Senior Health Informatics Analyst: Data Insights

Prime Therapeutics; Nashville (TN); On-site; USD 94,000 - 160,000; Full time

Job summary

Prime Therapeutics is seeking a Health Informatics Sr Analyst to lead advanced data initiatives supporting clinical programs, cost containment, and operations. You will partner with cross‑functional teams to transform healthcare data into insights, applying statistics and governance to improve patient and business outcomes.

You will mentor analysts, develop forecasting models, and design dashboards that comply with regulatory standards while guiding executive decision making.

Qualifications

• Bachelor’s degree and 5 years of healthcare data analytics experience, with 3+ years in PBM or managed care.
• Must be eligible to work in the United States without visa sponsorship.
• Knowledge of Tableau, Qlik, Power BI, or similar platforms.
• Advanced knowledge of pharmacy claims data, drug classifications and formulary management.
• Ability to work under tight deadlines in a dynamic environment.
• Familiarity with drug coding systems (NDC) and medical coding (ICD, CPT, HCPCS).

Responsibilities

• Analyze large-scale healthcare claims, eligibility, provider, and clinical data to identify trends and inform strategies.
• Design, develop, and deliver advanced reports for pricing, risk evaluation, adherence, formulary, and utilization.
• Lead forecasting models, predictive indicators, and statistical analyses to measure program compliance and outcomes.
• Lead the design, validation, and automation of dashboards and visualizations with regulatory alignment.
• Provide data-driven recommendations for formulary design and DUR programs.
• Partner with leadership to define issues, select analyses, and support executive decisions.
• Mentor Analysts, providing technical leadership and best-practices guidance.
• Other duties as assigned.

Skills

Advanced data analytics

Statistical analyses

Executive communication

Education

Bachelor's degree in Health Informatics, Public Health, Computer Science, Data Science, Statistics or related area

HS diploma or equivalent GED

Tools

Tableau

Qlik

Power BI

SQL

Python

SAS

Job description

Prime Therapeutics is seeking a Health Informatics Sr Analyst to lead advanced data initiatives supporting clinical programs, cost containment, and operations. You will partner with cross‑functional teams to transform healthcare data into insights, applying statistics and governance to improve patient and business outcomes.

You will mentor analysts, develop forecasting models, and design dashboards that comply with regulatory standards while guiding executive decision making.