Prime Therapeutics-posted 2 days ago
$108,000 - $184,000/Yr
Full-time • Mid Level
Remote • Rancho Cordova, CA
5,001-10,000 employees

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 Title Consulting Business Analyst, Principal - Remote - Must be Located in CA Job Description The Consulting Business Analyst Principal provides strategic analytical leadership to guide enterprise-wide Business Systems Analysis (BSA) solutions, ensuring alignment with organizational goals. This role oversees enterprise-level regulations, compliance with Federal and State Rx policies, and evaluates technology investments to balance business value, security, and risk. The position integrates strategic vision with hands-on oversight to deliver consistent, compliant, and cost-effective BSA solutions that drive informed decision-making across the organization. This position needs to be located in the state of California due to contract obligations.

  • Lead the strategic direction and implementation of enterprise changes to support scalable, policy-driven decision-making
  • Analyze, evaluate, and optimize business, IT, or operational processes using structured methodologies such as Critical Thinking, Lean Management, ITIL, and Design Thinking
  • Provide operational and strategic leadership across the full software development lifecycle (SDLC), mentoring Analysts and ensuring delivery excellence
  • Partner with Architects to design scalable, compliant BI frameworks and reference data governance standards
  • Identify and assess opportunities to apply emerging information technologies to enhance enterprise strategies, ensuring regulatory alignment with State and Federal Rx policy
  • Drive successful installations, configurations, performance tuning, and system optimizations to support long-term business growth and compliance
  • Support enterprise business development by producing recommendations, proposals, and strategic analysis to guide leadership decisions
  • Champion industry best practices in Business Systems Analysis, mentoring and influencing the BA team to adopt robust methodologies, procedures, and frameworks
  • Other Duties as assigned
  • Bachelors degree in Computer Science, Information Technology, or related area of study, or equivalent combination of education and/or relevant work experience; High school diploma or GED required
  • 7 years of work experience in Healthcare Analytics/Informatics
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship
  • Ability to translate complex business requirements into actionable technical solutions aligned with enterprise architecture and strategic goals
  • Ability to identify solutions, define challenges, and drive organizational change through BI and analytics
  • Demonstrated ability to balance compliance with enterprise regulations (State and Federal Rx) while optimizing BI systems for efficiency, scalability, and risk management
  • Knowledge and ability to deliver high-quality BI projects on time while mentoring Analysts, fostering collaboration, and managing competing priorities effectively
  • PBM or health care experience
  • CA-MMIS experience
  • Experience leading enterprise-scale data models and analytical systems, leveraging Big Data, Cloud, and distributed technologies
  • Demonstrated experience in business analysis on large complex projects or varying project types
  • Experience using the SDLC process
  • Experience working in Medicaid
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service