Prime Therapeutics - Salem, MA

posted 2 months ago

Full-time - Mid Level
Remote - Salem, MA
Administrative and Support Services

About the position

The Senior Health Data Analyst plays a crucial role in providing information, analyses, and consultation to both internal and external stakeholders. This position is responsible for assessing the performance of pharmacy benefits and networks, developing recommendations for improvements, and enhancing support for departmental and organizational objectives. The analyst will create new reports, analytical models, and products or benefit programs that align with Prime's strategic imperatives. Additionally, this role involves leading high-complexity analysis and special projects as required, ensuring that the organization meets its goals effectively. In this position, the Senior Health Data Analyst acts as a champion of the consulting and analytic methodology for a designated line of business. They may provide work direction, serve as a mentor, or train junior-level analysts. The analyst will develop analytic methodologies, models, reports, and new products while leading complex client analytical work efforts. They will serve as an internal subject matter expert, leveraging a deep understanding of client or organizational drivers and maintaining final accountability for client analytics and ad hoc reporting. The role also requires proactive investigation and the building of recommendations for enhancements or resolutions regarding key drivers of benefit performance, trends, and obstacles. This is essential to improve overall benefit and network performance while providing effective consultation to internal and external stakeholders. The Senior Health Data Analyst will be expected to perform other duties as assigned, contributing to the overall success of the organization.

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; leverage deep understanding of client or organizational drivers and maintain final accountability for client analytics and ad hoc reporting
  • Proactively investigate and build 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

Requirements

  • 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
  • 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

Nice-to-haves

  • PBM (Pharmacy Benefit Management) experience
  • Experience conducting complex analysis on large sets of pharmacy, claims, medical, and/or financial data
  • Previous experience in a client facing or consultative role

Benefits

  • Health insurance
  • Dental insurance
  • Vision insurance
  • 401k
  • 401k matching
  • Paid holidays
  • Paid time off
  • Flexible scheduling
  • Professional development
  • Tuition reimbursement
  • Employee discount programs
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