Medical Informatics Analyst, Consultant Oakland, CA, United States and 4 Posted on 10/09/2024 B[...]

Your Role

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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 Consultant 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.
• Provide pharmacy and prescription drug data expertise to cloud migration teams.
• Implement data quality rules necessary to ensure timely and accurate delivery of reports.
• Perform data exploration using a combination of statistical programming languages (including, but not limited R, Python, SQL, SAS) and deploy predictive analytics and machine learning techniques to improve risk prediction, improve reserve, trend and financial forecasting in a manner that is actuarially sound, and enable real-time results and operational efficiencies.
• 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 problem and / or requirements into an analytical approach and present findings (analytical, reports, and presentations) to stakeholders critical for their business continuity and decision making.
• Assess business risks associated with analytical processes and data systems, and develop strategies to mitigate risks.
• Evaluate analytic results, prepare presentation materials, and make recommendations that clearly and succinctly convey results and their business significance to appropriate audiences to inform effective 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.
• Perform other functions as needed.
• Manage medium to large sized projects (or multiple projects) spanning across business areas

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