Job Details

Consulting Business Analyst, Principal - Remote - Must be Located in CA

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.

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.

Responsibilities

• 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

Minimum Qualifications

• 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

Additional Qualifications

• 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

Preferred Qualifications

• 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

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 $108,000.00 - $184,000.00 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.