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Responsibilities primarily focused on supporting the Commercial Pharmacy Operations Teams including benefit and clinical operations, in collaboration with various internal and external business partners including our vendors Prime Therapeutics and MHK. Prior experience and knowledge of pharmacy benefits and operations will be highly beneficial.
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Prime Therapeutics LLC is an Equal Opportunity Employer. Partner with Prime Creative Services to edit presentations, charts/graphs and member-facing member communication collateral to ensure messaging is customized to needs of specific clients for use in client meetings or member mailings.
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Develops escalation process to channel issues and concerns to appropriate parties. Prior project management experience in the managed care industry is preferred. Provides indirect reports, if applicable, with well-defined expectations, ongoing feedback, coaching/ mentoring and/or training.
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At Prime Therapeutics in Topeka, Kansas, United States. The Claims Specialist is responsible for assisting in the ongoing operational support of Prime key service offerings. at Prime Therapeutics in Topeka, Kansas, United States.
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Leads and manages the day-to-day operational and tactical aspects of multiple or enterprise scale projects, new initiatives and other ongoing business deliverables in accordance with business needs. Develops effective business process improvement initiatives and communication plans.
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Assesses project risks, develops mitigation and contingency plans. Controls and monitors project effectiveness; updates project plans as necessary. Leads and coordinates matrix and/or cross-functional team.
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Identify, establish and maintain key internal relationships, including the assigned Client Engagement team, to increase business acumen and awareness, collect Client Specific Information, learn about Prime products, understand issues, and support the delivery of Prime and our clients member communication priorities and requests.
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Assists with analysis and development of business processes to ensure quality, cost effectiveness, timeliness of customer service, and regulatory requirements and mandates are met. Performs analytic functions and coaches others in analytical production, technical and other areas.
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Evaluates project risks, developing contingency plans and responding to change in risk as the project progresses. Develops and tracks budgets, operating plans and financial cost forecasts to support the objectives of the project.
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This position is part of Prime Therapeutics' Medical Pharmacy Solutions, a rapidly growing segment of the company and the healthcare industry. This position is part of Prime Therapeutics' Medical Pharmacy Solutions, a rapidly growing segment of the company and the healthcare industry.
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Proposes a variety of solutions to business issues/problems utilizing appropriate analysis tools (ie Cost/Benefit Analysis, Flowcharting, etc). Coordinates development and implementation of policies and procedures as well as development of compliance measurements.
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Documents and presents project management results through the development of criteria, issue analysis papers and reports; ensures that projects established objectives such as financial goals, where applicable and creates an evaluation plan to assess project performance in relation to stated goals.
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Must ascertain, categorize and manage projects in relation to corporate priorities. Identifies, evaluates and resolves issues that conflict with project deliverables. Delegates work as required and ensures a quality end product through close customer contact and assesses customer/client satisfaction through direct feedback/evaluation.
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Oversees project to ensure projects have required resources, meets milestones and are successfully implemented. Develops project plans and recommendations in support of Departmental/Company objectives and leads implementation; tracks and reports on the status of the project.
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This position will develop relationships with key partners inside and outside of Prime and will focus on flawlessly executing and improving the end-to-end communication development process for internal and externally focused member communication initiatives.
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