Health Informatics Analyst

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

Job Description

Responsibilities

• Analyze, mine, and document complex healthcare claims and authorizations data sets to identify patterns and trends using scripting, data blending, data visualization, and statistical programming languages to help translate high-level business problems into well-informed potential strategies and solutions
• Partner with stakeholders to understand needs, ensure proper collection of data sources, acquire data, and organize data into a format that is readily available
• Interpret results and present data as a compelling story that answer stakeholder questions, provide insights, and drive insightful decisions for leaders at all levels of the organization
• Identify and solve problems through data analytics and statistical modeling, and determine the best approach in methodology
• Perform ad hoc analyses of varying complexity and duration, delivering actionable insights aligned to business needs
• Provide status reports that deliver clear, detailed descriptions of project progress, including time allocation by task
• Coordinate and mentor analytics efforts performed by in-house staff or external consultants to ensure timely and accurate project delivery
• Other duties as assigned

Minimum Qualifications

• Bachelors degree in Health Informatics, Computer Science, Data Science, Statistics, or related area of study, or equivalent combination of education and/or relevant work experience; High school diploma or GED required

• 2 years of work experience in healthcare analytics

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

Additional Qualifications

• Ability to manage multiple projects with tight deadlines
• Strong analytical and problem-solving skills with attention to detail
• Effective communicator able to translate and explain technical data and insights to non-technical audience
• Knowledge of pharmacy benefit structures, drug pricing and claims processing
• Familiarity with drug coding systems (NDC) and medical coding (ICD, CPT, HCPCS)

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Preferred Qualifications

• Experience in a PBM, health plan, or payer organization
• Experienced with transact-SQL (MS SQL or Oracle)
• Experience with SAS, GCP, Python and/or other data mining tools
• Experience working with large datasets, including data warehousing and business intelligence tools
• First Databank, Medi-Span Experience

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.

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.