Business Development Manager

7 days ago


Albuquerque, New Mexico, United States Prime Therapeutics Full time
Company Overview

Prime Therapeutics LLC is a leading healthcare company that helps people get the medicine they need to feel better and live well. Our mission is to deliver high-quality services that exceed our customers' expectations.

Job Summary

We are seeking an experienced Provider Relations Manager to join our team. This role will be responsible for leading and managing a Provider Relations department, ensuring effective management of employees, departmental interaction, and process improvements.

Key Responsibilities
  1. Manage and support the team through the full cycle contract management processes for Commercial, Medicare Part D, Medicaid, and Health Insurance Marketplace and the provider relations team's workload to ensure quality outcomes, as well as pharmacy and client satisfaction; may be responsible for provider relations, outreach, or independent pharmacy contract functions.

  2. Oversee and approve new key processes the team develops as part of continuous improvement and develop strategies to achieve world-class status in operational effectiveness and pharmacy and client experience while ensuring compliance and adherence to all regulatory guidelines.

  3. Interact, collaborate, and support Prime's commitments to pharmacy clients by creating a strong interface between contact center operations and provider relations.

  4. Develop and maintain relationships with internal and external stakeholders regarding the management and development of Network Management strategies.

  5. Actively oversee and support Peak Season activities.

  6. May serve as liaison between Prime and pharmacies for applicable legal correspondence, may partner with Prime general counsel as required.

  7. Provide work direction to resolve problems, monitor performance, and provide mentorship, coaching, and development for team members to support - department objectives.

  8. Support employee participation and success in company recognition programs to improve morale, pharmacy, and client service performance and employee retention.

Requirements
  • Bachelor's degree in healthcare, 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 customer service or contracting experience within healthcare, PBM, or highly regulated industry.

  • 1 year of leadership/people management experience.

  • Must be eligible to work in the United States without need for work visa or residency sponsorship.

Compensation and Benefits

The estimated salary range for this position is $74,500 - $111,700 per year, based on experience and skills. Pay range may vary by 8% depending on applicant location. Prime Therapeutics LLC offers a comprehensive benefits package, including medical, dental, vision, 401(k) matching, and paid time off.

About Us

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, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law.



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