Contracts Analyst Sr, TennCare - Remote

About the role

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 Title

Contracts Analyst Sr, TennCare - Remote

Job Description

The 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.

Posting text as published by Prime Therapeutics.

The evidence behind this listing

Workplace

Remote Matched in posting text

Seniority

Not established

Employment type

Not established

Location as listed

Home, United States of America

Pay and work authorization

Stated pay

$74k–118k/yr AI reading of the posting

Visa sponsorship

Not stated

Security clearance

Not established

Citizenship

Not established