AI Strategist Principal Prime Therapeutics LLCAI Strategist Principal$124,000–$211,000 / yearServe as a trusted advisor to business and technology leaders; identify, prioritize, and advance AI-enabled transformation opportunities that align with enterprise objectives, improve workflows, promote reuse of enterprise AI assets, and deliver measurable business outcomes. Drive enterprise AI enablement and adoption by partnering on programs, playbooks, communities of practice, champion networks, learning initiatives, and change management efforts while establishing metrics to measure utilization, adoption, and business impact.
IT Quality Engineer Sr - Remote (Medi-Cal) Prime Therapeutics LLCIT Quality Engineer Sr - Remote (Medi-Cal)Remote$81,000–$138,000 / yearThe Senior Engineer works independently, performs testing at all levels, provides technical leadership, mentors team members, and ensures the delivery of robust, scalable, and high-performing software solutions. Bachelors degree in Information Technology 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.
Customer Care Specialist- Must Reside in Florida (Based in or Near Orlando, FL) Prime Therapeutics LLCCustomer Care Specialist- Must Reside in Florida (Based in or Near Orlando, FL)Orlando, FL$17.85–$25.48 / hourThe 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.
Contracts Analyst Sr, TennCare - Remote Prime Therapeutics LLCContracts Analyst Sr, TennCare - RemoteRemote$74,000–$118,000 / yearBachelor'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. 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
Director Health Plan Underwriting - REMOTE Prime Therapeutics LLCDirector Health Plan Underwriting - REMOTERemote$124,000–$211,000 / yearIn-depth knowledge of mathematical applications used in underwriting function including the ability to calculate figures such as discounts, proportions and percentages, as well as the ability to apply basic concepts of business mathematics and algebra in underwriting problems. Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship.
Legal Counsel Prime Therapeutics LLCLegal Counsel$124,000–$211,000 / year5 years of experience practicing as an attorney or related legal experience in a regulatory or compliance role, with a minimum of 3 years of experience working with managed care companies or other health care clients. Provide tactical legal advice and support to internal clients including PBM, pharmacy, specialty pharmacy, government programs, administrative support functions or other areas as assigned.
Rebates Data Warehouse Data Engineer Sr. Prime Therapeutics LLCRebates Data Warehouse Data Engineer Sr.$94,000–$160,000 / yearBachelors degree in Computer Science, Information Systems, 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. 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.
Principal Actuary - Remote Prime Therapeutics LLCPrincipal Actuary - RemoteRemote$124,000–$211,000 / yearThis 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
AVP Strategic Sourcing - REMOTE Prime Therapeutics LLCAVP Strategic Sourcing - REMOTERemote$164,000–$279,000 / yearThe Assistant Vice President Strategic Sourcing will lead and develop the strategic sourcing, contracting management, and procurement teams, will influence business partners in a fast-paced and matrixed environment for optimal business outcomes, assess and implement appropriate contracting tools and software, and execute a sourcing and vendor consolidation strategy to manage supplier spend for all corporate and operations contracting, including IT hardware & software, pharmaceuticals, and pharmacy supplies. Through collaboration with key stakeholders, explore, assess and implement contracting enhancement tools to include contracting repository, progress tracking and dashboarding capabilities, contract abstracting, manage pricing evaluations, and predictive workloads and workload balancing.
Principal Actuary - Remote Prime Therapeutics LLCPrincipal Actuary - RemoteRemote$124,000–$211,000 / yearThis 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
Senior Underwriter - Health Plan - Remote Prime Therapeutics LLCSenior Underwriter - Health Plan - RemoteRemote$81,000–$138,000 / yearIn-depth knowledge of mathematical applications used in underwriting function is required, including the ability to calculate figures such as discounts, proportions and percentages, as well as the ability to apply basic concepts of business mathematics and algebra in underwriting problems. Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship.
Billing Specialist Prime Therapeutics LLCBilling Specialist$17.85–$25.48 / hourThis 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.
AVP, Enterprise Program Portfolio Management - REMOTE Prime Therapeutics LLCAVP, Enterprise Program Portfolio Management - REMOTERemote$164,000–$279,000 / yearBuilds and maintains collaborative relationships internally with senior leaders including IT leadership, enabling services, and owns relationship with external clients and stakeholders to drive portfolio management, issue resolution, and change management on significant changes, implementations, and investments. Lead a long-term strategic and market driven approach to manage projects, people, customer expectations, and business priorities to achieve customer satisfaction and overall strategic goals of the organization; develops and measures key metrics related to measure success of portfolios and programs.
Sr. Director Actuarial Forecasting - Remote Prime Therapeutics LLCSr. Director Actuarial Forecasting - RemoteRemote$164,000–$279,000 / yearBachelor's degree in Math, Actuarial Science, Economics, Computer Science, Data Science, or related area of study, or equivalent combination of education and/or relevant work experience; High school diploma from an accredited school or equivalent GED required. The Senior Director of Actuarial Services leads a team of actuaries responsible for providing strategic pricing direction and thought leadership to Prime's existing and potential clients and through the creation and use of innovative actuarial modeling concepts.
NewDirector Digital Experience (Back-End) - Remote Prime Therapeutics LLCDirector Digital Experience (Back-End) - RemoteRemote$124,000–$211,000 / yearLead a high-performing team and align architecture, engineering, data, security, compliance, legal, operations, product, and client teams to resolve barriers, manage risks and tradeoffs, drive accountability, represent Prime with external partners, and drive and measure adoption, reliability, compliance readiness, implementation speed, reuse, and value delivery. The Director of Digital Experience (Back-End) is responsible for shaping and delivering Prime's digital strategy for how back-end systems, data, APIs, and interoperability capabilities connect members, clients, providers, pharmacies, internal stakeholders, and external partners with the information they need.
Lead Actuary - Pharmacy Pricing - REMOTE Prime Therapeutics LLCLead Actuary - Pharmacy Pricing - REMOTERemote$124,000–$211,000 / yearEvery employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. 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.
Director of IT Architecture - Technical Account Management - Remote Prime Therapeutics LLCDirector of IT Architecture - Technical Account Management - RemoteRemote$143,000–$243,000 / yearThe Director, Technical Account Management is responsible for leading Prime Therapeutics' Technical Account Management (TAM) function and establishing a world-class IT Client Success capability that strengthens strategic client relationships, improves client outcomes, and serves as the primary technology interface between Prime and its clients. The Director partners closely with Account Management, Sales, Implementations, Business, and supporting Information Technology areas to ensure Prime delivers consistent, proactive, and high-value client experience throughout the entire client lifecycle.
Pharmacy technician Must Reside in Florida (Based in or Near Orlando, FL) Prime Therapeutics LLCPharmacy technician Must Reside in Florida (Based in or Near Orlando, FL)Orlando, FL$17.85–$25.48 / hourPrepare, 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).
Billing Specialist Prime Therapeutics LLCBilling Specialist$17.85–$25.48 / hourThis 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.
Billing Specialist Prime Therapeutics LLCBilling Specialist$17.85–$25.48 / hourThis 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.