Qureos Mentor

Prime Therapeutics

<div>
 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.
 <br/>
 <br/>
 <strong>
  Job Posting Title
  <br/>
  <br/>
 </strong>
 VP, Chief Audit Officer - REMOTE
 <br/>
 <br/>
 <strong>
  Job Description
  <br/>
  <br/>
 </strong>
 The Vice President Chief Audit Officer is responsible for developing and leading the overall internal audit function for the organization and for planning and conducting compliance, financial and operational audits to evaluate the effectiveness of internal controls and organizational risk. This role has primary leadership responsibility for maintaining and strengthening a world-class internal control environment, in addition to providing recommendations to Prime&rsquo;s Executive Leadership Team, external auditors and the Compliance and Audit Committee of the Board. The role also owns and directs the Enterprise Risk Management (ERM) program, integrating risk insights across functions and fostering a proactive risk culture. The role drives ERM's strategic direction, ensuring alignment with organizational goals and responsiveness to emerging risks and regulatory expectations.
 <br/>
 <br/>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Set the vison and strategy for Internal Audit in alignment with Primes&rsquo; mission, vision and strategic priorities; develop and execute a comprehensive, risk-based financial, operational/compliance and IT systems audit plan and ensure management completes agreed upon action plans to minimize future risk
  </li>
  <li>
   Oversee risk assessment, audit planning, and execution of a comprehensive, risk-based audit plan across financial, operational, compliance, and IT domains, ensuring timely completion of corrective actions to mitigate future risks
  </li>
  <li>
   Oversee the strategic direction and integration of ERM across the organization by guiding the development of frameworks, methodologies, and initiatives that enhance risk identification, assessment, and mitigation in alignment with Prime&rsquo;s overall risk objectives
  </li>
  <li>
   Foster a culture of proactive risk management across the organization, leveraging emerging technologies and data analytics to enhance risk practices
  </li>
  <li>
   Oversee execution of continuous risk assessments to identify key risks for the organization and work with executive leadership on development and communication of risk response plans including detailed compliance and fraud risk assessments; aggregate deficiencies and determine areas where the Company should focus to enhance procedures
  </li>
  <li>
   Effectively communicate audit reports, internal control deficiencies and recommendations for addressing/minimizing risk to Prime&rsquo;s Executive Leadership Team, the Finance, Compliance and Audit Committee of the Board, and other key individuals within the organization
  </li>
  <li>
   Develop and foster a culture of continuous improvement, working with team to enhance existing capabilities, improve processes and drive accountability through effective coaching and guidance
  </li>
  <li>
   Develop and execute a comprehensive SSAE SOC1 audit plan
  </li>
  <li>
   Other duties as assigned
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Minimum Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor&rsquo;s degree in Accounting, Business, Finance or related area of study
  </li>
  <li>
   Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or Certified Information System Auditor (CISA)
  </li>
  <li>
   15 years' work experience in business or finance including 8 years PBM or healthcare experience
  </li>
  <li>
   10 years of leadership/people management experience
  </li>
  <li>
   Must be eligible to work in the United States without the need for work visa or residency sponsorship
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Additional Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Demonstrated ability to deliver value-added assessments and sound advice, good news and bad, in a relevant, concise and clear manner tuned to audience and with a high level of credibility with executive leadership and the Board
  </li>
  <li>
   Broad strategic thinker with the ability to understand the big picture, business issues as well as the financials, and contribute insights that are outside the limited scope of compliance
  </li>
  <li>
   Ability to build and develop a highly talented organization in a growth oriented, dynamic environment
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   3 years of PBM experience
  </li>
  <li>
   MBA or advanced degree in Finance
  </li>
  <li>
   Certified Public Accountant (CPA), Certified Treasury Professional (CTP) or Chartered Financial Analyst (CFA)
   <br/>
   <br/>
  </li>
 </ul>
 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
 <br/>
 <br/>
 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.
 <br/>
 <br/>
 Potential pay for this position ranges from $189,000.00 - $321,000.00 based on experience and skills.
 <br/>
 <br/>
 To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.
 <br/>
 <br/>
 <em>
  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.
 </em>
 <em>
  <br/>
  <br/>
 </em>
 <em>
  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.
  <br/>
  <br/>
 </em>
 <em>
  Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
  <br/>
  <br/>
 </em>
 Positions will be posted for a minimum of five consecutive workdays.
</div>


VP, Chief Audit Officer - REMOTE

<div><div>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.</div><div>
Job Posting Title</div><div></div>
Senior Forecast Analyst - REMOTE<div>
Job Description</div><div></div><div>
The Senior Forecast Analyst is responsible for providing complex financial/data modeling, forecasting, revenue projections, and analysis for various functional areas throughout Prime as well as for the Pricing and Analytics team. This role is responsible for creating and developing new methodologies, reports, and analytical models and provide critical analysis related to Requests for Proposals (RFPs) and structure of client guarantees.</div><div></div><div>
Responsibilities</div><ul><li>
Provide in-depth, comprehensive analysis and recommendations for the RFP process as Prime seeks to grow the business with purpose and bring in new groups and Blues plans</li><li>
Lead development and implementation of financial modeling changes to improve accuracy</li><li>
Consult with management and/or senior leadership to analyze and troubleshoot data analysis and/or forecasting issues for variety of complex projects</li><li>
Create, enhance, and maintain various forecasts and financial models, including but not limited to drug trend, generic discount projections, revenue forecasting, and RFPs; provide recommendations based on forecasts and analysis</li><li>
Mentor, coach, and provide work direction to more junior analysts on various work efforts</li><li>
Other duties as assigned</li></ul><div></div><div>
Education &amp; Experience</div><ul><li>
Bachelor's degree in Finance, Math, Economics, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required</li><li>
5 years of experience in detailed analytical work in financial, insurance, pharmacy benefits management, reporting &amp; analytics, benefits consulting healthcare industries or related field</li><li>
Must be eligible to work in the United States without need for work visa or residency sponsorship</li></ul><div></div><div>
Additional Qualifications</div><ul><li>
Ability to work independently while maintaining accuracy and attention to detail and meet deadlines</li><li>
Excellent verbal and written communication and presentation skills to senior levels of leadership</li><li>
Proficiency in Microsoft Excel and/or database programming environment</li><li>
Demonstrated organization with the ability to balance multiple projects and meet competing deadlines</li><li>
Strong interpersonal skills with the ability to develop partnerships with internal clients</li></ul><div></div><div>
Preferred Qualifications</div><ul><li>
Extensive analysis and modeling experience with pharmacy, medical, insurance, and/or financial data</li><li>
Experience using SAS Enterprise Guide, SQL, or other related database programming environments</li><li>
Salesforce experience</li><li>
Previous work experience with model creation and maintenance</li></ul><div></div><div>
Physical Demands</div><ul><li>
Constantly required to sit, use hands to handle or feel, talk and hear</li><li>
Frequently required to reach with hands and arms</li><li>
Occasionally required to stand, walk and stoop, kneel, and crouch</li><li>
Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds</li><li>
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus</li></ul><div></div><div>
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.</div><div></div>
Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills.<div></div><div><i><br>
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 </i><i>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.</i></div><div></div><div><i>
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.</i></div><div></div><div><i>
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.</i></div><div></div><div>
Positions will be posted for a minimum of five consecutive workdays.</div></div>

Senior Forecast Analyst - REMOTE

<div><div>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.</div><div>
Job Posting Title</div><div></div>
Executive Assistant (Remote)<div>
Job Description</div><div></div>
The Executive Administrative Assistant provides dedicated administrative support to one or more of Prime&rsquo;s Executive Leadership Team (ELT) members. This position will manage calendars, travel arrangements, expense coordination and other high-level administrative duties on behalf of their executive.<div></div><div>
Responsibilities</div><ul><li>
Provide administrative support to one or more of Prime&rsquo;s Executive Leadership Team (ELT) members; serve as first point of contact for the assigned executive(s) by effectively managing telephone calls and/or visitors and ensuring a consistent experience for all guests of the department or facility</li><li>
Manage calendar(s) and ensure adherence to scheduled appointments; specifically responsible for the intake, prioritization and scheduling of new meeting requests, as well as supporting on-time transition between meetings or appointments</li><li>
Coordinate travel on behalf of leaders and ensure the appropriate lodging, car service and/or other necessary accommodations are secured; may be responsible for contracting with vendors to secure facilities and/or negotiate rates in the best interest of Prime</li><li>
Coordinate large or sensitive team meetings and/or conferences that may extend beyond executive functions at Prime; ensure facilities, technology and materials or handouts are adequately prepared and distributed</li><li>
Document, maintain and enforce policies and procedures in support of business operations; serve as initial point of contact for guidance, approval or routing to the assigned executive for review, signature, or decisions</li><li>
Support executive with general administrative tasks and special projects, including but not limited to preparing presentations, meeting materials, onboarding/offboarding activities, coordinating print, administering the recognition program, ordering supplies, maintaining records and/or coordinating large site events; Works independently and within a team on special, nonrecurring or ongoing projects at the discretion of assigned ELT member; plan and coordinate presentations, disseminate information, follow up with cross-functional participants, design and deliver general correspondences, memos, charts, tables, graphs etc and proofread/edit copy for spelling, grammar and formatting inconsistencies; may be accountable for accuracy and clarity of final copy</li><li>
Collaborate with key stakeholders across the enterprise to create materials for board of directors and committee meetings</li><li>
Develop and maintain business connections both inside and outside of Prime; maintain confidentiality for circumstances that are highly sensitive in nature</li><li>
Capture and distribute meeting minutes at executive leadership and other management or committee meetings</li><li>
Track and process invoices and expenses on behalf of the assigned executive</li><li>
Other duties as assigned</li></ul><div></div><div>
Minimum Qualifications</div><ul><li>
High school diploma from an accredited school or equivalent GED is required</li></ul><ul><li>
10 years of experience in administrative role with at least 3 years of experience at Prime or 3 years of experience directly supporting a C-level executive</li><li>
Must be eligible to work in the United States without need for work visa or residency sponsorship</li></ul><div></div><div>
Must be eligible to work in the United States without the need for work visa or residency sponsorship</div><div></div><div>
Additional Qualifications</div><ul><li>
Advanced computer skills including Microsoft office suite of programs (MS Word, Excel, PowerPoint and Visio)</li><li>
Previous experience creating executive level spreadsheets, presentations and reports</li><li>
High degree of professionalism and executive presence</li><li>
Excellent oral and written communication skills</li><li>
Demonstrated organizational and time management skills</li><li>
Strong attention to detail with the ability to handle sensitive and/or confidential information and materials</li><li>
Ability to anticipate needs and proactively find solutions</li><li>
Ability to work autonomously in a changing and dynamic work environment</li><li>
Ability to handle continuous change and shifting priorities</li><li>
Ability to work well with all levels of internal management and staff, outside clients and vendors</li></ul><div></div><div>
Preferred Qualifications</div><ul><li>
Bachelor&rsquo;s Degree</li><li>
Previous experience in healthcare, Pharmacy Benefit Management or Managed Care environment</li></ul><div></div><div>
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</div><div></div><div><br>
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.</div><div></div>
Potential pay for this position ranges from $31.73 - $50.96 based on experience and skills.<div></div><div><i><br>
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 </i><i>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.</i></div><div></div><div><i>
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.</i></div><div></div><div><i>
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.</i></div><div></div><div>
Positions will be posted for a minimum of five consecutive workdays.</div></div>

Executive Assistant (Remote)

<div><div>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.</div><div>
Job Posting Title</div><div></div>
Data and Reporting Analyst Assoc - Remote<div>
Job Description</div><div></div><div>
The Associate Data &amp; Reporting Analyst is responsible for supporting the business in decision making and operations efforts by providing data, reporting and business intelligence services. This role is responsible for creating and executing multiple reporting products and processes.</div><div></div><div>
Responsibilities</div><ul><li>
Develop reporting solutions following internal reporting standards and best practices</li><li>
Maintain and improve the reliability, efficiency and functionality of existing reports</li><li>
Participate in the collection of reporting requirements through intake and prioritization sessions</li><li>
Recommend quality and system improvements by analyzing the data issues, maintaining and enhancing data iteration processes, and collaborating with system owners to improve upstream processes</li><li>
Train users and team members as needed</li><li>
Other duties as assigned</li></ul><div></div><div>
Minimum Qualifications</div><ul><li>
Bachelor's degree in Mathematics, Computer Science, Information Systems or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED required</li></ul><ul><li>
Must be eligible to work in the United States without need for work visa or residency sponsorship</li></ul><div></div><div>
Must be eligible to work in the United States without the need for work visa or residency sponsorship</div><div></div><div>
Additional Qualifications</div><ul><li>
Ability to analyze and solve problems using analytical tools</li><li>
Time management and prioritization skills</li><li>
Intermediate knowledge of Microsoft Excel and Access tools</li></ul><div></div><div>
Preferred Qualifications</div><ul><li>
Experience or familiarity with report generating technologies (such as Cognos, SAS, Alteryx, Qlikview, MicroStrategy, Business Objects, Tableau, etc.)</li><li>
Experience with data consolidation and modeling</li><li>
PBM experience or experience working with medical claims, pharmacy claims, healthcare and/or benefits data</li><li>
Experience in the implementation of quality process improvement efforts</li><li>
Experience documenting requirements, creating training materials and working directly with end users</li><li>
Proficient in Excel</li><li>
Experience using SQL</li></ul><div></div><div>
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</div><div></div><div>
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.</div><div></div>
Potential pay for this position ranges from $23.08 - $37.02 based on experience and skills.<div></div><div><i><br>
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 </i><i>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.</i></div><div></div><div><i>
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.</i></div><div></div><div><i>
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.</i></div><div></div><div>
Positions will be posted for a minimum of five consecutive workdays.</div></div>

Data and Reporting Analyst Assoc - Remote

<div>
 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.
 <br/>
 <br/>
 <strong>
  Job Posting Title
  <br/>
  <br/>
 </strong>
 Data &amp; Reporting Analyst (Remote)
 <br/>
 <br/>
 <strong>
  Job Description
  <br/>
  <br/>
 </strong>
 The Data &amp; Reporting Analyst is responsible for supporting the business in decision making and operations efforts by providing data, reporting and business intelligence services. This role is responsible for working with the business and converting data into meaningful and actionable reporting solutions.
 <br/>
 <br/>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Develop reporting solutions following internal reporting standards and best practices by collecting, validating, interpreting, and organizing various types of data into meaningful reports and/or summaries for designated client groups
  </li>
  <li>
   Maintain and improve the reliability, efficiency and functionality of existing reports
  </li>
  <li>
   Facilitate team request intake sessions to collect reporting requirements and determine project prioritization
  </li>
  <li>
   Recommend quality and system improvements by analyzing the data issues, maintaining and enhancing data iteration processes, and collaborating with system owners to improve upstream processes
  </li>
  <li>
   Train users and team members as needed
  </li>
  <li>
   Other duties as assigned
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Minimum Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor's degree in Mathematics, Computer Science, Information Systems or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED required
  </li>
  <li>
   2 years of work experience in data analysis and reporting
  </li>
  <li>
   1 year of SQL experience
  </li>
  <li>
   Must be eligible to work in the United States without need for work visa or residency sponsorship
   <br/>
   <br/>
  </li>
 </ul>
 Must be eligible to work in the United States without the need for work visa or residency sponsorship
 <br/>
 <br/>
 <strong>
  Additional Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Ability to analyze and solve problems using analytical tools
  </li>
  <li>
   Time management and prioritization skills
  </li>
  <li>
   Advanced knowledge of Microsoft Excel and Access tools in addition to familiarity with other reporting technologies
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Experience with report generating technologies (such as Cognos, SAS, Alteryx, Qlikview, MicroStrategy, Business Objects, Tableau, etc.)
  </li>
  <li>
   Experience with data consolidation and modeling
  </li>
  <li>
   PBM experience or experience working with medical claims, pharmacy claims, healthcare and/or benefits data
  </li>
  <li>
   Experience in the implementation of quality process improvement efforts
  </li>
  <li>
   Experience documenting requirements, creating training materials and working directly with end users
  </li>
  <li>
   Advanced knowledge and skills in Tableau
   <br/>
   <br/>
  </li>
 </ul>
 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
 <br/>
 <br/>
 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.
 <br/>
 <br/>
 Potential pay for this position ranges from $59,000.00 - $94,000.00 based on experience and skills.
 <br/>
 <br/>
 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).
 <br/>
 <br/>
 <em>
  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.
 </em>
 <em>
  <br/>
  <br/>
 </em>
 <em>
  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.
  <br/>
  <br/>
 </em>
 <em>
  Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
  <br/>
  <br/>
 </em>
 Positions will be posted for a minimum of five consecutive workdays.
</div>


Data & Reporting Analyst (Remote)

<div><div>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.</div><div>
Job Posting Title</div><div></div>
Provider Educator - Remote in California<div>
Job Description</div><div></div>
Ensures providers and prescribers are aware of Plan policy and requirements for claims submissions and/ or prior authorization (PA) requests. Conducts outbound calls and visits to prescribers or pharmacy providers who need assistance, or for proactive outreach. Travel may be required and varies by client.Additional responsibilities include reporting, letter preparation, and other duties to assist the Pharmacist Account Executive (PAE) or Clinical Account Manager in providing support to the client.<div></div><div>
Responsibilities</div><ul><li>
Supports provider outreach for planned clinical activities through letter preparation and tracking.</li><li>
Supports outcomes reporting for various projects.</li><li>
Serves as the company`s representative in the field and effectively communicates with providers about company policies, procedures, contractual requirements, and other issues.</li><li>
Works with Clinical Account Manager (or PAE) to draft, clarify, and recommend changes to policies that have an impact on network management and clinical outcomes.</li><li>
Conducts provider site visits and audits, or desk audits, in collaboration with Quality Improvement staff.</li><li>
Evaluates provider compliance with company policies and procedures as well as with clinical and administrative standards required by the client.</li><li>
Provides issue resolution and complex trouble shooting skills to providers, acting as the liaison between the company, the Plan, and the provider community, with the goal to reach satisfactory results without the need for client intervention.</li><li>
Supports the Clinical Account Manager (or PAE) in providing trends reporting and evaluating claims for outlying providers who may have issues or irregular habits as it relates to pharmacy claims submission or prescribing.</li><li>
Conducts and evaluates provider educational activities.</li><li>
Designs and develops provider training and educational materials, and the planning and coordination of provider meetings, seminars, and conferences.</li><li>
Reports activities and results to the client, seeking feedback for future planned outreach.</li></ul><div></div><div>
Minimum Qualifications</div><ul><li>
A Combination of Education and Work Experience May Be Considered.</li><li>
Bachelors - Healthcare</li></ul><ul><li>
2+ years Pharmacy</li><li>
2+ years Healthcare</li></ul><div></div><div>
Must be eligible to work in the United States without the need for work visa or residency sponsorship</div><div></div><div>
Additional Qualifications</div><ul><li>
Bachelor's degree with a minimum of three years' pharmacy or other healthcare experience.</li><li>
An equivalent combination of experience and education will be considered.</li><li>
Proficiency with Microsoft Office.</li><li>
Excellent written and verbal communication skills.</li><li>
Strong organizational skills.</li></ul><div></div><div>
Preferred Qualifications</div><ul><li>
CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy</li></ul><div></div><div>
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</div><div></div><div><br>
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.</div><div></div>
Potential pay for this position ranges from $25.48 - $40.87 based on experience and skills.<div></div><div><i><br>
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 </i><i>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.</i></div><div></div><div><i>
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.</i></div><div></div><div><i>
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.</i></div><div></div><div>
Positions will be posted for a minimum of five consecutive workdays.</div></div>

Provider Educator - Remote in California

Join Prime Therapeutics and explore 6   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.