Regulatory Analyst (Remote)

Responsibilities:

• Participate in portions of external audits as directed by CMS, Medicaid, NCQA, and commercial clients.
• Assist in Regulatory Review Committee Meetings, Healthcare Reform Meetings, and Government Programs Compliance Committee Meetings.
• Lead efforts for response to inquiries, pulling case files and validating processes against requirements.

Qualifications:

• Bachelor's degree in business, finance, health services or related field, or equivalent experience.
• 3 years of PBM, healthcare, or compliance work experience; strong verbal and written communication skills.
• Demonstrated critical thinking and ability to interpret regulations into operational requirements.

Additional Information:

• Must be eligible to work in the US without visa sponsorship; tobacco-free workplace.
• Prime Therapeutics is an equal opportunity employer welcoming diverse candidates.
• Potential pay ranges from $66,000 to $106,000 based on experience and skills.