Provider Relations Analyst Sr (Contract Negotiation) - Remote
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.Job Posting TitleProvider Relations Analyst Sr (Contract Negotiation) - RemoteJob DescriptionThe Provider Relations Analyst Sr is responsible for contracting efforts and managing Prime’s independent pharmacy networks. This position is responsible for the management of Prime’s independent pharmacy network contracting activities, ensuring contracting initiatives are effective and completed in accordance with network management strategies. In addition, this position manages and maintains the Prime Provider Manual, issues resolution for escalated pharmacies inquiries through the Provider Relations email box.ResponsibilitiesResearch and resolve pharmacy contract related inquires; evaluate network participation and distribute pharmacy contract documents; coordinate timely, accurate and complete submission of contract deliverables, and the electronic and physical tracking, storage and distribution of contract documentsEnsure all contractual obligations adhere with company policies, regulatory compliance and legal requirements; engage with Legal and Network Management leadership as needed to ensure the language provided is accurate and conciseEstablish, develop, and maintain relationships with independent pharmacy providersManage legal-to-legal correspondences between Prime and independent Pharmacy Providers escalating to Prime Legal Counsel as requiredConduct root cause analysis, including but not limited to, investigating, monitoring, resolving and reporting for pharmacy contract and pricing analysis complaints issuesEvaluate pharmacy inquiries to include but not limited to complaints, issues and/or grievances and collaborate with internal stakeholders, such as Network Management, Client Engagement, and Benefit OperationManage and edit Prime’s Provider Manual to ensure compliance and timely distribution, while contributing to process improvements that support cross-functional projects, regulatory changes, and client implementationsOther duties as assignedMinimum QualificationsBachelor's degree in Business or related area of study, or equivalent combination of education and/or relevant work experience; High school diploma or GED required5 years of work experience in a call center, customer service, operations, retail pharmacy, pharmacy technician, Pharmacy Benefit Management (PBM)Must be eligible to work in the United States without the need for work visa or residency sponsorshipAdditional QualificationsStrong interpersonal communication skills including conflict resolution and listeningAdvanced ability to problem solve and interpret complex dataProficiency within Microsoft applications such as Outlook, Word and ExcelEnhanced ability to coordinate multiple tasks and projects simultaneously under strict timelinesAbility to wor...