Medical Economics Analyst Principal - Remote

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

Medical Economics Analyst Principal - Remote

Job Description

Supports analytical needs for assigned health plan clients, working with internal and external leaders as needed to drive cost efficiency and quality within the market/business. Provides subject matter expertise for client drug spend and clinical program outcomes to Med Econ leadership. Uses technical data skills to efficiently respond to analytical requests, as well as pro-actively build tools and reports that will improve business intelligence. Accountable for ensuring analytics are timely and accurate.

Responsibilities

• Provides analytical support for health plan clients to enable strategic decision-making and identify cost savings opportunities within clinical programs.
• 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.

Education & Experience

• Bachelor’s degree in Finance, Business, Health Care Administration, or related area of study, or equivalent combination of education and/or relevant work experience
• 7+ years of analytics/informatics experience
• 7+ years of healthcare/PBM experience
   

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

Additional Qualifications

• Expert level knowledge of SQL.
• Experienced in data reporting & business intelligence
• 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.

Physical Demands

• Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"
• Must be able to constantly operate a computer and/or other office productivity equipment
• Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information
• Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

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 $94,000.00 - $160,000.00 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 cla