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Lead Medical Pharmacy Analyst - Remote

Company: Prime Therapeutics
Location: Austin
Posted on: May 28, 2023

Job Description:

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Lead Medical Pharmacy Analyst - Remote
Job Description Summary
Supports analytical needs for assigned business unit, working with national and local leadership as needed to drive cost efficiency and quality within the market/business. Provides subject matter expertise for current and historical cost experience, cost drivers and trends to Med Econ leadership. Uses technical skills to efficiently respond to analytical requests, as well as pro-actively build tools and reports that will improve market/business intelligence. Accountable for ensuring analytics are timely and accurate.
Job Description
This role leads analysis and development of efficient reporting on high-cost drug trends and the impacts of management strategies for health plan clients. The ideal candidate brings expert skills in data analysis, experience building automated models and reporting, knowledge of the healthcare industry, and intellectual curiosity. This role communicates throughout end-to-end projects with a cross-functional team of analysts, actuaries, clinicians, IT, and underwriting professionals.

  • Provides analytical support for local health plan or business unit, in support of strategic decision making and cost efficiency.

  • Develops/maintains subject matter expertise in data extraction and quality assurance as well as current and historical cost experience and trend drivers.

  • Supports Actuarial and Finance leaders as needed to ensure budget and forecast accuracy.

  • Supports key business leaders in identifying cost efficiency and quality improvement opportunities through reporting and analytics.

  • Utilizes SQL, Excel, and other BI tools to define, extract, validate, shape, and interpret data to meet business needs. Accountable for accuracy of work product.

  • Effectively manages analytical priorities across regular reporting, ad hoc requests, and development of ongoing strategic activities.

  • Supports cost of care initiative tracking, savings and ROI estimates, and KPI dashboards for designated health plan or business unit.

  • Develops effective cross-functional relationships, both within Medical Economics and across Finance, Actuarial, and other key business areas.

  • Mentors peers and co-workers as appropriate.


    • Experienced in managed healthcare analytics (pricing, underwriting, medical economics, etc.).

    • Excellent verbal and written communication skills.

    • Ability to forge effective business relationships across functional groups.

    • Ability to effectively liaison between technical and non-technical groups.

    • Strong analytical and problem solving skills; ability to drive results and deliver on multiple tasks.

    • Proven track record of designing and executing on key analyses with minimal supervision.

    • Must be able to provide accurate estimates of work effort and deliver results within a committed time frame.

    • MS Suite power user; Expert level knowledge of SQL, Qlikview, Tableau or similar business intelligence tools.

      Work Experience
      Work Experience - Required:
      Analytics/Informatics, Healthcare
      Work Experience - Preferred:
      Education - Required:
      Education - Preferred:
      Certifications - Required:
      Certifications - Preferred:
      Potential pay for this position ranges from $79,340.00 - $126,940.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.
      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 an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.
      Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
      If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
      Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. --- 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

Keywords: Prime Therapeutics, Austin , Lead Medical Pharmacy Analyst - Remote, Accounting, Auditing , Austin, Texas

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