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Prime Therapeutics

Remote Job Openings at Prime Therapeutics (18)

Supervisor Customer Care - Remote

United States $59000 - $94000 per year 2-5 yrs exp Support

The Supervisor Operations is responsible for managing team workload, quality metrics, and efficiency to ensure daily production goals and service levels are met. They also oversee talent management, provide subject matter expertise for escalated issues, and maintain operational documentation.

Project Mgr Sr

United States $81000 - $138K per year 5-10 yrs exp Others

The Senior Project Manager oversees complex projects by coordinating with leadership, IT, and business stakeholders to ensure goals are met within scope, budget, and schedule. They are responsible for managing the project lifecycle, including planning, risk mitigation, and the creation of essential project artifacts.

Initial Review Pharmacy Technician

United States $23.08 - $37.02 per hour 2-5 yrs exp Healthcare

The Pharmacy Technician is responsible for executing utilization management programs by reviewing prospective and retrospective requests for therapeutic appropriateness. They also conduct outreach to physicians, patients, and pharmacies to gather clinical information and determine medication reimbursement eligibility.

Manager, Operations - Remote

United States $81000 - $138K per year 5-10 yrs exp Others

The Manager of Benefit Plan Configuration leads the Benefit Plan Administration team to ensure accurate programming of benefit plans across multiple lines of business. They are responsible for managing team performance, overseeing project execution, and collaborating with stakeholders to resolve escalated issues.

Director, Specialty Clinical Solutions- REMOTE

United States $143K - $243K per year 5-10 yrs exp Healthcare

The Director oversees clinical services and strategies for medical pharmacy and specialty programs, serving as a lead consultant for assigned clients. They are responsible for developing innovative clinical solutions, managing utilization programs, and driving continuous improvement through data-driven insights.

Clinical Pharmacy Technician Sr. - MCO Clinical Liaison - Remote

United States $19.23 - $28.85 per hour 2-5 yrs exp Healthcare

The Senior Clinical Pharmacy Technician evaluates and processes prior authorization requests while coordinating care for New York Medicaid members. They also provide education to providers regarding formulary coverage and program requirements to ensure continuity of care.

Strategic Client Advisor Sr Prin

United States $143K - $243K per year 10+ yrs exp Others

The Senior Principal Strategic Client Advisor serves as a senior strategic advisor to health plan clients, providing actionable insights and expert thought leadership. They lead consultative engagements focused on pharmacy strategy, affordability, and market competitiveness to help clients navigate the healthcare environment.

Marketing Specialist Principal (Health Plan Markets) - Remote

United States $108K - $184K per year 5-10 yrs exp Marketing

The Marketing Principal leads the development and implementation of marketing strategies, product launches, and campaigns to support business growth. They collaborate with senior leadership to translate business objectives into effective, differentiated messaging across various distribution channels.

AVP Claims & Configuration - REMOTE

United States $164K - $279K per year 10+ yrs exp Legal

The Associate Vice President leads the strategic direction and operational performance of pharmacy benefit claims adjudication and configuration. This role drives technology modernization and ensures compliance while managing cross-functional teams to deliver scalable and accurate benefit administration.

Manager, Salesforce - Remote

United States $94000 - $160K per year 5-10 yrs exp Software Development

The Salesforce Manager is responsible for leading the strategy, administration, and operational performance of the Salesforce platform. They will oversee a high-performing team to implement AI capabilities, modernize platform features, and drive business value across various departments.

Director Digital Experience (Back-End) - Remote

United States $124K - $211K per year 10+ yrs exp Others

The Director of Digital Experience defines and leads the enterprise back-end strategy, focusing on APIs, interoperability, and data-sharing roadmaps. They guide cross-functional teams to modernize legacy systems while ensuring compliance with healthcare standards and regulatory requirements.

IT Quality Engineer Sr - Remote (Medi-Cal)

United States $81000 - $138K per year 5-10 yrs exp Software Development

The Senior IT Quality Engineer will lead quality engineering initiatives, design test strategies, and develop automated frameworks for complex software solutions. They are responsible for mentoring team members, ensuring regulatory compliance, and resolving complex quality issues across multi-platform environments.

Contracts Analyst Sr, TennCare - Remote

United States $74000 - $118K per year 5-10 yrs exp Legal

The Senior Contracts Analyst leads the development and maintenance of service provider contracts while ensuring compliance with regulatory and internal standards. This role also involves analyzing provider performance trends and managing audit activities across the organization.

AI Strategist Principal

United States $124K - $211K per year 5-10 yrs exp Software Development

The Principal AI Strategist will lead and scale enterprise AI adoption, governance, and value realization across the organization. This role involves partnering with executive leadership to execute AI roadmaps, manage governance frameworks, and drive measurable business outcomes through AI-enabled transformation.

Lead Actuary – Pharmacy Pricing - REMOTE

United States $124K - $211K per year 10+ yrs exp Finance

Lead complex pharmacy pricing and rebate guarantee analyses for existing and prospective clients. Partner with senior leadership to provide strategic pricing guidance and mentor junior actuarial team members.