Senior Contracts Analyst - Remote (TennCare)

Prime Therapeutics; Frankfort (KY); À distance; USD 74 000 - 118 000; Plein temps

Résumé du poste

Prime Therapeutics is seeking a Senior Contracts Analyst for TennCare with remote work options. The role leads contract deliverables, coordinates audits, analyzes provider cost and utilization trends, and supports cross-functional initiatives including RFPs.

Requirements include a Bachelor’s degree in a related field and at least 5 years in contracting within PBM or regulated industries; eligibility to work in the United States without sponsorship is required.

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 PBM or other highly regulated industry
• Must be eligible to work in the United States without the need for work visa or residency sponsorship
• 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
• Pharmacy Technician (either CPT/LPT/PTCB/RPT based on State Requirements)
• Project management experience

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

Attention to detail

Independent worker

Analytical skills

Project management

Contracting experience

Formation

Bachelor’s degree in Business, healthcare management or related area of study

Description du poste

Prime Therapeutics is seeking a Senior Contracts Analyst for TennCare with remote work options. The role leads contract deliverables, coordinates audits, analyzes provider cost and utilization trends, and supports cross-functional initiatives including RFPs.

Requirements include a Bachelor’s degree in a related field and at least 5 years in contracting within PBM or regulated industries; eligibility to work in the United States without sponsorship is required.