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Clinical Program Pharmacist Prin- (Remote)

Remote, USA Full-time Posted 2025-11-24
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 Clinical Program Pharmacist Prin- REMOTE Job Description The Principal Clinical Program Pharmacist Prin is responsible for implementing the strategy and developing clinical product(s). This role is responsible for keeping the product(s) competitive by understanding market problems, executing the product roadmap, and maintaining clinical criteria. The role requires routine interaction with leadership regarding the product strategy and must collaborate with other departments to ensure the strategy is executed as established. Responsibilities Develop and manage complex clinical product initiatives including clinical criteria Gather, analyze, and synthesize market information, clinical guidelines and member claims data to support clinical product management initiatives, products and strategies Coordinate, launch and implement new products, product enhancements, and process improvements across all stakeholders Represent the Clinical department as a strategic partner during customer requirement sessions Responsible for regulatory (URAC/NCQA, CMS, state law) oversight and external representation of the department Validate the accuracy of clinical product information and set up; may include user acceptance testing of applications and programs Establish and maintain cross-functional partnerships with leaders to drive informed decisions and successful execution of initiatives May be required to routinely collaborate and interact with client partners Other duties as assigned Minimum Qualifications Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree Current pharmacist license in good standing with State Board of Pharmacy 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a clinical and/or managed care setting Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications Microsoft Excel and Word proficiency Proven experience working in regulated environment Ability to work in ambiguous role with undefined parameters Exceptional relationship and communication skills; excellent written, verbal and presentation skills with the ability to convey complex ideas to diverse audiences Strong analytical and problem-solving skills with attention to detail and quality Ability to work on multiple projects simultaneously under pressure with strict timelines Ability to develop process efficiencies Ability to work well in team environment Preferred Qualifications Experience in cross-functional departmental collaboration Broad experience in or exposure to the Pharmacy Benefit Management (PBM) business RX claims 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 $124,000.00 - $211,000.00 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 ( 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. At Prime Therapeutics (Prime), we are a different kind of PBM. We’re reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you’re ready for a purpose-driven career and are passionate about simplifying health care, let’s build the future of pharmacy together. Prime Therapeutics Apply tot his job Apply To this Job

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