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

Claims Analyst - JUDI Ops Support - RemoteJob Description

The Claims Analyst is responsible for serving as a Claims Operations subject matter expert on system functionality which may include implementations, projects, and testing for key Prime service offerings. This position is responsible for working with internal and external clients and serving as an escalation and mentoring resource on production issues.

Responsibilities

Represent Claim Operations as subject matter expert (SME) on both internal and external projects, participating in all relevant functions on project lifecycleIdentify, analyze, and implement system and process improvements using variety of personnel and data resourcesTranslate complex details of system capabilities, enhancements, and implementations to non-technical resources, serving as main resource for department on training and documentation of new projects/processesPartner with Prime's Clients to identify, problem solve, and execute corrective measuresProvide backup support to various roles within department with ability to serve as short-term stand-in for each position, when necessaryOther duties as assigned

Minimum Qualifications

Bachelor's degree in IT, Business, Science or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required2 years of work experience in claims processing or project lifecycle, or related roles in the healthcare or PBM industryMust be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications

Experience with Microsoft Office productsKnowledge of how claims are paidAbility to work in fast paced, collaborative, team environment under strict deadlinesFlexibility in job duties with ability to work on multiple tasks simultaneouslyStrong verbal, written, and interpersonal communication skillsStrong analytical, organizational, time management, and problem-solving skillsStrong attention to detail

Preferred Qualifications

PBM industry knowledge2 years of experience working with RxClaimWork cross functionally with other departments/clientsExcel

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.

Potential pay for this position ranges from $59,000.00 - $94,000.00 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.