Director Digital Experience – Back-End

This is a fully remote position, open to applicants in United States.

📋 Description

• Define and spearhead Prime’s enterprise back-end digital experience, API, interoperability, and data-sharing strategy.

• Convert business priorities, client requirements, regulatory obligations, and technology modernization into a comprehensive multi-year roadmap.

• Collaborate with internal stakeholders and clients to develop secure, reliable, and reusable capabilities that connect people and systems with the appropriate data.

• Oversee the execution of interoperability initiatives, including delivery plans, client commitments, testing strategies, operational readiness, and measurable outcomes.

• Ensure compliance with CMS requirements, FHIR implementation guidelines and versions, NCPDP standards, security, privacy, contractual obligations, and internal policies.

• Establish APIs and interoperability services as managed enterprise capabilities with defined ownership, governance, lifecycle standards, and performance expectations.

• Lead the transition from point-to-point and legacy integrations to reusable platforms and services, including API gateways and catalogs, FHIR capabilities, data mapping, bulk exchange, and event-based integration.

• Manage a high-performing team.

• Ensure alignment among architecture, engineering, data, security, compliance, legal, operations, product, and client teams.

• Address obstacles, manage risks and trade-offs, drive accountability, represent Prime with external partners, and evaluate adoption, reliability, compliance readiness, implementation speed, reuse, and value delivery.

• Perform additional duties as assigned.

⛳️ Requirements

• Bachelor’s degree in Business Administration, Marketing, Information Technology, or a related field, or equivalent combination of education and/or relevant work experience.

• 8 years of professional experience in operations and/or digital experience.

• 5 years of management or leadership experience.

• Must be eligible to work in the United States without the need for a work visa or residency sponsorship.

• Proficient understanding of modern API, cloud, and data-sharing concepts, including REST APIs, API gateways and catalogs, reusable services, event-based integration, data mapping, identity, consent, security, and lifecycle management.

• Familiarity with healthcare interoperability and data standards, including FHIR resources, implementation guides, version management, and relevant NCPDP standards.

• Capability to comprehend technical architecture and engage with engineering and architecture teams.

• Ability to articulate complex technical and regulatory topics in straightforward business language.

• Proven ability to build relationships, influence without direct authority, align business and technology leaders, and guide stakeholders through modernization and changing regulations.

• Strong analytical and critical-thinking skills.

• Preferred: Master’s degree in Business Administration, Information Technology, Health Informatics, or another related advanced degree.

• Preferred: Experience in pharmacy benefit management, payer, pharmacy, healthcare, or regulated industries.

• Preferred: Familiarity with CMS interoperability requirements, FHIR-based APIs, prior authorization interoperability, health plan or provider integrations, and client implementation support.

• Preferred: Experience with enterprise API, interoperability, data platform, or integration modernization strategies.

• Preferred: Background in API product management, platform governance, and legacy service migration.

• Preferred: Knowledge of API security foundations for emerging AI agents and automation.

• Must adhere to security responsibilities, legal, regulatory, contractual, and internal policy requirements.

• Must be capable of performing the essential functions of the job, with reasonable accommodations available upon request.

🏝️ Benefits

• Benefits, incentives, and additional compensation are available through Prime’s Benefits Page.

• Equal opportunity and affirmative action employer.

• Reasonable accommodations for employees with disabilities.

• Tobacco-Free Workplace.