Product Implementation Owner- Lead a multi-year, enterprise wide, transformative initiatives, partnering with key leaders and stakeholders and managing vendor relationships to appropriately and effectively work through people, process, and technology issues to ensure successful initiative outcomes.- Connect all upstream and downstream delivery practices and their processes and define and report on quality measurements to ensure adherence and continuous improvement training.- Maintain alignment and identify strategic initiative interdependencies between all workstreams related to assigned initiative.- Create and deliver executive level presentations articulating business objectives, progress, challenges, and successes in stated objectives.- Drive transition, rollout, and oversight of change management activities related to implementations; ensure business stakeholders are fully prepared for implementation.- Create and manage governing activities for assigned strategic initiative to ensure focus and avoid scope creep for downstream efforts with strategic initiatives while managing change, risk, dependencies, and value forecast.- Create and manage funding constructs that allocate, enable, and drive accountability for funding and budget management for lean operations for strategic imperatives.- Identify and manage interdependencies between strategic initiatives and operational areas to achieve intended value delivery objectives; identify, aggregate, and manage macro-level risks across same scope.- Manage programs with complex business and technology components to meet business value and objectives of program; work across product/portfolio/operational areas to ensure program is meeting strategic objective milestones and intended value; drive identification and building of needed program team cross organizationally while driving engagement and visibility.

Home Delivery Pharmacy Operations - Strategic PartnershipsAccountable for the execution of operational plans for a complex set of programs and critical initiatives related to assigned market or line of service and for maintaining alignment and identifying interdependencies between all program level work effortsMaintain and refine key market segments and strategies to ensure line of business market successCollaborate with various business units, cross functional teams and key stakeholders to ensure timely, accurate and on budget implementation of market strategiesProvide comprehensive, accurate, timely and relevant market analysis and reporting to inform Prime’s management; Manage assessment, tracking and strategies necessary to take advantage of market opportunitiesPromote specific line of business through active participation in internal and external communications, planning activities, trade shows, conferences etc.Manage products/programs and implement tools/enhancements to ensure new strategies are successfully developed and implemented; leverage new or existing tools to manage and cultivate new business opportunitiesDevelop and maintain business cases and materials to support new program opportunities/enhancements and performance target metrics

Business Integration Lead (BIL) is charged with the overall integration efforts for new clients in transition from their current PBM to Prime Therapeutics. In addition to new client implementations, the BIL leads efforts for existing clients to expand their current product offerings. The BIL role is required to have a firm grasp and working understanding, of planning, coordinating, and leading Subject Matter Experts (SME), Functional Business Owners (FBO) and Project Managers (PM) through successful definition of scope, sizing and resources for major initiatives. In addition, the BIL assists with identification, documentation and testing of cross-functional business requirements, resolution of escalated issues, and operational readiness.Throughout implementations/projects; the BIL communicates effectively with senior and executive leaders within the organization for clear understanding of status, serve as the liaison for external and internal communication and documentation, coordinates closely with Business Owners to ensure solutions align with end state goals/objectives and operations processes, and escalate appropriately when client requirements will need evaluation beyond the FBO or BIL control.Demonstrate the ability to consult and collaborate with internal partners to work through the Enterprise Project Life Cycle.Responsible for advancing assigned enterprise projects through the initiation phase by advancing and documenting scope discussions/decisions, defining impact to business process & technology, accumulating resource/timeline estimates and identifying stakeholders.Responsible for the advancement of Continuous Quality Improvement for the Integration Team, considering best practice for process, procedure, technology and templates.Provide Business Integration support to the RFP process. Interface with the Sales & Proposal Strategy team to provide implementation content being requested as a portion of RFP response.

Support of Senior Leadership and Client Engagement teams in communications, client-facing initiatives, including a focus on managing projects internally at the request of clientsManage and maintain consistent relationships with client contacts; continued support of the Senior Director and other key Prime leaders with client focused initiativesConsult and support efforts of the Prime functional teams to deliver products and services, and maximize process improvement to clientsIdentify and participate in up-sell opportunities of new products and services, the adaptation of products and services for the market sectorStructured the reporting and required analysis to measure client outcomes. Organized the delivery of the information, provides strategic consultation to the client, and makes recommendations to improve market and client performanceRoutinely enhance job and industry knowledge by completing appropriate continuing education programs, reading professional publications and maintaining personal and in industry-related networksUnderstands Medicare Part D and Medicaid regulations and ensures regulations are understood and communicated across internal business areas and to clients

Support of internal and external clients with health services program offerings, monitoring and oversite. Programs: Behavioral Health Services, Maternity Support Program, Nurseline, Wellness Coaching, Kidney Resources Services, Cancer Support Services, and Cancer Resource Services, OptumHealth Digital Health Assessment and Services Responsible for ensuring OptumHealth client satisfaction by resolving and responding to account issues and requests and acts as single point of contact to the account for all service-related issues while building and maintaining key client, U-Channel relationships, benefits consultant, internal and matrix relationshipsSupervisory oversight of analysts and consultants in direct support of my book of businessProactively manages client performance guarantees and works with appropriate internal constituents to establish necessary steps to correct and improve resultsReviewing data quarterly to suggest possible programs to assist clients with overall healthcare costs and health of their employees; Responsible for client satisfaction and retentionAbility to solve day-to-day account service issues directly or by leading internal teams to a solution with the ability to diagnose root causes of service issues; collaborates with appropriate functional areas and SAEs to develop solutionsProvided consultative and proactive recommendations to the client and internally to add client value and maintain and grow the business relationshipsCollaborates with other SAEs to develop client reports and ensure metrics are metMaintains up-to-date account information in OptumHealth systems, such as benefit plan updates and client issue tracking as well as investigating discrepancies in OptumHealth systems data, such as eligibility informationProactively meets and exceeds expectations of internal and external clients. client-focused projects and motivates cross-functional participants to improve or address systematic problems or providing value to client

Consumer Driven Health (CDH) Product subject matter expertUtilized knowledge of environment and how multiple back-end systems work together to diagnose business problems and translate into technical/operational process improvementsUse interpersonal skills to form partnerships to understand market needs and barriers, and then design/deploy solutions to enhance service delivery with Account Management Teams, Operational Business Partners and Program Management Primary external Customer liaison on escalated CDH issuesPrimary external Customer support role for migration to UHC claims platformCreated and managed non-standard processes on UHC platform to maintain benefit parity for migrating CustomersTracking of key migration milestones to give overall migration status updates

Responsible for day-to-day external Fortune 500 Customer management.Independently manage assigned external Customers to discuss opportunities, resolve issues or lead projects involving ongoing health plan service strategies for their employeesDay-to-day support for external Customers (telephonic and travel for in person – based on need)Support assigned external Customers by traveling to attend benefit fairs to offer presence and detail on specific health plan componentsUnderstand assigned Customers business modelsPrimary responsibility for service strategies/models, financial performance tracking, health plan design changes/execution