Health Individual Marketplace Strategies Principal

Health Individual Marketplace Strategies PrincipalOur work matters. We help people get the medicine they need to feel better and live well. It fuels our passion and drives every decision we make. 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 accountsPartner with Segment Client Engagement team to review client performance metrics, market analysis, and client best practices to provide client specific recommendations for segment successWork 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 designsPartner 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-makingEnsure 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 readinessCollaborate with various business units, cross-functional teams and key stakeholders to ensure timely, accurate and on budget implementation of programsDevelop and deliver executive-level presentations that communicate business objectives, project status, key challenges and achievementsOther duties as assignedMinimum 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 required7 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 industryMust be eligible to work in the United States without the need for work visa or residency sponsorshipAdditional Qualifications:Ability to work effectively in self-directed environmentMust possess strong interpersonal skills and demonstrate exemplary public speaking, verbal and written communication abilitiesAbility to influence and present complex data to a wide variety of audiences, including internal and external executivesExceptional client relationship management and cross-functional team building skillsSkilled collaborator with proven ability to reconcile differing perspectives and drive mutually beneficial outcomesAdvanced business acumen and critical thinking skillsPreferred Qualifications:Experience in ACA/Health Care Exchange business or other Government Programs lines of businessManaged care experienceExperience in Project Management/OwnershipExperience with analytic tools like SQL programming, GCP, SAS, and visualization tools like TableauPrime 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.