Prime Therapeutics

Business Integration Consultant Principal - Remote locations Home time type Full time Business Integration Consultant Principal - Remote The Business Integration Principal is responsible for executing functional strategy, managing a team of Business Integration Consultants, leading new client implementations and enterprise-wide projects, analysis, and/or initiatives. This position is responsible for driving key business outcomes for Prime through a blend of project management, enterprise analysis, and client or executive engagement. Responsibilities - Lead client implementation activities by providing ownership of workstream delivery including negotiations with client - Consult and collaborate with internal and external client project teams to work through the Enterprise Project Lifecycle / Implementation Framework. - Execute upon defined strategy for the assigned accountable portfolio of work (pod). - Build positive working relationships with clients and maintain throughout implementation until transition to Client Engagement - Manage external consultant and business partnerships to ensure successful implementation outcomes (consultative, handle conflict, anticipate challenges, provide recommendations, business awareness) - Facilitate, coordinate, and lead implementation/project kickoff meetings, large client on-site meetings, issue resolution focus sessions and gap analysis - Manage a team of Business Integration Consultants and Business Integration Leads. Mentor, guide, and develop other functional team members as needed. - Partner with the project teams in the identification of integration tasks, client outlier requests, resources, milestones, deliverables, and dependencies - Accountable for maintaining process documentation and best practices for the respective portfolio of work. - Other duties as assigned Minimum Qualifications - Bachelor’s degree in business or a related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED required - 7 years of project management or business analysis or relevant work experience Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications - Strong interpersonal communication skills, including team leadership, conflict resolution, and meeting leadership/facilitation with various internal and external leaders - Ability and desire to drive complex business needs and influence organizational change - Proven ability to work under strict timeframes and under pressure - Strong problem solving and analysis skills - Proven experience managing multiple large-scale projects simultaneously, while maintaining quality Preferred Qualifications - 5 years of healthcare or PBM experience - 3 years of managerial experience or leading cross functional work efforts - 2 years of consulting experience - Commercial and Government Programs PBM experience - 5 years of experience leading cross-functional efforts - Previous experience hiring, managing, and developing employees and building high performing, engaged teams. 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 Potential pay for this position ranges from $108,000.00 - $184,000.00 based on experience and skills.

Manager, Sales Proposals - Remote Home Full time job requisition id R-16803 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 Description The Manager of Sales Proposals leads a team of writers within the Proposal department. This position supports Prime’s Mid-Market market segment and leads the cross-functional efforts to strategically respond to Requests for Proposals (RFPs), manages and improves the RFP process, creates high quality strategic proposals, and builds and maintains Prime's valuable content database. The Manager of Sales Proposals also represents the proposal team for internal and external client strategy meetings.   Responsibilities - Provide team direction and elevate performance and progress towards reaching business and client goals; clearly communicate roles and expectations and hire and train additional staff, as needed - Review team proposals to identify potential obstacles to success or areas of concern; work with team members, subject matter experts and/or sales to provide potential solutions to address them   - Oversee the proposal end-to-end process to ensure process adherence, timeliness, and quality; may manage large, complex projects based on team capacity - Leverage Copilot and proposal management platform AI tools (Responsive, Loopio, etc.) to improve proposal workflow in terms of proposal quality, cycle time, and efficiency - Solve unique and complex problems with broad impact on the business including the translation and communication of highly complex concepts in ways that can be understood by a variety of audiences - Continually assess the proposal process for effectiveness and quality; promote company-wide understanding and adherence to process through trainings and on-going meetings with subject matter experts; participate in Go-to-Market meetings; and manage team liaison relationships with internal departments (e.g., Specialty, Networks, Formulary, Operations, IT, Government programs, Underwriting) to improve proposal responses and processes - Serve as the liaison to Prime leadership for proposal status, including participation in strategy sessions and kick-off meetings as needed - Build and manage relationships with proposal staff at Prime's clients to strategically develop and execute proposal processes for new and existing customers; build strong working relationships with client proposal contacts to manage workflow, custom content and timelines - Organize and facilitate meetings throughout the year with Sales and Client Engagement leadership to discuss overall sales strategy, goals, process, and ensure Prime is effectively and accurately representing the varied and unique products and services - Manage department budget, team structure, staffing, performance and development, and consistently demonstrate Prime's leadership expectations during interactions with direct reports, cross functional and external stakeholders - Other duties as assigned Minimum Qualifications - Bachelor's degree in English, Journalism, Communications, Business or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required - 6 years of work experience in Pharmacy Benefit Management proposals, sales planning and/or sales support - 1 year of leadership/people management 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 effectively communicate and collaborate with all levels across the organization - Strong attention to detail and process - Highly organized and result focused; ability to prioritize work with proven time management skills - Demonstrated analytical and critical thinking skills - Proven team development skills - Strong ability to present and share information to all levels in an organization - Demonstrated ability to effectively manage change - Advanced Microsoft Office skills   Preferred Qualifications - Experience working with all levels in an organization   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 (https://www.primetherapeutics.com/benefits).   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.

Physician Clinical Reviewer - Rheumatology- REMOTE locations Home time type Part time job requisition id R-16265 Job Posting Title Physician Clinical Reviewer - Rheumatology- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan membersand staff whenever a physician`s input is needed or required.   Responsibilities Physician Clinical Reviewer – Job Description Responsibilities - Reviews cases in which clinical determinations cannot be made by the Initial Clinical Reviewer. - Discusses determinations with requesting physicians or ordering providers, when available, within the regulatory time frame of the request by phone or fax. - Provides clinical rationale for standard and expedited appeals. - Provides assistance and acts as a resource to Initial Clinical Reviewers as needed to discuss cases and problems. - Utilizes medical/clinical review guidelines and parameters to assure consistency in the physician review process so as to reflect appropriate utilization and compliance with Prime's policies/procedures, as well as URAC and NCQA guidelines. - Ensures documentation of all communications with medical office staff and/or physician/provider is recorded in a timely and accurate manner. - Participates in on-going inter-rater reliability training and testing - Assists the Medical Director and/or VP, Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines, and/or system support. - On a requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. - On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability for utilization management while working in conjunction with the VP, Medical Director - Other duties as assigned.   Education & Experience - Education Level - DO - MBBS - MD - Required - Yes - Yes - Yes - Fields of Study - Experience Level - 5+ years - Required - Yes - Details - Clinical Must be eligible to work in the United States without the need for work visa or residency sponsorship. Additional Qualifications Preferred Qualifications Physical Demands - Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse" - Must be able to constantly operate a computer and/or other office productivity equipment - Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information - Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds 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. Potential pay for this position ranges from $90.87 - $154.33 based on experience and skills.

Physician Clinical Reviewer - Pediatric Gastroenterology- REMOTE locations Home time type Part time job requisition id R-16288 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 Physician Clinical Reviewer - Pediatric Gastroenterology- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines. Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan membersand staff whenever a physician`s input is needed or required. Responsibilities Physician Clinical Reviewer – Job Description Responsibilities - Reviews cases in which clinical determinations cannot be made by the Initial Clinical Reviewer. - Discusses determinations with requesting physicians or ordering providers, when available, within the regulatory time frame of the request by phone or fax. - Provides clinical rationale for standard and expedited appeals. - Provides assistance and acts as a resource to Initial Clinical Reviewers as needed to discuss cases and problems. - Utilizes medical/clinical review guidelines and parameters to assure consistency in the physician review process so as to reflect appropriate utilization and compliance with Prime's policies/procedures, as well as URAC and NCQA guidelines. - Ensures documentation of all communications with medical office staff and/or physician/provider is recorded in a timely and accurate manner. - Participates in on-going inter-rater reliability training and testing - Assists the Medical Director and/or VP, Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines, and/or system support. - On a requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions. - On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability for utilization management while working in conjunction with the VP, Medical Director - Other duties as assigned. Education & Experience - Education Level - DO - MBBS - MD - Required - Yes - Yes - Yes - Fields of Study - Experience Level - 5+ years - Required - Yes - Details - Clinical Must be eligible to work in the United States without the need for work visa or residency sponsorship. Additional Qualifications Preferred Qualifications Physical Demands - Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse" - Must be able to constantly operate a computer and/or other office productivity equipment - Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information - Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds 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. Potential pay for this position ranges from $90.87 - $154.33 based on experience and skills.

Proposal Writer - Remote Apply locations Home time type Full time job requisition id R-16553 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   Proposal Writer - Remote Job Description     The Proposal Writer is responsible for responding to requests for proposal (RFPs), requests for information (RFIs), and ensuring all responses are current, well written and accurately reflect Prime's key messages, products, and services. This position manages all aspects of assigned Request for Proposals to submission and collaborates with internal and external stakeholders to support Prime's sales objectives.   Responsibilities - Manage the proposal process of mid-size, moderately complex RFPs, from initial strategy meeting through production; serve as first point of contact to internal and external stakeholders with regard to bid opportunity, product gaps, or process roadblocks - Ensure adherence to Prime's proposal process by creating responses to proposal questionnaires using the Responsive proposal software, interviewing subject matter experts (SMEs), and conducting research; drive the receipt of cross-functional responses to ensure timely and comprehensive completion of required responses - Develop concise, accurate, and well written responses to proposal questions using the established criteria for quality proposal responses; partner with stakeholders to ensure inclusion of strategic positioning and messaging as directed by the sales lead, account manager, and/or client; identify and organize appropriate exhibits to effectively support Prime's proposals, and ensure proposal is packaged professionally and meets all proposal requirements and timeframes - Review proposals to identify new questions, areas of concern, unique requirements and opportunities for differentiation - Serve as liaison to Networks, Formulary, Underwriting and other departments to drive RFP process and response improvement to help promote company-wide understanding and adherence to the RFP process - Organize and facilitate meetings throughout the year with sales and account management teams to ensure RFP responses effectively and accurately represent the varied and unique products and services of each of our Blue plans - Collaborate with client proposal teams to create Through the Blue pharmacy proposals and maintain client-specific resources - Work with legal and all levels of the organization to garner approval on any deviations from standards related to business requirements - Route new and updated responses to Database Specialist for inclusion in the RFP content management system - Other duties as assigned   Minimum Qualifications - Bachelor's degree in English, Journalism, Marketing, Communications, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required - 2 years of work experience responding to proposals - 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 writing, editing, and communication skills - Experience with AI/Copilot - Ability to meet strict deadlines and balance multiple projects simultaneously without compromising quality - Excellent collaborative and interpersonal skills with the ability to develop strong working relationships with internal and external clients at all levels - Proficient in MS Word, Excel and PowerPoint - Demonstrated ability to solve complex problems and develop innovative solutions - Experience with Responsive or other proposal management software   Preferred Qualifications - Pharmacy Benefit Management (PBM) experience - Project and/or process 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.

• Manage the proposal process of mid-size, moderately complex RFPs, from initial strategy meeting through production; serve as first point of contact to internal and external stakeholders with regard to bid opportunity, product gaps, or process roadblocks • Ensure adherence to Prime's proposal process by creating responses to proposal questionnaires using the Responsive proposal software, interviewing subject matter experts (SMEs), and conducting research; drive the receipt of cross-functional responses to ensure timely and comprehensive completion of required responses • Develop concise, accurate, and well written responses to proposal questions using the established criteria for quality proposal responses; partner with stakeholders to ensure inclusion of strategic positioning and messaging as directed by the sales lead, account manager, and/or client; identify and organize appropriate exhibits to effectively support Prime's proposals, and ensure proposal is packaged professionally and meets all proposal requirements and timeframes • Review proposals to identify new questions, areas of concern, unique requirements and opportunities for differentiation • Serve as liaison to Networks, Formulary, Underwriting and other departments to drive RFP process and response improvement to help promote company-wide understanding and adherence to the RFP process • Organize and facilitate meetings throughout the year with sales and account management teams to ensure RFP responses effectively and accurately represent the varied and unique products and services of each of our Blue plans • Collaborate with client proposal teams to create Through the Blue pharmacy proposals and maintain client-specific resources • Work with legal and all levels of the organization to garner approval on any deviations from standards related to business requirements • Route new and updated responses to Database Specialist for inclusion in the RFP content management system • Other duties as assigned

Program Manager Sr - Remote Home time type Full time The Senior Program Manager is accountable for leading and executing core programs. This role serves as the interoperability program manager and API lead, while also supporting the business execution data team. This position is responsible for driving enterprise-wide alignment on interoperability requirements mandated by the Centers for Medicare & Medicaid Services (CMS) and ensuring organizational compliance with CMS interoperability mandates.   Responsibilities - Develop, execute, and lead operational plans for programs and initiatives related to assigned line of business across all market segments and for maintaining alignment and identifying interdependencies between all program level work efforts - Collaborate with various business units, cross functional teams and key stakeholders to ensure timely, accurate and on budget implementation of programs - Conduct analysis, designs solutions, and monitors performance against metrics, business and/or client requirements - Manage products/programs and implement tools/enhancements to ensure new strategies are successfully developed and implemented - Collaborate with other business units to develop business cases to support new program opportunities/enhancements and performance target metrics - 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 - 5 years of work experience in healthcare, PBM, specialty pharmacy, or health care consulting - 1 year of project/program management experience   Must be eligible to work in the United States without the need for work visa or residency sponsorship   Additional Qualifications - Ability to work in self-directed environment - Critical thinking skills and ability to anticipate issues and develop innovative solutions - Proficient with Microsoft Office (Excel, Access, Word, PowerPoint) - Ability to manage competing priorities and deadlines   Preferred Qualifications - Master’s degree in Business Administration, Healthcare, or related field - Experience with interoperability requirements mandated by CMS - Experience in client facing roles effectively communicating and building relationships with clients - Experience in driving enterprise-wide alignment Potential pay for this position ranges from $94,000.00 - $160,000.00 based on experience and skills.

Role Description The Senior IT Security Trainer is responsible for developing, delivering, and sustaining a comprehensive Information Security awareness and training program for the Prime workforce. This role focuses on identifying key human-related security risks—such as phishing, social engineering, data handling, and password hygiene—and translating them into effective, behavior-based training that drives lasting employee behavior change. The Senior IT Security Trainer partners with teams across the organization to create and deliver engaging security education through in-person, hands-on, and online Learning Management System (LMS) formats. The role requires strong communication and presentation skills to clearly convey technical security concepts to diverse, non-technical audiences and to measure the ongoing effectiveness of the security awareness program beyond one-time training delivery. - Plan and execute enterprise-wide tabletop exercises to test incident response and crisis management readiness, collaborating with cross-functional stakeholders to evaluate preparedness, document lessons learned, and remediation action plans. - Identify top human risks to the organization and behaviors that employees need to be aware of to reduce security risks. - Develop and maintain security awareness program to effectively change Prime employee behaviors to act in a secure manner to reduce risk to the organization. - Share deep level of technical knowledge in Information Security to ensure security awareness programs meet all industry regulations, standards, and compliance requirements. - Develop curriculum and presentations on Information Security using effective and diverse message distribution techniques to ensure Prime employees understand and apply appropriate behaviors in their work activities. - Communicate complex security information in non-technical language through presentations delivered to all levels of the organization. - Administer phishing detection and awareness program. - Other duties as assigned. Qualifications - Bachelor's degree in computer science or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required. - 5 years of Information Security experience, including 5 years' formal experience as trainer, instructor, or teacher. - Must be eligible to work in the United States without need for work visa or residency sponsorship. Requirements - Proven experience designing and writing classroom curriculum and syllabi. - Strong critical thinking skills. - Ability to lead and persuade others. - Ability to coordinate multiple requests simultaneously and work under pressure with strict guidelines. Preferred Qualifications - PBM / healthcare experience. - Certified Instructor certificate or degree. - Instructional System Designs (ISD) methodology experience. - Experience with phishing education and awareness tools. Benefits 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. Company Description 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.

Role Description The Manager of Sales Proposals leads a team of writers within the Proposal department. This position supports Prime’s Mid-Market market segment and leads the cross-functional efforts to strategically respond to Requests for Proposals (RFPs), manages and improves the RFP process, creates high quality strategic proposals, and builds and maintains Prime's valuable content database. The Manager of Sales Proposals also represents the proposal team for internal and external client strategy meetings. - Provide team direction and elevate performance and progress towards reaching business and client goals; clearly communicate roles and expectations and hire and train additional staff, as needed. - Review team proposals to identify potential obstacles to success or areas of concern; work with team members, subject matter experts and/or sales to provide potential solutions to address them. - Oversee the proposal end-to-end process to ensure process adherence, timeliness, and quality; may manage large, complex projects based on team capacity. - Leverage Copilot and proposal management platform AI tools (Responsive, Loopio, etc.) to improve proposal workflow in terms of proposal quality, cycle time, and efficiency. - Solve unique and complex problems with broad impact on the business including the translation and communication of highly complex concepts in ways that can be understood by a variety of audiences. - Continually assess the proposal process for effectiveness and quality; promote company-wide understanding and adherence to process through trainings and on-going meetings with subject matter experts; participate in Go-to-Market meetings; and manage team liaison relationships with internal departments (e.g., Specialty, Networks, Formulary, Operations, IT, Government programs, Underwriting) to improve proposal responses and processes. - Serve as the liaison to Prime leadership for proposal status, including participation in strategy sessions and kick-off meetings as needed. - Build and manage relationships with proposal staff at Prime's clients to strategically develop and execute proposal processes for new and existing customers; build strong working relationships with client proposal contacts to manage workflow, custom content and timelines. - Organize and facilitate meetings throughout the year with Sales and Client Engagement leadership to discuss overall sales strategy, goals, process, and ensure Prime is effectively and accurately representing the varied and unique products and services. - Manage department budget, team structure, staffing, performance and development, and consistently demonstrate Prime's leadership expectations during interactions with direct reports, cross functional and external stakeholders. - Other duties as assigned. Qualifications - Bachelor's degree in English, Journalism, Communications, Business or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required. - 6 years of work experience in Pharmacy Benefit Management proposals, sales planning and/or sales support. - 1 year of leadership/people management experience. - Must be eligible to work in the United States without need for work visa or residency sponsorship. Requirements - Ability to effectively communicate and collaborate with all levels across the organization. - Strong attention to detail and process. - Highly organized and result focused; ability to prioritize work with proven time management skills. - Demonstrated analytical and critical thinking skills. - Proven team development skills. - Strong ability to present and share information to all levels in an organization. - Demonstrated ability to effectively manage change. - Advanced Microsoft Office skills. Benefits - 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. Company Description 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.

• Collaborate as a subject matter expert (SME) with underwriters and senior management on pricing initiatives, data analyses, and the Request For Proposal (RFP) processes • Lead and manage data analyses, reporting, and projections in support of PBM pricing processes • Review complex pharmacy data to help investigate and answer challenging questions • Provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling • Develop, summarize, and present financial forecasting results and impact analyses to clients and senior management • Monitor the PBM environment in consideration of business impacts from government policies, market events, and healthcare trends • Other duties as assigned