Sr. Applied Stars and Quality Analytics Analyst - Remote

Prime Therapeutics; United States; Remote; USD 81,000 - 138,000; Full time

Job summary

A leading company in healthcare is seeking a Senior Health Data Analyst to enhance pharmacy benefits and network performance. This remote position involves developing reports and analytical models while collaborating with stakeholders to drive improvements. The ideal candidate will have a strong background in pharmacy benefits management and analytics, with excellent communication skills.

Qualifications

• 5 years of experience in pharmacy benefits management or analytics.
• Must be eligible to work in the United States.
• Experience in a client-facing or consultative role preferred.

Responsibilities

• Develop analytic methodologies, models, and reports.
• Lead complex client analytical work efforts.
• Investigate and build recommendations for benefit performance.

Skills

Advanced troubleshooting skills

Strong PBM industry knowledge

Ability to communicate effectively

Education

Bachelor's degree in Mathematics, Finance, or related field

Tools

SAS

SQL

SAS EG

GCP

Job description

Our work matters. We help people get the medicine they need to feel better and live well. We do notlose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title Sr. Applied Stars and Quality Analytics Analyst - RemoteJob Description

The Senior 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 develop new reports, analytical models, and products/benefit programs that align with Prime's strategic imperatives and will lead high-complexity analysis and special projects as required.

Responsibilities

• Act as a champion of the consulting and analytic methodology for designated line of business; may provide work direction, serve as a mentor or train junior level analysts
• Develop analytic methodologies, models, reports and new products
• Lead complex client analytical work efforts and serve as an internal subject matter expert in designated line of business; leverages deep understanding of client or organizational drivers and maintains final accountability for client analytics and ad hoc reporting
• Proactively investigates and builds recommendations for enhancements or resolution regarding key drivers of benefit performance, trends and obstacles in order to improve overall benefit and/or network performance and provide effective consultation to internal and external stakeholders
• Other duties as assigned

Education & Experience

• 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

• 5 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

Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

• Advanced 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; when issue arises, able to understand how to navigate to a resolution
• Strong PBM industry knowledge and knowledge of the financial levers of Prime; 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

• PBM (Pharmacy Benefit Management) or STARS experience
• Experience conducting complex analysis on large sets of pharmacy, claims, medical, and/or financial data
• Intermediate SAS or SQL coding skills
• Previous experience in a client facing or consultative role
• Extensive experience using analytic tools; familiarity with SAS EG or GCP

Physical Demands

• Ability to travel up to 10% of the time
• 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

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.

Potential pay for this position ranges from $81,000.00 - $138,000.00 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.

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 (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 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.