Massachusetts Jobs

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

Senior Director Operations - Clinical Review - Remote

Job Description

The Senior Director Operations is responsible for strategic leadership and tactical development of a department within our Clinical Review Operations functional area. The Sr Director Operations drives strategic decisions for Prime’s operations as well as tactical improvements to operational quality and efficiency. This role partners with other leaders within the business to ensure operational compliance and establish key performance metrics around quality, cost, and efficiency.

Responsibilities

• Provide strategic leadership to the teams responsible for development and execution of core operations, ensuring the programs are effective and efficient

• Develop and implement vision for department talent planning, talent development, and workforce management strategies

• Partner with the Strategic Business Unit (SBU) leadership to ensure departmental programs are feasible, operationally capable, and align with Prime’s business objectives

• Provide direction for resolution of escalated client and/or member issues and ensure all clients’ performance guarantees are met for quality and service

• Partner with senior leadership to set quality metrics and ensure the organization is meeting expectations, and analyze and leverage data to effectively impact change in the organization

• Other duties as assigned ​

Minimum Qualifications

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

• 10 years of work experience in operations management, pharmacy benefit management, healthcare, insurance, or highly regulated market

• 7 years of leadership/people management experience

• Previous experience leading a large organization (30+ employees)

• Previous experience with department budget development, monitoring, and management of financial performance

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

Additional Qualifications

• Strong interpersonal communication skills, including team leadership, conflict resolution and listening

• Strong leadership ability

• Driven, focused individual with strong influencing skills

• Ability to manage multiple, complex projects simultaneously without compromising quality

• Action-oriented with the ability to identify and implement improvement opportunities

Preferred Qualifications

• Previous experience interfacing with senior leadership or executive leadership

• Previous experience with continuous quality improvement, business analysis, or operations

• Masters in Business Administration

Minimum Physical Job Requirements

• Must be able to work outside of Prime core business hours (9 AM – 4 PM), to work overtime, weekends, and holidays, as needed

• Constantly required to sit, use hands to handle or feel, talk and hear

• Frequently required to reach with hands and arms

• Occasionally required to stand, walk and stoop, kneel, and crouch

• Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Reporting Structure

• Reports to AVP or VP in Operations

Potential pay for this position ranges from $144,000.00 - $230,200.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.

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 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.

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.