
1001 - 5000 employees
Founded 1998
⚕️ Healthcare Insurance
💊 Pharmaceuticals
☁️ SaaS
Healthcare Insurance • Pharmaceuticals • SaaS
Prime Therapeutics is a trusted pharmacy solutions provider dedicated to transforming health care through innovation and transparency. The company offers a wide range of services including clinical solutions for improved member outcomes, drug access and affordability, specialty drug management, and condition management for chronic health issues. With over 7,000 employees, Prime Therapeutics aims to challenge norms in the pharmacy industry, providing exceptional experiences and simplifying the complex for millions across the nation. Their mission goes beyond profit, focusing on creating transformative impacts with long-term solutions, utilizing modern technology and holistic approaches in specialty pharmacy management. Owned by mission-driven partners, Prime Therapeutics emphasizes true transparency and conflict-free service, fostering a culture of care and shared purpose in health care.
🕒 March 15
🇺🇸 United States – Remote
💵 $90.9k - $15.4k / year
⏱ Part Time
🟡 Mid-level
🟠 Senior
🔍🏥 Medical Reviewer
🦅 H1B Visa Sponsor
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1001 - 5000 employees
Founded 1998
⚕️ Healthcare Insurance
💊 Pharmaceuticals
☁️ SaaS
Healthcare Insurance • Pharmaceuticals • SaaS
Prime Therapeutics is a trusted pharmacy solutions provider dedicated to transforming health care through innovation and transparency. The company offers a wide range of services including clinical solutions for improved member outcomes, drug access and affordability, specialty drug management, and condition management for chronic health issues. With over 7,000 employees, Prime Therapeutics aims to challenge norms in the pharmacy industry, providing exceptional experiences and simplifying the complex for millions across the nation. Their mission goes beyond profit, focusing on creating transformative impacts with long-term solutions, utilizing modern technology and holistic approaches in specialty pharmacy management. Owned by mission-driven partners, Prime Therapeutics emphasizes true transparency and conflict-free service, fostering a culture of care and shared purpose in health care.
• Review medical service requests for adherence to medical necessity guidelines • Interact with physicians and health plan members as needed • Ensure accurate documentation of all communications • Assist in training of initial clinical reviewers
• 5+ years of experience in clinical review • DO, MBBS, or MD degree • Eligible to work in the United States • Familiarity with medical/clinical review guidelines • Ability to communicate effectively with medical providers
• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Remote work options
Apply Now🕒 March 2
Clinical Reviewer ensuring valid clinical data operations for Codvo's projects. Engaging in complex labeling and adjudication process while maintaining quality assurance.