Job Overview
Location
Home
Job Type
Full-time
Category
Data Science
Date Posted
April 2, 2026
Full Job Description
đź“‹ Description
- • The Pharmacy Network Consultant Senior role at Prime Therapeutics is a strategic, remote position responsible for developing and managing the company’s retail, mail, specialty, and quality-based pharmacy networks, directly impacting cost containment, network adequacy, and compliance with regulatory standards—making it a critical function in Prime’s mission to connect care beyond profits.
- • Day-to-day responsibilities include negotiating market-competitive pharmacy agreements across all channels (retail, mail, specialty, quality-based) for low to medium-high complexity contracts; creating and managing network contracting campaigns with vendors; analyzing and reporting performance to cross-functional teams including Network Management leadership, Financial Analytics, and Supply Shared Services; collaborating with reporting and analytics teams to assess network adequacy and compliance gaps; representing Network Management in financial audits and cross-functional projects; ensuring contractual adherence to company policies, legal requirements, and regulatory standards; engaging with Legal on non-standard contract language; building and maintaining relationships with chain pharmacies, PSAOs, and independent providers; managing legal-to-legal correspondence with pharmacy providers; and performing network analysis to support strategic priorities.
- • The Network Management team at Prime Therapeutics operates within a purpose-driven PBM that prioritizes connecting care for members over pure profit, leveraging data, clinical insight, and strategic vendor partnerships to improve affordability and access to medications; this role sits at the intersection of finance, contract strategy, and healthcare regulation, contributing directly to Prime’s Supply Chain Cost of Goods Sold (COGS) objectives.
- • In this role, the individual will develop advanced expertise in pharmacy network contracting, regulatory compliance (including Medicaid, Medicare, and health plan requirements), financial analytics integration, and cross-functional stakeholder management—gaining the ability to influence multi-million-dollar network strategies while building deep relationships with pharmacy providers and legal teams, positioning them for senior leadership in healthcare network management or PBM strategy.
🎯 Requirements
- • Bachelor’s degree in finance, business, management, or related field, or equivalent combination of education and work experience; HS diploma or GED required
- • 5 years of Network Management experience within Pharmacy Benefit Management (PBM), healthcare, or other highly regulated industry, including 3 years of managed care experience in medical or pharmacy network contracting
- • Must be eligible to work in the United States without the need for work visa or residency sponsorship
🏖️ Benefits
- • Competitive salary range of $74,000.00 - $118,000.00 based on experience and skills
- • Access to Prime Therapeutics’ comprehensive benefits package, including health, dental, vision, retirement savings, and paid time off—details available via the company’s Benefits at a Glance page
- • Remote work flexibility with the ability to perform duties from a home office, supporting work-life balance while contributing to a national pharmacy network strategy
Skills & Technologies
Senior
Remote
Degree Required
About Prime Therapeutics LLC
Prime Therapeutics LLC is a pharmacy benefit management company founded in 1989 and headquartered in Eagan, Minnesota. It administers prescription drug plans on behalf of health plans, employers, and government programs, processing claims, negotiating rebates, managing formularies, and operating specialty pharmacies. Owned by a consortium of Blue Cross and Blue Shield plans, the company serves over 40 million members nationwide while focusing on cost control, clinical outcomes, and member safety.
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