Remote Senior Contracts Analyst - TennCare

Prime Therapeutics; Hartford (CT); À distance; USD 74 000 - 118 000; Plein temps

Résumé du poste

Prime Therapeutics is seeking a Senior Contracts Analyst for TennCare, with responsibility for implementing and maintaining provider contracting, ensuring compliance, and coordinating with internal teams. The role involves audit ownership and collaboration on RFPs and system projects.

The position requires a Bachelor’s degree and PBM contracting experience, with a strong emphasis on accuracy, independence, and timely deliverables. Remote work options are available with competitive compensation.

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
• 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

Responsabilités

• 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

Connaissances

Contracting

Contract management

Negotiation

Data analysis

Formation

Bachelor's degree in Business, healthcare management or related area

Description du poste

Prime Therapeutics is seeking a Senior Contracts Analyst for TennCare, with responsibility for implementing and maintaining provider contracting, ensuring compliance, and coordinating with internal teams. The role involves audit ownership and collaboration on RFPs and system projects.

The position requires a Bachelor’s degree and PBM contracting experience, with a strong emphasis on accuracy, independence, and timely deliverables. Remote work options are available with competitive compensation.