At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting TitleContracts Analyst Sr, TennCare - RemoteJob DescriptionThe Senior Contracts Analyst is responsible for the implementation and support of all activities related to developing and maintaining service provider contracts. This role interacts with all areas of the organization, obtains legal review and approval of working changes in contract documents. This position is responsible for the monitoring and development of contract compliance and for development of contract incentives.
Responsibilities
- Lead annual contract deliverables by partnering with internal teams to ensure timely and accurate completion
- Process and track contract modification requests, collaborating with Finance to gather data and assess potential impacts
- Analyze provider performance trends, including cost and utilization, and report findings to support contract compliance
- Assist with cross-functional initiatives by supporting contract coordinators and contributing to RFP and system-related projects
- Primary business owner for all State Comptroller audits, CMS audits, internal audits, or program integrity audits
- Other duties as assigned
Minimum Qualifications
- Bachelor’s degree in Business, healthcare management or related area of study, or the equivalent combination of education and/or work experience; HS diploma from an accredited school or equivalent GED required
- 5 years of work experience in contracting or business process administration within Pharmacy Benefit Management (PBM) org or other highly regulated industry
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
- Detailed oriented and able to work with a high degree of accuracy
- Demonstrated ability to complete projects independently and within established timeframes
- Advanced experience with public sector financial/contractual analysis and negotiations including risk arrangements
- Ability to evaluate and analyze pharmacy data and information
Preferred Qualifications
- Pharmacy Technician (either CPT/LPT/PTCB/RPT based on State Requirements)
- Project management experience
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job
Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.
Skills Required
- Bachelor’s degree in Business, healthcare management, or a related field, or equivalent education and work experience
- High school diploma or GED
- Five years of contracting or business process administration experience within a PBM organization or highly regulated industry
- Eligible to work in the United States without visa or residency sponsorship
- High attention to detail and accuracy
- Ability to complete projects independently within established timeframes
- Advanced experience with public-sector financial and contractual analysis and negotiations, including risk arrangements
- Ability to evaluate and analyze pharmacy data and information
- Pharmacy Technician certification such as CPT, LPT, PTCB, or RPT
- Project management experience
Prime Therapeutics Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Prime Therapeutics and has not been reviewed or approved by Prime Therapeutics.
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Healthcare Strength — Health coverage is described as comprehensive, with medical, dental, and vision options and plan designs that include low deductibles for some choices. Wellness screenings and related incentives add perceived value to the health offering.
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Retirement Support — Retirement benefits stand out through a 401(k) match that is characterized as generous and immediately vested. This structure improves the overall long-term value of the total rewards package.
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Strong & Reliable Incentives — Annual incentive bonuses are positioned as a meaningful component of total compensation and are often portrayed as substantial when performance goals are met. Incentive eligibility appears broadly available across roles, boosting the perceived completeness of rewards.
Prime Therapeutics Insights
What We Do
Everything we do is connected to helping people get the medicine they need to feel better and live well. It’s meaningful work and we’ve been doing it for over 20 years. In the pharmacy benefit management (PBM)industry, we’re different. We’re owned by 18 not-for-profit Blue Cross and Blue Shield health plans. This allows us to control costs and empower our employees to put members first. It’s a successful combination. We have the lowest pharmacy trend in the industry and serve 28+ million members throughout the US. In addition to core PBM services, we work closely with our clients to implement the right benefit design, clinical and specialty programs, formulary and networks. A few key products: • NetResults™ • Specialty Drug Management • Best in Care™ • GuidedHealth® • Advanced Fraud, Waste and Abuse: Member and Prescriber Investigations • Prime Analytics™ • CareCentered Contracting™Controlled Substance Management Program Join us! Prime is always looking for smart, purposeful people to join our team. We’re growing fast which means there are plenty of opportunities to advance and grow in your career. At the same time, Prime supports flexibility and offers generous PTO so you can enjoy an enviable work/life balance. We’re a privately held company -big enough to make a difference and small enough for you to have an impact. Follow Prime on LinkedIn to learn more.
