Community Health Options jobs - 50 jobs

The Policy and Coding Research Specialist, reporting to the Sr. Manager of Utilization Management, Care Management and Quality and working closely with the Senior Medical Director and the Coding and Configuration Manager. The candidate is responsible for providing essential support and information that translates evidence-based medical care into policies and procedures that enable a health plan to function. They will be responsible for reviewing clinical, regulatory and industry resources to maintain knowledge about new and emerging technologies and treatments, payor standards for coverage in similar markets and new CPT and ICD-10/11 and HCPCS codes for configuration and coverage assignment. This job is remote and requires meticulous work, often self-directed. Collaboration with other members of the team and within the organization is key to success in this role. There is opportunity for growth in the role. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Research Reviews clinical resources and external health plan policies for coverage comparisons Supports review of CMS-designated codes, coding updates and does timely review of codes initially designated as exclude at launch or experimental/investigational to determine required code designations. Works closely with the Coding and Configuration Manager to accomplish this. Does research needed for custom code-configuration lists, such as the Chronic Illness Support Program, to support all lines of business and self-insured employer groups benefit coverage requirements, as applicable. Monitors regulatory requirements to ensure appropriate code configuration and coverage. Collaboration Is part of the Utilization Management Team that supports and collaborates with the Clinical Operations Team to ensure appropriate configuration of codes for billing and auditing. Participates in the Clinical Code Review, Benefits and other Committees as requested. Works with Compliance Team to meet regulatory requirements and stay up to date on legislative initiatives. Maintenance Is responsible for updating policies and guidelines within MCG and maintains the license and relationship with our vendor partner. Maintains the licenses and communication with Hayes (symplr) Medical Necessity Guidelines. Maintains expert knowledge of ICD-10 and 11, CPT and HCPCS codes and provides education as necessary. Understands current Member Benefit Agreements for all lines of business. Other Duties Willingness to support the Utilization Management team with case reviews as needed to maintain compliance. Willingness to participate in project work or supportive duties as assigned by the Director of Utilization Management, Care Management and UM Appeals, the Coding and Configuration Manager, or Senior Medical Director. JOB SPECIFIC KEY COMPETENCIES (KSAs) Proficient in Microsoft Products, particularly Word and Excel and adaptability to use electronic documentation systems, including Salesforce. Excellent English communication and writing skills. Familiarity with application of MCG Guidelines. DIVERSITY, EQUITY, AND INCLUSION STATEMENT Community Health Options is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion (DEI). Our human capital is the single most valuable asset we have. The collective sum of individual differences, life experiences, knowledge, inventiveness, innovation, self-expression, unique capabilities, and talent our employees invest in their work represents a significant part of not only our culture, but our reputation and achievement as well. Community Health Options DEI initiatives are applicable, but not limited to, our practices and policies on recruitment and selection; compensation and benefits; professional development, and training; promotions; transfers; social and recreational programs, and the ongoing development of a work environment built upon the premise of DEI, which encourages and enforces: Respectful, open communication and cooperation between all employees. Teamwork and participation, encouraging the representation of all groups and employee perspectives. Balanced approach to work culture through flexible schedules to accommodate varying needs of our people. Employer and employee contributions to the communities we serve to promote a greater understanding and respect for each other. QUALIFICATIONS AND CORE REQUIREMENTS Valid, unrestricted RN (registered nurse) Licensure, Compact or Maine Licensed. Minimum of 3 years working in a health plan with relevant experience. 2+ years of policy research and development experience. Experience in medical necessity reviews within a health plan highly preferred. Certified coder, or certification within 6-12 months of hire.

Why AAA Life AAA Life is a respected and trusted American brand that has been focusing on Life Insurance and Annuity Products since 1969. At AAA Life we have over 1.8 million policies where we take pride in earning the trust of our policyholders who understand our promise to be there for them - and their families - when we're needed most. By joining the AAA Life team, you are joining a company that genuinely cares about helping each other, with a devotion to protect the lives of those around us. We embrace a diverse, equitable, inclusive culture where all associates can feel a sense of belonging and use their unique talents and perspective to influence, innovate, motivate, and thrive. AAA Life Insurance is hiring for licensed Life Insurance Sales Agents! The Life Sales Agent is responsible for the sale of AAA Life Insurance products in a high volume, fast paced call center environment. Explains product features and benefits to potential customers for the purpose of promoting and selling various insurance products in order to achieve specific production goals. Provides services factoring in all applicable rules (underwriting, business procedures, etc) and performs follow-up as necessary to ensure placement of written business. Responsibilities How You'll Work Work Solution: Remote Relocation Eligibility: Not Available What You'll Do Promotes the sale of AAA Life Insurance products in a call-center environment. Recognizes and promotes cross-sell and up-sell opportunities in an effort to achieve specific sales production expectations. Completes appropriate applications and forms as necessary. Follows internal processing procedures to assure that transactions are handled in accordance with company policies and procedures. Provides advanced technical and product information in response to customers' inquiries to ensure achievement of established quality/sales goals with the end result to promote the sale of all AAA Life products. Achieve established sales goals and other performance expectations as defined by management. Successfully complete appropriate training relative to all AAA Life products and services. Perform other job duties as assigned or required. Qualifications Qualifications High School degree or equivalent required; some college coursework preferred. Minimum 2 or more years of sales and/or customer service experience required; at least one year in the insurance and/or financial services preferred. Current license to sell life insurance Proven track record of providing a high level of customer-focused services. Strong knowledge of MS Office and web related products Ability to enter information on various screens using a PC Keyboard Managing and navigating multiple sources of information and applying as needed Work extended/irregular hours to include weekends/holidays Strong inter-personal skills Strong verbal and written communication skills, including the ability to explain complex issues to a range of audiences Ability to work in a team environment #LI-Remote While performing the duties of this job, the employee is frequently required to stand, walk, sit, use hands to finger, handle, or feel, talk, hear and concentrate. Specific vision abilities required by this job include close vision, distance vision, depth perception, and ability to adjust focus. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodation will be made for otherwise qualified applicants as needed to enable them to fulfill these requirements. We are committed to ensuring equal employment opportunities for all job applicants and employees. Employment decisions are based upon job-related reasons regardless of an applicant's race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, marital status, genetic information, protected veteran status, or any other status protected by law.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Client Concierge Specialist Sr - Remote **Job Description** The Senior Client Concierge Specialist is responsible for processing, communicating, documenting, and tracking more complex member cases for Pharmacy Concierge Services. This position is also responsible for interacting with members, pharmacies, prescribers, or plans to provide support and assistance with concierge program inquiries and other administrative functions. **Responsibilities** + Set up, track, and monitor daily workflow based on client needs + Analyze and trouble-shoot complex cases by researching, gathering and documenting relevant information relating to the case in both the claims processing system and case management systems within pre-determined timelines + Act as a point of escalation for inquiries that cannot be resolved by Client Concierge Specialists, and handle and resolve escalated inquiries or issues + Process Pharmacy Concierge case management cases, including entering, reviewing, and documenting requests in both the claims processing system and case management system + Handle phone, email, and fax communications related to the concierge program, including inbound and outbound functions, to members, pharmacies, prescribers, or plans + Manage work queues and volumes to meet client specific turnaround times + Other duties as assigned **Minimum Qualifications** + High school diploma from an accredited school or equivalent GED + 2 years of customer service experience, including 6 months of Client Concierge Specialist experience + 1 year of related work experience in Pharmacy Benefit Management (PBM) or health care + Must be eligible to work in the United States without the need for work visa or residency sponsorship **Additional Qualifications** + Strong attention to detail, accuracy, and quality + Ability to adapt and work collaboratively in a dynamic fast-paced production environment + Willingness and ability to learn internal systems/processes/programs; able to work proficiently in multiple systems and databases + Willingness to work a flexible schedule to accommodate business needs, including weekend shifts and holidays + Basic math skills and general PC knowledge including Microsoft Office, Internet, email + Strong verbal and written communication skills, and interpersonal skills + Demonstrated organizational and time-management skills, with ability to work independently **Preferred Qualifications** + Associate's degree in business, health care or related area of study + National Pharmacy Technician Certification through PTCB or ExCPT (CPhT) + 2 years of related experience in PBM/health care + Demonstrated proficiency in the use of RxClaim and all necessary resources 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $19.23 - $28.85 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 (including pregnancy), 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. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. 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 (including pregnancy), 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 ************** or email *****************************.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** North Carolina Senior Project Manager / Operations Lead - Remote **Job Description** The North Carolina Senior Project Manager is responsible for orchestrating all activities for the North Carolina Medicaid PBM account implementation and projects throughout the life of the business. This includes activities that support both the MES Project in addition to PBM Operations and Maintenance. This role coordinates multi-vendor incident, change, release management. Interfaces with all technology deployments as the lead. Develops and manages all related project plans and schedules. This will include multiple complex projects, working in concert with leadership, business, IT and other project stakeholders to meet the overall project goals in terms of scope, quality, budget, issue/risk management and schedule. The Senior Project Manager will provide strong technical experience to the approach of driving out effective planning and management of workstreams. The role will understand and contribute to the growth and maturity of the Project Management Practice by helping to define service offerings and sustainment plans while also advocating for the project management discipline and driving that rigor throughout the entire Prime organization. **Responsibilities** + Manage multiple complex medium sized or one large project, working closely with internal and external stakeholders to ensure superior customer and client experience + Adhere to the project management discipline and standards in accordance with the Prime Project Lifecycle methodology, with the responsibility to complete all Project Management (PM) - related artifacts (i.e. work breakdown structures, integrated project plans, issue/risk logs, project financials, status reports, meeting minutes and change logs), including preparing and presenting materials for Executive Review + Manage project through the entire lifecycle using multiple methodologies (i.e. release, Waterfall, Agile): Initiation, Planning, Execution and Closure, applying risk/issue management or change control in terms of scope, schedule, cost and quality + Interface with critical stakeholders (i.e., governance, business and IT leadership, distributors, vendors and clients) to ensure superior customer and client experience; provide leadership to discover, diagnose and address business and technical issues/risks to facilitate and help drive business and technical resources towards resolutions or mitigation plans to ensure adherence to project scope, schedule and budget + Analyze and establish service quality baselines; monitor, report, and communicate trending of service quality to leadership and key stakeholders + Resolve internal and external team conflict to ensure alignment to the project objectives and adherence to project schedule and budget + Serve as a project management domain mentor to Project Managers and Associate Project Managers and support the PM Practice development and continuous improvement efforts + Other duties as assigned **Minimum Qualifications** + Bachelor's degree in Business, Computer Science or related area of study, or equivalent combination of education and/or relevant work experience; HS Diploma or GED is required + 5 years of work experience in project management + 10 years of experience manager a similar project of equal or greater scope. Must be eligible to work in the United States without the need for work visa or residency sponsorship **Additional Qualifications** + Strong organizational change management skills, flexibility and collaborative spirit with proven conflict resolution and arbitration experience + Proven ability to lead, counsel, influence and find win-win compromise solutions and motivate diverse project teams to achieve stated results through the interpretation of facts, practices and policies + Ability to independently drive decisions and think creatively; demonstrated effectiveness at conflict management and consensus building on organizational changes and implementations + Ability to manage meetings with Senior/Executive leadership by facilitating, leading and driving discussions + Team player, comfortable with fast-paced, changing environment and ambiguity **Preferred Qualifications** + Project Management Professional (PMP) certification + Agile Certified Practitioner + Pharmacy Benefit Management (PBM) or healthcare industry experience + Knowledge of multiple software development methodologies 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $81,000.00 - $138,000.00 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 (including pregnancy), 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. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. 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 (including pregnancy), 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 ************** or email *****************************.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Eligibility Analyst- REMOTE **Job Description** The Eligibility Analyst is responsible for representing commercial or government programs' eligibility and acts as a subject matter expert for department projects, Run functions and escalated client issues. This role is responsible for mentoring and training the Eligibility Specialist. **Responsibilities** + Serves as subject matter expert representing eligibility on file process for new and existing clients and department projects; monitors eligibility mailbox and Prime Resolution daily, participates in workstream meetings, assists with providing information regarding business requirements, and performs User Acceptance Testing + Serves as primary contact for external clients, vendors and Prime's Client Engagement team for requests and escalated issues; responsible for facilitating timely resolution + Identifies and implements improvements for existing Eligibility processes + Participates in peak season planning and execution + May manage Medicaid subrogation activities including monitoring batch claim files, outgoing eligibility files, verification of letters of authority and some claims analysis. + Other duties as assigned **Minimum Qualifications** + Bachelor's degree in IT, Business, Liberal Arts, Science or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED required + 2 years of experience in healthcare, PBM, Eligibility or claims processing + Must be eligible to work in the United States without need for work visa or residency sponsorship Must be eligible to work in the United States without the need for work visa or residency sponsorship **Additional Qualifications** + Ability to work in a collaborative team based environment + Strong oral and written communication skills + Strong organizational and time management skills + Problem solving skills with strong attention to detail + Ability to implement defined objectives and to act independently **Preferred Qualifications** + Previous PBM Experience + Experience working in eligibility or enrollment + Experience with Microsoft Excel 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $53,000.00 - $85,000.00 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 (including pregnancy), 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. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. 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 (including pregnancy), 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 ************** or email *****************************.

The Supervisor, Case Management (CM) supports the Senior Manager (Sr. M) and Assistant Manager, Medical Management (MM) in daily operations related to MM systems, integration, configuration, testing, functionality, quality, staff education, CM related reports and day-to-day staff operations. The Supervisor, CM is the primary contact for CM related escalations and represents CM in cross-functional internal collaborations.The Supervisor, CM adheres to Community Health Options MM approach that balances advocacy for the individual with stewardship for the entire membership through effective utilization management strategies. Incumbent remains nimble and consistently demonstrates ability to swiftly adapt and flex work assignments to meet daily operational priorities. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES The Supervisor, CM supports the Sr. M and Assistant Manager in ensuring CM documentation platform configuration, integration, correspondence, reporting, and user access complies with all State & Federal regulation and National Committee for Quality Assurance (NCQA) standards. Closely collaborates with subject matters experts (SMEs) to inform system configuration and workflow preferences. Provides system education and supporting documents to facilitate efficient and effective use of MM systems. Supports Sr. Manager and Assistant Manager, MM as CM SME in the development and implementation of CM functionalities (notes, assessments, turn-around-times, workflows). Performs periodic audits and quality assurance testing and system reviews as necessary and/or upon request of the leadership team. Monitors individual team member performance and provides mentoring and coaching as needed to promote consistent adherence to standards and shared ownership of quality outcomes. Maintains confidentiality in all aspects of Member, Health Options people and company information. Any other project work or supportive duties as assigned. JOB SPECIFIC KEY COMPETENCIES (KSAs) Appreciation of cultural diversity and sensitivity towards individual preferences. Ability to adapt and be nimble to effectively problem-solve complex, multifaceted, and/or emotionally charged situations. Proficient in English with verbal, written, interpersonal and public communications. Ability to function independently and proactively while actively pursuing knowledge and resources to manage daily work effectively and efficiently. Advanced skills in Microsoft Products and adaptability to varied electronic documentation systems. Must have excellent attention to detail with ability to act autonomously to maintain production levels and quality standards with minimal direct supervision. Ability to quickly prioritize and handle multiple projects at one time under tight deadlines. Excellent communication, writing, analytical and problem-solving skills. DIVERSITY, EQUITY, AND INCLUSION STATEMENT Community Health Options is committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion (DEI). Our human capital is the single most valuable asset we have. The collective sum of individual differences, life experiences, knowledge, inventiveness, innovation, self-expression, unique capabilities, and talent our employees invest in their work represents a significant part of not only our culture, but our reputation and achievement as well. Community Health Options DEI initiatives are applicable, but not limited to, our practices and policies on recruitment and selection; compensation and benefits; professional development, and training; promotions; transfers; social and recreational programs, and the ongoing development of a work environment built upon the premise of DEI, which encourages and enforces: Respectful, open communication and cooperation between all employees. Teamwork and participation, encouraging the representation of all groups and employee perspectives. Balanced approach to work culture through flexible schedules to accommodate varying needs of our people. Employer and employee contributions to the communities we serve to promote a greater understanding and respect for each other. QUALIFICATIONS AND CORE REQUIREMENTS Bachelor's degree in health-related field, preferred. 3-5 years of case management work experience required. Active CCM designation required. Active and unrestricted Compact or Maine RN licensure. Previous leadership experience required. REMOTE WORKERS: Must provide sufficient internet bandwidth to meet system operational needs and have a home office environment that protects the privacy and integrity of confidential information. #LI-Remote

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Health Plan Sales, VP - REMOTE **Job Description** The Health Plan Sales, VP is responsible for new sales for the new to blue and large health plan market segment), which is a key growth channel for Prime's PBM business unit and the broader Prime enterprise. This VP will be responsible for the new business sales development and execution of strategies and/or tactics in the following areas: Territory Planning, Pre-RFP Prospecting and Relationship Development, Proposal Development, Pricing Development, Presentation Development and Delivery (finalist or other). The key focus is to develop relationships and strategies, collaborating with identified decisionmakers and influencers at prospect health plans. Success will be measured by achievement of sales targets prospected, finalist meetings achieved, number of groups won, and/or number of lives won, and other key objectives assigned. **Responsibilities** + Directly build and foster relationships with consultants; conduct discovery meetings, and advance awareness/understanding of Prime's value proposition. Work collaboratively with HPS's Sales Development Managers and functional key stakeholders through the end-to-end Large Bid selling process + Conduct a thorough, qualitative review of RFPs with a focus accountability for health plan bid deliverables inclusive of response to plan/consultant key questions, RFP bid executive summary, finalist and capabilities presentations and the timeliness and accuracy of the overall response. + Lead the development of dossiers (Bid-at-a-Glance or BAG) or Client Status Report's (SCRs) on assigned prospects to inform and support sales planning, with an emphasis on clearly identifying strategies to win. + Engage with Prime's senior leaders, subject matter experts, and competition intelligence to ensure the sales department has awareness of Prime's most current capabilities and products and provide feedback of Prime's market competitiveness. + Collaborate with marketing department on sales campaigns, plan outreach, meeting preparation and other means of communication and with HPS sales operations to develop and maintain effective sales prospecting, database information integrity, event strategy, and sales pipeline accuracy and KPI reporting cadence. + Works with Business and Functional Unit leaders to develop proposals that manage profit, revenue, and gross margin for new prospects. + Identify gaps and lead special projects focused on improving effectiveness and implementing best practices within the Health Plan Sales department. + Partner with, and actively engage Prime's legal counsel and cross-functional stakeholders on contracting needs of client prospects + Provide day-to-day work direction, mentoring and support to Sales Development Managers. Participate in the staffing selection and lead sales team onboarding as assigned. + Other duties as assigned **Minimum Qualifications** + Bachelor's degree in business, marketing, sales or a related field, or equivalent combination of education and/or relevant work experience; HS diploma or GED required + 10 years of experience in business development, business to business sales or sales support + Must be eligible to work in the United States without need for work visa or residency sponsorship **Additional Qualifications** + Excellent facilitation, presentation, and consultation skills; demonstrated ability to distill financial or PBM related concepts or situations into concise and compelling messages + Demonstrated ability to evaluate and create opportunities, develop effective selling messages, presentations, and proposals + Exceptional communication and relationship development skills both internally and externally + Exceptional organizational, project management and time management skills + Known as a subject matter expert in one or more areas within the industry + Excellent business development acumen, critical thinking and customer orientation skills **Preferred Qualifications** + Master's degree in business or a related field + Experience in Pharmacy Benefit Management field and/or Health Insurance 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $143,000.00 - $243,000.00 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 (including pregnancy), 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. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. 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 (including pregnancy), 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 ************** or email *****************************.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting TitleConsulting Business Analyst, Principal - Remote - Must be Located in CAJob Description The Consulting Business Analyst Principal provides strategic analytical leadership to guide enterprise-wide Business Systems Analysis (BSA) solutions, ensuring alignment with organizational goals. This role oversees enterprise-level regulations, compliance with Federal and State Rx policies, and evaluates technology investments to balance business value, security, and risk. The position integrates strategic vision with hands-on oversight to deliver consistent, compliant, and cost-effective BSA solutions that drive informed decision-making across the organization. This position needs to be located in the state of California due to contract obligations. Responsibilities Lead the strategic direction and implementation of enterprise changes to support scalable, policy-driven decision-making Analyze, evaluate, and optimize business, IT, or operational processes using structured methodologies such as Critical Thinking, Lean Management, ITIL, and Design Thinking Provide operational and strategic leadership across the full software development lifecycle (SDLC), mentoring Analysts and ensuring delivery excellence Partner with Architects to design scalable, compliant BI frameworks and reference data governance standards Identify and assess opportunities to apply emerging information technologies to enhance enterprise strategies, ensuring regulatory alignment with State and Federal Rx policy Drive successful installations, configurations, performance tuning, and system optimizations to support long-term business growth and compliance Support enterprise business development by producing recommendations, proposals, and strategic analysis to guide leadership decisions Champion industry best practices in Business Systems Analysis, mentoring and influencing the BA team to adopt robust methodologies, procedures, and frameworks Other Duties as assigned Minimum Qualifications Bachelors degree in Computer Science, Information Technology, or related area of study, or equivalent combination of education and/or relevant work experience; High school diploma or GED required 7 years of work experience in Healthcare Analytics/Informatics Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications Ability to translate complex business requirements into actionable technical solutions aligned with enterprise architecture and strategic goals Ability to identify solutions, define challenges, and drive organizational change through BI and analytics Demonstrated ability to balance compliance with enterprise regulations (State and Federal Rx) while optimizing BI systems for efficiency, scalability, and risk management Knowledge and ability to deliver high-quality BI projects on time while mentoring Analysts, fostering collaboration, and managing competing priorities effectively Preferred Qualifications PBM or health care experience CA-MMIS experience Experience leading enterprise-scale data models and analytical systems, leveraging Big Data, Cloud, and distributed technologies Demonstrated experience in business analysis on large complex projects or varying project types Experience using the SDLC process Experience working in Medicaid 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $108,000.00 - $184,000.00 based on experience and skills. 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 (including pregnancy), 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.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Business Analyst Senior - Remote **Job Description** The Business Analyst (BA) Senior will execute on medium projects as a liaison among business operations, technology groups, clients, business partners, vendors, and project/program team to understand, analyze, and facilitate business needs, requirements, and impacts of business changes as a result of strategic initiatives, operational changes, compliance requirements, client needs, and technology or operational improvements. Additionally, this role will participate with leadership and/or the Center of Excellence to define and implement the best practice activities for Business Analysis. **Responsibilities** + Execute independently on medium sized projects or as part of a team of BAs on large sized or complex projects working closely with internal and external stakeholders to ensure superior customer and client experience + Define and validate business needs with project team + Participate in stakeholder analysis and identify subject matter experts needed for work effort + Assess capability gaps, determine solution options and approach, and define solution scope + Plan overall business analysis approach and activities for projects including user acceptance testing + Prepare for, conduct, and document elicitation sessions + Manage requirements traceability to solution scope, objectives, system requirements, and testing + Adherence to business analysis discipline and standards in accordance with the Prime Project Lifecycle methodology + Other duties as assigned **Minimum Qualifications** + Bachelor's degree in business, IT, or related area of study, or equivalent combination of education and/or relevant work experience; High School Diploma or GED equivalent required + 5 years of work experience in business analysis Must be eligible to work in the United States without the need for work visa or residency sponsorship **Additional Qualifications** + Advanced understanding of business analysis concepts and methodologies + Demonstrated drive to deliver result + Demonstrated verbal, written communication, facilitation skills, conflict management, consensus building, problem solving, analytical skills, and creative thinking skills + Ability to organize and prioritize multiple tasks with high degree of attention to detail + Self-directed and strong personal initiative and accountability + Team player, comfortable with fast paced, changing environment and ambiguity + Experience in leading and motivating diverse project teams to achieve stated results + Ability to independently deliver against all job accountabilities + Desire to educate and advance the BA practice across the organization **Preferred Qualifications** + Advanced knowledge of the Business Analysis Body of Knowledge (BABOK) + Experience in client relationship management + Completion of a Business Analysis certification + Demonstrated experience in business analysis on large complex projects or varying project types + Deep knowledge of business analysis tasks, activities, techniques, and requirements process + Expert in basic office productivity software and tools (MS Word, Excel, Visio, etc.) + Experience in Pharmacy Benefit Management (PBM) or healthcare industry + If in Clinical Account Services Department: Pharmacy experience preferably in retail, hospital, long-term care and/or community settings and Pharmacy benefit management (PBM) experience in clinical utilization management 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $81,000.00 - $138,000.00 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 (including pregnancy), 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. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. 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 (including pregnancy), 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 ************** or email *****************************.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Manager Rebate Contract Management - Remote **Job Description** The Manager of Rebate Contract Management oversees contracting, rate generation, reporting, and deliverables for State Medicaid supplemental rebate programs. This role collaborates with internal departments and external partners, including State Medicaid Programs and pharmaceutical manufacturers, to ensure strategic objectives and contractual obligations are met. This role is also responsible for resolving contract disputes and ensuring timely completion of monthly and quarterly deliverables. **Responsibilities** - Partner with internal teams (e.g., Rebate Operations, Account Management, Product Development, Preferred Drug List leadership and analytics) to respond to changing or emerging system initiatives and client implementations; actively participate in Request For Proposal (RFP) re-bid processes; perform research and analysis to identify and solve for operational business needs and enhancements - Manage the generation and execution of supplemental rebate agreements between Pharmaceutical Manufacturers, State Medicaid Programs and/or the company; Work with internal teams (e.g., Rebate Operations, Rebate IT, Preferred Drug List), as needed, for timely completion of contract/ product review cycles - Implement and oversee team's compliance with audit procedures, including participating in internal and external audits; develop and implement Standard Operating Procedures (SOPs) for each State process to support audit process - Provide oversight and direction for contract tracking, execution, rate generation, reporting, and deliverable processes using and modifying data queries and enhancing functionality of information systems - Develop and maintain professional working relationships with internal departments, State Medicaid Programs, and Pharmaceutical Manufacturers; may work with manufacturers on contract-related issues - Measure individual team member performance, balance workloads, and develop hiring plans to meet work needs; Helps to design and participate in programs to foster an environment of employee growth and opportunity - Accountable for team conduct and productivity and administer performance management to team members; identify on-going staff training and development opportunities to support continuous improvement and exceptional customer service - Other duties as assigned **Minimum Qualifications** + Bachelor's degree in Finance or related area of study, or equivalent combination of education and/or relevant work experience; High school diploma from an accredited school or equivalent GED required + 6 years work experience in Medicaid, Compliance, or Contract Administration Management or related industry experience + 2 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** + Ability to lead and manage others in a team environment + Basic technical proficiency and understanding of relational databases (Oracle, SQL Server and MS Access) and large data structures + Proficient in MS Word and Excel + Excellent verbal and written communication skills and ability to multi-task + Ability to establish relationships with new clients and pharmaceutical manufacturers as well as nurture relationships with existing clients/manufacturers + Understanding and application of contractual terms to teams operations **Preferred Qualifications** + Experience interacting with customers + Experience with rebate contracting and/or audits + Project management and implementation experience 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $81,000.00 - $138,000.00 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 (including pregnancy), 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. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. 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 (including pregnancy), 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 ************** or email *****************************.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting TitleTrainer Associate - RemoteJob Description The Associate Training Trainer in training development and leads or co-leads in deployment. This position supports the department Trainers, subject matter experts and other training professionals to design and develop, training programs, as needed, for internal customers and leads the facilitation of training classes. Responsibilities Deliver training in either a face-to-face synchronous environment and/or the asynchronous work from home format with materials provided for new hire classes Assist with coordinating training class administrative functions and prepare materials for training functions and meetings Support content development, design and facilitation of training modules; track learner questions/challenges and follow up with answers Participate in all elements of training design, development, and project management including conducting focus groups for training rollout Other duties as assigned Minimum Qualifications Bachelor's Degree in Business, Human Resources, Training, Education, Organizational Development, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required. Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications Effective verbal and written communication skills including documentation writing experience Strong attention to detail and accuracy Strong organizational skills Preferred Qualifications Bachelor's Degree PBM/health care experience Experience with Microsoft Office Products including Excel, Word and PowerPoint 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $23.08 - $37.02 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 (including pregnancy), 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.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting TitleProvider Relations Manager - RemoteJob Description The Manager of Provider Relations plays a critical leadership role in developing, managing, and maintaining strong internal and external relationships. The role is responsible for overseeing pharmacy outreach, independent pharmacy contracting, compliance and issue resolution with pharmacies to ensure network integrity, service quality, and cost-effectiveness. The role is also responsible for leading and managing a Provider Relations team to ensure effective performance management of employees, departmental interaction, and process improvements. Responsibilities Manage and mentor a team to achieve team and company goals, monitor performance and provide coaching and development opportunities Manage team through independent pharmacy contract processes for retail networks; serve as the primary point of contact for key pharmacy providers, including pharmacy outreach and strategic partners to ensure quality outcomes; includes oversight where pharmacy termination from pharmacy networks may occur Oversee and approve new key processes the team develops as part of continuous improvement and develop strategies to achieve world class status in operational effectiveness and pharmacy and client experience while ensuring compliance and adherence to all regulatory guidelines Serve as liaison between Prime and pharmacies by supporting legal correspondence, addressing escalated provider concerns and disputes, and strengthening the interface between contact center operations and provider relations through effective pharmacy communications Develop and maintain relationships with internal and external stakeholders regarding the management and development of Network Management strategies; actively oversee and support Peak Season activities, including pharmacy outreach and pharmacy communications Other duties as assigned Minimum Qualifications Bachelor's degree in healthcare, business or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required 6 years of work experience in customer service or contracting experience within healthcare, PBM or highly regulated industry 2 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 Ability to learn complex IT systems, both internal and web based and be able to train others to use systems and maintain best practices and quick reference guides Above average knowledge of Microsoft Office Suite of products, including Excel and PowerPoint Demonstrated business written and oral communication skills Demonstrated ability to establish and rapport and build relationships at all levels within an organization Strong attention to detail, follow through and root cause analysis of issues Excellent organizational, time management, problem solving and analytical skills Preferred Qualifications Previous experience in pharmacy network management, legal or compliance Previous project management skills Previous experience with RxClaim Previous call center experience Certified Pharmacy Technician (CPhT) Previous work experience in the PBM or Healthcare Industry Previous experience leading a team in a call center environment 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $81,000.00 - $138,000.00 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 (including pregnancy), 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.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting TitleUnderwriter - REMOTEJob Description The Underwriter is responsible for assisting in the development of the financial component of request for proposal (RFP) responses. This position will work with the Senior Underwriters and other internal divisions to coordinate the collection of the pertinent information needed to construct competitive offers, while meeting established financial targets. The Underwriter will serve as a consultant on matters pertaining to both financial and operational performance guarantees, while maintaining a positive working relationship with Sales, Client Engagement, Pricing, Trade Relations and other key business owners within Prime. Responsibilities Gathers and examines appropriate documentation and data necessary to develop pricing in response to moderate to complex RFP's Evaluates the utilization and financial experience of customers and prospects Performs claims re-pricing analyses of moderately complex external claims data Maintains appropriate documentation and provides reports as needed, including documenting all pricing decisions Participates in development of methodologies, models, reports and strategies to support objectives of the position Other duties as assigned Minimum Qualifications Bachelor's degree in mathematics, accounting, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required 2 years of related work experience in Finance or Accounting Must be eligible to work in the United States without need for work visa or residency sponsorship Additional Qualifications In-depth knowledge of mathematical applications used in underwriting function is required, including the ability to calculate figures such as discounts, proportions and percentages, as well as the ability to apply basic concepts of business mathematics and algebra in underwriting problems Ability to effectively present information and respond to questions in one-on-one or small group situations Proficient in MS Office applications, particularly Excel, Word and PowerPoint Preferred Qualifications Prior PBM experience Knowledge of Salesforce.com 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $59,000.00 - $94,000.00 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 (including pregnancy), 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.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting TitleIT Strategy & Planning Analyst, Principal - RemoteJob Description The IT Strategy & Planning Analyst - Principal plays a critical role in advancing Prime's technology planning and delivery operating model. This position is responsible for driving organizational alignment through training, coaching, and continuous improvement initiatives. The role serves as a subject matter expert, ensuring that processes, tools, and services are optimized to support Prime's operating model. By partnering with stakeholders across IT, Finance and business operations, this position fosters collaboration, enhances service delivery, and promotes a culture of operational excellence. Responsibilities Deliver training and provide coaching on Prime's technology planning and delivery operating model to all levels of the organization. Partner with stakeholders to gather improvement opportunities and lead the implementation of tool and process changes, ensuring high-quality delivery and effective communication. Maintain and update training materials, ensuring enhancements reflect evolving operating model changes. Manage the operating model SharePoint site and other collateral to ensure accurate documentation of roles, responsibilities, and team alignment. Provide oversight of the operating model deliverable templates and repository to ensure alignment with standards. Execute and coordinate complex, cross-functional processes, including data management, reporting, workflow processing, and communication of status updates. Other duties as assigned Minimum Qualifications Bachelor's degree in business, Computer Science or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED required 7 years of work experience in IT, business operations or related field including 3 years of experience in process design and improvement Must be eligible to work in the United States without need for work visa or residency sponsorship Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications Ability to influence leaders without authority Strong coaching skills Strong facilitation skills Highly organized Ability to deliver training classes Solves complex problems by taking a new perspective on existing solutions; exercises judgment based on the analysis of multiple sources of information Ability to translate abstract concepts and problems into comprehensive solutions Anticipates potential objections and influences others to adopt a different point of view Communicates complex concepts at all levels across the area or department Established presenter of material adapted to the respective audience Preferred Qualifications PBM or healthcare industry experience Project management and/or Scrum Master experience Experience in managing one or more services in the IT Strategy and Planning function 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. 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. 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 (including pregnancy), 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.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting TitleManager Rebate Contract Management - RemoteJob Description The Manager of Rebate Contract Management oversees contracting, rate generation, reporting, and deliverables for State Medicaid supplemental rebate programs. This role collaborates with internal departments and external partners, including State Medicaid Programs and pharmaceutical manufacturers, to ensure strategic objectives and contractual obligations are met. This role is also responsible for resolving contract disputes and ensuring timely completion of monthly and quarterly deliverables. Responsibilities • Partner with internal teams (e.g., Rebate Operations, Account Management, Product Development, Preferred Drug List leadership and analytics) to respond to changing or emerging system initiatives and client implementations; actively participate in Request For Proposal (RFP) re-bid processes; perform research and analysis to identify and solve for operational business needs and enhancements • Manage the generation and execution of supplemental rebate agreements between Pharmaceutical Manufacturers, State Medicaid Programs and/or the company; Work with internal teams (e.g., Rebate Operations, Rebate IT, Preferred Drug List), as needed, for timely completion of contract/ product review cycles • Implement and oversee team's compliance with audit procedures, including participating in internal and external audits; develop and implement Standard Operating Procedures (SOPs) for each State process to support audit process • Provide oversight and direction for contract tracking, execution, rate generation, reporting, and deliverable processes using and modifying data queries and enhancing functionality of information systems • Develop and maintain professional working relationships with internal departments, State Medicaid Programs, and Pharmaceutical Manufacturers; may work with manufacturers on contract-related issues • Measure individual team member performance, balance workloads, and develop hiring plans to meet work needs; Helps to design and participate in programs to foster an environment of employee growth and opportunity • Accountable for team conduct and productivity and administer performance management to team members; identify on-going staff training and development opportunities to support continuous improvement and exceptional customer service • Other duties as assigned Minimum Qualifications Bachelor's degree in Finance or related area of study, or equivalent combination of education and/or relevant work experience; High school diploma from an accredited school or equivalent GED required 6 years work experience in Medicaid, Compliance, or Contract Administration Management or related industry experience 2 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 Ability to lead and manage others in a team environment Basic technical proficiency and understanding of relational databases (Oracle, SQL Server and MS Access) and large data structures Proficient in MS Word and Excel Excellent verbal and written communication skills and ability to multi-task Ability to establish relationships with new clients and pharmaceutical manufacturers as well as nurture relationships with existing clients/manufacturers Understanding and application of contractual terms to teams operations Preferred Qualifications Experience interacting with customers Experience with rebate contracting and/or audits Project management and implementation experience 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $81,000.00 - $138,000.00 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 (including pregnancy), 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.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting TitleSenior Compliance Analyst - RemoteJob Description The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to execute compliance program and compliance department activities related to demonstrating compliance program effectiveness through compliance hotline inquiry management and investigations, compliance education and communications, governance reporting, as well as executing program effectiveness self-assessments and data-driven reporting or dashboards. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance. Lead project management efforts for highly sensitive Compliance initiatives. Represents the Compliance Department on complex contracts or cross-functional projects; identifies key stakeholders from across the enterprise and establishes effective collaboration techniques to maintain ongoing partnership between functions. May collect, prepare, and maintain records and related documentation for reporting to the Chief Compliance Officer, Prime's senior leadership team, executives, Corporate Compliance Committee members and the Board of Directors; collaborates across the compliance organization to collect and organize information into clear, accurate and effective executive reports. Serves as subject matter expert within Compliance and develops solutions to highly complex compliance problems by referring to precedence, policies, and standard operating procedures; escalate issues to Compliance leadership as appropriate and enhance or develop new supporting documentation as necessary. Research and interpret laws, industry guidance and regulatory issues that impact Prime's compliance; document requirements or disciplinary actions and escalate findings as appropriate. 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. 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA) Must be eligible to work in the United States without need for work visa or residency sponsorship. Must be eligible to work in the United States without the need for work visa or residency sponsorship. Additional Qualifications Experience with managing compliance investigations or incident response, supporting compliance education and communication activities, and/or compliance program effectiveness assessments and reporting, including experience with Microsoft SharePoint and 365 apps (i.e., Teams, Forms, Lists, Power BI). Exceptional written and oral communication skills Demonstrated ability to apply critical thinking skills and problem solve through highly complex situations. Complete understanding of effective compliance program principles, concepts, practices, and standards; full breadth of knowledge around industry best practices and challenges; experience developing new concepts, techniques, standards, and programs to support an organization's compliance priorities Ability to effectively present complex information to a wide variety of audiences Ability to establish rapport and effectively influence at all levels within an organization. Enhanced organizational skills with the ability to effectively work on multiple projects simultaneously. Strong analytical skills Preferred Qualifications Pharmacy services, PBM, managed care or health care industry experience Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) Certified Project Management Professional (PMP) Advanced degree in related area of study, such as Juris Doctor 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $74,000.00 - $118,000.00 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 (including pregnancy), 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.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting TitleSales Development Manager - RemoteJob Description The Sales Development Manager is responsible for managing the end-to-end sales process and ensuring ownership, accountability and collaboration among Sales, internal Prime Departments, and external consultants; in order to take advantage of sales opportunities and drive Prime's growth and competitiveness. This role collaborates closely with Client Engagement, Marketing, Product, and other areas to ensure that the "latest and greatest" Prime messaging, materials and other logistical details for external health plan & PBM meetings and presentations are relevant, targeted, and appropriate for the intended audience. Responsibilities Manage the end-to-end bid process and coordinate all internal activities supporting prospecting, finalist meetings, and implementation of new business; evaluate bid priorities and potential outliers, determine, assign and track cross-functional accountabilities, and enhance the information exchange between Sales, Operations, and other stakeholders Serve as primary coordinator and project manager for Prime's highest visibility sales activities, including the development and management of project plans, establishing and tracking cross-functional deadlines, conducting validation and quality checks, and ensuring timely, complete and compelling sales deliverables Assist VP Sales in strategic sales planning, strategy, and tactics development, and execute plan deliverables in targeted markets Identify, develop and maintain key internal and external relationships needed to effectively respond to sales opportunities and deliver Prime's capabilities, drive growth, and increase market competitiveness Collaborate with Marketing and outside consultants on sales campaigns, plan outreach, meeting preparation and other means of communication Maintain prospect information in SalesForce CRM and determine appropriate communication and reporting methodologies needed to drive awareness, energy and accountability across the organization Develop, execute and maintain effective sales reporting cadence for Senior Leadership Document Prime's sales processes, develop tools to support sales activity, and identify opportunities for new process development or ongoing process enhancement; solicit feedback from the organization and leverage techniques to influence adoption and behavior change in order drive an efficient, thorough and compelling sales response Other duties as assigned Minimum Qualifications Bachelor's degree in Business or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required 5 years of progressive experience supporting enterprise sales, working within sales operations, managing sales planning and/or performance Must be eligible to work in the United States without need for work visa or residency sponsorship Additional Qualifications Effective verbal and written communications skills Strong interpersonal skills, with the ability to effectively facilitate meetings, resolve conflict, build consensus, establish rapport and collaborate effectively across departments, internally and externally, and at all levels within an organization Organization and prioritization skills, strong attention to detail, and the ability to simultaneously manage multiple projects, under pressure and strict timeframes, without compromising quality Advanced skills in PowerPoint and Excel Ability to confidently represent the business and interact with external entities Preferred Qualifications PBM/healthcare experience Experience using SalesForce 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $81,000.00 - $138,000.00 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 (including pregnancy), 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.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Client Concierge Specialist Sr - Remote **Job Description** The Senior Client Concierge Specialist is responsible for processing, communicating, documenting, and tracking more complex member cases for Pharmacy Concierge Services. This position is also responsible for interacting with members, pharmacies, prescribers, or plans to provide support and assistance with concierge program inquiries and other administrative functions. **Responsibilities** + Set up, track, and monitor daily workflow based on client needs + Analyze and trouble-shoot complex cases by researching, gathering and documenting relevant information relating to the case in both the claims processing system and case management systems within pre-determined timelines + Act as a point of escalation for inquiries that cannot be resolved by Client Concierge Specialists, and handle and resolve escalated inquiries or issues + Process Pharmacy Concierge case management cases, including entering, reviewing, and documenting requests in both the claims processing system and case management system + Handle phone, email, and fax communications related to the concierge program, including inbound and outbound functions, to members, pharmacies, prescribers, or plans + Manage work queues and volumes to meet client specific turnaround times + Other duties as assigned **Minimum Qualifications** + High school diploma from an accredited school or equivalent GED + 2 years of customer service experience, including 6 months of Client Concierge Specialist experience + 1 year of related work experience in Pharmacy Benefit Management (PBM) or health care + Must be eligible to work in the United States without the need for work visa or residency sponsorship **Additional Qualifications** + Strong attention to detail, accuracy, and quality + Ability to adapt and work collaboratively in a dynamic fast-paced production environment + Willingness and ability to learn internal systems/processes/programs; able to work proficiently in multiple systems and databases + Willingness to work a flexible schedule to accommodate business needs, including weekend shifts and holidays + Basic math skills and general PC knowledge including Microsoft Office, Internet, email + Strong verbal and written communication skills, and interpersonal skills + Demonstrated organizational and time-management skills, with ability to work independently **Preferred Qualifications** + Associate's degree in business, health care or related area of study + National Pharmacy Technician Certification through PTCB or ExCPT (CPhT) + 2 years of related experience in PBM/health care + Demonstrated proficiency in the use of RxClaim and all necessary resources 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 Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $19.23 - $28.85 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 (including pregnancy), 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. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. 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 (including pregnancy), 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 ************** or email *****************************.

DEPARTMENT: Data Insights and Innovation JOB TITLE: Data Catalog Specialist JOB CODE: DCS REPORTS TO: Data Governance, Lead FLSA STATUS: Exempt EMPLOYMENT TYPE: Full-Time JOB PURPOSE: This role at Arbitration Forums is as unique as it is rewarding because of the AF IPAAL Values (Integrity, Passion, Accountability, Achievement, Leadership) and TRI Model (Trust, Respect, Inclusion). The Data Catalog Specialist drives and supports our data governance initiatives and ensures the integrity, quality, and security of our organization's data assets. This role is responsible for defining, implementing, and managing our data cataloging and metadata management practices as part of our overall data governance program. This role is an SME for AF in the areas of data classification, cataloging, lineage harvesting and plotting, and metadata, contributing to the quality and security of our data, ensuring that data assets are documented, discoverable, and accessible for utilization in advanced analytics, data science, machine learning, and AI-powered applications. DEPARTMENTAL EXPECTATION OF EMPLOYEE Adheres to AF Policy and Procedures and the AF IPAAL Values and TRI Model Acts as a role model within and outside AF. Performs duties as workload necessitates. Maintains a positive and respectful attitude. Communicates regularly with the departmental leader about department issues. Demonstrates flexible and efficient time management and ability to prioritize workload. Consistently reports to work on time, prepared to perform duties of the position. Meets Department productivity standards. ESSENTIAL DUTIES AND RESPONSIBILITIES Develop, implement, and maintain strategies for data discovery, cataloging, and metadata management. Ensure that the quality of the data cataloged meets company standards and adheres to internal guidelines. Curate and validate metadata for integrity and accuracy, ensuring that taxonomies and structures are captured to provide additional context. Maintain clear lineage information and establish source of truth for data items, including mapping and reconciliation of information. Work with data owners to ensure that taxonomies are aligned with business definitions. Define and measure the key performance indicators (KPIs) associated with data cataloging and lineage, identifying deviations and recommending corrective actions. Enable effective data stewardship and accountability through the definition of supporting processes and implementation of procedures in cataloging tools. Lead and drive to completion efforts to capture and maintain metadata, including data lineage, data quality, and data usage information. Provide guidance to employees on data governance and cataloging processes and procedures, as well as training on the data governance tool stack. Raise awareness of data management best practices and their importance to business operations. Foster a culture of data stewardship, collaboration, and continuous improvement. Monitor compliance with data governance policies and assess effectiveness of controls. Prepare and present data governance reports, dashboards, and metrics to senior leadership. QUALIFICATIONS Bachelor's or Master's degree in Computer Science, Information Systems, Data Science, or a related field. 6 years of experience in data cataloging tools and platforms. In-depth understanding of metadata management principles and practices, as well as strong working knowledge of frameworks, processes, and tools for data lineage plotting and harvesting. Strong understanding of data governance principles, frameworks, and best practices. Familiarity with regulatory requirements and industry standards related to data privacy and security. Technical Skills: Proficiency in data modeling, database design, and data warehousing (e.g., SQL, NoSQL, Hadoop, MS Azure cloud, etc.). Understanding of cloud-based data platforms (Snowflake, Databricks). Experience with ETL/ELT tools and data integration technologies (e.g., Apache, DBT, Informatica, Matillion, Talend). Working knowledge of cloud services (i.e., MS Azure, AWS, Google Cloud). Strong understanding of data catalogs and lineage plotting practices and tools (Unity, Purview). Familiarity with data visualization and reporting tools (e.g., Webfocus, Power BI). Proficiency in programming languages such as Python or R. Soft Skills: Excellent analytical and problem-solving abilities. Strong communication and interpersonal skills to collaborate with cross-functional teams. Ability to lead projects and mentor junior staff. Auto Insurance claims industry experience preferred. AMERICANS WITH DISABILITY SPECIFICATIONS PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. WORK ENVIRONMENT This is a fully remote position requiring reliable high-speed internet access and a dedicated workspace. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.