Senior Contracts & Compliance Analyst - Remote

Prime Therapeutics; Baton Rouge (LA); Remote; USD 74,000 - 118,000; Full time

Job summary

Prime Therapeutics is seeking a Senior Contracts Analyst for TennCare in a remote capacity. The role focuses on creating and maintaining provider contracts, ensuring legal review, and driving contract compliance across the organization.

The ideal candidate holds a bachelor’s degree in business or healthcare management and at least five years in PBM contracting or similarly regulated settings. Eligibility to work in the United States without visa 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 Pharmacy Benefit Management (PBM) org or other highly regulated industry

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

Contracting

Contract analytics

Regulatory compliance

Vendor negotiations

Education

Bachelor's degree in Business or Healthcare Management

High School diploma / GED

Job description

Prime Therapeutics is seeking a Senior Contracts Analyst for TennCare in a remote capacity. The role focuses on creating and maintaining provider contracts, ensuring legal review, and driving contract compliance across the organization.

The ideal candidate holds a bachelor’s degree in business or healthcare management and at least five years in PBM contracting or similarly regulated settings. Eligibility to work in the United States without visa sponsorship is required.