Treasury Claims Analyst Senior - Remote

Treasury Claims Analyst Senior - 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.

The Senior Treasury Claim Analyst is responsible for supporting the claim payment process, completing regulatory requirements for pharmacy and member payments. This position performs complex in-depth analysis and works cross-functionally on projects and implementations. This role is responsible for providing guidance to the Accounting, Finance, Information Technology and Claims operation functions, as well as Pharmacy Networks and Government Programs.

Responsibilities :

• Participates in complex client and system implementations, leading discussion on liquidity impacts and ensuring compliance with prompt pay laws
• Performs issue management triage collaborating with stakeholders to identify root cause and resolve.
• Performs all escheatment activities by working cross-functionally to develop reporting processes and controls, completing annual escheatment processes, and determining and complying with state unclaimed property laws.
• Performs in depth complex analysis on payment compliance with federal and state prompt pay laws and contractual requirements.
• Identifies and leads process improvements to increase efficiency and effectiveness of the Treasury and other related divisions.
• Provides guidance and support to Associate and Treasury Analyst; demonstrate professionalism and leadership.

Minimum Qualifications :

Additional Qualifications :

Preferred Qualifications :

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. 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.

Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills.

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. 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. Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email Careers@primetherapeutics.com.