Your Role:
The Data & Analytics (D&A) team partners with enterprise-wide business stakeholders to apply the power of data & analytics to deliver new insights and data-driven solutions to accelerate business outcomes. The Pharmacy Analytics Senior will report to the Senior Manager of Pharmacy Analytics and is responsible for working with key stakeholders from Pharmacy Services and others to be the D&A partner in accelerating and achieving business objectives and operations. This critical analytics team collaborates with other analytical and business teams and delivers analytical insights to power the business forward.
This role requires not only in-depth knowledge of the pharmacy claims data domain, but also a broad understanding of the business and business levers that matter. Being able to act as a "two-in-a-box" partner with business stakeholders is critical. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building, and sustaining high-performing teams, getting results the right way, and fostering continuous learning.Your Work:
In this role, you will:
Partner with Pharmacy Services team as a data analytics subject matter expert to address data needs to support pharmacy operational, strategic and compliance needs.
Design, develop, and support analytical solutions for Pharmacy Care Reimagined programs.
Support internal and external pharmacy data needs, including but not limited to, report automation, in-depth drill down on report reconciliations, research and development of rebate allocation methodologies, cost of healthcare modeling, and customized reporting solutions.
Effectively translate business problems and/or requirements into an analytical approach and present findings (analytical, reports, and presentations) to stakeholders critical for their business continuity and decision making.
Use appropriate technical, business, and financial knowledge to assess the completeness and reliability of data and the validity and accuracy of analytical results.
Develop and conduct evaluations and studies within limited time frames and produce analyses that are easy for non-technical persons to understand
Interact with internal and external customers to define complex reporting needs and specifications; design and implement complex report programming according to specifications.
Present effectively to internal and external customers on analytics/reports/presentations that are critical for their business continuity and decision making
Apply an analytical mindset to review and investigate the report and analytical outputs, summarize key findings, and communicate and propose solutions if needed
Contribute to the research and development of new analyses, operation process improvement, and internal quality control and perform other analytics duties as required
Manage small-to-medium-sized projects (or multiple projects) spanning across business areas.
Perform other functions as needed.
Your Knowledge and Experience:
Requires an BA/BS with demonstrated equivalent work experience. MPH, MBA, MS, MA, or RHIA in health science, quantitative social science, public health, health services research or business preferred.
Requires at least 5 years of prior relevant experience.
Requires at least 3 years of experience in Health Care (managed care, academic, or gov't payer).
Prior experience and demonstrated ability to work with large datasets required.
Prior experience with pharmacy claims and familiarity with pharmacy metrics for analysis preferred.
Current working knowledge of SQL and Excel strongly preferred
Tableau experience strongly preferred
Python experience preferred
Pay Range:
The pay range for this role is: $ 99000.00 to $ 148500.00 for California.
Notes:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.