Senior Health Informatics Analyst — Data Insights Leader

Prime Therapeutics; Boston (MA); On-site; USD 94,000 - 160,000; Full time

Job summary

Prime Therapeutics is seeking a Health Informatics Sr Analyst in the Boston area to lead advanced data initiatives supporting clinical programs and cost containment. You will transform healthcare data into actionable insights, partnering with clinical services, pharmacy operations, product management, and client services.

The role focuses on statistical analyses, forecasting models, and dashboards, driving evidence-based decision making and regulatory compliance to improve patient and business

Qualifications

• 5 years of work experience in healthcare data analytics, with at least 3 years in the PBM or managed care environment
• Knowledge of and ability to analyze data in Tableau, Qlik, Power BI, or similar platforms
• Advanced knowledge of pharmacy claims data, drug classifications, formulary management and rebate processes
• Ability to work under tight deadlines in a highly dynamic environment
• Strong knowledge of pharmacy benefit structures, drug pricing and claims processing
• Familiarity with drug coding systems (NDC) and medical coding (ICD, CPT, HCPCS)

Responsibilities

• Analyze large-scale healthcare data to identify trends and inform strategies
• Design, develop, and deliver regular and ad-hoc reports for pricing, risk evaluation, medication adherence, formulary compliance, and utilization management
• Partner with stakeholders and lead the development of forecasting models, predictive indicators, and statistical analyses to measure program compliance and improve outcomes
• Lead the design, validation, and automation of dashboards and visualizations, ensuring scalability and regulatory alignment
• Provide data-driven recommendations for formulary design, prior authorization criteria and drug utilization review (DUR) programs
• Serve as a key partner to leadership in defining issues, selecting analytic methodologies, and interpreting complex data for executive decision-making
• Mentor and guide Analysts, providing technical leadership and ensuring alignment with best practices and evolving industry standards
• Other duties as assigned

Skills

Tableau

Qlik

Power BI

SQL

Python

SAS

Education

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

Master's degree in Health Informatics, Public Health, CS, Data Science, Statistics or related

HS diploma or equivalent

Tools

MS SQL

Oracle

GCP

Python

SAS

Job description

Prime Therapeutics is seeking a Health Informatics Sr Analyst in the Boston area to lead advanced data initiatives supporting clinical programs and cost containment. You will transform healthcare data into actionable insights, partnering with clinical services, pharmacy operations, product management, and client services.

The role focuses on statistical analyses, forecasting models, and dashboards, driving evidence-based decision making and regulatory compliance to improve patient and business