Prime Therapeutics Jobs

- 121 Jobs

Client Quality Manager Stars and Quality - Remote
Prime Therapeutics 4.8
Prime Therapeutics Job In Saint Paul, MN Or Remote
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Client Quality Manager Stars and Quality - Remote **Job Description** The Senior Client Quality Manager ensures the successful planning, implementation and execution of all quality initiatives for assigned clients on behalf of the quality management area. This position works with client stakeholders at all organizational levels to develop quality related goals and ensure understanding of capabilities, reporting and quality plan needs, and products and services available to augment the client quality strategy. This role provides leadership and subject matter expertise on Medicare Stars, Medicaid quality and the Commercial/Health Insurance Marketplace Quality Rating System (HIM QRS). This position is also responsible to be a subject matter expert (SME) in an assigned quality area of focus, collaborating cross-functionally to ensure quality department goals are met, and meeting with clients regularly, including health plan leadership, to ensure effective planning and execution of quality plans. **Responsibilities** + Analyze clients' quality data to develop and recommend strategies for improvement and/or maintenance of quality ratings; create and manage project plans to meet established client quality goals + Drive the client quality strategy for all lines of business (Medicare, Medicaid, Commercial/HIM); serve as primary point of contact and subject matter expert on all quality matters pertaining to assigned clients and area of focus + Collaborate with key internal and external stakeholders, including Prime's clients, client engagement and clinical functions and external vendors, to ensure needs are understood, capabilities are aligned, and initiatives are on schedule and within budget + Lead monthly client meetings to review quality reporting and status of strategic plan implementation, and discuss other capabilities, tools or products that could address issues + Lead monthly internal work groups based on area of focus including reporting, issue management and strategic direction related to quality + Understand quality compliance and the internal and external factors which impact client quality strategy + Work cross-functionally to identify and guide improvement in tools, capabilities, products or data that would help clients to improve quality ratings + Build external client satisfaction by establishing client-facing relationships with health plan quality leaders and successfully implementing quality initiatives + Other duties as assigned **Education & Experience** + Bachelor's degree in business administration or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required + 5 years of work experience in managed care or Pharmacy Benefit Management, in client engagement, compliance/regulatory, project management, quality improvement and/or business analysis roles + Must be eligible to work in the United States without need for work visa or residency sponsorship Must be eligible to work in the United States without the need for work visa or residency sponsorship. **Additional Qualifications** + Ability to effectively distill complex information into clear and compelling presentations + Strong interpersonal skills, with the ability to effectively facilitate meetings, resolve conflict, build consensus, establish rapport and collaborate effectively across departments, internally and externally + Action-oriented with the ability to identify and assist in implementing opportunities for enhancements + Organization and prioritization skills, strong attention to detail, and the ability to simultaneously manage multiple projects, under pressure and strict timeframes, without compromising quality + Strong systems aptitude **Preferred Qualifications** + Client relationship management experience + Knowledge of Stars, Medicare Quality programs or QRS **Physical Demands** + Ability to travel up to 15% of time + Constantly required to sit, use hands to handle or feel, talk and hear + Frequently required to reach with hands and arms + Occasionally required to stand, walk and stoop, kneel, and crouch + Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds + Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus Every 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. Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (******************************************* and click on the "Benefits at a glance" button for more detail. _Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _ _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._ _Prime Therapeutics LLC is a Tobacco-Free Workplace employer._ Positions will be posted for a minimum of five consecutive workdays. Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. 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. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ************** or email *****************************.
$81k-138k yearly 36d ago
Architecture Practice Manager - Remote
Prime Therapeutics 4.8
Prime Therapeutics Job In Phoenix, AZ Or Remote
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Architecture Practice Manager - Remote **Job Description** The Architect Practice Mgr is primarily responsible for managing the execution of the processes that comprise Prime's Architecture Practice. This includes the defining and orchestrating of architecture processes and procedures, communication of the architecture processes for awareness and understanding, creating and reporting of metrics and measurements, and driving the support and integration for these processes throughout the organization. **Responsibilities** + Define and orchestrate Architecture governance process and Architecture Review Board (ARB) including integration points with enterprise governance, vendor management office processes, and the Software Development Lifecycle (SDLC) that includes the management of an overall Architecture Office scorecard, measures, metrics that is regularly publish it to the enterprise + Manage, administer and drive continuous improvement efforts for the Enterprise Architecture repositories (ServiceNow Enterprise Architecture, Enterprise Architecture SharePoint) and integrated repositories (ServiceNow Configuration Management Database) + Work with the Business, IT, Block, and service leaders to be the central point of contact and ensure effective engagement of the Architecture Office processes and procedures and overall satisfaction with the Architecture discipline + Proactively seek out and manage practice improvement opportunities that continually improve and re-aligns the architecture + Manage and be the point of contact for architecture request for proposal (RFP) content and responses as well as Enterprise Architecture controls and content associated with Prime's SOC2, HITRUST and internal standard industry controls + Drive annual refresh and communication of foundational architecture guidance (principles, standards, patterns, and blueprints) and ensure the effective awareness and communication of architecture guidance + Other duties as assigned **Education & Experience** + Bachelor's degree in Computer Science, Management of Information Systems, Business or related area of study, or equivalent combination of education and/or relevant work experience; High School Diploma or GED equivalent required + 7 years of related work experience in Business Analysis, Project Management, System Analysis, Technical Architecture, or Solution Architecture; to include 2 years direct experience working within an Architect role + Must be eligible to work in the United States without the need for work visa or residency sponsorship **Additional Qualifications** + Demonstrated knowledge of Enterprise or Solution Architecture development and management- + Demonstrated ability providing project management discipline to continuous practice improvement + Demonstrated ability working with senior IT and Business leaders to effectively apply enterprise processes across an organization + Expert in process development, measurement, and governance and driving their application into an organization. + Strong self-management skills in multiple-priority, high ambiguity situations + Ability to proactively communicate at multiple levels: executive to individual contributor + Comfortable with resolving conflicting viewpoints and achieving consensus **Preferred Qualifications** + Experience managing Enterprise Architecture tools, in particular ServiceNow Enterprise Architecture + Healthcare industry experience including PBM + Advanced degree (MBA, MIS, other) + Prior experience as an architect, IT Manager or Project/Program Manager **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 + Ability to travel up to 10% of time Every 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 Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (******************************************* and click on the "Benefits at a glance" button for more detail. _Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _ _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._ _Prime Therapeutics LLC is a Tobacco-Free Workplace employer._ Positions will be posted for a minimum of five consecutive workdays. Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. 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. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ************** or email *****************************.
$124k-211k yearly 50d ago
Department of Social Services (DSS) Liaison, Region 6
Blue Cross Nc 4.8
Remote Job
Healthy Blue Care Together is Medicaid plan offered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to serve children and families through the Children and Families Specialty Plan (CFSP). This individual will serve as the primary contact for a regional grouping of County Division of Social Services (DSS) offices, including County Directors of Social Services and County Child Welfare Workers, to triage and escalate issues where County Child Welfare Workers are seeking to coordinate with CFSP care managers and Member specific and/or CFSP-related questions. Candidates for this position must live in one of the following North Carolina counties: Bladen, Brunswick, Carteret, Columbus, Craven, Cumberland, Duplin, Jones, Lenoir, New Hanover, Onslow, Pamlico, Pender, Sampson *Candidates must currently live in one of the following North Carolina counties to be considered for this position: Bladen, Brunswick, Carteret, Columbus, Craven, Cumberland, Duplin, Jones, Lenoir, New Hanover, Onslow, Pamlico, Pender, Sampson* What You'll Do Develop and execute strategic, community-focused initiatives that advance Blue Cross NC's brand and business objectives, member outreach, retention activities, etc. Strategies will include but are not limited to maximizing accessibility and quality health care for community members. Manage all escalation and troubleshooting for DSS county-level concerns and ensure appropriate resolution and follow up for Lead the Member Advisory Committees and create appropriate follow up plan to ensure that member feedback guides policy changes, informs our investments in community resources, and supports process changes to align with community needs for the CFSP role in the System of Care. Continuously improve our educational efforts through data-driven insights and local input that effectively capture and incorporate important nuances in the local System of Care. Collaborate with other Healthy Blue Care Together and Healthy Blue teams to achieve business objectives. This role will work closely with community organizations that serve children and families engaged with the child welfare system and will be responsible for representing Healthy Blue Care Together and Healthy Blue, our Medicaid Standard Plan, at community tabling events. Manage policies and procedures, and oversee projects and program, ensuring deliverables and objects are met. What You Bring Must have experience working with North Carolina DSS and knowledge of North Carolina's child welfare system. Bachelor's degree or advanced degree (where required) 5+ years of experience in related field In lieu of degree, 7+ years of experience in related field Bonus Points Excellent written and verbal communication skills to effectively work with diverse groups. Ability to identify, analyze and understand target audiences and their specific program needs. Proven knowledge of policies and procedures to improve programs efficiency and effectiveness. Ability to utilize reports and records of activities to ensure progress is being accomplished toward specified program objective and modify or change methodology as required to redirect activities and attain objectives. Ability to own and make needed decisions to ensure the successful resolution of all issues, problems and changes within the program that do not alter or defer significantly from the agreed upon milestones and major deliverables. What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $69,000.00 - $124,200.00 Skills Communication, Communication Coordination, Crisis Communication Management, Digital Communications, External Communication, Internal Communications, Media Management, Media Relations, Public Relations (PR), Strategic Communication Planning
$35k-43k yearly est. 7d ago
Case Manager - NICU/Peds
Blue Cross Nc 4.8
Remote Job
Dependent on clinical discipline, the Case Manager / Health Coach coordinates appropriate care, resources and/or services of selected member populations. Provides guidance and promotes effective utilization and monitoring of health care resources to drive quality care for our members. Collaborates as needed with varied members of the healthcare team to achieve optimal clinical and/or resource outcomes. What You'll Do Serve as a team member on a multidisciplinary team, coordinating care, resources and/or services for members to achieve optimal clinical and resource outcomes Utilize applicable clinical skillset and perform comprehensive assessments to determine how to best collaborate with members, family, internal partners and external services/providers on plans for treatment, appropriate intervention and/or discharge planning Develop a member-centric plan tailored to members' needs, health status, educational status and level of support needs; identify barriers to meeting goals or plan of care Utilize community resources and funding sources as needed in the development of the plan of care Perform ongoing monitoring and management of member which may include scheduled follow-up with member, discussion of plan with member, appropriate services/education to address needs, appropriate referrals with supporting documentation, assessment of progress towards goals, modification of plan/goals as needed, with contact frequency appropriate to member acuity Evaluate and facilitate care provided to members through the continuum of care (physician office, hospital, rehabilitation unit, skilled nursing facility, home care, etc) Educate members and encourage pro-active intervention to limit expense and encourage positive outcomes Effectively document all aspects of the plan from the initial assessment, development of the plan, implementation, monitoring, and evaluating outcome May outreach directly to members identified as high risk, high cost, or high utilization cases May review alternative treatment plans for case management candidates and assess available benefits and the need for benefits exception or flex benefit options, where eligible May evaluate medical necessity and appropriateness of services as defined by department As needed, develop relevant policies/procedures, education or training for use both internally and externally What You'll Bring RN with 3 years of NICU clinical and/or case management experience required Must have and maintain a valid and applicable clinical license (NC or compact multi-state licensure) to perform described job duties For this role, additional specialty certification (i.e. CCM) will be required. Incumbents must obtain relevant certification within 2 years of employment What You'll Give The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution Learn more Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $68,200.00 - $109,100.00 Skills
$68.2k-109.1k yearly 14h ago
Sales Executive - Coeur d'Alene (Remote)
Pacificsource 3.9
Remote or Boise, ID Job
Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Represent PacificSource in the marketplace and solicits clients for PacificSource products and services. Build positive broker relationships in the area through the education of company products and services. Provide direct sales and service to employers as needed. Essential Responsibilities: Target sales opportunities through area brokers by establishing strategic relationships through scheduled appointments, cold calls and industry events. Educate brokers on PacificSource products and services through verbal and written communication. Develop systems of communication with brokers to keep them current regulatory or legislative changes, underwriting methodologies, and new product/network arrangements. Document sales and pipeline activity in the PacificSource Health Plans, Client Relationship Management (CRM) system. Present annual renewals in written and verbal presentations. Follow up with agents on renewal rates from Underwriting, confirm and implement renewing plan design and rates. Track renewal, termination and negotiation likelihood activities in CRM. Consult with employers who contact PacificSource directly. Complete Proposal Request Forms, benefit designs strategy/configuration, and plan options on a timely basis. Deliver completed proposals and suggest additional plan/funding alternatives to agents as appropriate. Review new and renewing documentation to ensure enrollment and group set up accuracy. Educate brokers and employer groups of administrative processes and procedures, to include manuals, enrollment/billing , identification cards, etc. in the absence of the Service Representative. Work with Client Service Representative on new group enrollment and orientation meetings. Group benefit meetings include presentation of the group's medical and optional benefits, administrative procedures, provider networks, and access to PacificSource for assistance. Assist Client Service Representative as needed to prepare materials and presentations for meetings. Work with Product Development Team to develop products, as needed. Lead/mentor Client Service Representatives and Sales Coordinators in management and retention of assigned books of business. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. Work Experience: Minimum of three years health insurance background required. Minimum of two years sales and/or account management experience required. Education, Certificates, Licenses: Department of Insurance Life and Health License. Requires high school diploma or equivalent. A Bachelor's degree preferred. Knowledge: Ability to gain a thorough understanding of PacificSource products, internal procedures, and the competitive environment. A working knowledge of underwriting and risk factors. Responsible to support the mission of PacificSource Health Plans, meeting departmental goals and performance standards. Timely and accurate response to client needs and requests. Responsible to represent the entire staff in the marketplace through expertise, reliability and professionalism. Prefer well developed relationships within the insurance community. Experience with office management and employee relations. Competencies: Assignment Management Becoming a Business Advisor Building Trusting Relationships Devising Sales Approaches and Solutions Marshaling Resources Sales Disposition Sustaining Customer Satisfaction Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 40% of the time. Skills: Accountability, Business & financial acumen, Collaboration, Communication, Developing Networks, Flexibility, Listening (active), Strategic Thinking Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
$66k-94k yearly est. 17d ago
Consulting Actuary - Medicare Risk Adjustment
Blue Cross Nc 4.8
Remote Job
As a Consulting Actuary at our healthcare organization, you will play a pivotal role in shaping the future of care delivery through data-driven insights and strategic actuarial expertise. You'll lead initiatives that directly impact patient outcomes and business performance-whether it's designing innovative insurance products, optimizing pricing strategies, or evaluating advanced care management models. Your work will support key organizational goals by delivering clear, consistent, and actionable analysis that informs executive decision-making. You'll also conduct competitive benchmarking and identify emerging risks and opportunities in a rapidly evolving healthcare landscape. This role is ideal for a forward-thinking actuary who thrives in a dynamic environment and is passionate about using their skills to improve healthcare affordability, accessibility, and quality. What You'll Do Accountable for completion of complex actuarial or analytical projects, ensuring timeliness, compliance, and quality of work Provide proactive and strategic thought leadership of ways to improve processes, reduce risks, and meet department and enterprise objectives to achieve profitable growth and/or improve value, quality, and access for Blue Cross NC customers Achieve segment financial targets and provide concise explanations of results and variances to expectations; act as a financial steward for the company Communicate effectively with all levels and divisions within the organization, including Divisional Leadership Manage external partnerships with vendors, auditors, regulators, and health care providers, including effective negotiation of contracts and/or rates Develop and maintain strong business relationships with internal partners through business expertise and exceptional support; act as a strategic advisor Meet continuing education standards required for job function, thought leadership and maintenance of actuarial credentials What You Bring Bachelor's degree or advanced degree (where required) Member of the American Academy of Actuaries Fellow of the Society of Actuaries 7 years of relevant actuarial experience, related experience may be considered. In lieu of an FSA, will consider candidates who are an Associate of the Society of Actuaries (ASA) and have at least 9 years of relevant actuarial experience. Bonus Points Experience in Medicare Advantage Risk Adjustment highly preferred What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $117,200.00 - $222,500.00 Skills Actuarial Analysis, Actuarial Management, Actuarial Science, Actuarial Services, Complex Care Management, Financial Reporting and Analysis, Hiring Management, Insurance Industry, Organizational Leadership, Regulatory Compliance
$117.2k-222.5k yearly 7d ago
Sr. Market Pricing Analyst - REMOTE
Prime Therapeutics 4.8
Remote Prime Therapeutics Job
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting TitleSr. Market Pricing Analyst - REMOTEJob Description The Senior Market Pricing Analyst serves as a trusted partner to our health plan clients by participating in the assessment of value generated by Prime's programs and leverages this insight to contribute to the development of new or enhanced financial pricing strategies. This position will also lead complex financial pricing analyses and provide consultation and analytic insight to internal and external stakeholders. Responsibilities Recommend new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines and other relevant data of varying complexity within the pharmacy economic supply chain; utilize analytics to explore data, identify trends, and draw profitability, margin, and costs insights from multi-faceted and high dimensional financial pricing data Collaborate with sales and account management team as well as other internal functional areas to execute go-to-market strategies in accordance with health plan partner goals within their specific markets Interpret financial performance reports to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings and/or meet client/pharmacy contractual obligations using analytic tools and complex financial pricing methodologies Work with plans to understand current market conditions and how to incorporate important contract language, terms and conditions to ensure maximum protection against financial risk Act as a financial pricing subject matter expert by educating internal/external stakeholders on financial pricing programs and interpretation of financial pricing data and reporting Create, recommend, implement pharmacy financial pricing targets for use by plans sponsors for use in their employer markets. This includes stratifying groups into different pricing tiers to achieve maximum profit while aiding in meeting contractual commitments Assist account teams in client education relative to Prime programs and market positioning strategies Other duties as assigned Education & Experience Bachelor's degree in applied math, statistics, engineering, accounting, finance, economics, business, computer sciences or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required 5 years of work experience in pricing or financial analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field Previous experience using SQL, SAS, Alteryx, R, Python or related technologies Must be eligible to work in the United States without the need for work visa or residency sponsorship Additional Qualifications Demonstrated ability to problem solve and interpret complex data Ability to establish rapport and effectively influence at all levels within an organization Excellent communication and cross functional collaboration skills Ability to present complex data to a wide variety of audiences at all levels within and organization Preferred Qualifications Experience in Data Analytics Physical Demands Ability to work in a flexible schedule which may include weekends, holidays, or shifts outside of Prime's core business hours of 9:00am-3:00pm Constantly required to sit, use hands to handle or feel, talk and hear Frequently required to reach with hands and arms Occasionally required to stand, walk and stoop, kneel, and crouch Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus Every 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. Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. 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. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays.
$81k-138k yearly 28d ago
Carrier Premium Payables
World Insurance Associates 4.0
Remote or Iselin, NJ Job
World Insurance Associates is a unique insurance organization offering top products and services from major providers, combined with attentive service from local agents. Founded in 2011, World is one of fastest-growing insurance brokers in the U.S. with over 2,200 employees in over 210 offices across North America. We specialize in personal and commercial insurance lines, surety and bonding, employee benefits, financial and retirement services, and human capital management solutions. Role and Responsibilities The Carrier Payable Analyst is responsible for submitting timely and accurate payments to insurance carriers. Working closely with account teams and service leaders, this position will also be responsible for assisting in the review and resolution of billing discrepancies, unpaid items, and reconciliation problems. The Carrier Payable Analyst must communicate effectively with carriers and internal contacts to align with company guidelines and contract requirements, maintain payment documentation and exception reporting, and collaborate with other members of the Carrier Payables team and the Agency Bill Manager on World's accounting processes and procedures. This is a fully remote role with periodic travel as required. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned to meet business needs. Verifies invoicing against carrier documents and initiates resolution of any differences. Prepares, reconciles and initiates timely payment of selected company payables. Ensures timely collection and recording of return premium from the carriers. Builds relationships with carrier representatives and internal stakeholders Maintains payment documentation thoroughly and accurately, in accordance with company policy and accepted accounting practices Assists in providing documentation for carrier audits and acts as a resource during audits. Research and responds to all carrier questions upon request. Special projects and other duties as assigned. Qualifications EDUCATION, SKILLS, AND EXPERIENCE: Insurance industry experience preferred Bachelor of Science degree in Accounting or Finance or equivalent education/experience. Proficiency in Excel Strong analytical and problem-solving skills Strong organizational skills with the ability to prioritize high volume and time sensitive transactions. Ability to work independently and on a team High degree of professional communication and tactful negotiation skills. Knowledge of Applied Epic a plus Position Summary This position is located in New Jersey. The base salary for this position at the time of this posting may range from $60,000 to $65,000. Individual compensation varies based on job-related factors, including business needs, experience, level of responsibility, and qualifications. We offer a competitive benefits package and variable pay programs, please visit ************************************** for more details. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-GP1 #-REMOTE
$60k-65k yearly 15d ago
Clinical Staff Pharmacist- REMOTE
Prime Therapeutics 4.8
Prime Therapeutics Job In Phoenix, AZ Or Remote
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Staff Pharmacist- REMOTE **Job Description** The Clinical Staff Pharmacist is responsible for the processing and documenting of Utilization Management requests (i.e. formulary exceptions, prior authorization, step therapy, quantity limit exceptions) for delegated products and services. **Responsibilities** + Responsible for the clinical evaluation for coverage determination requests for prior authorization (PA) or other utilization management (UM) programs, including quantity limits, step therapy, formulary exception and tier exception; this includes consideration of the denial language and appropriateness of the decision as it pertains to the clinical content of the case and the intent of the individual client's pre-approved criteria + Accountable for direct consultation with health care providers concerning non-formulary and clinical product coverage issues + Collaborate with team members to promote consistency of decisions across the pharmacist team + Other duties as assigned **Education & Experience** + Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree + Current pharmacist license in good standing with the State Board of Pharmacy + 2 years of clinical experience; or equivalent training, education and/or experience + Must be eligible to work in the United States without the need for work visa or residency sponsorship **Additional Qualifications** + Excellent verbal and written communication skills + Ability to work independently and as part of a team **Preferred Qualifications** + Managed care experience + Proficiency with Microsoft Office **Physical Demands** + This position may require rotation through weekend and/or holiday schedules + Constantly required to sit, use hands to handle or feel, talk and hear + Frequently required to reach with hands and arms + Occasionally required to stand, walk and stoop, kneel, and crouch + Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds + Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus **Reporting Structure** + Every 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. Potential pay for this position ranges from $51.92 - $88.46 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (******************************************* and click on the "Benefits at a glance" button for more detail. _Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _ _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._ _Prime Therapeutics LLC is a Tobacco-Free Workplace employer._ Positions will be posted for a minimum of five consecutive workdays. Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. 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. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ************** or email *****************************.
$51.9-88.5 hourly 20d ago
Business Intelligence Analyst, HEDIS Data Operations
Blue Cross Nc 4.8
Remote Job
Responsible for monitoring and analyzing the quality of HEDIS data inputs, supporting HEDIS data processing, troubleshooting data issues and providing insights to key stakeholders. Work with the analytics team to develop new and high impact visualizations that makes analysis and data easy to understand, actionable, and facilitate idea generation and decision making. The job may also entail application administration of server environments (e.g. ASP/SaaS) along with development and deployment of solutions created with software from third-party vendors. What You'll Do Ensure the accuracy and reliability of data utilized in quality management to support data extraction process Collaborate with cross-functional teams to define standard HEDIS data requirements and implement process improvements to integrate and expand new data sources Analyze HEDIS /Clinical related data trends and provide actionable insights that drive informed decision-making Conduct system testing, debugging, and documentation to maintain high-quality standards Ensure compliance with HEDIS regulatory standards and internal quality control processes Partner with auditors and external stakeholders during the HEDIS audit process, addressing data requests and ensuring compliance Document data flow processes, coding standards, and HEDIS measure interpretations to ensure clarity and collaboration across teams Validate annual updates and revisions to HEDIS certified software for data inputs and outputs Proficient in monitoring and analyzing data volumes across claims, enrollment, member records and pharmacy to ensure accuracy and efficiency Collaborate with Data Engineers and Data Scientists to identify, create and influence optimal solution design to deliver actionable insight related HEDIS measure quality metrics Facilitate cross-functional problem-solving sessions to arrive at optimal solutions accounting for stakeholder needs to ensure successful project delivery Create, maintain, and enforce data visualization governance and development standards to continuously and proactively improve the quality of solution development and efficiency of processes across the enterprise What You'll Bring Bachelor's degree or advanced degree (where required) 3+ years of experience in related field In lieu of degree, 5+ years of experience in related field Bonus Points Proven experience as an Analyst, preferably in quality data management or a similar field Proficient in programming languages such as SQL, Python, R, or similar Experience with data management systems and tools (e.g., SQL databases, ETL tools, data visualization software) Strong analytical skills with attention to detail Familiarity with quality control processes and standards (ISO, Six Sigma, etc.) is a plus What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution Learn more Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $77,200.00 - $123,400.00 Skills Business Analysis, Business Intelligence (BI), Collaborative Development, Communication, Dashboards Design, Data Analysis, Data Governance, Data Mining, Data Modeling, Data Query, Data Science, Data Visualization, Data Visualization Techniques, Data Warehousing (DW), Peer Coaching, Peer Mentoring, Problem Solving, Software as a Service (SaaS), Solutions Development, Statistical Analysis, Structured Query Language (SQL)
$77.2k-123.4k yearly 14h ago
Senior Principal, Health Plans Underwriter - REMOTE
Prime Therapeutics 4.8
Remote Prime Therapeutics Job
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting TitleSenior Principal, Health Plans Underwriter - REMOTEJob Description The Senior Principal Underwriter is responsible for driving profit, growth, service and expense objectives through managing the financial analysis and pricing of Prime's book of business. This position is accountable for overseeing the development of recommended pricing terms; offer structure and risk analysis for highly complex and visible cases, primarily in the Health Plan markets that directly impact Prime's goals; profit drivers and the organization's financial value statement. This role serves as a subject matter expert and accountable leader on concerns pertaining to underwriting, performance guarantees and other financial considerations. Responsibilities Evaluates the utilization and financial experience of customers and prospects; primarily focused on complex cases within the Health Plan marketplace Researches, analyzes, develops and applies advanced knowledge of pricing strategies in the PBM industry; provides underwriting services to determine pricing and monitors accounts to ensure they remain on a profitable basis and if needed, leverages contractual or internal adjustment remedies In partnership with Sales and Client Engagement, provide expertise assisting in the development of client presentations and leads negotiations pertaining to pricing, and performance guarantees Consults with other departments such as Legal and IT, and develops and drives financial presentations to Senior and Executive Leadership teams on financial business decisions to effectively mitigate risk in securing new clients Builds external consultant relationships to evaluate Prime's competitiveness and to improve financial offerings in support of winning new business Leads contracting negotiations as a primary source of financial truth in legal contracting of new and existing clients, ensuring detailed contract clauses match the underlying financials and do not put company at additional risk 20% Develops and maintains a strong positive working relationship with Senior leadership in many areas, including Sales, Network Management, Trade Relations, and Client Engagement, as well as other key business owners within Prime 5% May manage staffing, performance and development of a small team of underwriters and mentor other junior members of the team Advocates for and leads business requirements for underwriting tools and processes Other duties as assigned Education & Experience Bachelor's degree in mathematics, accounting, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required 10 years of related work experience in Finance or Accounting, including 3 years in the PBM industry Must be eligible to work in the United States without need for work visa or residency sponsorship Additional Qualifications In-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 Ability to conduct complex in-depth analysis to drive business and contractual outcomes Exceptional communication skills; ability to distill complex material into easy to understand presentations, effectively respond to questions and engage a variety of audiences Ability to effectively present information and influence Senior and Executive Leadership decisions Works well under stressful situations with competing deadlines and goals Ability to negotiate with difficult external audiences Excellent written and verbal communication skills Strong eye for detail and excellent retention of salient details Advanced level of proficiency in MS Office applications, particularly Excel, Word and PowerPoint Preferred Qualifications PBM Analytics (Google Cloud (GCP), Excel, SQL Progressive leadership experience Physical Demands Constantly required to sit, use hands to handle or feel, talk and hear Frequently required to reach with hands and arms Occasionally required to stand, walk and stoop, kneel, and crouch Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus Every 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. Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. 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. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays.
$66k-98k yearly est. 58d ago
DSNP Project/Program Manager
Blue Cross Nc 4.8
Remote Job
Manage small programs or a phase of a larger program. Provide full program management including needs analysis, program maintenance, administration and monitoring, data analysis, program evaluation, and vendor/contract administration if applicable. May also make recommendations for changes or modifications for assigned program and implement as needed. What You'll Do Manage/administer smaller programs or a phase of a larger program to ensure that prescribed activities are carried out in accordance with program objectives. Assess needs and coordinate resources to enhance existing programs. Monitor the progress of program components to ensure the overall goals, schedules, and benefits of the program will be met. Document and present program results through operational reports, outcomes studies, presentations and publications. Prepare program reports for superiors. Recommend and/or implement program and process changes as needed to achieve program goals and objectives. May have budget responsibilities to control expenditures in accordance with budget allocations, together with the conformance to timing, limits and usage of funding as agreed upon in the spending plan for the assigned program. May handle vendor management and administer program contracts to ensure vendors meet service level agreements if applicable. Review reports and records of activities to ensure progress is being accomplished toward specified program objective and modify or change methodology as required to redirect activities and attain objectives. Developing HEDIS project plans. Cross-departmental collaboration and stakeholder education. Responsible for DSNP HEDIS program management which includes HEDIS Roadmap, production runs, admin refresh, reporting, etc. Perform compliance related functions including, but not limited to: CCIP, program descriptions, HPMS memos, QIC coordination and facilitation, policy coordination. Support annual HEDIS functions such as: rate review, HEDIS roadmap, Medical Record Review (including overreading), analyze rates and trends, etc. Other ad hoc duties as assigned. What You'll Bring Bachelor's degree or advanced degree (where required) 3+ years of experience in related field In lieu of degree, 5+ years of experience in related field Knowledge of DSNP clinical quality improvement operations and HEDIS Bonus Points Strong analytical, organization, and problem-solving skills Strong written and verbal communication skills and ability to successfully interact with all levels of management Knowledge of Blue Cross NC or prior healthcare payer experience strongly preferred What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution Learn more Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $68,200.00 - $109,100.00 Skills Budgeting, HEDIS, Office Administration, Process Improvements, Program Administration, Program Documentation, Program Evaluations, Program Implementation, Program Management, Project Management, Resource Allocation
$68.2k-109.1k yearly 7d ago
Benefit Plan Configuration Advisor Assoc- REMOTE
Prime Therapeutics 4.8
Remote Prime Therapeutics Job
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting TitleBenefit Plan Configuration Advisor Assoc- REMOTEJob Description This position specializes in the analysis and application of intermediate level benefit plan design requirements. A successful Analyst will ensure a high level of quality and accuracy through benefit configuration, test execution and validation efforts while serving as a subject matter expert on benefits and claim adjudication system coding setup. Responsibilities Analyzes new business requirements for benefit design changes to establish the appropriate solution. Complies with standards set forth regarding benefit design and configuration including but not limited to Health Insurance Portability and Accountability Act of 1996 (HIPAA) and National Council for Prescription Drug Programs (NCPDP). Maintains technical documentation based on standard operating procedures. Partners with various teams to analyze customer specific requirements and configuration and translate those into technical design specification and data flow from which programs are developed and coded. Actively participates in and contributes to daily communications, team meetings and project/issue resolution. Responsible for accurate management of plan benefits coding changes, test execution and validation efforts of plan benefit design requests. Maintains customer documentation that validates configuration. Efficiently and effectively distributes tasks, using clear and concise instructions and expectations. Completes deliverables independently and within an agile team setting. Other duties as assigned. Education & Experience Bachelor's degree or equivalent combination of education and/or work experience; HS diploma or GED is required Less than 2 years experience in Benefit Plan Configuration Must be eligible to work in the United States without the need for work visa or residency sponsorship. Additional Qualifications This role requires strong attention to detail, critical thinking and analytical skills Strong working knowledge of Microsoft Office suite, specifically Word and Excel, including running queries and macros. Ability to work within a team and as an individual contributor in a fast-paced, changing environment. Ability to identify and resolve process and/or systems issues. Strong sense of urgency leading to the timely completion of all projects, training and assignments. Preferred Qualifications Experience with adjudication processes (CAPS/AS400 experience preferred), analyzing benefit plan design and system application. 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. Every 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. Potential pay for this position ranges from $23.08 - $37.02 based on experience and skills.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. 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. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays.
$23.1-37 hourly 7d ago
Sr. Network Engineer - Routing Remote
Prime Therapeutics 4.8
Remote Prime Therapeutics Job
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting TitleSr. Network Engineer - Routing RemoteJob Description The Systems Engineer Senior IT is responsible for constructing detail design based on architectural guidance. This position is responsible for serving as a subject matter expert and performing activities required for the support of secured IT infrastructure. Responsibilities Interfacing with various Prime teams, vendors, clients and others for the implementation and support of networking products and services Contribute to Data Center and Enterprise LAN/WAN environments and overall network future infrastructure architecture and support strategy. Design, engineer, and support data center, performance hub, and cloud routing Collaborate with other staff and departments to meet department and project deadlines Collaborate with IT Security departments to mitigate security vulnerabilities Document network infrastructure changes Use ITIL process and procedures for change, incident and problem management of network environments Other duties as assigned Minimum Qualifications Bachelor's degree in Computer Science or related area of study, or equivalent combination of education and/or relevant work experience; High School Diploma or GED equivalent required Experience with specific domain relevant to team 5 years of experience in Network routing/switching technologies. Must be eligible to work in the United States without need for work visa or residency sponsorship Additional Qualifications Experience with WAN technologies Experience with Cisco Nexus, Catalyst, ISR/ASR Experience with Arista technologies Routing Technologies (BGP expertise is a must) Excellent written, technical, and verbal communication skills Ability to work effectively in a cross-functional team and independently Capable and willing to receive work direction from direct and indirect leadership Ability to transition abstract concepts into technical deployment designs Ability to develop decision criteria and develop unbiased technology comparisons Strong analytical and technical problem-solving skills Strong traits of decisiveness and judgment Ability to develop decision criteria and develop unbiased technology comparisons Preferred Qualifications Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) Previous experience in PBM / health care industry Understanding of security implications of domain ITIL Foundations Certification Minimum Physical Job Requirements Ability to travel up to 10% of the time Ability to work a flexible schedule including weekends, holidays, overtime, on-call, and shifts outside of Prime's core business hours of 9:00 a.m. to 3:00 p.m. Constantly required to sit, use hands to handle or feel, talk and hear Frequently required to reach with hands and arms Occasionally required to stand, walk and stoop, kneel, and crouch Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 50 pounds Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus Reporting Structure Reports to a Manager in the IT department Potential pay for this position ranges from $94,000.00 - $160,000.00 based on experience and skills.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. 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. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays.
$94k-160k yearly 60d+ ago
VP, Enterprise Corporate Communications
Blue Cross Nc 4.8
Remote Job
CuraCor is seeking a dynamic, strategic, and results-driven Vice President of Enterprise Corporate Communications. This leader will be responsible for shaping and executing a comprehensive communications strategy that strengthens CuraCor and Blue Cross NC's reputation, supports business growth, deepens employee engagement, and protects the organization through proactive risk and crisis management. The ideal candidate will combine high-level strategic thinking with strong operational leadership, including the use of data, analytics, and AI tools to drive messaging precision and business impact. Travel Expectations: Minimum once a month travel, approximately 12-15 visits annually to our Durham, NC campus. What You'll Do: Strategy and Leadership Develop and lead a company-wide, integrated communications strategy aligned to business objectives, brand positioning, and growth priorities. Serve as a trusted advisor to executive leadership on reputation management, media relations, employee communications, and emerging issues. Lead, inspire, and grow a high-performing team across internal and external communications, crisis communications, media relations, and communications analytics. Internal Communications Build a transparent, engaging internal communications ecosystem that informs, aligns, and motivates employees at all levels. Oversee executive communications, including messaging, town halls, video communications, and leadership visibility campaigns. Foster a unified company culture during times of transformation and growth. External Communications and Media Relations Lead proactive media engagement to enhance visibility of CuraCor and Blue Cross NC's innovation, thought leadership, and community impact. Support corporate storytelling that highlights the company's role in improving health for all. Manage relationships with media outlets, industry influencers, and key stakeholders to enhance visibility and credibility. Crisis Communications and Risk Management Develop and maintain comprehensive crisis communications plans. Serve as communications lead in times of crisis, ensuring timely, strategic, and transparent messaging internally and externally. Monitor emerging risks and coordinate rapid response strategies. Data, Analytics, and Artificial Intelligence Implement AI-powered tools for media monitoring, sentiment analysis, content creation, and performance measurement. Drive a data-first approach to measure communications effectiveness (internal engagement, media impressions, share of voice, sentiment, etc.). Translate analytics insights into actionable recommendations to optimize communication efforts. What You Bring: 15+ years of progressive experience in corporate communications, including leadership roles; health care or health solutions industry experience strongly preferred. Proven success driving business results and brand elevation through strategic communications. Expertise in internal communications, external communications, media relations, issues/crisis management, and digital engagement. Strong familiarity with communications analytics, media monitoring platforms, and AI-based communication tools (e.g., generative AI for content, AI-powered social listening). Exceptional leadership, collaboration, and cross-functional influence skills. Outstanding writing, messaging, and storytelling capabilities. Bachelor's degree in Communications, Public Relations, Journalism, or related field (Master's degree preferred). What You'll Get : The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution Learn more
$88k-107k yearly est. 14h ago
Functional Business Consultant Senior - Remote
Prime Therapeutics 4.8
Prime Therapeutics Job In Phoenix, AZ Or Remote
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. **Job Posting Title** Functional Business Consultant Senior - Remote **Job Description** The Functional Business Consultant serves as a business system or business process subject matter expert with a high level of understanding of their assigned area. This position will represent their area of expertise with regard to business system knowledge on internal and client projects, regulatory requirements, process improvement, advanced research, root cause analysis, complex issue research, documentation, advanced communications, client interaction, training, testing, ongoing system support, and developing reports and coordinating audits. **Responsibilities** + Represents assigned business system or business process as a subject matter expert in business requirements, system specifications, process flows, process change and/or project management + Provides leadership to the business in the identification and adoption of operational best practices and standard operating procedures as it relates to assigned business system or business process + Independently researches, determines root cause and collaborates with others to resolve complex business and technical issues and customer inquiries. + Provides prompt and thorough resolution for client and/or member satisfaction + May facilitate testing for new or improved systems or processes including creation of a test plan, identifying test cases, and performing or leading User Acceptance and Joint Cycle Testing + May provide guidance, mentoring, and work direction to others on the team + Other duties as assigned **Education & Experience** + Bachelor's degree in business administration, IT or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required + 5 years of work experience in business analysis, project management, and/or process improvement to include:##3 years of functional experience in at least one of the specific areas for position (e.g., claims, eligibility, product, benefits, implementations or related area) + Must be eligible to work in the United States without need for work visa or residency sponsorship **Additional Qualifications** + Proven client service skills with a track record for building strong client relations + Implementation experience + Thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Self learns new processes/software to solve analytic problems + Expert interpersonal skills necessary to drive results and deliver on commitments in a collaborative fashion + Skillful at meeting facilitation, conflict management, and consensus building + Capable of handling multiple projects simultaneously and ability to work under pressure with strict timelines in a fast-paced work environment + Excellent verbal and written communication skills with prior experience giving presentations + Proficiency in Microsoft Word, Excel, Project, PowerPoint, and Visio **Preferred Qualifications** + Rx Claims system proficiency + Previous PBM or healthcare experience + Advanced experience using queries **Physical Demands** + Occasional non-standard hours and travel may be required + Constantly required to sit, use hands to handle or feel, talk and hear + Frequently required to reach with hands and arms + Occasionally required to stand, walk and stoop, kneel, and crouch + Occasionally required to lift and/or move up to 10 pounds + Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus Every 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. Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (******************************************* and click on the "Benefits at a glance" button for more detail. _Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. _ _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._ _Prime Therapeutics LLC is a Tobacco-Free Workplace employer._ Positions will be posted for a minimum of five consecutive workdays. Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. 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. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ************** or email *****************************.
$81k-138k yearly 3d ago
Principal BI Analyst
Blue Cross Nc 4.8
Remote Job
IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives. Driven by the importance of their work, our team members innovate to elevate. We're encouraged to be curious, collaborate, and turn ideas into solutions that can make health care better for all. In this role you will be responsible for providing enterprise/divisional thought leadership on data visualization and analytic report development. This includes supporting/monitoring the team development and application of visualization best practices, and providing development and consultative services to data viz users across the organization. Lead the creation, maintenance and communication of data visualization governance and development standards to continuously and proactively improve the quality of solution development and efficiency of processes across the enterprise. If you are ready to make a career out of making a difference, then you are the person for this team. What You Will Do Perform the role of thought leader and chief architect for data visualization based analytic solutions In person engagement with external customers on a rolling quarterly basis Analyze complex business problems or opportunities and prepare detailed specifications from which objects will be written Act as a technical resource for the team; provide assistance on system issues, work processes and procedures Independently perform all necessary discovery and fact finding to fully understand and execute all assignments Identify best practices, communicate and implement these practices to the department. Work closely with Data & Analytics leadership to affect tactical and strategic decisions regarding the use of Tableau and data visualization Mentor and provide knowledge transfer to junior team members by guiding them on development best practices Design and architect high performance data visualization solutions to enable delivery analytic value and ensure they are maintainable and scalable as business needs dictate Facilitate cross-functional problem solving sessions to arrive at optimal solutions accounting for stakeholder needs to ensure successful project delivery. Provide team status in various projects, escalate issues as needed, access and communicate risks to the development schedule and project to represent the VizTeam& interests in cross-functional project teams and ensure project success. Create, maintain, and enforce data visualization governance and development standards to continuously and proactively improve the quality of solution development and efficiency of processes across the enterprise. Assist management with employee development initiatives, including training. Provide direction and assistance to junior staff members. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. SQL Proficiency Healthcare Industry Experience Desire to make an impact Curiosity and commitment to solve problems Comfortability engaging directly with customers including leadership at the Sr. Manager level and above Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $105,600.00 - $191,800.00 Skills
$105.6k-191.8k yearly 7d ago
Manager, Advanced Analytics AI/ML
Blue Cross Nc 4.8
Remote Job
IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives. Driven by the importance of their work, our team members innovate to elevate. We're encouraged to be curious, collaborate, and turn ideas into solutions that can make health care better for all. In this role you will manage an AI and Machine Learning strategy that unleashes innovative capabilities to enhance healthcare journeys at every moment that matters. If you are ready to make a career out of making a difference, then you are the person for this team. What You Will Do •Manage the AI and Machine Learning vision, strategy, and implementation across the enterprise. •Manage a team of highly skilled data scientists capable of evolving the quality and sophistication of AI/ML models and insights across the enterprise. •Maintain the competitive advantage through research and development activities that target specific areas of our business that can maximally benefit from AI and ML technologies. •Partner with other IT teams to establish the infrastructure required for the data to enable development of sophisticated AI/ML solutions on a cloud platform. •Consult with business partners to identify opportunities and implement solutions that maximally leverage AI and Machine Learning to achieve their business objectives. •Advises business partners on advanced analytics opportunities on an ongoing basis •Build, motivate & mentor a team of data scientists to grow their skills and careers. •Define and implement AI & Machine Learning best practices Hiring Requirements Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. 3+ years formally leading data science teams, preferably in a matrix organization. 3+ years of hands-on experience developing data science solutions, from concept to prototyping to production, and selecting the right tool for the job at hand. Knowledge of modern cloud computing. Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $117,500.00 - $212,898.00 Skills
$117.5k-212.9k yearly 14h ago
Compliance Specialist (Remote position)
World Insurance Associates 4.0
Remote or Santa Barbara, CA Job
Objective, Typical Duties and Responsibilities We're currently seeking a Compliance Specialist to support the firm's Compliance Program. You will report to Manager-Compliance Operations Develop and manage a Compliance Department activity reporting system. Represent the compliance department in resolving issues involving new accounts set up with Operations and Accounting departments. Monitor general department email inboxes and/or department ticketing system reports to assure timely response or escalation if necessary to inquiries and information received. Provide support, education, and guidance to Financial Representatives and their staff as it relates to business processes, firm policies and procedures, industry rules, and other general inquiries. Assist management and other compliance personnel with the completion of various projects and testing. Other duties as assigned. Position Requirements Bachelor's degree (B.A./B.S.) in a related discipline required. Minimum two (2) years of Compliance and/or regulatory experience within both RIA and broker-dealer business segments., Series 7, 24 (or 26), 63, 65 (or 66), Series 53 (or 51), and Life, Health, & Variable Annuity Insurance Licenses (or the ability to obtain within 120 days of hire). Strong working knowledge of both brokerage and investment advisory business concerning the regulatory framework in which they operate. A deep understanding of industry rules governing supervision, suitability, and registrations. Excellent technology and communication skills Ability to work independently to manage time and prioritize tasks efficiently. Be a motivated self-starter who can make thoughtful, deliberate decisions with minimal assistance. The desire to be an enthusiastic, cooperative team player who is always seeking ways to improve processes. Preference Given to Candidates with the Following Qualifications: Have previous experience with and a thorough understanding of regulatory requirements under Reg-BI and PTE 2020-02. Already hold a Life, Health, & Variable Annuity license. Compensation The salary for this position generally ranges between $75,000-90,000. This range is an estimate, based on candidate qualifications and operational needs. The firm also has a bonus program. Perks & Benefits 401(k) with Employer Match Health Insurance (with HSA option) Dental Insurance Perks & Benefits (continued) Vision Insurance Life Insurance Flexible Paid Time Off Policy Flexible Spending Account (FSA) Healthy Work/Life Balance Maternity/Paternity Leave Policy Remote Work Opportunity Stimulating Environment At World Investment Advisors, we strive to provide a challenging, stimulating environment for the best and brightest in the industry. We believe our employees can best serve our clients and advisors in an atmosphere where individuals are treated fairly, where professional growth is fostered and encouraged, and where a healthy balance between work and home life is respected and preserved. We promote a friendly and collaborative work environment. We are motivated by team camaraderie and are obsessed with doing the right thing for our plan sponsor clients and their plan participants. Team-Oriented Professionals typically work together in teams with multiple people from different departments to meet our clients' needs. Our junior staff works with their team members to develop the skills and knowledge to succeed and assume more senior level positions as they progress at our firm. We welcome team members from different backgrounds with different perspectives to help us innovate and make a difference for our customers and our communities. Why World? Great company culture with an awesome team-oriented atmosphere! Mentorship Opportunities Ability to serve on different internal steering committees (Charitable Giving, DEI, Social, etc.) Professional growth opportunities Friendly and collaborative work environment Employee perks including fun team building opportunities, yoga/wellness, charitable giving/volunteering World Investment Advisors is an equal opportunity employer. We believe the most effective way to attract, develop and retain a diverse workforce is to build an enduring culture of inclusion and belonging. World is committed to equality and deeply believes in diversity in sexual orientation, gender, race, religion, ethnicity and other qualities that makes us all different. To Executive Search Firms and Staffing Agencies: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-GP1 #LI-REMOTE
$75k-90k yearly 60d+ ago
IT Software Engineer - Build Team Remote
Prime Therapeutics 4.8
Remote Prime Therapeutics Job
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting TitleIT Software Engineer - Build Team RemoteJob Description If you are a Software Engineer with at least 2 years' experience with some of the skills listed below, you should check us out as we have three openings within our Build Team. .NET framework and .NET "Core" SQL API (Insomnia or similar tools) Webforms C# VB.NET Blazor Entity Framework AWS - Nice to have EDI Angular The IT Software Engineer is responsible for developing, testing, deploying and maintaining technology solutions. This position analyzes, designs and develops tests and test-automation. This position collaborates cross-functionally with team members to achieve innovative, business-driven technology solutions. Responsibilities Design, develop, test, deploy and maintain technology solutions and ensure solutions meet non-functional requirements; assist with solution design Analyze, design and develop tests and test-automation suites Use test driven development in an agile environment Leverage and contribute components for the continuous integration and continuous deployment pipeline for technology solutions Collaborate cross-functionally with team members to achieve innovative, business-results driven technology solutions Consistently apply best practices and drive for continuous improvement Actively participate in Agile ceremonies Other duties as assigned Education & Experience Bachelor's degree in Computer Science or related area of study, or equivalent combination of education and/or relevant work experience; High School Diploma or GED equivalent required 2 years of experience with application development or packaged software implementations Must be eligible to work in the United States without need for work visa or residency sponsorship Additional Qualifications Ability to be flexible and willing partner with and learn from more senior team members Ability to speak up to address opportunities Strong problem-solving and analysis skills Ability to drive innovation and be forward thinking Strong desire to learn Excellent documentation skills Preferred Qualifications Experience working in environment with regulatory compliance requirements (HIPAA, PCI, etc.) Previous experience working an in Agile/Product Delivery model Previous experience in PBM / health care industry Understanding of security implications of domain Physical Demands Ability to travel up to 5% of the time Ability to work a flexible schedule including weekends and shifts outside of Prime's core business hours of 9:00 a.m. to 3:00 p.m. as needed for technical support and/or project needs Constantly required to sit, use hands to handle or feel, talk and hear Frequently required to reach with hands and arms Occasionally required to stand, walk and stoop, kneel, and crouch Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus Every 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. Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. 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. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays.
$74k-118k yearly 53d ago

Learn More About Prime Therapeutics Jobs

Most Common Jobs At Prime Therapeutics

Account Manager Prime Therapeutics Jobs

Assistant Vice President Prime Therapeutics Jobs

Business Analyst Prime Therapeutics Jobs

Business Intelligence Specialist Prime Therapeutics Jobs

Claim Processor Prime Therapeutics Jobs

Clinical Director Prime Therapeutics Jobs

Configuration Analyst Prime Therapeutics Jobs

Director Of Analytics Prime Therapeutics Jobs

Human Resources Business Partner Prime Therapeutics Jobs

Lead Infrastructure Engineer Prime Therapeutics Jobs

Managing Director Prime Therapeutics Jobs

Marketing Analyst Prime Therapeutics Jobs

Paralegal Prime Therapeutics Jobs

Principal Engineer Prime Therapeutics Jobs

Program Director Prime Therapeutics Jobs

Quality Manager Prime Therapeutics Jobs

Senior Finance Analyst Prime Therapeutics Jobs

Senior Software Engineer Prime Therapeutics Jobs

Senior Technical Business Analyst Prime Therapeutics Jobs

Software Engineer Prime Therapeutics Jobs

Support Coordinator Prime Therapeutics Jobs

Training Manager Prime Therapeutics Jobs

Underwriter Prime Therapeutics Jobs

Workforce Management Analyst Prime Therapeutics Jobs

View All Jobs

Related Company Jobs

Working At Related Companies

Prime Therapeutics Highest Paying Jobs

Updated June 20, 2025

Zippia gives an in-depth look into the details of Prime Therapeutics, including salaries, political affiliations, employee data, and more, in order to inform job seekers about Prime Therapeutics. The employee data is based on information from people who have self-reported their past or current employments at Prime Therapeutics. The data on this page is also based on data sources collected from public and open data sources on the Internet and other locations, as well as proprietary data we licensed from other companies. Sources of data may include, but are not limited to, the BLS, company filings, estimates based on those filings, H1B filings, and other public and private datasets. While we have made attempts to ensure that the information displayed are correct, Zippia is not responsible for any errors or omissions or for the results obtained from the use of this information. None of the information on this page has been provided or approved by Prime Therapeutics. The data presented on this page does not represent the view of Prime Therapeutics and its employees or that of Zippia.

Prime Therapeutics may also be known as or be related to Prime Therapeutics and Prime Therapeutics LLC.

Prime Therapeutics Jobs

Client Quality Manager Stars and Quality - Remote

Architecture Practice Manager - Remote

Department of Social Services (DSS) Liaison, Region 6

Case Manager - NICU/Peds

Sales Executive - Coeur d'Alene (Remote)

Consulting Actuary - Medicare Risk Adjustment

Sr. Market Pricing Analyst - REMOTE

Carrier Premium Payables

Clinical Staff Pharmacist- REMOTE

Business Intelligence Analyst, HEDIS Data Operations

Senior Principal, Health Plans Underwriter - REMOTE

DSNP Project/Program Manager

Benefit Plan Configuration Advisor Assoc- REMOTE

Sr. Network Engineer - Routing Remote

VP, Enterprise Corporate Communications

Functional Business Consultant Senior - Remote

Principal BI Analyst

Manager, Advanced Analytics AI/ML

Compliance Specialist (Remote position)

IT Software Engineer - Build Team Remote

Learn More About Prime Therapeutics Jobs

Jobs From Similar Companies

Most Common Locations At Prime Therapeutics

Most Common Jobs At Prime Therapeutics

Related Company Jobs

Working At Related Companies

Prime Therapeutics Highest Paying Jobs