Principal Pharmacy Analytics Lead
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Job Description
Design and operationalize pharmacy performance analytics to improve medication adherence and drug management. Collaborate with various stakeholders to enhance pharmacy objectives and insights.
Responsibilities:
- Design, build, and maintain pharmacy analytic assets, including dashboards, data extracts, recurring performance views, and executive-ready reporting products across medication adherence, Part D quality, and cost trends.
- Translate pharmacy business requirements into auditable analytic logic, including adherence calculations, drug hierarchy assumptions, and opportunity sizing.
- Analyze multi-source data (PBM/Rx claims, medical claims, eligibility, clinical) to establish baselines, detect trends, and uncover root causes of performance gaps in areas like medication adherence and 90-day prescription adoption.
- Partner with Pharmacy, Clinical, Finance, and Operations stakeholders to prioritize high-impact opportunities and convert analytic insights into intervention targeting and measurable performance improvement.
- Automate and scale recurring pharmacy reporting to reduce manual effort through scalable dashboards, reusable SQL, documented logic, and repeatable processes.
- Create and manage validation routines, QA checks, and reconciliation processes to ensure pharmacy reporting is accurate, trusted, reproducible, and audit-ready.
- Translate complex pharmacy, PBM, and financial logic into clear, decision-ready performance narratives for non-technical stakeholders and health plan leadership.
- Serve as a senior subject matter expert on Medicare Advantage pharmacy analytics, PBM/Rx claims data, Part D quality measures, and formulary concepts.
Requirements:
- Bachelor's degree in Mathematics, Computer Science, Data Analytics, Public Health, Pharmacy, Health Informatics, or a related field; equivalent experience may be considered.
- 7+ years of healthcare analytics experience, with direct experience in pharmacy claims analytics, PBM/Rx data, Medicare Part D, medication adherence, or pharmacy performance analytics.
- Hands-on experience writing complex SQL and extracting data from large, multi-layered health plan data environments.
- Experience building dashboards, recurring reports, or automated reporting processes using Tableau, Power BI, or similar business intelligence tools.
- Experience with PBM data, Medicare Part D operations, medication adherence measures, pharmacy quality measures, or drug cost/utilization trends.
- Ability to translate pharmacy business questions into analytic rules, including member cohorts, adherence calculations, and stratification.
- Experience working with healthcare datasets such as PBM/Rx claims, medical claims, eligibility, or provider data.
- Demonstrated ability to self-direct analyses, manage ambiguity, structure complex problems, and deliver actionable insights with limited direction.
- Experience using AI-enabled analytics, automation, or natural language tools to accelerate insight generation.
- Strong communication skills with the ability to explain technical concepts and recommended actions to non-technical stakeholders.
- Advanced degree in Pharmacy, Public Health, Health Informatics, Analytics, Healthcare Administration, or a related field (e.g., PharmD, MPH, MS Analytics, MBA).
Benefits:
- Medical, Vision and Dental Plans
- Tax-Advantage Savings Accounts (FSA & HSA)
- Life Insurance and Disability Insurance
- Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
- Employee Assistance Program
- 401k with company match
- Employee Resource Groups
- Employee Discount Program
- Learning and Development Opportunities
- And much more...
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