Prime Therapeutics
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.
Physician Clinical Reviewer – Gastroenterology
🕒 March 15
🇺🇸 United States – Remote
💵 $90 - $154 / hour
⏱ Part Time
🟡 Mid-level
🟠 Senior
🔍🏥 Medical Reviewer
🦅 H1B Visa Sponsor
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Prime Therapeutics
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.
📋 Description
• Reviews cases for medical necessity • Discusses determinations with physicians • Provides clinical rationale for appeals • Assists Initial Clinical Reviewers • Ensures timely communication documentation • Participates in ongoing training • Assists with research related to Utilization Management
🎯 Requirements
• DO, MBBS, or MD required • 5+ years of experience in clinical review • Eligible to work in the United States without the need for work visa
🏖️ Benefits
• Health insurance • Retirement plans • Paid time off
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