Healthcare Data Analyst III

Workforce Classification: Hybrid

Join Our Team: Do Meaningful Work and Improve People’s Lives

Our purpose, to improve customers’ lives by making healthcare work better, is far from ordinary. And so are our employees. Working at Premera means you have the opportunity to drive real change by transforming healthcare.

Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we’re able to better serve our customers. It’s this commitment that has earned us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace.

Learn how Premera supports our members, customers and the communities that we serve through our Healthsource blog: .

As a Healthcare Data Analyst III , you will collect, process, analyze, compile, and present data to help answer pharmacy business questions and solve complex business problems. Using a variety of healthcare data sources including pharmacy claims, medical claims, clinical, lab, healthcare cost, utilization, and healthcare management data, you will partner closely with pharmacy business leaders to develop analytics, reporting, and insights that support pharmacy trend monitoring, utilization management, formulary strategy, pharmacy affordability initiatives, and operational decision making.

This is a hybrid role, located on our campus in Mountlake Terrace, Washington.

What you’ll do:

• Design, develop, and implement analytics, operational reporting, and trend analysis to support internal and external business customers.

• Develop data reports, statistical models, and analytics for management using visualization and statistics to understand and solve complex business problems.

• Analyze and interpret results using statistical tools and techniques to pinpoint trends and patterns in complex data.

• Troubleshoot issues as they arise and independently solve problems.

• Prepare documentation on all projects to enable peer review and ensure continuity of data product quality.

• Peer review work done by other analysts. Share knowledge of analytics and data in areas of specialty.

• Consult with internal and external customers to access scope and complexity of projects. Develop and maintain computer programs to support various, often complex, analyses, processes, and reports.

• Automate reported analytic products on large data sets.

• Search and review industry and/or academic literature and identify appropriate quantitative methodologies.

What you’ll bring:

Required Qualifications

• Bachelor’s Degree in Statistics, Mathematics, Information Systems, Computer Science, Finance, Information Management, Economics, or similar quantitative area, or the equivalent of (4) years of work experience in a related field.

• (5) years of experience in applying quantitative analytics tools, methods and processes, data architecture, database design, data transformation, and data management and which includes:

  • (3) years of experience with SQL, Python, VBA, or other scripting language.

  • (1) year of experience analyzing pharmacy, healthcare claims, managed care, PBM, specialty pharmacy, formulary, medication utilization, or other healthcare related data.

Preferred Qualifications

• Experience supporting pharmacy, pharmacy benefit management (PBM), specialty pharmacy, formulary, medication adherence, or pharmaceutical analytics functions.

• Experience working with pharmacy claims data, NDCs, drug classification systems, rebate data, or medication utilization reporting.

• Experience building Tableau, Power BI, or similar business intelligence solutions for healthcare or pharmacy stakeholders.

• Master’s Degree in quantitative science field.

• Experience with advanced analytics and tools.

• Experience using a variety of data and data formats.

Knowledge, Skills, and Abilities

• Technical expertise in creating data models, database design, data mining, and segmentation.

• Strong knowledge and experience with reporting packages, databases, and programming.

• Advanced knowledge of statistics and mathematical methods and experience using statistical packages for analyzing datasets.

• Strong analytical skills with ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy.

• Adept at queries, reporting, and presenting findings using a variety of data visualizations.

• Excellent verbal, written, and presentation communication skills.

• Excellent planning, prioritization, and organizational skills.

• Ability to apply practical data modeling to build data products.

• Working knowledge of medical terminology, medical coding and billing, claims processing procedures and considerations, and clinical data and data requirements.

• Knowledge of data requirements associated with PPI.

• Working knowledge of medical terminology, pharmacy terminology, claims processing procedures, prescription drug claims, healthcare coding systems, and clinical and pharmacy data requirements.

Physical Requirements

The following have been identified as essential physical requirements of this job and must be performed with or without an accommodation:

• This is primarily a sedentary role which requires the ability to exert up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body.

• This role requires the ability to keyboard and to communicate clearly and understandably in person and over the telephone.

Premera total rewards

Our comprehensive total rewards package provides support, resources, and opportunities to help employees thrive and grow. Our total rewards are more than a collection of perks, they're a reflection of our commitment to your health and well-being. We offer a broad array of rewards including physical, financial, emotional, and community benefits, including:

• Medical, vision, and dental coverage with low employee premiums.

• Voluntary benefit offerings, including pet insurance for paw parents.

• Life and disability insurance.

• Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.

• Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.

• Generous paid time off to reenergize.

• Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.

• Employee recognition program to celebrate anniversaries, team accomplishments, and more.

For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.

• Commuter perks make your trip to work less impactful on the environment and your wallet.

• Free convenient on-site parking.

• Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.

• Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.

• Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.

• Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.

Equal employment opportunity/affirmative action:

Premera is an equal opportunity/affirmative action employer. Premera seeks to attract and retain the most qualified individuals without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law.

If you need an accommodation to apply online for positions at Premera, please contact Premera Human Resources via email at View email address on aiapply.co or via phone at View phone number on aiapply.co.

The pay for this role will vary based on a range of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience.

The salary range for this role is posted below; we generally target up to and around the midpoint of the range.

National Plus Salary Range:

*National Plus salary range is used in higher cost of labor markets including Western Washington and Alaska .

We’re happy to discuss compensation further during the interview because we believe that open communication leads to better outcomes for all. We’re committed to creating an environment where all employees are celebrated for their unique skills and contributions.