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.

Job Posting Title

Treasury Claims Analyst Senior - Remote

Job Description

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
• Other duties as assigned

Minimum Qualifications

• Bachelor’s degree in Accounting, Finance or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required

• 5 years of experience in a Finance, Accounting, or related position

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Superior oral and written communication and critical thinking skills
• Ability and willingness to provide guidance to junior staff
• Experience in unclaimed property management
• Ability to comprehend and apply regulatory guidance and contractual language to tasks and projects
• Ability to adjust to situational and organizational changes and demonstrate strong time management skills
• Ability to gain the respect and trust of the company’s senior management and constituents and work with all levels of the organization
• Ability to manage multiple tasks with minimal supervision
• Advanced proficiency with MS Excel, Word, and PowerPoint

Preferred Qualifications

• MBA, CTP, CPA or CMA
• Experience in general ledger systems, SAP preferred
• Banking relationship management experience

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.

Positions will be posted for a minimum of five consecutive workdays.