Business Solution Analyst Sr - Remote

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.

Business Solution Analyst Sr - Remote

Business Description

The Business Analyst (BA) Senior will execute on medium projects as a liaison among business operations, technology groups, clients, business partners, vendors, and project/program team to understand, analyze, and facilitate business needs, requirements, and impacts of business changes as a result of strategic initiatives, operational changes, compliance requirements, client needs, and technology or operational improvements. Additionally, this role will participate with leadership and/or the Center of Excellence to define and implement the best practice activities for Business Analysis.

Responsibilities

• Specialty fee schedule support - updating monthly fee schedules for new to market specialty drugs.
• Collaborate with cross functional teams and downstream communication on specialty drug fee schedule updates.
• Execute independently on medium sized projects or as part of a team of BAs on large sized or complex projects working closely with internal and external stakeholders to ensure superior customer and client experience
• Define and validate business needs with project team
• Participate in stakeholder analysis and identify subject matter experts needed for work effort
• Assess capability gaps, determine solution options and approach, and define solution scope
• Plan overall business analysis approach and activities for projects including user acceptance testing
• Prepare for, conduct, and document elicitation sessions
• Manage requirements traceability to solution scope, objectives, system requirements, and testing
• Adherence to business analysis discipline and standards in accordance with the Prime Project Lifecycle methodology
• Other duties as assigned

Minimum Qualifications

• Bachelor's degree in business, IT, or related area of study, or equivalent combination of education and/or relevant work experience; High School Diploma or GED equivalent required
• 5 years of work experience in business analysis or business operations in specialty pharmacy space
• Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Alteryx and Python technical knowledge
• specialty pharmacy or specialty operations and fee schedule operations experience
• Advanced understanding of business analysis concepts and methodologies
• Demonstrated drive to deliver result
• Demonstrated verbal, written communication, facilitation skills, conflict management, consensus building, problem solving, analytical skills, and creative thinking skills
• Ability to organize and prioritize multiple tasks with high degree of attention to detail
• Self-directed and strong personal initiative and accountability
• Team player, comfortable with fast paced, changing environment and ambiguity
• Experience in leading and motivating diverse project teams to achieve stated results
• Ability to independently deliver against all job accountabilities
• Desire to educate and advance the BA practice across the organization

Preferred Qualifications

• Advanced knowledge of the Business Analysis Body of Knowledge (BABOK)
• Experience in client relationship management
• Completion of a Business Analysis certification
• Demonstrated experience in business analysis on large complex projects or varying project types
• Deep knowledge of business analysis tasks, activities, techniques, and requirements process
• Expert in basic office productivity software and tools (MS Word, Excel, Visio, etc.)
• Experience in Pharmacy Benefit Management (PBM) or healthcare industry
• If in Clinical Account Services Department: Pharmacy experience preferably in retail, hospital, long-term care and/or community settings and Pharmacy benefit management (PBM) experience in clinical utilization management

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 $81,000.00 - $138,000.00 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 LLCis 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.

At Prime Therapeutics (Prime), we are a different kind of PBM. We’re reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.

We know that people make all the difference. If you’re ready for a purpose-driven career and are passionate about simplifying health care, let’s build the future of pharmacy together.

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 [email protected].