Remote Jobs at Prime Therapeutics
Find your next remote opportunity · 31 Open Positions
We’re reimagining pharmacy solutions to provide the care we would want for our loved ones.
Prime Therapeutics LLC (Prime) is a diversified pharmacy solutions organization.
We offer innovative pharmacy benefit management, specialty and medical drug management, and state government solutions to millions of people across the country.
At Prime, we’re reimagining pharmacy solutions to provide the care we’d want for our loved ones.
We challenge the way it’s always been done to develop intelligently designed solutions that deliver savings, simplicity and support to help people achieve better health.
Senior Provider Relations Analyst
Senior Provider Relations Analyst responsible for managing pharmacy network contracting at Prime Therapeutics. Focusing on provider relations and compliance within pharmacy operations.
Senior Actuarial Analyst
Senior Actuarial Analyst responsible for actuarial and pricing analyses at Prime Therapeutics. Collaborating with senior leaders on pricing support for various lines of business in a remote environment.
Director, Account Management
Director of Account Management at Prime Therapeutics responsible for strategic leadership and client retention. Overseeing relationships and operations for employer accounts in healthcare.
Analytics Engineer
Analytics Engineer optimizing data retrieval and analytics at Prime Therapeutics. Collaborating on data processes and delivering actionable insights through various tools.
Senior Analytics Engineer
Senior Analytics Engineer driving data architecture and analytics processes for Prime Therapeutics. Collaborating with stakeholders to manage large datasets and optimize data-driven business insights.
Senior Treasury Claims Analyst
Senior Treasury Claim Analyst managing claim payment processes at Prime Therapeutics. Responsible for complex analysis and regulatory compliance in pharmacy and member payments.
Senior Software Engineer – Data Engineering
Data Engineer designing, developing, and maintaining integration solutions for Prime’s clinical vendor hub. Ensuring data flow and quality for clinical programs and strategic initiatives.
Physician Clinical Reviewer – Allergy/Immunology
Physician Clinical Reviewer evaluating clinical cases while ensuring medical necessity guidelines compliance at Prime Therapeutics. Collaborates with physicians to resolve determinations and assists with appeals.
Physician Clinical Reviewer – Urology
Clinical Reviewer for utilization management focusing on Urology. Engaging with physicians and patients to ensure adherence to clinical guidelines and rationales.
Physician Clinical Reviewer – Pediatric Oncologist
Clinical Reviewer for pediatric oncology at Prime Therapeutics, reviewing service requests and helping in clinical decision making. Engaging with healthcare professionals to ensure adherence to medical guidelines as part of utilization management.
Physician Clinical Reviewer – Pediatric Neurology
Physician Clinical Reviewer in pediatric neurology conducting medical reviews and collaborating with health professionals. Ensuring compliance with guidelines and regulations through documentation and communication.
Senior Business Analyst – Idaho Medicaid
Business Analyst Senior for Idaho Medicaid executing medium projects remotely. Liaison among business operations, technology groups, and clients to understand and facilitate business needs.
Physician Clinical Reviewer – Oncologist
Clinical Reviewer-Oncologist providing timely medical review of service requests. Interacting with physicians and staff while ensuring compliance with medical necessity guidelines.
Physician Clinical Reviewer – Endocrinology
Physician Clinical Reviewer responsible for medical review of service requests in utilization management. Collaborating with physicians and health plan members to ensure compliance with guidelines.
Physician Clinical Reviewer – Pediatric Gastroenterology
Clinical Reviewer at Prime Therapeutics evaluating pediatric gastroenterology service requests and overseeing clinical determinations in a remote setting.
Physician Clinical Reviewer – Nephrology
Physician Clinical Reviewer reviewing medical necessity requests for Prime Therapeutics. Collaborating with healthcare professionals to ensure compliance with treatment guidelines and policies.
Physician Clinical Reviewer – Orthopedics
Physician Clinical Reviewer responsible for reviewing clinical determinations and liaising with healthcare providers. Engages in quality assurance and compliance with medical guidelines and regulations in a remote capacity.
Physician Clinical Reviewer – Cardiology
Physician Clinical Reviewer providing medical reviews for service requests at Prime Therapeutics. Engaging with physicians and participating in appeals, focusing on patient care and compliance.
Physician Clinical Reviewer – Ophthalmology
Key member reviewing service requests that do not meet medical necessity guidelines. Interacting with healthcare professionals to ensure compliance and proper documentation in ophthalmology.
Physician Clinical Reviewer – Dermatology
Physician Clinical Reviewer specializing in Dermatology at Prime Therapeutics. Responsible for reviewing clinical service requests and interacting with healthcare providers in the remote capacity.