Clinical Solutions VP - Remote

Prime Therapeutics
Wyoming, MI

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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

Clinical Solutions VP - Remote

Job Description

The Clinical Solutions Vice President is responsible for developing new, bold clinical solutions and architecting plans for execution, as well as evaluating innovative solutions to assess applicability versus Primes’ current capabilities, including impact to members, providers and clients. The role will assess drug pipelines and evolving markets for potential business expansion. The position will work with external thought leaders and emerging health markets and collaborate with internal partners to achieve the successful execution of strategic business initiatives and the delivery of innovative solutions.

Responsibilities

  • Lead the development and assessment of innovative clinical solutions and the design and implementation of innovative drug solutions, including optimizing drug utilization, patient outcomes, and cost-effectiveness through value-based care models, digital health initiatives, and patient support program
  • Manage the ongoing development and maintenance of innovation and specialty roadmap and ensuring successful harmonization
  • Monitor and assess market trends, data, drug pipelines, and competitive intelligence to drive continuous improvement
  • Represent the organization as a thought leader at industry conferences, client meetings, and advisory boards
  • Other duties as assigned


Minimum Qualifications

  • Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree
  • Current Pharmacist license to practice in the state candidate resides in
  • 12 years of work experience in medical and pharmacy drug management within a PBM or managed care organization
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship


Additional Qualifications

  • Strong leadership and strategic thinking skills, with a record of accomplishment of driving innovation solutions and growth
  • Strong analytical skills with the ability to leverage data to drive clinical and financial outcomes
  • Excellent communication, negotiation, and relationship management abilities
  • Knowledge of healthcare regulations, payer strategies, and compliance requirements
  • Proficient in Microsoft products, including excel and PowerPoint
  • Ability to manage complex projects across the enterprise through cross-collaboration


Preferred Qualifications

  • Master's degree in Business Administration or Public Health or Oncology Pharmacy Specialty Certification BCOP
  • Experience in specialty drug management (trends, biosimilars, gene therapies, emerging treatment modalities), value-based care, medical and pharmacy drug benefits, and population health strategies
  • Experience working with health plans, pharmaceutical manufacturers, and provider networks to optimize specialty drug services
  • Experience in developing innovation solutions within the PBM/healthcare industry


Potential pay for this position ranges from $164,000.00 - $279,000.00 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 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.

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].

If you have questions about this posting, please contact [email protected]
Posted 2025-11-12

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