31 Results for

Prime Therapeutics LLC in the United States

Jobs

Principal Actuary - Remote Prime Therapeutics LLC

Remote

$124,000–$211,000 / year

This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage the development of innovative actuarial modeling concepts, and provide pricing support for all lines of business. 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

30+ days ago

Billing Specialist - Remote Prime Therapeutics LLC

Remote

$17.85–$25.48 / hour

This role plays a critical part in the financial operations of the organization by validating billing inputs, assisting with adjustments and re-billings, and ensuring all records are properly maintained for audit and reporting purposes. The Billing Specialist is responsible for ensuring the accuracy and completeness of billing data, supporting payment reconciliation processes, and maintaining thorough documentation of billing-related activities.

4 days ago

Business Integration Consultant - Remote Prime Therapeutics LLC

Remote

$66,000–$106,000 / year

coordination and delivery of assigned tasks from initiation through closure, including scope definition, requirements development, issue resolution/risk mitigation, testing, operational readiness, and go-live planning/support. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

6 days ago

Senior Compliance Analyst (Compliance Oversight Activities) - Remote Prime Therapeutics LLC

Remote

$74,000–$118,000 / year

This role manages sensitive projects, serves as a subject matter expert, interprets complex requirements, develops executive reporting, and partners across the organization to support compliance oversight, including monitoring, issue management, corrective action governance, and regulatory compliance activities. 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA).

18 days ago

Clinical Program Pharmacist Principal- REMOTE Prime Therapeutics LLC

Remote

$124,000–$211,000 / year

3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a clinical and/or managed care setting. 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

18 days ago

Rebate Operations Pharmacist Prime Therapeutics LLC

$108,000–$184,000 / year

Support Rebate Operation and clients in gathering and completion of quarterly 64.9r reporting and ad hoc reporting at client request that aid in showing impacts to rebate programs; assist in pre-invoice claims reviews and adjustments and invoicing activities as needed; assist in dispute resolution as needed. Partner with Account Management to support rebate trending discussions (e.g., disputes status, program and invoicing trends) and serve as main point of contact for assigned clients on all rebate service-related inquiries.

11 days ago

Director Underwriting - Remote Prime Therapeutics LLC

Remote

$124,000–$211,000 / year

Bachelor's degree in Mathematics, Accounting, Finance or related are of study, or equivalent combination of education and/or relevant work experience; HS diploma from an accredited school or equivalent GED required. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

20 days ago

Senior Compliance Analyst (Medicare/Medicaid) - Remote Prime Therapeutics LLC

Remote

$74,000–$118,000 / year

This role manages sensitive projects, serves as a subject matter expert, interprets complex requirements, develops executive reporting, and partners across the organization to maintain effective compliance, governance, and licensing processes. 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA).

15 days ago

E&O - Director_Remote Prime Therapeutics LLC

$108,000–$184,000 / year

Assists outreach team with the development of training programs, including materials and delivery venue(s) suitable for the given topic and audiences that includes local live seminars, recorded seminars, e-learning (computer-based training) services. Strong technical (computer systems) skills and understanding of computing concepts (file structure, saving versions of files, tracking changes, advanced MS Office features).

6 days ago

Customer Care Specialist-Must Reside in Florida (Based in or Near Orlando, FL) Prime Therapeutics LLC

Orlando, FL

$17.85–$25.48 / hour

The role involves handling incoming calls, accurately documenting intake information into designated systems, and delivering outstanding customer service to both internal and external stakeholders. Support continuous improvement by identifying operational inefficiencies, performing follow-up tasks, and ensuring member/provider needs are fully met.

27 days ago

AVP Claims & Configuration - REMOTE Prime Therapeutics LLC

Remote

$164,000–$279,000 / year

The Associate Vice President, Claims & Configuration is responsible for the strategic leadership, operational performance, and continuous evolution of pharmacy benefit claims adjudication, benefit configuration capabilities, and network operations. Collaborate with key internal partners and business leaders to prioritize enhancements, drive operational transformation to support technology changes, and deliver strategic business outcomes.

30+ days ago

Specialty Clinical Program Director Prime Therapeutics LLC

$124,000–$211,000 / year

Partner with the following stakeholders for: Health Outcomes and Analytics teams: to manage/monitor data in areas such as trend/net trend, net ingredient cost, utilization % change, brand inflation, specialty network savings, formulary compliance, rebate/Rx, specialty network savings, Utilization Management (UM) savings for pharmacy and medical benefits, Reimbursement solutions, Site of Care, Coupons, 340b. This role serves as a Specialty subject matter expert and strategic partner, collaborating across clinical, technical, operational, and business teams to deliver innovative, scalable solutions and also collaborates with external stakeholders, ensuring the successful delivery of Specialty programs and contributing to the advancement of strategic business initiatives.

11 days ago

Health Informatics Sr Analyst Prime Therapeutics LLC

$94,000–$160,000 / year

Bachelors degree in Health Informatics, Public Health, Computer Science, Data Science, Statistics or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma from an accredited school or equivalent GED required. This role partners with cross-functional teams, including clinical services, pharmacy operations, product management, and client services, to transform complex healthcare data into actionable insights.

11 days ago

Pharmacy technician Must Reside in Florida (Based in or Near Orlando, FL) Prime Therapeutics LLC

Orlando, FL

$17.85–$25.48 / hour

Prepare, label, assemble, and package medications, supplies, and equipment, including creating pre-packaged supply items and preparing patient shipping containers and labels; Assist with maintaining accurate inventory through pulling expirations. If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).

30+ days ago

Strategic Client Advisor Sr Prin Prime Therapeutics LLC

$143,000–$243,000 / year

Demonstrated ability to translate complex PBM topics, industry trends, and regulatory changes into clear, audience-appropriate insights for executives, clients, consultants, account teams, and cross-functional partners. Create and deliver compelling thought leadership for clients, consultants, and industry audiences by connecting market developments to client priorities, strategic decision-making, and Prime's perspective.

30+ days ago

Principal Actuary - Remote Prime Therapeutics LLC

Remote

$124,000–$211,000 / year

30+ days ago

Provider Liasion Pharmacists - Middle TN Prime Therapeutics LLC

$108,000–$184,000 / year

The Clinical Pharmacist is responsible for delivering clinical and regulatory analysis activities that support operations and the implementation of clinical and regulated programs, including coverage lists for benefit plans, formulary management, and publications. Support concurrent Drug Utilization Review service messages, table settings, testing and adjudication workflows to ensure accuracy and compliance with established protocols and implementation decisions.

6 days ago

Clinical Administrative Pharmacist - Remote TN Prime Therapeutics LLC

Remote

$108,000–$184,000 / year

6 days ago

Sr. Director of Account Management - Remote Prime Therapeutics LLC

Remote

$143,000–$243,000 / year

Collaborate with the health plan client engagement and sales teams to establish and maintain direct relationships with health plan clients and their pharmacy leadership team; develop a consultative, service-oriented partnership with the client in order to maximize pharmacy spend through client renewals and the adoption of new or expanded use of Prime's products and services; build and maintain relationships with key client stakeholders and provide and request routine feedback from client contacts, including information on the performance of the pharmacy program and the strategic account plan. Maintain an intimate understanding of the industry, and assigned client's market trends, challenges, priorities, and adopted products and services to influence the development and prioritization of strategic plans; provide key client contacts and Prime team members market information and opportunities for service or product innovation; conduct periodic SWOT (strengths, weaknesses, opportunities and threats) analysis on account management capabilities and develop strategies to capitalize on differentiators and improve upon weaknesses.

6 days ago

Director Client Financial Strategy - Remote Prime Therapeutics LLC

Remote

$124,000–$211,000 / year

Lead financial strategy support for major renewals, market checks, RFPs, retention efforts, performance guarantee discussions, and other high-impact client initiatives; Represent Client Financial Strategy in executive, client, and cross-functional leadership forums while influencing enterprise decisions related to client financial performance and business growth. This role provides senior leadership across client financial strategy, team performance, consulting methodology, and stakeholder management while serving as a trusted advisor to clients, Account Management, Underwriting, Finance, Product, Clinical, and executive stakeholders.

6 days ago

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