Recovery & Resolution Analyst at Prime Therapeutics Little Rock, AR

Recovery & Resolution Analyst – Prime Therapeutics

Location:

Little Rock, AR.

Potential pay ranges from $53,000.00 to $85,000.00 based on experience and skills.

• Perform and document collection efforts such as claim adjustments, future payment withholding, and coordination with an external collection agency.
• Evaluate audits, investigations, and claims identified for potential recoupment to verify that results are final and accurate; make recommendations on recoupment or adjustment actions as appropriate.
• Identify accounts subject to collections and coordinate with the Senior Recovery and Resolution Analyst to support third‑party collection activities.
• Review checks submitted to lock‑box daily to verify that they are related to audits or investigations; reject checks received on audits, investigations, or claims that have already been collected.
• Prepare daily, weekly, and monthly reporting on recovery processes to support pharmacy, client, or internal business needs and communications.
• Identify and contribute to process improvements to drive efficiency and innovation in the recovery and resolution team.
• Other duties as assigned.

• Bachelor's degree in Finance, Business, or related field, or equivalent combination of education and related work experience; high school diploma or GED required.
• National Pharmacy Technician Certification through PTCB or ExCPT (CPhT).
• Minimum of 2 years of work experience in retail, long‑term care, specialty, home infusion, or mail‑order pharmacy or combined pharmacy and PBM experience, including:
  • 1 year of experience in claims processing in an operations, audit, or quality assurance environment.
  • 1 year of experience in insurance, billing, collections, or accounting.
• Must be eligible to work in the United States without a work visa or residency sponsorship.

• Ability to complete projects independently and within established time frames.
• Problem‑solving and troubleshooting skills.
• Proficiency in MS Office (Access, Excel, PowerPoint, Word).
• Intermediate understanding of point‑of‑sale and online pharmacy claims processing environments.
• Excellent oral, written, and interpersonal communication skills.
• Self‑directed, organized, and analytical.
• Ability to manage multiple tasks and projects simultaneously.
• Effective communication with a variety of audiences at all organizational levels.
• Maintain confidentiality of highly sensitive information.

• Current registration with the State Board of Pharmacy in the state where the position is located.
• Year of experience with audit in a regulated environment.
• Previous PBM experience.

• Frequently required to sit, use hands to handle or feel, talk and hear.
• Frequently required to stand, use hands to handle or feel, talk and hear.
• Frequently required to reach with hands and arms.
• Occasionally required to stand, walk, stoop, kneel, and crouch.
• Occasionally required to lift and/or move up to 10 pounds and sometimes up to 25 pounds.
• Specific vision abilities required: close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
• Every employee must understand, comply with, and attest to the security responsibilities and controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Prime Therapeutics LLC is an equal‑opportunity employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome applicants of different backgrounds, abilities, and perspectives, including those with arrest and conviction records and those requiring reasonable accommodations in accordance with the law.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at or email