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Remote Express Scripts Mail Order Pharmacy Jobs in New Mexico

ReminderMedia

Remote Account Executive Opportunity

Albuquerque, NM · Remote

$65K - $125K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... and direct-mail marketing tools. As an Inside Sales Representative (Closer), you will play a ... Following a proven sales process and scripts to qualify prospects, handle objections, and secure ...

Novartis

$138K - $257K/yr

  • Medical

  • Retirement

  • PTO

Summary #LI-Remote The Access & Reimbursement Manager, NPSImmunology Oklahoma City, OK geography ... Experience with specialty pharmacy productsacquiredthrough Specialty Pharmacy networks or specialty ...

Novartis

$138K - $257K/yr

  • Medical

  • Retirement

  • PTO

Summary #LI-Remote The Access & Reimbursement Manager, NPSImmunology Los Angeles, CA geography ... Experience with specialty pharmacy productsacquiredthrough Specialty Pharmacy networks or specialty ...

Novartis

$138K - $257K/yr

  • Medical

  • Retirement

  • PTO

Summary #LI-Remote The Access & Reimbursement Manager, NPS Renal is a remote& field-based role that ... Experience with specialty pharmacy productsacquiredthrough Specialty Pharmacy networks or specialty ...

Novartis

  • Medical

  • Retirement

  • PTO

Summary #LI-Remote The AD, Access & Reimbursement, NPSCVis in Houston, TX geography. This is a ... Educates relevant stakeholders onlogisticsrelated to ordering, payment, inventory, and product ...

Novartis

  • Medical

  • Retirement

  • PTO

This is a remote& field-based role that covers thefollowing, butnot limited to: Thousand Oaks ... Educates relevant stakeholders onlogisticsrelated to ordering, payment, inventory, and product ...

Novartis

  • Medical

  • Retirement

  • PTO

This is a remote& field-based role that covers thefollowing, butnot limited to:South Atlanta ... Educates relevant stakeholders onlogisticsrelated to ordering, payment, inventory, and product ...

Novartis

  • Medical

  • Retirement

  • PTO

Summary #LI-Remote The AD, Access & Reimbursement, NPSCVis in West Texas geography. This is a ... Educates relevant stakeholders onlogisticsrelated to ordering, payment, inventory, and product ...

Novartis

  • Medical

  • Life

  • Retirement

  • PTO

Summary #LI-Remote The AD, Access & Reimbursement, NPS CV is in Minneapolis, MN geography. This is ... Educates relevant stakeholders on logistics related to ordering, payment, inventory, and product ...

Novartis

  • Medical

  • Life

  • Retirement

  • PTO

This is a remote & field-based role that covers the following, but not limited to: Pittsburgh, PA ... Educates relevant stakeholders on logistics related to ordering, payment, inventory, and product ...

Novartis

  • Medical

  • Life

  • Retirement

  • PTO

This is a remote& field-based role that covers thefollowing, butnot limited to:Knoxville, TN ... Educates relevant stakeholders on logistics related to ordering, payment, inventory, and product ...

Novartis

  • Medical

  • Life

  • Retirement

  • PTO

This is a remote& field-based role that covers thefollowing, butnot limited to:Lexington, KY ... Educates relevant stakeholders on logistics related to ordering, payment, inventory, and product ...

Novartis

  • Medical

  • Life

  • Retirement

  • PTO

This is a remote & field-based role that covers the following, but not limited to: El Paso, TX, ... Knowledge of reimbursement pathways (specialty pharmacy, buy-and-bill, retail). * Candidate must ...

All JobsExpress Scripts Mail Order Pharmacy JobsRemote Express Scripts Mail Order Pharmacy JobsRemote Express Scripts Mail Order Pharmacy Jobs in New Mexico

Remote Express Scripts Mail Order Pharmacy information

What is the difference between Remote Express Scripts Mail Order Pharmacy vs Remote Pharmacy Technician?

AspectRemote Express Scripts Mail Order PharmacyRemote Pharmacy Technician
CredentialsPharmacy technician license, certification (e.g., PTCB)Pharmacy technician license, certification (e.g., PTCB)
Work EnvironmentCentralized mail order pharmacy, remote setupRemote or retail pharmacy settings, customer service focus
Employer & IndustryExpress Scripts, healthcare/pharmaceutical industryVarious pharmacies, healthcare industry
Job FocusProcessing mail order prescriptions, medication managementAssisting pharmacists, customer communication, prescription prep

Both roles require similar certifications and work in healthcare settings, but the Remote Express Scripts Mail Order Pharmacy focuses on processing mail order prescriptions within a centralized pharmacy, while the Remote Pharmacy Technician supports pharmacists in various pharmacy environments, often with direct customer interaction.

What are popular job titles related to Remote Express Scripts Mail Order Pharmacy jobs in New Mexico?

For Remote Express Scripts Mail Order Pharmacy jobs in New Mexico, the most frequently searched job titles are:

What job categories do people searching Remote Express Scripts Mail Order Pharmacy jobs in New Mexico look for?

The top searched job categories for Remote Express Scripts Mail Order Pharmacy jobs in New Mexico are:

What cities in New Mexico are hiring for Remote Express Scripts Mail Order Pharmacy jobs?

Cities in New Mexico with the most Remote Express Scripts Mail Order Pharmacy job openings:

Remote Express Scripts Mail Order Pharmacy jobs near you
Infographic showing various Remote Express Scripts Mail Order Pharmacy job openings in New Mexico as of August 2026, with employment types broken down into 79% Full Time, 10% Part Time, 3% Temporary, and 8% Contract. Highlights an 100% Remote job distribution.

Recovery & Resolution Analyst - Remote

Prime Therapeutics LLC

Albuquerque, NM • On-site, Remote

$53K - $85K/yr

Full-time

This job post has expired today. Applications are no longer accepted.

Prime Therapeutics rating

7.9

Company rating: 7.9 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

17th of 112 rated pharmacies

Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
Recovery & Resolution Analyst - RemoteJob Description
The Recovery & Resolution Analyst is responsible for recovering inappropriate pharmacy payments related billing errors and fraud, waste and abuse (FWA) through various mechanisms, including but not limited to: claim adjustments, future payment withholding and coordination with an external collection agency. This position ensures payment recoveries are accurately processed in Prime's systems for recoupment of audits and investigations performed by the Pharmacy Audit Operations and Special Investigations Unit (SIU) teams.
Responsibilities
  • Perform and document collection efforts such as claim adjustments, future payment withholding and/or coordination with an external collection agency
  • Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results are final and accurate; make recommendations on recoupment or adjustment actions as appropriate
  • Identify accounts that are subject to collections; coordinate with Senior Recovery and Resolution Analyst to support driving collections activities conducted by a third party
  • Review checks submitted to lock box daily to verify 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 recovery and resolution team
  • Other duties as assigned

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

Additional Qualifications
  • Ability to complete projects independently and within established timeframes
  • Ability to effectively problem solve and troubleshoot issues
  • Proficiency within MS Office such as Access, Excel, PowerPoint, and Word
  • Intermediate skill and understanding of the point of sale and on-line pharmacy claims processing environment
  • Excellent oral, written and interpersonal communication skills
  • Self-directed worker with excellent organization and analytical skills
  • Ability to work on multiple tasks and project simultaneously
  • Ability to work and communicate effectively with a variety of audiences at all levels of the organization
  • Ability to maintain confidentiality of highly sensitive information

Preferred Qualifications
  • Current Registration with the State Board of Pharmacy in the state where position is located
  • 1 year of work experience with audit in a regulated environment
  • Previous PBM experience

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $53,000.00 - $85,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.

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About Prime Therapeutics

Sourced by ZipRecruiter

Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Eagan, MN, US

Year founded

1987

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