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 TitleData Scientist Sr - RemoteJob DescriptionThe Data Scientist designs and develops processes to support and measure clinical program impacts using eligibility, medical, and pharmacy administrative claims. This position is responsible for performing work that includes study design, measurement and publishing results of complex pharmacy and medical health insurance clinical programs (e.g., medical policy, utilization management, adherence, and medication therapy management[MTM] analyses).
Responsibilities
- Design, develop and apply statistical theories and methods to solve complex technical problems
- Define detailed report requirements for new decision support reports as assigned
- Use multivariate modeling statistical software (SAS, SPSS, etc.) to create and maintain listings, tabulations, graphical summaries, and formal statistical estimates and tests
- Perform predictive modeling for clinical program development/enhancement and adherence
- Create statistically sound data sets, analysis methods, and scientific reports, assess quality of data analysis programs, and develop automated analysis tools where appropriate
- Other duties as assigned
Minimum Qualifications
- Bachelor's degree in statistics, mathematics, epidemiology, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
- 5 years of related work experience with large data sets
- Experience with SAS and SQL
- Must be eligible to work in the United States without need for work visa or residency sponsorship
Additional Qualifications
- Excellent verbal and written communication skills
- Highly analytical and research oriented
Preferred Qualifications
- PBM or healthcare experience
- Advanced SQL and Python Experience
- Research Master's degree (e.g., M.S., M.P.H.) or equivalent work experience
- Previous experience with analyzing and reporting on pharmacy or medical claims data
- Machine learning or AI 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.
Potential pay for this position ranges from $94,000.00 - $160,000.00 based on experience and skills.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.
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What We Do
Everything we do is connected to helping people get the medicine they need to feel better and live well. It’s meaningful work and we’ve been doing it for over 20 years.
In the pharmacy benefit management (PBM)industry, we’re different. We’re owned by 18 not-for-profit Blue Cross and Blue Shield health plans. This allows us to control costs and empower our employees to put members first. It’s a successful combination. We have the lowest pharmacy trend in the industry and serve 28+ million members throughout the US.
In addition to core PBM services, we work closely with our clients to implement the right benefit design, clinical and specialty programs, formulary and networks. A few key products:
• NetResults™
• Specialty Drug Management
• Best in Care™
• GuidedHealth®
• Advanced Fraud, Waste and Abuse: Member and Prescriber Investigations
• Prime Analytics™
• CareCentered Contracting™Controlled Substance Management Program
Join us!
Prime is always looking for smart, purposeful people to join our team. We’re growing fast which means there are plenty of opportunities to advance and grow in your career.
At the same time, Prime supports flexibility and offers generous PTO so you can enjoy an enviable work/life balance. We’re a privately held company -big enough to make a difference and small enough for you to have an impact.
Follow Prime on LinkedIn to learn more.








