VP Government Programs - Medicare & Managed Medicaid; REMOTE

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.

VP Government Programs - Medicare & Managed Medicaid (REMOTE)

The Vice President Government Programs - Medicare & Managed Medicaid is responsible for the development, administration, and execution of strategic plans that advance Prime’s position in the Medicare space. This position has accountability for the Medicare P & L, and provides oversight to the development, maintenance, and growth of Medicare products and services, and it ultimately responsible for driving growth of the Medicare market segment.

• Provide leadership and oversight to the Medicare and Medicaid teams and ensure the development and execution of goals that guarantee performance objectives are met and/or exceeded; instill a culture of compliance, accountability, and superior service within the Government Programs organization; establish team level performance goals and objectives, as well as measurement techniques, ensuring strong engagement and motivation

• Serve as a government programs expert, collaborating with the executive team and board of directors to reach a shared vision, set objectives for advancing Prime’s position in the Medicare/Medicaid markets, and drive the development of products and services across the enterprise to support growth objectives

• Oversee the expansion of PBM services to multiple states and measure the success of the Government Programs segments, including growth and positive P&L results; participate in existing and prospective client meetings in collaboration and close partnership with Prime’s Sales Team to drive growth in the Medicare and Medicaid markets and influence product adoption

• Manage financial performance, operating budget, and variances from plan to ensure cost effective delivery of service; design, develop, and implement annual operating budget and the Medicare Part D annual bid

• Partner with stakeholders and staff to define a strategy targeting existing and new individual and group Medicare business, including age-ins. Defines go to market approach and works with the team and government affairs to execute the strategy

• Establish key relationships with Government Program owners at the plans, and plan executives, consultants or other stakeholders to advocate for Prime’s government program offerings, align priorities, solicit feedback and recommendations and create solutions to address interest, concern or opportunity

• Act as a thought leader in national meetings where the company’s Medicare product and services are a focus; establish the company as a thought leader in the market helping to set policy

• Other duties as assigned

• Bachelor’s degree in Pharmacy, Analytics, Finance, Business, Health Care Administration, or related area of study

• 15 years of relevant work experience in PBM, pharmacy, health plan and/or managed care with a minimum of 8 years in Medicare and/or Medicaid in a health plan, healthcare consulting firm, PBM, or other government environment

• 9 years of leadership/people management experience

• Strong skills in developing comprehensive strategy to drive growth in government programs (Medicare and/or Managed Medicaid)

• Proven track record of leadership with results in the healthcare industry and recognition for government program expertise; strong understanding of Medicare Part C and D rules and regulations

• Exceptional client relationship management and cross‑functional team building skills; ability to establish trust, build rapport, and collaborate effectively internally and externally and at various levels of an organization

• Strategic thinking and long‑range planning skills with the ability to design, execute, and link multiple projects over time to achieve a future strategic goal looking beyond the present situation to conceptualize key trends and identify changing market demands

• Excellent facilitation, communication, presentation, and consultative skills; demonstrated ability to distill complex concepts or situations into…