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 – Pediatric Gastroenterology
🕒 May 6
🇺🇸 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
• Review cases for clinical determinations • Discuss determinations with physicians • Provide clinical rationale for appeals • Ensure documentation of communications is timely and accurate • Participate in inter-rater reliability training
🎯 Requirements
• 5+ years of experience in clinical review or related field • DO, MBBS, or MD degree required • Must be eligible to work in the United States without the need for work visa or residency sponsorship • Ability to operate productivity equipment and communicate effectively
🏖️ Benefits
• Health insurance • 401(k) matching • Paid time off • Flexible working arrangements • Professional development opportunities
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