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This PGY1 residency program will allow you to build your best career in managed care. You will develop a firsthand understanding of medical and pharmacy benefit integration and strategy, with a focus on specialty drug management. The skills and mindset that you cultivate will allow you to be more efficient, adaptable and well-rounded. We empower you with the tools that will set you apart from your peers and the confidence to take your career to the next level. Established in 2012, our program has consistently been a leading managed care residency in the country. We have graduated 21 residents, and 89% of them have taken on roles within our organization. Many have risen among the ranks of leadership and are currently serving as senior leaders in the industry.
As a Prime Therapeutics Resident, you are involved in:
Gain hands-on experience of specialty and medical drug management from a managed care perspective.
Be a part of the clinical program innovation team and develop/enhance specialty clinical programs in therapeutic areas such as oncology, hemophilia and rare diseases.
Consult with health plan clients about specialty and medical drug strategies.
Develop an in-depth understanding of clinical operations, claims adjudication and pricing.
Evaluate and balance clinical, financial and government considerations to produce patient-focused and therapeutically complete drug lists (formularies).
Participate and present at Pharmacy & Therapeutics (P&T) Committee meetings.
Evaluate opportunities and design utilization management criteria to reduce drug misuse and improve member health outcomes.
Develop a holistic specialty strategy, which includes management opportunities across both pharmacy and medical benefits.
Learn about the latest developments in specialty pharmacy and broaden understanding of concepts such as value-based contracting, rebates and other innovative strategies.
Use and expand your knowledge of strategies across commercial, Medicare and Medicaid lines of business.
Present your research at national conferences to senior leaders and industry stakeholders.
Participate in conducting outreach to patients and providers for clinical programs that impact Star and HEDIS measures.
The Prime Residency Program is a PGY1 Managed Care Residency, and is dual accredited through ASHP and AMCP.
Benefits: -Work from home -Competitive stipend for 12 months -Ten paid holidays plus 80 PTO hours -Reimbursement for NAPLEX, MPJE and state licensing for home state -Paid membership dues to AMCP and ASHP -Paid travel/hotel/fees for professional meetings (AMCP and/or ASHP) -Comprehensive Medical/Dental/Pharmacy insurance available
Application Requirements:
- Application, including CV and 3 Letters of Recommendation through the PHORCAS system submitted by January 2nd, 2026. - Virtual interview in 2026. - On-track to graduate from ACPE-Accredited PharmD program by end of Spring Semester with a minimum of a 3.0 GPA (or "PASS" if in a Pass/Fail program). - Must obtain Pharmacist License from home state within 90 days of starting Residency.