Senior Contracts Analyst - Remote, PBM Compliance & Audits

Prime Therapeutics; Topeka (KS); Remote; USD 74,000 - 118,000; Full time

Job summary

Prime Therapeutics LLC is seeking a Senior Contracts Analyst for TennCare with remote work options. The role focuses on developing and maintaining service provider contracts, ensuring compliance, and managing contract incentives within a highly regulated PBM environment.

The position requires a bachelor’s degree and 5 years of contracting experience, with strong analytical and project management skills. Eligible to work in the U.S. without sponsorship.

Qualifications

• Bachelor’s degree in Business, healthcare management or related area of study is required.
• 5 years of work experience in contracting or business process administration within PBM or other highly regulated industry.
• Must be eligible to work in the United States without the need for work visa or residency sponsorship.
• Detail-oriented with ability 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 worker

Project management

Contract analysis

Education

Bachelor's degree in Business/Healthcare management or related field

Job description

Prime Therapeutics LLC is seeking a Senior Contracts Analyst for TennCare with remote work options. The role focuses on developing and maintaining service provider contracts, ensuring compliance, and managing contract incentives within a highly regulated PBM environment.

The position requires a bachelor’s degree and 5 years of contracting experience, with strong analytical and project management skills. Eligible to work in the U.S. without sponsorship.