Full-Time

Health Data Analyst

Posted on 7/28/2026

Deadline 8/6/26
Prime Therapeutics

Prime Therapeutics

1,001-5,000 employees

Pharmacy benefits management and drug programs

Compensation Overview

$66k - $106k/yr

No H1B Sponsorship

Remote in USA

Remote

Category
Data & Analytics (1)
Required Skills
Data Modeling
Alteryx
Data Analysis
Excel/Numbers/Sheets

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Requirements
  • A bachelor's degree in Mathematics, Finance, or a related field, or an equivalent combination of education and relevant work experience; a high school diploma or General Educational Development credential is required.
  • Two years of experience in pharmacy benefits management, reporting and analytics, benefits consulting, healthcare, financial services, or a related field.
  • Eligibility to work in the United States without the need for work visa or residency sponsorship.
  • Advanced Microsoft Excel skills, including the ability to create complete formulas and efficiently manipulate data.
  • Intermediate troubleshooting skills, including in-depth client data research and the ability to identify utilization drivers, determine required resources and processes, and navigate issues to resolution.
  • Strong Pharmacy Benefit Management industry knowledge and the ability to explain industry trends and their impact on client financials.
  • Ability to establish rapport and effectively influence at all organizational levels.
  • Ability to communicate effectively and present complex data to varied audiences.
Responsibilities
  • Analyze and interpret client pharmacy benefit data, trends, and reports; partner with the analytics team to deliver recommendations or project status updates to internal and external stakeholders; and investigate follow-up items or questions regarding project or request scope.
  • Investigate key drivers of benefit performance.
  • Create new queries using Alteryx, including multiple table joins, understanding table structures, and creating detailed formulas based on Alteryx code.
  • Participate in developing analytic methodologies, models, reports, and new products.
  • Perform Centers for Medicare & Medicaid Services reporting and analysis when assigned, including managing directories and providing bid support.
Desired Qualifications
  • Knowledge of the Pharmacy Benefit Management industry and Pharmacy Benefit Management data, including key metrics such as per-member-per-month and generic utilization.
  • Experience working with large sets of pharmacy, claims, medical, and/or financial data.
  • Previous experience in a client-facing or consultative role.
  • Extensive experience using analytic tools and familiarity with Alteryx.

Prime Therapeutics provides pharmacy benefit management, specialty and medical drug management, and state government drug solutions for millions of people. It helps health plans and government programs control drug benefits by negotiating discounts, designing formularies, processing claims, and overseeing utilization to ensure safe and appropriate use of medications. It combines traditional PBM services with specialty and medical drug programs and a focus on government solutions to serve both private and public payers. Its goal is to deliver savings, simplicity, and support that help people achieve better health.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Eagan, Minnesota

Founded

1987

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Simplify Jobs

Simplify's Take

What believers are saying

  • Specialty and medical drug management can support higher-value automation products.
  • Medicare Part D and MA-PD exposure creates demand for compliance analytics.
  • Large plan and employer relationships enable scalable utilization-management tools.

What critics are saying

  • Optum Rx and CVS Caremark intensify price pressure in specialty management.
  • Blue Cross owner-plan concentration creates abrupt revenue loss if volumes shift.
  • FTC scrutiny of rebates and spread pricing threatens PBM margin economics.

What makes Prime Therapeutics unique

  • Prime combines PBM, specialty, and medical drug management across benefits.
  • Its Advocate+ Pharmacy Match uses real-time competition across specialty pharmacies.
  • Its state government and Blue Cross focus creates tailored plan-specific workflows.

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Benefits

Remote Work Options

Company News

Prime Therapeutics
Jan 12th, 2026
Prime's creative and brand work receives industry recognition

Prime's creative and brand work receives industry recognition. Prime Therapeutics creative services team wins 12 platinum and eight gold marcom awards. After Prime Therapeutics (Prime) announced its bold new brand and purpose to reimagine pharmacy solutions last year, Prime continues to show up as a different kind of pharmacy benefit management (PBM), including through its award-winning visual identity and messaging. The brand identity work recently received sweeping recognition from the 2025 Marcom Awards, which recognizes excellence in marketing and communications, as well as from the 2025 Graphic Design USA (GDUSA) American Inhouse Design Awards, which showcases outstanding design work. "These awards speak to the importance of how Prime shows up in the marketplace," said David Mitchell, vice president, marketing. "It's critical that our marketing and creative work reflects our brand's purpose, vision and culture." "These recognitions are truly a collaborative win across our marketing department and throughout Prime as an enterprise," he added. "I am so grateful for my team's work bringing Prime's distinctive identity to life." Prime recently received 12 platinum and eight gold marcom Awards, which recognized Prime's industry-leading creative work. GDUSA American Inhouse Design Awards. Earlier this year, the Creative team also earned 10 Graphic Design USA (GDUSA) American Inhouse Design Awards. These awards recognized the compelling new brand look and feel that represented Prime's transformation in the marketplace. This year marks Prime's 12th year of recognition, with nearly 100 GDUSA awards won to date. * 2024 President's Awards * Pharmacy Summit Branding * Reimagining The Board of Directors Suite * The Prime Rebrand * Its Solutions: Save, Simplify, Support * Brand Anthem: Transformation * Specialty Summit Environmental Graphics * Pharmacy Friends Social Media * Reimagining Its Website * Prime Cares & Prime Foundation Branding

Healthcare Finance News
Nov 2nd, 2025
Prime Therapeutics expands Sempre Health partnership to rein in drug costs

Prime Therapeutics expands Sempre Health partnership to rein in drug costs. The initiative has generated $4.7 million in member savings since its inception. Pharmacy benefit manager Prime Therapeutics is expanding its partnership with Sempre Health, a company that applies discounts at the pharmacy counter for people taking single-source drugs for chronic conditions. The initiative, focusing on expanding access to behavior-based medications, is meant to give clients new ways to help their commercial members save money and stay on therapy. Recent data from Prime's client, Blue Cross and Blue Shield of North Carolina, shows positive results from the model. Since launching in 2022, the program has enrolled more than 19,500 patients, supported over 70,000 prescription fills and generated $4.7 million in member savings. The initiative also achieved a Net Promoter Score of 98 and increased medication adherence by 15 percentage points, according to Prime. "The outcomes with Blue Cross NC and Sempre show exactly why we invest in initiatives like this: to make healthcare more affordable, improve adherence and support healthier lives," said Christopher Saliba, vice president of Enterprise Solutions at Prime. The companies will be expanding the model nationwide. Prime shared data from KFF showing that nearly 30% of Americans skip prescriptions due to cost, driving an estimated $290 billion in avoidable medical expenses each year. Sempre's behavior-based pricing model rewards healthy behaviors like timely refills and sustained adherence through partnerships with health plans, life science companies and pharmacy benefit managers (PBMs), including Prime. "Too many people are forced to choose between paying their bills and filling their prescription," said Anurati Mathur, CEO of Sempre Health. "Our work with Prime Therapeutics means that millions of people can stay on their life-saving medications without financial strain. We're thrilled to scale this impact nationwide." Prime Therapeutics is one of the largest PBMs in the country, with about a 10.3% market share, according to American Hospital Association data published last fall. Along with CVS Health (with a 21.3% market share), OptumRx (20.8%) and Express Scripts (17.1%), the country's four largest PBMs control roughly 70% of the national market. Michigan Attorney General Dana Nessel filed a lawsuit against Express Scripts and Prime Therapeutics in May, claiming the two pharmacy benefit managers allegedly engaged in anticompetitive conduct that harmed independent pharmacies in the state. According to the lawsuit, the PBMs allegedly formed an unlawful agreement that suppressed reimbursement rates to independent pharmacies, enabling them to pull in profits at the expense of independent pharmacies. Jeff Lagasse is editor of Healthcare Finance News. Healthcare Finance News is a HIMSS Media publication.

PR Newswire
May 28th, 2025
Flytehealth Obesity Care Program Demonstrates Cost Avoidance And Noteworthy Medication Adherence In Year-One Outcomes

NEW CANAAN, Conn., May 28, 2025 /PRNewswire/ -- FlyteHealth, a leading virtual cardiometabolic care provider, announced year-one outcomes from its Comprehensive Obesity Care program in an analysis performed on its customer, the State of Connecticut, which implemented the obesity care program for its employee health plan consisting of employees and retirees. In the study, FlyteHealth's approach was found to have an 86% adherence rate among new GLP-1 users and cost avoidance of up to $1.2 million within the pilot year of the program. This independent study was conducted by the actuarial consulting firm Milliman. The analysis examined the program's impact on pharmaceutical utilization, identifying immediate pharmacy benefit cost avoidance and noteworthy rates of treatment adherence among new GLP-1 utilizers in the State of Connecticut employee health plan.FlyteHealth's cardiometabolic offering delivers individualized therapy for obesity and three key cardiometabolic comorbidities (prediabetes, hypertension, and hyperlipidemia) through a patent-pending AI algorithm that informs patient-specific treatment plans. Based on over 30 years of clinical obesity care expertise from world-renowned obesity expert Dr. Louis Aronne, M.D., the treatment model combines personalized virtual care from a multidisciplinary team — including board-certified obesity medicine physicians, nurse practitioners and dietitians — precision pharmacotherapy, and intensive lifestyle coaching

KTBS
Mar 31st, 2025
Prime Therapeutics highlights industry-leading GLP-1 research at AMCP 2025

Prime Therapeutics highlights industry-leading GLP-1 research at AMCP 2025.

Times-Herald
Oct 7th, 2024
Prime Therapeutics announces new, cost-effective Humira(R) biosimilar solutions, offering clients flexibility and choice

Prime Therapeutics announces new, cost-effective Humira(R) biosimilar solutions, offering clients flexibility and choice.