Prime Therapeutics
Provider Relations Analyst Sr (Pharmacy Contracting) - Remote
Home, USA · Senior
Work authorization required$66k-$106kDetected 89 days ago
CybersecurityComplianceSalesforceExcelCustomer SupportResearchLeadershipCommunicationMicrosoft OfficeClaims Management
About the role
- Job Posting Title Provider Relations Analyst Sr (Pharmacy Contracting) - Remote Job Description The Provider Relations Analyst Sr is responsible for contracting efforts and managing Prime's independent pharmacy networks.
- This position is responsible for the management of Prime's independent pharmacy network contracting activities, ensuring contracting initiatives are effective and completed in accordance with network management strategies.
- In addition, Prime retains the right to change or assign other duties to this job.
Responsibilities
- evaluate network participation and distribute pharmacy contract documents
- coordinate timely, accurate and complete submission of contract deliverables, and the electronic and physical tracking, storage and distribution of contract documents
- Establish, develop, and maintain relationships with independent pharmacy providers
- Manage and edit Prime's Provider Manual to ensure compliance and timely distribution, while contributing to process improvements that support cross-functional projects, regulatory changes, and client implementations
- Research and resolve pharmacy contract related inquires; evaluate network participation and distribute pharmacy contract documents; coordinate timely, accurate and complete submission of contract deliverables, and the electronic and physical tracking, storage and distribution of contract documents
Requirements
- High school diploma or GED required
- Must be eligible to work in the United States without the need for work visa or residency sponsorship
- Manage legal-to-legal correspondences between Prime and independent Pharmacy Providers escalating to Prime Legal Counsel as required
Nice to have
- Strong interpersonal communication skills including conflict resolution and listening
- Advanced ability to problem solve and interpret complex data
- Proficiency within Microsoft applications such as Outlook, Word and Excel
- Enhanced ability to coordinate multiple tasks and projects simultaneously under strict timelines
- Ability to work in fast-paced, collaborative team environment
- Enhanced ability to establish rapport and effectively influence at all levels within an organization
- Experience analyzing state and federal regulations
- Experience working with RxClaim system or other claims processing experience
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
- Evaluate pharmacy inquiries to include but not limited to complaints, issues and/or grievances and collaborate with internal stakeholders, such as Network Management, Client Engagement, and Benefit Operation
- Bachelor's degree in Business or related area of study, or equivalent combination of education and/or relevant work experience
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.