Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.Job Posting TitleHealth Data Analyst - RemoteJob DescriptionThe Health Data Analyst provides information, analyses, and consultation to internal and external stakeholders. This position assesses the performance of pharmacy benefits and/or networks and develops recommendations for improvements or enhancement to support departmental and organizational objectives. This position will participate in the development of new reports, analytical models, and products/benefit programs that align with Prime’s strategic imperatives.Responsibilities
Assumes responsibility for moderately complex analytic and consultative work such as analyzing and interpreting client pharmacy benefit data, trends and reports and partnering with analytics team to deliver recommendations or project status updates to internal and external stakeholders; investigates follow up items or questions regarding project and/or request scope
Investigates key drivers of benefit performance
Create new queries using SASEG including multiple table joins, understanding of table structures, creation of detailed formulas leveraging an understanding of SAS code
Participates in development of analytic methodologies, models, reports and new products
May be responsible for Centers for Medicaid/Medicare Services reporting and analysis, including the management of directories and bid support
Other duties as assigned
Minimum Qualifications
Bachelor’s degree in Mathematics, Finance, or related field, or the equivalent combination of education and/or relevant work experience; HS diploma or GED is required
2 years of experience in pharmacy benefits management, reporting & analytics, benefits consulting, healthcare, financial services or related field
Must be eligible to work in the United States without need for work visa or residency sponsorship
Additional Qualifications
Advanced Microsoft Excel skills – ability to create complete formulas and efficient data manipulation.
Intermediate troubleshooting skills, including in-depth client data research, which may involve research and drivers of utilization; understands resources needed and steps/processes on how to complete the problem; able to understand when an issue arises how-to navigate to a resolution
Strong PBM industry knowledge; able to articulate the industry trends to clients and the impact of trends and changes to client financials
Ability to establish rapport and effectively influence at all levels within an organization
Ability to communicate effectively and present complex data to a wide variety of audiences
Preferred Qualifications
Knowledge of the PBM (Pharmacy Benefit Management) industry and PBM data; understands key PBM metrics (such as PMPM, generic utilization)
Experience working with large sets of pharmacy, claims, medical, and/or financial data
Previous experience in a client facing or consultative role
Extensive experience using analytic tools; familiarity with SAS EG
RXClaim experience
Knowledge of Medicaid and/or Government Programs; experience in a highly regulated environment
Minimum Physical Job Requirements
Constantly required to sit, use hands to handle or feel, talk and hear
Frequently required to reach with hands and arms
Occasionally required to stand, walk and stoop, kneel, and crouch
Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus
Reporting Structure
Reports to a Sr Professional, Manager, or Director in the Network Management, Consulting Analytics, Operations & Planning or Government Programs department
Potential pay for this position ranges from $64,700.00 - $97,100.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/careers/benefits/) and click on the "Benefits at a glance" button for more detail.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, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.Positions will be posted for a minimum of five consecutive workdays.Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.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, sexual orientation, gender identity, national origin, disability, or veteran status. 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 1.866.469.1257 or email Careers@primetherapeutics.com.