[Remote] Pharmacy Network Consultant Principal - Remote

Note: The job is a remote job and is open to candidates in USA. Prime Therapeutics is a unique pharmacy benefit manager focused on connecting care for those they serve. The Pharmacy Network Consultant Principal is responsible for the development, performance, and management of pharmacy networks, including contract negotiations and ensuring compliance with regulations. This role requires collaboration with various teams to optimize network performance and manage pharmacy contracts effectively.ResponsibilitiesNegotiate market competitive high-profile and/or complex pharmacy agreements across all channels including retail, mail, and quality based and lines of business aligning with Supply Chain COGS strategiesLead and implement network initiatives by facilitating and performing network analyses, contracting activities and fee schedule development aligning with strategy, priorities and projects goalsPartner with Prime's reporting and analytics teams to develop network vendor loading rules inclusive of approved preferred pharmacies; maintain key compliance criteria and implement quarterly reporting processes for all contracted network retail pharmaciesAnalyze network retail pharmacy quarterly reports to ensure compliance with reporting and participation requirements; collaborate with Clinical Program Directors to identify potential performance gaps; work with internal and external partners to develop and manage corrective action plansResponsible 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) policiesWork 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 requirementsOther duties as assignedSkillsBachelor's degree in business or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required8 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 contractingMust be eligible to work in the United States without the need for work visa or residency sponsorshipExcellent verbal and written presentation skillsDemonstrated understanding of network reporting and analysis for specialty pharmacyDemonstrated ability to establish trust and credibility; form working relationships with all levels of an organizationDemonstrated ability to work independently and on highly complex contract language and agreements; strong attention to detailEnhanced organizational skills with the ability to work on multiple projects simultaneouslyDemonstrated ability to problem solve and interpret complex data; ability to analyze network information and synthesize it into meaningful information for a variety for audiencesAbility to work with confidential data and maintain privacyMaster's degree in business, healthcare or related area of studyDemonstrated understanding of retail pharmacy contract language and pharmacy reimbursement methodologiesPharmacy contracting experience within a PBM or other related healthcare industryKnowledge of and experience within PBM industry, Medicaid, and MedicareExperience negotiating pharmacy solicitation contractsBenefitsTo review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).Company OverviewPrime Therapeutics is a trusted pharmacy solutions partner delivering savings, simplicity & support to our customers and members It was founded in 1990, and is headquartered in Eagan, Minnesota, USA, with a workforce of 5001-10000 employees. Its website is https://www.primetherapeutics.com/.