Senior Contracts & Compliance Analyst - Remote

Prime Therapeutics; Boise (ID); Remote; USD 74,000 - 118,000; Full time

Job summary

Prime Therapeutics is seeking a Senior Contracts Analyst to lead and support contract development, compliance and audits for TennCare, with a remote work option. The role partners across Finance and internal teams to ensure accuracy and timely deliverables, and to drive contract incentives and governance.

Qualifications include a BA/BS in business or healthcare management with PBM contracting experience and a track record of independent project delivery in a regulated environment.

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
• 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

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 experience

PBM knowledge

Contract analysis

Education

Bachelor’s degree in Business/Healthcare management

HS diploma or GED

Job description

Prime Therapeutics is seeking a Senior Contracts Analyst to lead and support contract development, compliance and audits for TennCare, with a remote work option. The role partners across Finance and internal teams to ensure accuracy and timely deliverables, and to drive contract incentives and governance.

Qualifications include a BA/BS in business or healthcare management with PBM contracting experience and a track record of independent project delivery in a regulated environment.