Director Remote Utilization Review Jobs in Seattle, WA

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.

The Product Director is accountable for developing and executing initiatives on Prime's product roadmap across the Commercial and Government Programs strategic business units. This position will be responsible for building a deep understanding of market problems facing Prime's clients, cross-functionally leading the development and management of highly complex products and initiatives, and proving the value of those products to the market. In addition, this position will work collaboratively with leaders and product owners in other departments to develop product standards, moving from ideation to execution.

Responsibilities

• Provide end to end oversight and management of multiple concurrent, highly complex product initiatives
• Collaborate with functional areas and strategic business unit leaders on new product ideation
• Lead concept ideation, design, early state feasibility assessment and financial analysis
• Conduct market assessments as needed
• Develop pricing strategy and drive through pricing committee
• Develop client or employer value story and product launch plan in concert with B2B marketing team
• Develop materials for and present individual product initiatives to senior management, including driving projects through stage gate approval
• Develop and present product training materials to client engagement and present initiatives / potential pilots to clients
• Partner with Marketing to create and maintain informative and compelling product collateral
• Other duties as assigned

Minimum Qualifications

• Bachelor's degree in Marketing, Business or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required

• 7 years of related business experience with at least 5 years in product development
• Oncology Product experience required

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

Additional Qualifications

• Ability to work autonomously in a self-directed environment and function in environment of ambiguity
• Ability to work well across cross-functional teams including clinical, network management, operations, specialty, client engagement, market segment services and PMO teams
• Excellent verbal and written communication skills
• Understanding of the product development process from ideation through execution
• Excellent project management skills with the proven ability to lead and provide oversight
• Critical thinking skills; able to anticipate issues and develop innovative solutions
• Strong organizational skills and drive to generate results
• Proficient in the Microsoft Office Suite

Preferred Qualifications

• Master's degree or other advanced degree
• 3 years of Pharmacy Benefit Management (PBM) experience
• Managed Care 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.

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 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 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.