Program Analyst - Remote

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Job Description

The Program Analyst is responsible for providing project coordination and administrative support to one or more of Prime's functional areas: Clinical Program Management, Utilization Management (UM), Formulary, GuidedHealth, Pharmaceutical Trade Relations, Pharmacy Audit, Clinical Operations and/or Specialty Pharmacy.

Responsibilities

• Partner with internal business partners to develop, generate, analyze, quality check, and coordinate the delivery of client and internal program reporting, which may include UM Savings, Compliance, Utilization data, Retrospective Drug Utilization Review (DUR), Concurrent DUR, member eligibility information, pharmacy and/or pharmaceutical performance and analytics and other reports as needed
• Support the RFP and implementation process by gathering information and requirements and communicating status updates to key business partners
• Work with various internal departments to create and maintain client, member, and/or physician communications and templates, member disruption mailings, and utilization requests; may also participate in fulfillment activities where applicable
• Develop and maintain business process flows and desk top procedures for designated functional area
• May support clinical rules maintenance (GPI lists, other lists) and/or client invoicing for programs
• Other duties as assigned

Minimum Qualifications

• Bachelor's degree in business, finance, biology or other related field, or the equivalent combination of education and/or related work experience; HS diploma or GED is required
• 2 years of work experience in healthcare, Pharmacy Benefit Management, business process administration, project management or other related experience developing and improving internal processes

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Demonstrated ability to complete projects independently and within established timeframes
• Detail oriented and ability to work with a high degree of accuracy
• Excellent organizational and communication skills
• Proficiency in Adobe and Microsoft Office

Preferred Qualifications

• National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)
• 3 years of PBM, Managed Care or Pharmaceutical/Trade experience
• Project Management skills
• Knowledge or experience with formulary or utilization management
• Proficient in MS Access
• Proficient in Excel

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

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).

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 (including pregnancy), 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.