Case Study: Prime Therapeutics achieves scalable, automated compliance and privacy protection with SAI360

Prime Therapeutics Puts Compliance at its Core with SAI360

Prime Therapeutics, a pharmacy benefit manager collectively owned by 19 Blue Cross and Blue Shield plans, manages the full pharmacy benefits lifecycle and processes more than 270 million claims a year for roughly 3,000 employees. After committing to organization‑wide compliance in 2011, the Compliance Systems & Materials Manager faced the challenge of centralizing agile technology and scaling policy, privacy, incident, and third‑party risk processes while handling high data volume, security needs, and frequent regulatory change.

Prime deployed SAI360 modules (Policy Manager, Privacy Breaches, Incident Manager, and Third‑Party Risk Management), linking policies to the intranet, automating workflows and attestations, and using FA3 architecture and parent‑child relationships to handle incidents, investigations, contracts, and vendor risk without coding. The solution streamlined policy and privacy management, improved tracking, reporting and incident handling, and increased efficiency and scalability to meet the company’s volume, security, and regulatory demands.

Prime Therapeutics

Ryan Sloneker

Compliance Systems & Materials Manager