Clinical Program Analyst - 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 Program Analyst - Remote

The Clinical 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

• May support clinical rules maintenance (GPI lists, other lists) and/or client invoicing for programs
• 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
• Develop and maintain business process flows and desk top procedures for designated functional area
• Other duties as assigned
• 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
• Support the RFP and implementation process by gathering information and requirements and communicating status updates to key business partners

Minimum Qualifications

• 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 need for work visa or residency sponsorship
• 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

Additional Qualifications

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

Preferred Qualifications

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

Minimum Physical Job Requirements

• 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
• Constantly required to sit, use hands to handle or feel, talk and hear
• Ability to work a flexible schedule including weekends, holidays, or shifts outside of Prime’s core business hours of 9:00am-3:00pm
• Frequently required to reach with hands and arms
• Occasionally required to stand, walk and stoop, kneel, and crouch

Reporting Structure

• Could report to Manager in the Network Management department
• Reports to Sr Professional, Sr Principal, or Sr Director in the Clinical Program Development department
• Could report to Sr Principal or VP in the Clinical Program Management department
• Could report to Manager or Director in the Clinical Operations department

Potential pay for this position ranges from $63,400.00 - $95,200.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.

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 an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.