Pharmacy Data Analyst

Our client is only able to work with W2 candidates at this time (US Citizen or Green Card Perm Residents)

Duration : 6 months to start

Job Description

Job Summary :

• The Senior Pharmacy Data Analyst, reporting directly to the Manager of Pharmacy Contracting and Reporting, works autonomously to apply analytical expertise and deliver a comprehensive analysis of pharmacy data, encompassing key performance indicators, member demographics, drug utilization, and other relevant metrics.
• This role is pivotal in providing actionable insights to support strategic decision-making within the Pharmacy Department using effective communication to drive positive outcomes for the organization.
• The incumbent will showcase exceptional analytical acumen, with a mastery of SAS and SQL, along with a sophisticated command of the Microsoft suite, enabling seamless data processing and dynamic presentation of insights.
• As a Senior Pharmacy Data Analyst, this role embodies the highest level of proficiency in analyzing complex pharmacy data, providing strategic insights, and driving actionable recommendations to optimize pharmacy operations and enhance member outcomes.

Key Functions / Responsibilities :

• Develop and maintain a centralized dashboard for tracking pharmacy financial, operational, and clinical performance measures.
• Lead the process of regulatory reporting from development, validation, and submission collaborating with vendor partners to ensure data accuracy.
• Conduct data queries to monitor performance metrics, including Medicare STAR measures and quality improvement initiatives.
• Oversee PBM submission of all Part D claims to CMS as PDEs, identifying discrepancies and resolving errors to ensure 100% alignment.
• Assume the leadership role of Pharmacy Data Steward, advising cross-functional departments on data exchange specifications and serving as the subject matter expert for pharmacy data integrity.
• Support program processes by conducting User Acceptance Testing (UAT) and Quality Assurance (QA) testing.
• Collaborate with Pharmacy Department team members to identify, prioritize, and analyze customer needs and requests to include the development and execution of sophisticated data-driven strategies that are closely aligned with the company's overarching mission and strategic objectives
• Communicate effectively with internal cross-functional areas regarding pharmacy programs, formulary management, and pharmacy processes.
• Document workflows, perform analysis, and contribute to the design of systems to meet Pharmacy data needs.
• Deliver compelling presentations of findings and insights to internal stakeholders, effectively communicating complex concepts in a clear, concise, and persuasive manner using Utilize leading BI tools such as Tableau or Power BI.
• Architect and implement intricate data models, data flows, and data integration processes to ensure the accuracy, reliability, and efficiency of data collection, storage, and retrieval mechanisms.
• Engage collaboratively with cross-functional teams, including business stakeholders, data scientists, and developers, to identify optimization opportunities and develop innovative, data-driven solutions.
• Utilize leading BI tools such as Tableau or Power BI to create dynamic, visually compelling reports and distribute actionable insights effectively.
• Harness advanced tools such as Excel (including VBA), Python, or R to manipulate, analyze, and visualize data with precision and sophistication.
• Other duties as assigned

Qualifications

Education Required :

Bachelor's degree in mathematics, information management, information systems, statistics, or an equivalent combination of education, training, and experience.

Education Preferred :

Master's degree preferred.

Experience Required :

• Minimum of 5 years of healthcare experience.
• Working knowledge of industry coding standards (e.g., generic product indicators, national drug codes, GPI’s, etc.).
1 day ago