AVP Financial Strategy Consulting - 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

AVP Financial Strategy Consulting - RemoteJob Description

The Assistant Vice President Financial Strategy Consulting is responsible for the financial oversight of health plan and employer clients with the goal of developing and executing the overall total cost management strategy for assigned health plans and/or markets. This role will lead and oversee a team of Financial Consultant to achieve the function's objectives targeting total cost management through financial strategy, products, programs, benefits, and services. In addition, this role will influence and collaborate with subject-matter experts across Prime (e.g. Underwriting, Finance, Supply Chain Economics, Trade, Clinical, Operations, Sales, and Account Management). This position drives the department strategy to support clients with recommendations for improvements or enhancements to support Prime and client strategic imperatives through development of new and complex analytical models.

Responsibilities

• Develop a deep understanding of each health plan client's business model and financial relationship with Prime, including contract terms and key financial/value levers in order to make recommendations to reduce overall health care costs and strategically position Prime products and pricing in the market to win and retain business
• Identify emerging market/product trends, risks and opportunities and collaborate with internal and external stakeholders to develop and execute strategies to drive membership and earnings growth
• Work cross-functionally with the Underwriting, Networks, Trade, Clinical and Product teams to drive adoption of value-added products and programs within assigned book of business to help plans manage pharmacy costs and enhance client retention
• Consult with plans to understand their various lines of business and strategically deploy cost of goods sold value to maximize business results
• Provide consultative support to Client(s) around Pharmacy pricing and financial strategies to compete effectively in downstream markets (e.g., Commercial Administrative Services Only (ASO), Fully Insured, Medicare)
• Lead a team that provides complex trend analysis, recommendations, modeling and consultation; consults with and presents outcomes of analyses to all levels of internal and external organizations including executives
• Provide oversight for the delivery of client financial reporting, forecasting, preparation and delivery of Quarterly Business Reviews, and ad-hoc analysis
• Develop and foster a culture of continuous improvement, working with direct reports to provide guidance and direction on process and system improvements to support future growth
• Other duties as assigned

Minimum Qualifications

• Bachelor's degree in accounting, finance, economics, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
• 12 years of progressive work experience leading/managing diverse teams across finance, underwriting, healthcare economics, and/or actuarial in a health plan, PBM, or healthcare consultant practice
• 8 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 understanding of PBM economics and financial levers, including but not limited to pricing, supply chain economics, Trade/Formulary strategies, Clinical Programs, and Network
• Ability to establish rapport, build relationships, and collaborate effectively across departments and at all levels within the organization
• Demonstrated leadership and influencing skills with the ability to lead and drive change
• Proven experience inspiring cross-functional teams to meet business objectives with outstanding results
• Excellent facilitation, presentation, and consultative skills; demonstrated ability to distill complex concepts or situations into concise and compelling communications to both technical and non-technical audiences
• Previous experience in a role with P&L responsibility

Preferred Qualifications

• Master's degree in Business or related area of study

Minimum Physical Job Requirements

• Ability to travel up to 20% of 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

Reporting Structure

• Reports to Vice President, Chief Analytics Officer

Potential pay for this position ranges from $165,600.00 - $264,400.00 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 an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.

Positions will be posted for a minimum of five consecutive workdays.