Prime Therapeutics
Physician Clinical Reviewer - Rheumatology- REMOTE
Home, USA · Senior
Work authorization required$91k-$154kDetected 175 days ago
CybersecurityPCRResearchLeadershipCommunication
Stay score
odds of building a lasting career here
54Sponsors, lottery-bound
Cap-exempt (no lottery)0
Sponsors this role80
Entry-level history0
PERM / green-card track0
Lottery odds (Level III)83
Fits your clock70
Sponsors, but it's cap-subject — you still face the weighted lottery (~45% per draw at Level III). Good if you win; have a cap-exempt backup on your list.
Lottery odds assume a STEM candidate.
Personalize to your clock →Employer immigration record
from this employer's Department of Labor filings
Files H-1B transfers
1 transfer filing in the last year, covering 1 worker. Median labor-condition decision: 7 days. An employer that already files transfers is one that can take over an existing H-1B.
Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.
Community outcomes
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About the role
- At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
- Physician Clinical Reviewer - Rheumatology- REMOTE Job Description
Responsibilities
- Come build the future of pharmacy with us.
Requirements
- Must be eligible to work in the United States without the need for work visa or residency sponsorship.
- Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
- Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
Nice to have
- Physical Demands
- Must be able to remain in a stationary position 50% of the time.
- Must be able to "move or traverse"
- Must be able to constantly operate a computer and/or other office productivity equipment
- Must be able to hear and constantly communicate information and ideas.
- Must be able to exchange accurate information
- Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
- Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer.
Skills
- Potential pay for this position ranges from $90.87 - $154.33 based on experience and skills.
Compensation
- To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Benefits
- Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the applicable medical necessity guidelines.
- Routinely interacts with physicians, leadership and management staff, other Physician Clinical Reviewers (PCR), and health plan membersand staff whenever a physician`s input is needed or required.
- Ensures documentation of all communications with medical office staff and/or physician/provider is recorded in a timely and accurate manner.
- Assists the Medical Director and/or VP, Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines, and/or system support.
- On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability for utilization management while working in conjunction with the VP, Medical Director
- Education & Experience
- Education Level
Company info
- At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve.
Visa & Work Authorization
- Must be eligible to work in the United States without the need for work visa or residency sponsorship.
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This listing is sourced directly from Prime Therapeutics's careers page and normalized into a canonical job model.