Prime Therapeutics jobs - 65 jobs

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 TitleClinical Account Director - RemoteJob DescriptionThe Clinical Account Director is responsible for the management of all client specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products and services offered by Prime. As the primary point of contact for their designated BCBS clients, the director promotes and recommends Prime standard offerings to meet client requirements and builds strong relationships with key clinical stakeholders through effective consultative services. Responsibilities Coordinate formulary management for the client including, client specific Pharmacy &Therapeutics (P&T) or business committee decision making and implementation, oversight of formulary publications, oversight of formulary information in all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies Provide consultation and recommendations to the client regarding Prime standard clinical program opportunities, formulary recommendations, benefit design recommendations, and other research applications and opportunities beneficial or of interest to the plan Provide clinical guidance and support for client's Health Insurance Marketplace business Manage incoming requests for information from the plan regarding drug therapy, formulary and clinical program related issues and partner with reporting and analytics team to present meaningful information back to the client Present Prime's products, services and recommendations to internal and external stakeholders and work in cooperation with Prime's operational teams to coordinate and lead client specific custom clinical pharmacy programs Other duties as assigned Minimum Qualifications PharmD or Bachelor of Science Pharmacy degree Current pharmacist license in good standing with State Board of Pharmacy in the State where the position is located 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a clinical and/or managed care setting Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications Strong verbal and written communication Ability to think strategically and demonstrate strong problem solving skills Ability to balance and prioritize multiple responsibilities and deliverables Experienced and effective working in teams Preferred Qualifications PBM Experience 1 year of direct client management experience 1 year of clinical account management experience Knowledge of the applicable line of business (e.g., Medicare, Medicaid, Exchange, Commercial, Employer Group) 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 $124,000.00 - $211,000.00 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.

World Insurance Associates (“World”) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their benefits programs, and help them achieve their long-term financial goals. Founded in 2011, World is one of the fastest-growing, Top 25 insurance brokers in the U.S. with nearly 3,000 employees in more than 300 offices across North America and the U.K. World specializes in personal and commercial insurance, surety and fidelity bonding, employee and executive benefits, investment advisory and retirement plan services, and payroll & HR solutions. Position Summary The Associate Account Manager supports the day-to-day management of middle-market and large accounts by assisting with routine service activities, renewal coordination, and the maintenance of accurate policy and client records. This role requires a strong focus on delivering responsive, high-quality service to both external clients and internal team members, contributing to overall client satisfaction and account retention. Primary Responsibilities Set up and maintain account details, contacts, and policy information in EPIC Summarize loss history. Summarize current programs and expiring exposures Leverage templates and system generated letters to draft proposals, stewardship reports, and other presentations / reports related to large and complex clients with guidance from an Account Manager or Account Executive. Create premium billing allocations and review carrier invoices Coordinate and finalize policy and endorsement check. Can review coverages and identify differences. Coordinate audits and effectively resolve audit disputes. Document and process cancellations and non-renewals. Maybe responsible for ordering loss runs, generating proofs and endorsement and audit review Position Specific Skills/Qualifications Work Experience 0-2 years' experience in Commercial Property and Casualty Professional Licenses/Certifications Licensed or obtaining state Property & Casualty insurance license Essential Skills/Competencies Knowledge of Excel, Word, and other MS Office products to include basic formatting. Able to learn coverage fundamentals. Dedicated to meeting the expectations and requirements of co-workers and clients. Able to quickly find common ground and solve problems. Seeks to obtain industry information, new product information, coverage and technology to continuously improve knowledge performance. Strong written, oral, and interpersonal communication skills. Able to follow a well-established and familiar set of activities and/or process to derive a solution. Sets priorities and manages workflow to ensure effective, timely, and efficient service delivery. Works to achieve stated objectives and delivers results at the close direction of a senior team member. Education HS Diploma or equivalent Physical Demands & Working Conditions Office work involves working at a desk most of the time, using a stand-up/sit-down adjustable desk. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Typing, grasping, and repetitive motion typically is required every day, and walking and standing are required occasionally. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. #LI-HZ1

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.

Objective World Investment Advisors is currently seeking a Director of Finance to provide strategic financial leadership and oversight to drive the financial health and performance of the organization. The Director of Finance will be responsible for developing and implementing financial strategies, managing budgeting and forecasting processes, ensuring compliance with regulatory standards, and delivering data-driven insights to support executive decision-making. This role will play a key part in optimizing capital structure, enhancing profitability, and supporting sustainable growth within the dynamic landscape of the financial services industry. Typical Duties and Responsibilities Creating forecasts that get updated on a regular basis (e.g., each month or maybe 1x/quarter). Running point on creating the budget each year Building the templates and/or implementing the tools to obtain input from unit leaders, department heads, etc. Loading the data into NetSuite once the budget is complete Meeting with unit leaders and/or department heads to review their budgets Provide detailed analysis/write-up on budget vs. actual each month Review reported results vs. budget to identify variances Meet with unit leaders and/or department heads to review variances (both positive and negative) Identify opportunities to either grow revenue or improve margins Prepare board materials to support Renae/Troy when they meet with the board Work with accounting to identify ways to improve analytical reporting capabilities E.g., review results with Controller to identify any data anomalies Work with colleagues to transition new acquisitions into “standard FPA process” for forecasting and reviewing budget vs. actual Identify data sources that we can leverage to improve analytical capabilities Support Accounting team with miscellaneous projects Participate in the M&A process to help evaluate acquisition targets Position Requirements A Bachelor's degree in accounting, or a Bachelor's degree in business with emphasis in accounting, is required. Degree(s) must be from a credible college or university Excellent technology and communication skills Ability to work independently to manage time and prioritize tasks efficiently. Be a motivated self-starter who can make thoughtful, deliberate decisions with minimal assistance. The desire to be an enthusiastic, cooperative team player who is always seeking ways to improve processes. Compensation The salary for this position generally ranges between $170,000-$180,000. This range is an estimate, based on candidate qualifications and operational needs. The position will also be eligible for up to a 15% annual bonus. Perks & Benefits 401(k) with Employer Match Health Insurance (with HSA option) Dental Insurance Vision Insurance Life Insurance Flexible Paid Time Off Policy Flexible Spending Account (FSA) Healthy Work/Life Balance Maternity/Paternity Leave Policy Remote Work Opportunity About World Investment Advisors As part of World Insurance Associates, World Investment Advisors is a nationally recognized financial services firm dedicated to providing the industry's premier wealth management and retirement plan investment advisory services to individuals, high net worth families and employers. Collectively, WIA and its affiliates advise pm $76B assets 1 across 65 offices and 310 team members. Stimulating Environment At World Investment Advisors, we strive to provide a challenging, stimulating environment for the best and brightest in the industry. We believe our employees can best serve our clients and advisors in an atmosphere where individuals are treated fairly, where professional growth is fostered and encouraged, and where a healthy balance between work and home life is respected and preserved. We promote a friendly and collaborative work environment. We are motivated by team camaraderie and are obsessed with doing the right thing for our plan sponsor clients and their plan participants. Team-Oriented Professionals typically work together in teams with multiple people from different departments to meet our clients' needs. Our junior staff works with their team members to develop the skills and knowledge to succeed and assume more senior level positions as they progress at our firm. We welcome team members from different backgrounds with different perspectives to help us innovate and make a difference for our customers and our communities. Why World? Great company culture with an awesome team-oriented atmosphere! Mentorship Opportunities Ability to serve on different internal steering committees (Charitable Giving, DEI, Social, etc.) Professional growth opportunities Friendly and collaborative work environment Employee perks including fun team building opportunities, yoga/wellness, charitable giving/volunteering World Investment Advisors is an equal opportunity employer. We believe the most effective way to attract, develop and retain a diverse workforce is to build an enduring culture of inclusion and belonging. World is committed to equality and deeply believes in diversity in sexual orientation, gender, race, religion, ethnicity and other qualities that makes us all different. 1 As of December 31, 2023, the WIA network of advisors and firms collectively provides support to over $55.4 billion in assets across a variety of channels including investment management and retirement plan consulting services. This includes regulatory assets under management (AUM) of over $24.5 billion TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department.

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting TitleAI Sustaining Engineer Principal - AI Center of Excellence - RemoteJob Description The Principal Artificial Intelligence (AI) Engineer is responsible for delivering on the modernization of Prime's AI capabilities through managing, optimizing, and developing practices that deliver business insights, create efficiency, and decrease operational costs. This position provides thought leadership, influences leaders, and champions innovative thinking to deliver on business strategy. Responsibilities Represent broad expertise in AI and Machine learning solutions to deliver on Prime's strategic priorities Lead cross-functional teams to identify and prioritize AI solutions to drive significant business impact Influence senior leadership in the organization on the direction and use of AI practices to drive efficiency and data driven decisions Broaden overall awareness and understanding of AI capabilities and processes across the organization Lead development for AI systems, may provide work direction to others on the team to align development efforts and priorities of subsystems Other duties as assigned Minimum Qualifications Bachelor's degree in computer science or related area of study, or equivalent combination of education and/or relevant work experience; High School Diploma or GED equivalent required 7 years of extensive technical experience in variety of application development, software development, machine learning or analytics 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 Excellent written, technical, and verbal communication skills Strong problem-solving and business analysis skills Proven ability to thrive in an a rapidly changing environment Proficient in SQL language and ability to design and create denormalized SQL data structures in a SQL Server environment Ability to manage work direction and lead, influence, mentor, and provide feedback to others within team Understanding of product/process engineering in a healthcare environment Understanding of security implications of domain Preferred Qualifications Master's degree in engineering or related field Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) Previous experience working in a rapid iterative prototyping environment Previous experience in PBM / health care industry 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 $124,000.00 - $211,000.00 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.

Objective, Typical Duties and Responsibilities We're currently seeking a Compliance Specialist to support the firm's Compliance Program. You will report to Manager-Compliance Operations Develop and manage a Compliance Department activity reporting system. Represent the compliance department in resolving issues involving new accounts set up with Operations and Accounting departments. Monitor general department email inboxes and/or department ticketing system reports to assure timely response or escalation if necessary to inquiries and information received. Provide support, education, and guidance to Financial Representatives and their staff as it relates to business processes, firm policies and procedures, industry rules, and other general inquiries. Assist management and other compliance personnel with the completion of various projects and testing. Other duties as assigned. Position Requirements Bachelor's degree (B.A./B.S.) in a related discipline required. Minimum two (2) years of Compliance and/or regulatory experience within both RIA and broker-dealer business segments., Series 7, 24 (or 26), 63, 65 (or 66), Series 53 (or 51), and Life, Health, & Variable Annuity Insurance Licenses (or the ability to obtain within 120 days of hire). Strong working knowledge of both brokerage and investment advisory business concerning the regulatory framework in which they operate. A deep understanding of industry rules governing supervision, suitability, and registrations. Excellent technology and communication skills Ability to work independently to manage time and prioritize tasks efficiently. Be a motivated self-starter who can make thoughtful, deliberate decisions with minimal assistance. The desire to be an enthusiastic, cooperative team player who is always seeking ways to improve processes. Preference Given to Candidates with the Following Qualifications: Have previous experience with and a thorough understanding of regulatory requirements under Reg-BI and PTE 2020-02. Already hold a Life, Health, & Variable Annuity license. Compensation The salary for this position generally ranges between $75,000-90,000. This range is an estimate, based on candidate qualifications and operational needs. The firm also has a bonus program. Perks & Benefits 401(k) with Employer Match Health Insurance (with HSA option) Dental Insurance Perks & Benefits (continued) Vision Insurance Life Insurance Flexible Paid Time Off Policy Flexible Spending Account (FSA) Healthy Work/Life Balance Maternity/Paternity Leave Policy Remote Work Opportunity About World Investment Advisors As part of World Insurance Associates, LLC World Investment Advisors is a nationally recognized financial services firm dedicated to providing the industry's premier wealth management and retirement plan investment advisory services to individuals, high net worth families and employers. Stimulating Environment At World Investment Advisors, we strive to provide a challenging, stimulating environment for the best and brightest in the industry. We believe our employees can best serve our clients and advisors in an atmosphere where individuals are treated fairly, where professional growth is fostered and encouraged, and where a healthy balance between work and home life is respected and preserved. We promote a friendly and collaborative work environment. We are motivated by team camaraderie and are obsessed with doing the right thing for our plan sponsor clients and their plan participants. Team-Oriented Professionals typically work together in teams with multiple people from different departments to meet our clients' needs. Our junior staff works with their team members to develop the skills and knowledge to succeed and assume more senior level positions as they progress at our firm. We welcome team members from different backgrounds with different perspectives to help us innovate and make a difference for our customers and our communities. Why World? Great company culture with an awesome team-oriented atmosphere! Mentorship Opportunities Ability to serve on different internal steering committees (Charitable Giving, DEI, Social, etc.) Professional growth opportunities Friendly and collaborative work environment Employee perks including fun team building opportunities, yoga/wellness, charitable giving/volunteering World Investment Advisors is an equal opportunity employer. We believe the most effective way to attract, develop and retain a diverse workforce is to build an enduring culture of inclusion and belonging. World is committed to equality and deeply believes in diversity in sexual orientation, gender, race, religion, ethnicity and other qualities that makes us all different. To Executive Search Firms and Staffing Agencies: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-GP1 #LI-REMOTE

Healthcare United is actively seeking a Board -Eligible/Board -Certified Urologist to join a well -established and highly busy single -specialty group with multiple locations in Cleveland, Ohio. This is a fantastic opportunity for both experienced urologists and 2025 Fellows. Job Description: Join a thriving single -specialty urology group with a strong reputation in the Cleveland area. Practice general urology with opportunities to focus on subspecialties. Work across multiple clinic locations within the Cleveland metro area. Monday to Friday schedule, 8:00 AM - 5:00 PM. Light call schedule, ensuring a balanced work -life integration. Partnership option available for long -term career growth. Requirements Must be Board -Eligible or Board -Certified in Urology. Open to 2025 Urology Fellows. Active Ohio medical license preferred. Strong communication skills and a patient -focused approach. Willingness to work collaboratively within a team -oriented environment. Benefits Competitive base salary starting at $350,000, plus production bonuses. Comprehensive benefits package including health, dental, vision, and retirement plans. Partnership track available, offering significant long -term earning potential. Malpractice insurance provided. Relocation assistance, if needed. Located in the vibrant Cleveland metro area, offering excellent dining, shopping, and recreational opportunities. Hiring Now - Interested candidates, including 2025 Fellows, are encouraged to apply for this exciting opportunity to advance their careers in a dynamic and supportive environment.

Founded in 2011, World is one of the fastest-growing insurance brokers in the U.S. with over 2,200 employees in over 210 offices across North America. We specialize in personal and commercial insurance lines, surety and bonding, employee benefits, financial and retirement services, and human capital management solutions. At World Insurance, you'll be part of a collaborative team dedicated to delivering best-in-class financial and analytical support to employee benefits clients. This role offers the opportunity to deepen your expertise in underwriting and analytics and grow within the practice while playing a key role in helping employers make smarter benefits decisions. Position Overview World Insurance is seeking an experienced Employee Benefits Underwriting & Financial Analyst to join our Underwriting & Analytics team. In this role, you will analyze financial and contractual information for current and prospective clients ranging from fully insured to self-funded arrangements. You'll prepare financial deliverables, model renewals, evaluate utilization trends, and support client decision-making with data-driven insights. You'll work closely within a team of underwriters & financial analysts, while also collaborating with our service teams to deliver high-quality support to clients. Key Responsibilities Manage and prioritize analytical workflow to ensure accurate, timely deliverables. Prepare and maintain financial dashboards for a book of business (clients typically 100-500 employees). Client funding arrangements may range from fully insured, level funded, and self-funded. Conduct standard client analyses in alignment with the service calendar, including: Market review analysis Renewal rate and funding initial projections/modeling Claims utilization review Rate and contribution modeling Benchmarking studies Self-funded feasibility analysis Technical review of group insurance contracts and financial arrangements Follow established procedures to utilize systems such as BenefitPoint, PerfectQuote, and others. Collaborate with subject matter experts, including Population Health Management, to deliver holistic client solutions. Develop alternative plan strategies, models, and cost-reduction opportunities using analytical tools and templates. Act as primary contact with carriers for marketing, quoting, and renewals; request, evaluate, and negotiate proposals. Build and maintain excellent relationships with carrier partners. Draft client-facing executive summaries, including findings, observations, and recommendations. Prepare formal correspondence such as carrier renewal confirmations and client renewal letters. Participate in the peer review process to ensure accuracy and quality. Provide prospect and ad hoc analytical support as needed. Perform other duties as assigned. Qualifications 2-3+ years of experience in employee benefits, insurance, or a related field. College degree or CEBS designation preferred. Life & Health insurance license, or willingness to obtain within 90 days of hire. Ability to work in a fast-paced environment with some oversight and a high degree of accuracy and attention to detail. Advanced proficiency in Microsoft Excel (formulas, modeling, formatting) with strong skills in Word and other MS Office tools such as Power BI. Understanding and/or prior use of Claros, Blue Raven, or other actuarial modeling tools is ideal. Technical experience with BenefitPoint, AI, Benefit Administration Systems, and Carrier Portals is preferred. Strong analytical, problem-solving, and critical thinking abilities, with the ability to work with complex data and variables. Excellent written, oral, and interpersonal communication skills. Team-oriented, client-focused, and able to build effective working relationships with colleagues, carriers, and clients. Commitment to staying current on industry trends, regulations, and emerging products. Compensation: This is a remote position. The base salary at the time of this posting may range from $80,000-$90,000. Individual compensation varies based on job-related factors, including business needs, experience, level of responsibility, and qualifications. We offer a competitive benefits package and variable pay programs, please visit ************************************** for more details. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. To Executive Search Firms and Staffing Agencies: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-MA1 #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 TitleHealth Individual Marketplace Strategies Principal - RemoteJob Description The Principal of Health Individual Marketplace Strategies leads the development and execution of integration and profitability strategies for clients participating in the Individual and Small Group Exchanges under the Affordable Care Act. This position ensures quality and compliance standards are met while driving successful capability development and execution of the strategies, in support of one or more of Prime's market segments by evaluating market performance of benefits, market share, and competitive position to develop recommendations for improvements to support client strategic goals. Responsibilities Collaborate with leadership to identify, develop and optimize segment-specific strategies to ensure Individual Marketplace growth for Health Plan accounts Partner with Segment Client Engagement team to review client performance metrics, market analysis, and client best practices to provide client specific recommendations for segment success Work with Health Plan clients to ensure short and long-term product performance goals are met, including, but not limited to membership growth, market share and profitability, and benefit designs Partner with Compliance and Government Affairs to understand, interpret and effectively communicate complex regulatory policies and contract obligations relevant to the segment, ensuring alignment and informed decision-making Ensure timely and accurate development and implementation of federal and state regulatory milestones, deliverables, and requirement changes for assigned Health Plan clients, maintaining compliance and supporting operational readiness Collaborate with various business units, cross-functional teams and key stakeholders to ensure timely, accurate and on budget implementation of programs Develop and deliver executive-level presentations that communicate business objectives, project status, key challenges and achievements Other duties as assigned Minimum Qualifications Bachelor's degree in Finance, Business, Health Care Administration, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required 7 years of work experience in analytics, account management, product development, project management or consultative roles within healthcare, PBM, specialty pharmacy, health care consulting or other highly regulated industry Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications Ability to work effectively in self-directed environment Must possess strong interpersonal skills and demonstrate exemplary public speaking, verbal and written communication abilities Ability to influence and present complex data to a wide variety of audiences, including internal and external executives Exceptional client relationship management and cross-functional team building skills Skilled collaborator with proven ability to reconcile differing perspectives and drive mutually beneficial outcomes Advanced business acumen and critical thinking skills Preferred Qualifications Experience in ACA/Health Care Exchange business or other Government Programs lines of business Managed care experience Experience in Project Management/Ownership Experience with analytic tools like SQL programming, GCP, SAS, and visualization tools like Tableau 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 $124,000.00 - $211,000.00 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 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 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** Network Management Consultant - Remote **Job Description** The Network Management Consultant is responsible for development, performance and management of Prime's retail, mail, specialty, and quality-based networks aligning with Prime's Supply Chain Cost of Goods Sold (COGS) and network management strategies. This includes development of network contracts, participation requirements, analysis of pharmacies, and ensuring contract and regulatory compliance. This position is accountable for creation and management of specialty fee schedules to ensure competitiveness and serves as the liaison between Prime's Network Management and Specialty teams. **Responsibilities** + Negotiate market competitive high-profile and/or complex pharmacy agreements across all channels including retail, mail, specialty and quality based and lines of business aligning with Supply Chain COGS strategies Lead and manage specialty fee schedule development process and ensure fee schedule revisions align with Supply Chains COGS strategies for specialty drug management + Lead and implement network initiatives by facilitating and performing network analyses, contracting activities and fee schedule development aligning with strategy, priorities and projects goals + Partner with Prime's reporting and analytics teams to develop network vendor loading rules inclusive of approved preferred and specialty pharmacies; maintain key compliance criteria and implement quarterly reporting processes for all contracted network specialty pharmacies + Analyze network specialty pharmacy quarterly reports to ensure compliance with reporting and participation requirements; collaborate with Specialty Clinical Program Directors to identify potential performance gaps; work with internal and external partners to develop and manage corrective action plans + Responsible for effectively managing the pharmacy contract from negotiation of all terms, ensuring Prime and Pharmacy compliance and document retention aligning with Prime's Record Information Management (RIM) policies + Work closely with Prime's legal team to update contract documents including agreements and applications for utilization in contracting/re-contracting activities based on new network participation requirements + 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 + 8 years of Network Management experience within Pharmacy Benefit Management (PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting Must be eligible to work in the United States without the need for work visa or residency sponsorship **Additional Qualifications** + Excellent verbal and written presentation skills + Demonstrated understanding of network reporting and analysis for specialty pharmacy + Demonstrated ability to establish trust and credibility; form working relationships with all levels of an organization + Demonstrated ability to work independently and on highly complex contract language and agreements; strong attention to detail + Enhanced organizational skills with the ability to work on multiple projects simultaneously + Demonstrated ability to problem solve and interpret complex data; ability to analyze network information and synthesize it into meaningful information for a variety for audiences + Ability to work with confidential data and maintain privacy **Preferred Qualifications** + Master's degree in business, healthcare or related area of study + Demonstrated understanding of retail and specialty network fee schedule management + 2 years of experience in specialty contracting + PBM and Healthcare 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 $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. 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** Sr. Director of Treasury - Remote **Job Description** The Senior Director of Treasury is responsible for developing and executing the enterprise treasury strategy, inclusive of all company entities. This role provides leadership for treasury activities to achieve the organization's corporate liquidity, investments, cash management, pharmacy and member payment compliance, and operational goals. This position plays a key role in leading and executing complex cross-functional initiatives and works closely with senior leadership and executives to influence, refine and implement business strategies. **Responsibilities** + Lead the delivery of treasury projects and initiatives (e.g., corporate liquidity, banking structure, system enhancements) + Lead the development, planning and execution of investment and borrowing strategies to support continued growth + Oversee the daily cash activities to ensure proper operating liquidity is maintained and all debt obligations are met; provide liquidity and debt exposure recommendations to senior leadership + Evaluate treasury policies and procedures, identifying continuous improvement opportunities and leading implementation of treasury best practices in all areas within the organization, including but not limited to cash flow forecast development, corporate liquidity, and regulatory adherence + Lead development and execution of Treasury reporting to inform executive strategy and support Board-level communications + Own relationship management with banking and investment management partners + Mentor, coach and develop Treasury team, providing both strategic oversight and day-to-day guidance to drive exceptional results; demonstrate professionalism and strategic thought leadership + Other duties as assigned **Minimum Qualifications** + Bachelor's degree in Accounting, Finance or related area of study or equivalent combination of education and/or relevant work experience; High School Diploma or GED is required + 10 years work experience in Treasury, Accounting, or Finance + 7 years of leadership/people management experience + Must be eligible to work in the United States without the need for work visa or residency sponsorship **Additional Qualifications** + Superior oral and written communication and critical thinking skills + Demonstrated ability in managing complex projects and initiatives + Strong strategic-thinking, analytic, and problem-solving skills + Highly developed presentation skills at senior and executive leadership levels with ability to effectively influence **Preferred Qualifications** + Master of Business Administration (MBA) + Certified Treasury Professional (CTP), Certified Public Accountant (CPA) or Certified Management Accountant (CMA) 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 TitleSr. IT Risk & Controls Analyst - Contract Negotiations - RemoteJob Description We are presenting a unique opportunity for an experienced IT Risk and Controls Analyst with a background in Contract Negotiations. As a Sr. IT Risk & Controls Analyst you would be responsible for leading the development and execution of processes and people to ensure IT compliance with regulatory, industry and client security requirements. This role is responsible for working with cross-functional teams and management to set direction and secure resources for the operational processes needed to support the Security Governance Risk and Compliance program. Responsibilities Lead the development, implementation and enforcement of organization wide security standards, policies and procedures including organizational processes and metrics that monitor risk and controls and evaluating operational performance Perform vendor security assessments and onsite audits to ensure adherence to contractual obligations, including negotiating appropriate security language in vendor agreements Assure the management of IT audit action plan remediation Develop and implement sustainment and monitoring processes to assure compliance with security requirements within HITRUST, SOC 1, SOC 2, HIPAA, and client contracts Respond to client security assessments and RFPs, ensuring alignment with internal security policies and applicable regulatory requirements, and participate in client contract negotiations Monitor and interpret state and federal cyber regulations (e.g. HIPAA, HITRUST, NIST, CMS, etc.), identify gaps, and recommend updates to security controls and frameworks Provide leadership to guide Information Security program projects Other duties as assigned Minimum Qualifications Bachelor's degree in an analytical discipline such as Computer Science, Finance, or Sciences or related area of study, or equivalent combination of education and/or related work experience; HS diploma or GED is required 5 years of experience in Information Security, Information Technology, Risk Management, Audit or Finance Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications Ability to manage and prioritize numerous time-critical tasks simultaneously and provide direction to professional staff Strong analytical and critical thinking skills Project and process management skills, including managing to project budgets and timelines Knowledge of Governance, Risk and Compliance area topics Solid understanding of regulatory requirements and security frameworks (PCI, HIPAA, SOC1, SOC2, HITRUST, NIST, etc.) Working knowledge or experience with security practices, principles and controls Leadership and mentoring skills Preferred Qualifications Current industry-recognized security certification (CISSP, CISA, CRISC, CISM, etc.) Master's degree in an analytical discipline such as Computer Science, Finance, or Sciences or related area of study Experience developing and producing security metrics and reporting, communications and policies Experience in a highly regulated industry, health care preferred Experience conducting security assessments across a range of frameworks including PCI, HITRUST, SOC 1, SOC 2, HIPAA, ISO, NIST, and/or CoBIT. Experience responding to client RFPs and contract negotiations in the healthcare or public sector industries 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 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.

Job Description World Insurance Associates (“World”) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their benefits programs, and help them achieve their long-term financial goals. Founded in 2011, World is one of the fastest-growing, Top 25 insurance brokers in the U.S. with nearly 3,000 employees in more than 300 offices across North America and the U.K. World specializes in personal and commercial insurance, surety and fidelity bonding, employee and executive benefits, investment advisory and retirement plan services, and payroll & HR solutions. Position Summary The Associate Account Manager supports the day-to-day management of middle-market and large accounts by assisting with routine service activities, renewal coordination, and the maintenance of accurate policy and client records. This role requires a strong focus on delivering responsive, high-quality service to both external clients and internal team members, contributing to overall client satisfaction and account retention. Primary Responsibilities Set up and maintain account details, contacts, and policy information in EPIC Summarize loss history. Summarize current programs and expiring exposures Leverage templates and system generated letters to draft proposals, stewardship reports, and other presentations / reports related to large and complex clients with guidance from an Account Manager or Account Executive. Create premium billing allocations and review carrier invoices Coordinate and finalize policy and endorsement check. Can review coverages and identify differences. Coordinate audits and effectively resolve audit disputes. Document and process cancellations and non-renewals. Maybe responsible for ordering loss runs, generating proofs and endorsement and audit review Position Specific Skills/Qualifications Work Experience 0-2 years' experience in Commercial Property and Casualty Professional Licenses/Certifications Licensed or obtaining state Property & Casualty insurance license Essential Skills/Competencies Knowledge of Excel, Word, and other MS Office products to include basic formatting. Able to learn coverage fundamentals. Dedicated to meeting the expectations and requirements of co-workers and clients. Able to quickly find common ground and solve problems. Seeks to obtain industry information, new product information, coverage and technology to continuously improve knowledge performance. Strong written, oral, and interpersonal communication skills. Able to follow a well-established and familiar set of activities and/or process to derive a solution. Sets priorities and manages workflow to ensure effective, timely, and efficient service delivery. Works to achieve stated objectives and delivers results at the close direction of a senior team member. Education HS Diploma or equivalent Physical Demands & Working Conditions Office work involves working at a desk most of the time, using a stand-up/sit-down adjustable desk. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Typing, grasping, and repetitive motion typically is required every day, and walking and standing are required occasionally. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. #LI-HZ1 Powered by JazzHR pv SDll57wa

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting TitleSolution Product Owner, SharePoint - RemoteJob Description The Solution Product Consultant is responsible for support of the product development team in their delivery of value-added solutions to business problems, working closely with the Product Owner role. They provide key operational knowledge to assist in building of appropriate backlog, validate outcomes and accept user stories, work with clients on change configuration needs and support operational team change needs. Responsibilities Represent assigned product in the development of user stories, acceptance criteria, operational processes, client configurations and process change Act as the primacy point of contact for internal and external resources on business knowledge related to the operational processes, configuration and needs of the product Conduct testing for acceptance of user stories and configuration changes; including creation of test cases, performance of User Acceptance Testing (UAT) and Joint Cycle Testing activities Work with the product owners and operations teams to understand product discovery/definition and convert to actionable items on the backlog; user story creation, definition of acceptance criteria and loading into the feature/requirement tracking tool Other duties as assigned Minimum Qualifications Bachelor's degree in Business, IT, Healthcare Administration or related area of study, or equivalent combination of education and/or relevant work experience 2 years of work experience in supporting business process or system change and/or similar relevant experience 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 establish and maintain relationships with clients Self learns new processes / software to solve analytic problems Interpersonal skills necessary to drive results and deliver on commitments Experienced at meeting facilitation, conflict management, and consensus building Preferred Qualifications Experience working in an agile environment Experience in Pharmacy Benefit Management (PBM) or related industry 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 TitleClient Audit Specialist - RemoteJob DescriptionAs a member of the Client Audit Management (CAM) team, the Client Audit Specialist is accountable for independently, or in collaboration with senior staff or compliance leader, managing regulatory and/or client-initiated audits. The Specialist is responsible for evaluating and understanding the purpose of various audit types and the related deliverables, developing a holistic understanding of the audit management process, and managing the end-to-end audit activities. This position seeks and obtains additional expertise as indicated from respective Compliance and Operational subject matter experts to meet applicable regulatory, client, and/or functional audit expectations. Responsibilities Review and interpret assigned audit requests to determine scope, impacted business areas and stakeholders, and evidence necessary to fulfill and manage the audit request Present sample cases or evidence data for assigned processes and act as a subject matter expert for business requirements, system specification, process flows, process change, Federal and/or State regulations and/or accreditation standards implications Develop and maintain key internal and external stakeholder relationships to effectively provide audit consultation, streamline work activity, create/drive efficiencies, and ensure consistent, timely, and accurate audit completion, reporting, or submission of deliverables Monitor audit progress and proactively identify and mitigate risks (including performance guarantee implications) to audit completion; appropriately escalate to Audit Advisors, department leadership or operational stakeholders and provide remediation recommendations to prevent delays or future findings Perform quality reviews and analysis of audit deliverables to ensure compliance with contractual and regulatory requirements Ensure stakeholders have a thorough understanding of their audit-related responsibilities, are accountable to producing deliverables accurately and on time, and are informed of relevant audit status updates or changes Ensure thorough audit records are developed and maintained, with emphasis on accuracy, relevance, and timeliness; prepare necessary documentation for audit activities including deliverables, reports, findings and recommendations; provide clear and concise audit result communications to internal and external stakeholders Integrate project management and organization capabilities by effectively communicating and leading audit strategy, deliverables, requirements, milestones and accountability, throughout the entire audit Support department enhancement initiatives to ensure accurate and thorough training and procedural materials are available and maintained Other duties as assigned Minimum Qualifications Bachelor's degree in Business, Health Care Services or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required 2 years of relevant work experience in audit, compliance or operations within a regulated environment 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 Effective verbal and written communication, and presentation skills; ability to effectively distill complex information into clear and compelling presentations and leadership briefings 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; ability to confidently represent the business and interact with external entities Demonstrated critical thinking and analysis skills, with proven ability to navigate ambiguous, complex and challenging situations while maintaining professionalism, tact, and empathy Organization and prioritization skills, strong attention to detail, and the ability to simultaneously manage multiple, complex projects, under pressure and strict timeframes, without compromising quality Agility and adaptability to change and navigate in a demanding, dynamic, fast-paced, intense, and matrix environment Ability to use independent judgment and critical decision making in the analysis of audit processes and evidence Intermediate to Advanced skills in Microsoft Office Suite (Word, Excel) Preferred Qualifications Health insurance/PBM operations and/or contract audit experience Experience with regulatory compliance for Medicare/Medicaid/Commercial or ACA drug benefit Project management 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 $66,000.00 - $106,000.00 based on experience and skills.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (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.

Job Description World Insurance Associates is a unique insurance organization offering top products and services from major providers, combined with attentive service from local agents. Founded in 2011, World is one of the fastest-growing insurance brokers in the U.S. with over 2,200 employees in over 260 offices across North America. We specialize in personal and commercial insurance lines, surety and bonding, employee benefits, financial and retirement services, and human capital management solutions. Our rapid growth and market leading presence has created opportunities throughout the state and we offer top talent the choice to work from one of our multiple offices throughout the region. Primary Responsibilities Collaborate with colleagues to facilitate the movement of business to partner carriers Run reports with specific parameters Review existing books of business for purpose of consolidation Regular discussion with partner carriers Responsible for independently managing assigned projects with partner carriers Distribute carrier quotes to servicers Regular follow ups/communication with servicers on bind status Negotiate coverage/premium on quotes with carriers Bind business including processing payments Tracking results of business movement Managing and meeting monthly production goals Qualifications Property & Casualty, Commercial Lines licensed at least 5 years Strong knowledge in commercial lines servicing experience including remarketing and new business placement. Expertise in Middle Market Accounts, Specialty P&C Market Segments including Surplus Lines Strong functional knowledge of Excel specific to creating, formatting, and evaluating formulas and working within spreadsheets. Must be proficient in Excel, Word, and other MS Office products Applied/Epic or similar agency management software experience, preferred. Strong organizational skills, ability to work in a fast-paced environment with minimal instruction and a high degree of accuracy and attention to detail. Maintain effective relationships with co-workers, and trading partners. Ability to work in a team environment Able to work independently and enjoy a high degree of interaction with team members. Self-motivated and driven. Maintain a sense of urgency and ability to work with and meet deadlines. Demonstrate effective written and verbal communication, including the ability actively listen, and problem solve with minimal assistance. The ability to multitask, prioritize, work independently, and use discretion surrounding sensitive information. Ability to maintain a professional demeanor and positive attitude Compensation This position is located in New Jersey.. The base salary for this position at the time of this posting may range from $70,000 to $75,000. Individual compensation varies based on job-related factors, including business needs, experience, level of responsibility, and qualifications. We offer a competitive benefits package and variable pay programs, please visit ************************************** for more details. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. Compensation This is a remote position with a competitive benefits package. The base salary ranges from $75,000 to $80,000, with bonus eligibility. Actual compensation will depend on experience, qualifications, and business needs. Learn more about our careers at: **************************************. TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-MA1 Powered by JazzHR vr Hsl0omz6