Senior Contracts & Compliance Analyst - Remote

Prime Therapeutics

Lincoln (NE)

Remote

USD 74,000 - 118,000

Full time

14 days+

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Job summary

Prime Therapeutics, a leading PBM, is seeking a Senior Contracts Analyst for TennCare with remote work flexibility. You will implement and maintain service provider contracts, coordinate with legal, and monitor contract compliance.

The role requires a Bachelor's in business/healthcare, 5 years PBM contracting experience, and ability to analyze provider performance and audits. Eligible candidates nationwide in the United States may apply.

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