[Hiring] Pharmacy Analytics Consultant @company

Role Description

The Pharmacy Analytics Consultant provides direct support for both Pharmacy and Medical Drug information needs using a variety of analytic tools and applications. The Consultant will work with internal and external stakeholders and management, as required, to achieve Pharmacy Markets strategy, growth, compliance, and affordability objectives across the enterprise. The analyst collaborates with a multidisciplinary team (e.g., clinical, financial, sales, and Line of Business Leaders) to recommend actionable items leading to positive pharmacy financial performance. This position prepares and presents information to enable both senior management and our customers to better understand, evaluate, and support their goals.

• Perform research on projects and manage and lead projects to successfully meet business objectives from across the enterprise.
• Analyze data to determine business problems, trends, or opportunities for process improvements.
• Provide consultation and analytic support within the Pharmacy Division, other Health Plan departments, and external vendors to ensure the most effective and affordable Pharmacy Benefit.
• Identify needs to develop new and innovative Pharmacy products, perform appropriate research, analyses, and evaluate feasibility of the administration and implementation of products.
• Communicate effectively with all levels of the organization related to health plan cost, utilization trends, and savings strategies.
• Articulate results, insights, and recommendations to management, steering committees, and/or project sponsors.
• Develop and deliver actionable insights to key enterprise stakeholders.
• Actively participate in collaborative meetings with internal and external partners.
• In partnership with Sales, Finance, and Actuarial, conduct comparative pricing analyses for pharmacy benefit Requests for Proposal.
• Provide analytics to support strategy development and innovative programs that align with enterprise and pharmacy goals and objectives.
• Partner with business units to ensure compliance with governmental, contractual, and corporate guidelines, regulations, and policies and procedures.
• Participate in all CMS and DOH compliance audits.
• Develop and establish standardized reporting and processes to support maintenance of business activities.
• Stay current with knowledge of Health Plans tools and data sources/structures to accurately pull and deliver data.
• Regularly review trends and best practices related to healthcare analytics.
• Compile complex data sets tailored to customer needs.
• Evaluate and process raw data for user-friendly and actionable insight (visual and otherwise) to end users.
• Consult with other specialized analytic units (i.e. Business Intelligence) to develop automated production reports, dashboards, and cubes for efficiency when appropriate.
• Engage with external partners and customers (i.e. Employer Groups, Brokers, Consultants, Providers, and Vendors) to help drive the success of Health Plan partnerships and goals.
• Enhance Pharmacy knowledge and consulting skills to contribute to affordability and savings for the Enterprise and our customers.
• Create unified strategies with internal departments that target reducing costs of healthcare.
• Manage, organize, and prioritize tasks for multiple projects with competing deadlines to successful completion.
• Collaborate with team members, leveraging skill sets across the team and aiding in growth and development as needed.
• Proactively problem solve, investigate, and bring forward concerns to management and/or business partners with relation to data pulls and analyses, as appropriate.
• Build collaborative relationships across functional teams and other analytic teams across the organization.
• Consistently demonstrate high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values and adhering to the Corporate Code of Conduct and leading to the Lifetime Way values and beliefs.
• Maintain high regard for member privacy in accordance with the corporate privacy policies and procedures.
• Regular and reliable attendance is expected and required.
• Perform other functions as assigned by management.

Qualifications

• Bachelor’s degree in Mathematics, Statistics, Medical Informatics, Economics, or related field preferred.
• In lieu of a degree, a minimum of two (2) related years’ experience in data or information analyses and reporting.
• Knowledge and applicable use of all tools available to develop analyses, extract information, and use the most appropriate tool for the given report (i.e. SAS, Cognos, Excel, Access, SPSS, DataFlux, AQT, Winscp, puTTy, etc.).
• Ability to approach data analysis with different data mining techniques, statistical techniques (when applicable).
• Proficient in using SAS and/or Cognos and Microsoft tools.
• Working knowledge of Microsoft Office Suite.
• Knowledge of basic statistical concepts and strong analytical and problem-solving skills with attention to detail.
• Ability to take complex data sets and simplify for all audiences to understand through both visual interpretation and highlighting data points of significant impact or potential areas for impactful program development.
• Willingness to develop relationships with partners within the health plan to understand data requests and help shape the request for more influential impact.
• Intermediate understanding of healthcare products and operational business knowledge.
• Demonstrated analytic abilities combined with capabilities for completing projects with minimum degree of supervision.
• Knowledge of the health care system and experience working with physician or hospital claims/group data preferred.
• Excellent oral and written communication skills with aptitude for communicating to a variety of audiences.
• High degree of initiative, proactive attitude, and commitment to teamwork.
• Demonstrated ability to effectively and tactfully relate to internal and external customers.
• Ability to work collaboratively with requestors and/or business partners.
• Adaptable to constant industry change and rapidly changing priorities.

Requirements

• A minimum of three years’ analytic experience in the Healthcare industry.
• Knowledge of advanced statistical concepts and strong analytical and problem-solving skills.
• Demonstrated ability to effectively interact with internal and external customers with particular strength translating user information needs into requirements and delivering high-quality results.
• Ability to work with large datasets (2TB or greater) and integrate large data across multiple sources (structured and unstructured).
• Strong PC/programming skills including Microsoft Office Suite, VBA, SQL, Power Play, and Impromptu, and moderate proficiency in SAS required.
• Strong analytical, diagnostic, and problem-solving abilities with attention to detail.
• Ability to quickly develop expertise in new application domains and analytic tools.
• Consistently demonstrated high quality and accuracy of work.
• Self-motivation, initiative, and an ability to perform under pressure with little supervision.

Benefits

• Participation in group health and/or dental insurance.
• Retirement plan.
• Wellness program.
• Paid time away from work.
• Paid holidays.

Physical Requirements

• Ability to work prolonged periods sitting at a workstation and working on a computer.
• Ability to work while sitting and/or standing while at a workstation viewing a computer and using a keyboard, mouse, and/or phone for three (3) or more hours at a time.
• Typical office environment including fluorescent lighting.
• Ability to work in a home office for continuous periods of time for business continuity.
• Ability to travel across the Health Plan service region for meetings and/or trainings as needed.

Compensation Range

62,400 - 84,000. The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill, and education as they relate to the position’s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package.

Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.