Remote Jobs at Prime Therapeutics
Find your next remote opportunity · 34 Open Positions
We’re reimagining pharmacy solutions to provide the care we would want for our loved ones.
Prime Therapeutics LLC (Prime) is a diversified pharmacy solutions organization.
We offer innovative pharmacy benefit management, specialty and medical drug management, and state government solutions to millions of people across the country.
At Prime, we’re reimagining pharmacy solutions to provide the care we’d want for our loved ones.
We challenge the way it’s always been done to develop intelligently designed solutions that deliver savings, simplicity and support to help people achieve better health.
Physician Clinical Reviewer – Allergy/Immunology
Physician Clinical Reviewer evaluating clinical cases while ensuring medical necessity guidelines compliance at Prime Therapeutics. Collaborates with physicians to resolve determinations and assists with appeals.
Senior Business Analyst – Idaho Medicaid
Business Analyst Senior for Idaho Medicaid executing medium projects remotely. Liaison among business operations, technology groups, and clients to understand and facilitate business needs.
Physician Clinical Reviewer – Urology
Clinical Reviewer for utilization management focusing on Urology. Engaging with physicians and patients to ensure adherence to clinical guidelines and rationales.
Physician Clinical Reviewer – Pediatric Neurology
Physician Clinical Reviewer in pediatric neurology conducting medical reviews and collaborating with health professionals. Ensuring compliance with guidelines and regulations through documentation and communication.
Physician Clinical Reviewer – Pediatric Oncologist
Clinical Reviewer for pediatric oncology at Prime Therapeutics, reviewing service requests and helping in clinical decision making. Engaging with healthcare professionals to ensure adherence to medical guidelines as part of utilization management.
Physician Clinical Reviewer – Oncologist
Clinical Reviewer-Oncologist providing timely medical review of service requests. Interacting with physicians and staff while ensuring compliance with medical necessity guidelines.
Physician Clinical Reviewer – Family Practice
Physician Clinical Reviewer providing timely medical review of service requests at Prime Therapeutics. Engaging with physicians and regulatory compliance in a remote role.
Physician Clinical Reviewer – Dermatology
Physician Clinical Reviewer specializing in Dermatology at Prime Therapeutics. Responsible for reviewing clinical service requests and interacting with healthcare providers in the remote capacity.
Physician Clinical Reviewer – Ophthalmology
Key member reviewing service requests that do not meet medical necessity guidelines. Interacting with healthcare professionals to ensure compliance and proper documentation in ophthalmology.
Physician Clinical Reviewer – Cardiology
Physician Clinical Reviewer providing medical reviews for service requests at Prime Therapeutics. Engaging with physicians and participating in appeals, focusing on patient care and compliance.
Physician Clinical Reviewer – Orthopedics
Physician Clinical Reviewer responsible for reviewing clinical determinations and liaising with healthcare providers. Engages in quality assurance and compliance with medical guidelines and regulations in a remote capacity.
Physician Clinical Reviewer – Nephrology
Physician Clinical Reviewer reviewing medical necessity requests for Prime Therapeutics. Collaborating with healthcare professionals to ensure compliance with treatment guidelines and policies.
Physician Clinical Reviewer – Pediatric Gastroenterology
Clinical Reviewer at Prime Therapeutics evaluating pediatric gastroenterology service requests and overseeing clinical determinations in a remote setting.
Physician Clinical Reviewer – Endocrinology
Physician Clinical Reviewer responsible for medical review of service requests in utilization management. Collaborating with physicians and health plan members to ensure compliance with guidelines.
Physician Clinical Reviewer – Gastroenterology
Clinical Reviewer for Prime Therapeutics handling medical review of service requests. Collaborates with physicians and ensures compliance with policies and guidelines.
Physician Clinical Reviewer – Rheumatology
Physician Clinical Reviewer reviewing service requests for medical necessity at Prime Therapeutics. Engaging with physicians and health plan members to ensure adherence to clinical guidelines.
Physician Clinical Reviewer – Pediatric Rheumatology
Clinical Reviewer responsible for medical review of pediatric rheumatology service requests. Supporting utilization management processes and collaboration with healthcare providers at Prime Therapeutics.
Director IT – Software Engineering
Director of IT leading technology strategy and initiatives for Prime Therapeutics. Overseeing technology projects, teams, and partnerships to drive operational excellence.
Senior Regulatory Analyst
Senior Regulatory Analyst at Prime Therapeutics leading compliance and regulatory efforts in Pharmacy Benefit Management. Involved in audits, policy recommendations, and stakeholder communications.
Marketing Specialist – Product
Marketing Specialist responsible for supporting and managing marketing initiatives within a pharmacy benefit management context. Collaborating with cross-functional teams to execute strategies effectively.