Prime Therapeutics
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Financial Solutions VP - Remote
Job Description
The Healthcare Financial Solutions VP is a strategic leader responsible for driving the transition from traditional unit cost models to value-based, outcomes-driven frameworks. This role requires deep expertise in drug trend analytics, benefit design and supply chain economics across both pharmacy and medical domains, with a focus on high-impact therapies and their implications for service delivery, legal and compliance frameworks, and member/provider engagement. This position shapes financial strategies that support innovation, risk-based performance models, and market expansion.
Responsibilities
Provide strategic oversight of projected drug trend growth, with a focus on blockbuster therapies and their cross-functional effects on service delivery, regulatory compliance, and member/provider experience
Champion the transition from unit cost to value-based financial models, including the incorporation of performance outcome risk assumptions
Guide benefit design strategies to ensure alignment with evolving healthcare economics and overarching enterprise objectives
Lead comprehensive financial evaluations of new markets, partnerships, and service models to support long-term growth and innovation goals
Monitor and interpret competitive dynamics and emerging entrants in the Pharmacy Benefit Management (PBM) space, including implications of acquisitions, service expansions, and disruptive models
Anticipate and model future market shifts while critically assessing current business models to identify strategic gaps and opportunities
Collaborate closely with executive leadership to integrate financial insights into enterprise strategy and operational planning
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; High school diploma or GED required
12 years of Finance, Analytics, or Business Economics within healthcare, PBM, specialty pharmacy, or healthcare consulting
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications Strong analytical and problem-solving skills with the ability to think strategically
Excellent communication and presentation skills with ability to disseminate complex material for a variety of audiences at all levels of enterprise and key external partners and clients
Ability to work independently and lead cross-functional initiatives
Ability to align financial strategies with long-term organizational goals and healthcare trends
Deep understanding of healthcare-specific financial models, reimbursement systems, and payer-provider dynamics
Preferred Qualifications Master’s degree in business (MBA) or health administration (MHA) or related area of study
People leadership experience
PBM 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 $189,000.00 - $321,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail. _Prime Therapeutics LLCis 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 torace, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), 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. Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives. Prime Therapeutics LLCis 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 torace, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), 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 1.866.469.1257 or email Careers@primetherapeutics.com.
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Champion the transition from unit cost to value-based financial models, including the incorporation of performance outcome risk assumptions
Guide benefit design strategies to ensure alignment with evolving healthcare economics and overarching enterprise objectives
Lead comprehensive financial evaluations of new markets, partnerships, and service models to support long-term growth and innovation goals
Monitor and interpret competitive dynamics and emerging entrants in the Pharmacy Benefit Management (PBM) space, including implications of acquisitions, service expansions, and disruptive models
Anticipate and model future market shifts while critically assessing current business models to identify strategic gaps and opportunities
Collaborate closely with executive leadership to integrate financial insights into enterprise strategy and operational planning
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; High school diploma or GED required
12 years of Finance, Analytics, or Business Economics within healthcare, PBM, specialty pharmacy, or healthcare consulting
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications Strong analytical and problem-solving skills with the ability to think strategically
Excellent communication and presentation skills with ability to disseminate complex material for a variety of audiences at all levels of enterprise and key external partners and clients
Ability to work independently and lead cross-functional initiatives
Ability to align financial strategies with long-term organizational goals and healthcare trends
Deep understanding of healthcare-specific financial models, reimbursement systems, and payer-provider dynamics
Preferred Qualifications Master’s degree in business (MBA) or health administration (MHA) or related area of study
People leadership experience
PBM 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 $189,000.00 - $321,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail. _Prime Therapeutics LLCis 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 torace, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), 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. Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives. Prime Therapeutics LLCis 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 torace, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), 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 1.866.469.1257 or email Careers@primetherapeutics.com.
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