area of study, or equivalent combination of education and/or relevant work experience
8 years of Network Management experience within Pharmacy Benefit Management (PBM), healthcare or other highly regulated industry

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

This listing is sourced directly from Prime Therapeutics's careers page and normalized into a canonical job model.