Note: The job is a remote job and is open to candidates in USA. Prime Therapeutics is a pharmacy benefit management organization seeking a Senior Contracts Analyst to support TennCare-related provider contract activities. The role develops and maintains contracts, coordinates legal review, monitors compliance, analyzes provider performance, manages audits, and supports contract-related projects and deliverables.
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
- Bachelor'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
- 5 years of work experience in contracting or business process administration within Pharmacy Benefit Management (PBM) org or other highly regulated industry
- Must be eligible to work in the United States without the need for work visa or residency sponsorship
- Detailed oriented and able to work with a high degree of accuracy
- Demonstrated ability to complete projects independently and within established timeframes
- Advanced experience with public sector financial/contractual analysis and negotiations including risk arrangements
- Ability to evaluate and analyze pharmacy data and information
- Pharmacy Technician (either CPT/LPT/PTCB/RPT based on State Requirements)
- Project management experience
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