[Hiring] Senior Healthcare Informatics Analyst @Glint Tech Solutions LLC

Role Description

A leading healthcare payer client is seeking a Senior Healthcare Informatics Analyst to support a pharmacy-centric environment. The selected candidate will independently provide advanced analytics to support understanding and improvement of pharmacy benefit utilization, cost, quality, and clinical outcomes, developing analytic attributes related to:

• Utilization management
• Drug cost optimization
• Formulary performance
• Medication adherence
• Provider/member pharmacy engagement

This will be done in collaboration with Pharmacy, Clinical, Actuarial, Finance, and IT partners.

Key Responsibilities

• Lead the selection and application of pharmacy-focused analytic, evaluation, and BI methodologies to support business decisions and strategic planning.
• Leverage pharmacy claims data, PBM feeds, EDW, and non-EDW data sources to deliver actionable insights.
• Independently partner with business teams to define pharmacy analytics needs and develop predictive models, dashboards, utilization analyses, and performance metrics.
• Serve as a pharmacy analytics advisor on enterprise and cross-functional initiatives.
• Translate pharmacy business rules and policies into analytical models and reporting solutions, acting as a liaison between Pharmacy, Analytics, IT, and EIM teams.
• Perform peer data quality reviews to ensure accuracy, completeness, and consistency of pharmacy analytics output.
• Conduct advanced descriptive and statistical analyses related to drug utilization, adherence, cost drivers, and clinical outcomes.
• Ensure compliance with all applicable laws and regulations associated with pharmacy data and analytics.

Qualifications

• Bachelor's degree in healthcare administration, pharmacy, public health, statistics, economics, analytics, computer science, or related field (4 years of relevant experience may substitute; Master's may substitute for 2 years, Doctorate for an additional 2 years).
• 4+ years of healthcare analytics experience, with pharmacy or PBM analytics experience.
• Experience analyzing pharmacy claims, formulary performance, drug mix, utilization trends, rebates, and adherence metrics (PDC/MPR).
• Strong critical thinking, analytical, and problem-solving skills.
• Experience building predictive and explanatory models related to pharmacy utilization, cost, and outcomes.
• Advanced knowledge of SAS (including Enterprise Miner).
• Strong working knowledge of the U.S. healthcare system in a payer setting, with specific understanding of pharmacy benefits and PBM operations.
• Proficiency with SQL, SAS, R, Python, Tableau, or similar analytic/visualization tools.
• Databricks experience.
• Ability to translate complex pharmacy analytics into clear insights for executive, clinical, and technical audiences.

Nice-to-Have Skills

• Knowledge of pharmacy outcomes research, utilization management, and drug trend analysis.
• Domain expertise in pharmacy pricing and payment methodologies (AWP, WAC, MAC, rebates, trend drivers).
• Population health and pharmacy-driven interventions.
• Risk adjustment concepts and pharmacy's role in total cost of care.
• Clinical groupers and classification systems (GPI, NDC, therapeutic class, DRG, HCC).
• Pharmacy-related quality metrics (HEDIS medication measures, STAR ratings).
• Knowledge of commercial and Medicare Advantage pharmacy optimization.