Senior Contracts & Compliance Analyst - Remote

Prime Therapeutics; Springfield (IL); Remote; USD 74,000 - 118,000; Full time

Job summary

Prime Therapeutics is seeking a Senior Contracts Analyst to manage the TennCare program remotely in the United States. The role focuses on developing and maintaining service provider contracts, coordinating with legal for changes, and ensuring compliance through audits and performance analysis.

The position requires a bachelor’s degree in business or healthcare management and at least five years of contracting experience in PBM or a regulated setting.

Qualifications

• Bachelor’s degree in Business, healthcare management or related area.
• 5 years of contracting or business process administration experience in PBM or regulated industry.
• Must be eligible to work in the United States without the need for work visa or residency sponsorship

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/regulated industry knowledge

Education

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

Job description

Prime Therapeutics is seeking a Senior Contracts Analyst to manage the TennCare program remotely in the United States. The role focuses on developing and maintaining service provider contracts, coordinating with legal for changes, and ensuring compliance through audits and performance analysis.

The position requires a bachelor’s degree in business or healthcare management and at least five years of contracting experience in PBM or a regulated setting.