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**

GP Business Operations Specialist

**Job Description**

**Job Description:**

+ Reviews and interprets policy and regulatory documents to identify the impact on operations.

+ Monitors HPMS Memos/ CMS guidance for operational changes and develops timelines/work plans to implement changes. Provides support through the planning and execution of these projects. Support may include developing business requirements, establishing deadlines, assigning resources/responsibilities and monitoring and summarizing progress of projects. Prepares reports for upper management regarding status of project.

+ Identify Medicare product benefits and prepare and manage the annual bid process and validation for the Medicare plan. Manage multiple workgroups with all levels of management for development of the bid. Coordinate with Legal, Actuarial, Compliance, and other operational areas.

+ Provides Medicare Part D subject matter expertise in response to day-to-day business issues.

+ Creates and executes project work plans and revises as appropriate to meet changing needs and requirements.

+ Coordinate annual readiness checklist process for CMS submission.

+ Provide general support, collect, and prepare information and data for the facilitation of standard recurring meetings, such as tactical, strategic and operations reviews.

+ Document and track action items for centralized reporting for dashboard of operational metrics.

+ Track, review, analyze project and resource expenditures.

+ Provide support to operations roles as required.

+ Support Medicare Plan(s) in downloading and submitting data to HPMS (Health Plan Management System).

+ Ensures adherence to CMS provided timelines and ensures timeliness and accuracy of compliance activities.

+ Reviews data to evaluate KPIs.

+ Acts as a liaison between departments to manage large-scale projects and implementations.

+ Manages day-to-day operational aspects of a project, including meeting facilitation and documentation.

+ Provides status reporting to stakeholders on a regular basis. Apprises management of issues requiring resolution in order to maintain progress on a timely basis.

+ Provide ad hoc analyses and/or research issues of non-compliance as requested by management.

**Minimum Qualifications:**

+ 5+ years of Part D operations experience.

+ Bachelors Degree or A Combination of Education and Work Experience May Be Considered.

+ Knowledge of Pharmacy Benefit Manager (PBM) basic structure and processing systems.

+ Understanding of CMS policies related to Medicare Part D.

+ Ability to analyze Federal and State statutes and regulations for operational implementation.

+ Proficient with Excel.

**Preferred Qualifications:**

+ Experience with Data Analytics

+ Experience with Data and Reporting

Potential pay for this position ranges from $55,270.00 - $88,430.00 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 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, sexual orientation, gender identity, national origin, disability, or veteran status. **​** 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 [email protected].