Remote Senior Contracts Analyst, PBM Compliance

Prime Therapeutics; Jackson (MS); Remote; USD 74,000 - 118,000; Full time

Job summary

Prime Therapeutics is seeking a Senior Contracts Analyst for TennCare on a remote basis. You will lead contract development and compliance efforts, coordinating with internal teams and external partners to ensure accurate, timely contract deliverables.

The role requires a Bachelor's degree in business or health care management and 5 years of PBM contracting experience. You will analyze provider data, support audits, and help drive compliant contracts across programs.

Qualifications

• Bachelor’s degree in Business, healthcare management or related field; or the equivalent combination of education and/or work experience.
• 5 years of contracting or business process administration within PBM or other highly regulated industry
• Eligible to work in the United States without the need for work visa or residency sponsorship
• Detailed oriented with high accuracy; able to complete projects independently and within established timeframes

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

Skills

Detail oriented

Independent work

Analytical skills

Pharmacy data analysis

Education

Bachelor’s degree in Business/Healthcare

Job description

Prime Therapeutics is seeking a Senior Contracts Analyst for TennCare on a remote basis. You will lead contract development and compliance efforts, coordinating with internal teams and external partners to ensure accurate, timely contract deliverables.

The role requires a Bachelor's degree in business or health care management and 5 years of PBM contracting experience. You will analyze provider data, support audits, and help drive compliant contracts across programs.