Eligibility Analyst
4 days ago
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Eligibility Analyst
**Job Description**:
**Responsibilities**:
Serves as primary contact for external clients and Prime’s Client Engagement team for requests and escalated issues; responsible for facilitating timely resolution
- Identifies and implements improvements for existing Eligibility processes
- Participates in peak season planning and execution
- Other duties as assigned
Minimum Qualifications
- Bachelor’s degree in IT, Business, Liberal Arts, Science or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED required
- 2 years experience in healthcare, PBM, Eligibility or claims processing
- Must be eligible to work in the United States without need for work visa or residency sponsorship
Additional Qualifications
- Ability to work in a collaborative team based environment
- Strong oral and written communication skills
- Strong organizational and time management skills
- Problem solving skills with strong attention to detail
- Ability to implement defined objectives and to act independently
Preferred Qualifications
- Previous PBM Experience
- Experience working in eligibility or enrollment
- Experience with Microsoft Excel
- Experience with Medicaid Subrogatio
Minimum Physical Job Requirements
- Constantly required to sit, use hands to handle or feel, talk and hear
- Frequently required to reach with hands and arms
- Occasionally required to stand, walk and stoop, kneel, and crouch
- Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
- Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus
- Ability to work a flexible schedule including weekends, holidays, overtime, on call, and shifts outside of Prime’s core business hours of 9:00 a.m. to 3:00 p.m.
Reporting Structure
- Reports to a Supervisor or Manager in the PBM Operations department
Potential pay for this position ranges from $55,400.00 - $83,400.00 based on location, experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page
and click on the "Benefits at a glance" button for more detail.
-
Program Analyst
7 days ago
Remote, Singapore Prime Therapeutics Full timeOur work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Program Analyst - Remote **Job Description**: The Program Analyst is responsible for providing project coordination and administrative support to one or more of...
-
Senior Data Analyst
2 weeks ago
Remote, Singapore Sleek Full timeMission: Drive informed decision making within the COO’s organisation by turning data from our Accounting, Corporate Secretary, FinTech and Compliance operations into actionable insights that improve the robustness and profitability of Sleek’s operations. Outcomes: - Data reliability: - Ensuring that your analysis is at least 90% accurate, with clear...
-
Sr. Applied Analytics Analyst Remote
4 days ago
Remote, Singapore Prime Therapeutics Full timeOur work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. - Job Posting Title Sr. Applied Analytics Analyst Remote - Job Description - The Senior Applied Analytics Analyst will provide business analytics and savings methodology support for...
-
Metrics & Reporting Analyst
2 weeks ago
Remote, Singapore Prime Therapeutics Full timeOur work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Metrics & Reporting Analyst **Job Description**: The Metrics & Reporting Analyst is responsible for supporting the business in decision making and customer service...
-
Financial Analyst
3 days ago
Remote, Singapore Prime Therapeutics Full timeOur work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. - Job Posting Title Financial Analyst - Remote - Job Description - The Financial Analyst is responsible for providing leadership on financial analysis and reporting related to the...
-
Financial Analyst Sr
3 days ago
Remote, Singapore Prime Therapeutics Full timeOur work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Financial Analyst Sr - Remote **Job Description**: The Senior Financial Analyst is responsible for providing leadership on financial analysis and reporting related...
-
Service Delivery Analyst
4 days ago
Remote, Singapore Prime Therapeutics Full timeOur work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Service Delivery Analyst **Job Description**: The Service Delivery Analyst is responsible for coordinating with clients to resolve individual member issues and to...
-
Pharmacy Credentialing Analyst
4 days ago
Remote, Singapore Prime Therapeutics Full timeOur work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Pharmacy Credentialing Analyst **Job Description**: **Responsibilities**: - Review and approve all recommended decisions to ensure adherence to regulatory &...
-
Health Data Analyst
2 weeks ago
Remote, Singapore Prime Therapeutics Full timeOur work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. - Job Posting Title Health Data Analyst - Remote - Job Description - The Health Data Analyst provides information, analyses, and consultation to internal and external stakeholders....
-
Remote, Singapore Prime Therapeutics Full timeOur work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Associate Program Analyst, Pharmacy Audit SIU Remote **Job Description**: As an Associate Program Analyst you would be responsible for providing project...
