Job Description
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 Title
Enrollment Correspondence Policy Specialist
Job Description
The Associate Correspondence Analyst serves as a technical resource responsible for building or revising review system content related to criteria and/or correspondence. This role reviews and uncovers potential criteria and/or correspondence issues and serves as an initial information resource for questions and issues surrounding criteria and/or correspondence activities.
Responsibilities
Complete content build and revisions related to criteria and/or correspondence intake requests to ensure review tools are available when expected
Provide first line technical resource for questions related to criteria and/or correspondence tools and processes
Research and provide feedback on intake requests to build or revise tools based on findings
Assist in the gathering, documenting, and implementation of requirements for new and future system enhancements
Collaborate with the Criteria and Correspondence Analyst team to identify and implement process and performance improvement initiatives
Other duties as assigned
Minimum Qualifications
Bachelor's degree in business or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
May have no prior experience
Must be eligible to work in the United States without need for work visa or residency sponsorship
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
Demonstrated proficiency in basic office productivity software and tools (MS Word, Excel, Visio, etc.)
Proficiency in learning new platforms (e.g., Criteria building platforms, One Notes, Adobe professional, Outlook, Clinical Review Engine (CRE))
Ability to be self-motivated, work with minimal supervision
Demonstrated organizational, analytical, interpretive, and time management skills
Demonstrated verbal and written communication skills
Preferred Qualifications
National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)
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 $23.08 - $37.02 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, *** (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.
Positions will be posted for a minimum of five consecutive workdays.
Job Posting Title
Enrollment Correspondence Policy Specialist
Job Description
The Associate Correspondence Analyst serves as a technical resource responsible for building or revising review system content related to criteria and/or correspondence. This role reviews and uncovers potential criteria and/or correspondence issues and serves as an initial information resource for questions and issues surrounding criteria and/or correspondence activities.
Responsibilities
Complete content build and revisions related to criteria and/or correspondence intake requests to ensure review tools are available when expected
Provide first line technical resource for questions related to criteria and/or correspondence tools and processes
Research and provide feedback on intake requests to build or revise tools based on findings
Assist in the gathering, documenting, and implementation of requirements for new and future system enhancements
Collaborate with the Criteria and Correspondence Analyst team to identify and implement process and performance improvement initiatives
Other duties as assigned
Minimum Qualifications
Bachelor's degree in business or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
May have no prior experience
Must be eligible to work in the United States without need for work visa or residency sponsorship
Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
Demonstrated proficiency in basic office productivity software and tools (MS Word, Excel, Visio, etc.)
Proficiency in learning new platforms (e.g., Criteria building platforms, One Notes, Adobe professional, Outlook, Clinical Review Engine (CRE))
Ability to be self-motivated, work with minimal supervision
Demonstrated organizational, analytical, interpretive, and time management skills
Demonstrated verbal and written communication skills
Preferred Qualifications
National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)
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 $23.08 - $37.02 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, *** (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.
Positions will be posted for a minimum of five consecutive workdays.
💡 Quick Summary
Seeking a career-building opportunity? The Enrollment Correspondence Policy Specialist position is now open for candidates interested in the Work from home Jobs sector. This role in Baker offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Work from home Jobs is a plus.