Health Data Analyst Sr - Star & Quality - Remote

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

Health Data Analyst Sr - Star & Quality - Remote

Job Description

The Senior Health Data Analyst provides information, analyses, and consultation to internal and external stakeholders. This position assesses the performance of Star ratings and quality data and develops recommendations for improvements or enhancement to support departmental and organizational objectives. This position will develop requirements and documentation for new reports, complete analysis requests, manage projects and be a subject matter expert on products and reporting provided to both internal and external partners 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 the Star ratings and quality COE analytics team

• Define requirements, establish processes, and manage projects in alignment with analytic methodologies, reporting needs, and new product development.

• Lead complex client analytical work efforts and serve as an internal subject matter expert for Star ratings and quality data and methodologies; 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 overall Star ratings performance, trends and obstacles in order to improve overall client Stars performance and provide effective consultation to internal and external stakeholders

• Act as the subject matter expert for internal projects between the quality management team and enterprise analytics to ensure we are keeping in alignment to client needs.

• 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

• 5 years of experience in pharmacy benefits management, reporting & analytics, Star ratings and quality, healthcare, 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) experience

• Experience conducting complex analysis on large sets of pharmacy, claims, medical, and/or financial data

• Basic to intermediate SQL coding skills

• Previous experience with Alteryx

• Previous experience in a client facing or consultative role

• Extensive experience using analytic tools; familiarity with GCP and Claims systems

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 $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 (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.

At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.

We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.

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.

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 [email protected].