Health & Pharmacy Analytics Lead, Human Resources

UVA Human Resources is seeking a Health and Pharmacy Analytics Lead to join the Benefits team. The Health and Pharmacy Analytics Lead transforms medical, pharmacy, and operational data into actionable insights that support strategic and financial decision-making for the university health plan. This role works closely with UVA's healthcare data warehouse vendor, Artemis, to develop and deliver meaningful analytics and reporting. This role leads the reporting lifecycle for cost, utilization, quality, and trend analytics; oversees dashboard and data infrastructure development; and collaborates with internal and external stakeholders, including TPAs, consultants, clinical programs, and university partners (e.g., Hoos Well, UVA Medical Center, UVA Specialty Pharmacy). Conducts claims analysis and interprets healthcare claims and coding data to support initiatives that improve member health outcomes, enhance member experience, and contribute to the long-term sustainability of the health plan. Key Responsibilities Analytics & Insights Development Analyze medical, pharmacy, behavioral health, and vendor data to identify utilization trends, cost drivers, risk factors, and population needs. Build predictive models (e.g., high‑risk identification, chronic disease progression, utilization forecasting) using available plan data assets. Conduct cost‑of‑care studies to evaluate financial impact of clinical programs, pharmacy initiatives, plan design changes, and vendor performance. Utilize data ranging from claim-level detail to longitudinal trend analysis to support decision-making. Explore and evaluate emerging analytics technologies, including AI-enabled tools, to enhance reporting, forecasting, data interpretation, and decision support capabilities. Reporting & Dashboard Management Develop and maintain dashboards for leadership, including KPIs related to medical spend, pharmacy spend, quality, utilization, and outcomes. Produce recurring reports for executive leadership, governance committees, auditors, actuaries, and HR partners. Translate complex data into clear, digestible visualizations and narratives for both technical and non‑technical audiences. Data Governance & Quality Oversee data integrity, validation processes, and reconciliation across multiple sources (TPA, PBM, consultant partner, wellness partner, university systems). Ensure alignment with data security, privacy, and HIPAA standards. Collaborate with vendor partners to optimize data interfaces, refresh schedules, and architecture. Cross‑Functional Collaboration Support Clinical Programs with actionable clinical insights (e.g., gap‑in‑care reports, chronic condition stratification, evaluation of interventions). Partner with TPA and UVA Pharmacy leadership on drug utilization reviews, specialty trend analyses, and biosimilar opportunity modeling. Partner with consultants to support forecasting, budget analysis, and actuarial activities. Minimum Qualifications Bachelor’s degree or equivalent combination of related experience. Certified Health Data Analyst (CHDA) credential preferred; candidates with comparable healthcare analytics experience are encouraged to apply. Eight years of progressive experience in healthcare analytics, pharmacy analytics, population health, health plan operations, actuarial support, healthcare consulting, benefits analytics, or related analytical roles involving interpretation of healthcare claims, utilization, coding, and cost data to support reporting, forecasting, and decision-making. Preferred Qualifications Experience in analyzing medical and pharmacy claims data, dental claims, utilization trends, healthcare costs, and population health outcomes. Working knowledge of interpreting standardized code sets that represent medical, surgical, dental and diagnostic services. Demonstrated ability to translate complex healthcare, pharmacy, and operational data into actionable insights and effectively communicate findings to executive leaders, technical teams, and non-technical stakeholders. Demonstrated experience developing dashboards, reports, KPIs, and executive-level analytics using Artemis by Naomi Health and/or comparable healthcare analytics platforms. Strong analytical and quantitative skills, including experience with forecasting, trend analysis, predictive modeling, and financial impact analysis. Demonstrated ability and willingness to leverage emerging technologies, including AI-enabled analytics and reporting tools, to improve data analysis, decision-making, and operational efficiency. Experience working with healthcare data sources such as TPAs, PBMs, wellness vendors, EMRs/EHRs, or university/health system data environments. Knowledge of healthcare reimbursement methodologies, claims adjudication, medical coding concepts, and pharmacy utilization management practices Experience collaborating cross-functionally with leadership teams, clinical leaders, finance teams, operational stakeholders, consultants, and external vendors. Knowledge of HIPAA, healthcare privacy regulations, and data governance best practices. Demonstrated ability to work independently while also serving as a strategic thought partner to leadership. This position is designated as fully remote and may be performed outside of Charlottesville, VA, in accordance with UVA's remote work guidelines. Limited travel to Charlottesville may be required on an occasional basis. To learn more about UVA and in the Charlottesville area, visit UVA Life and Embark CVA. This is an exempt-level, benefited position. Learn more about UVA benefits.  This position is designated as restricted based on its funding sources and is subject to the continuation of available funding.The anticipated hiring range is $110,000-$135,000, commensurate with education and experience. Application review will begin after June 26, 2026. Background checks will be conducted on all new hires prior to employment.  How to Apply  Please applyonline, by searching for requisition number R0084004. Complete an application with the following documents:   Resume  Cover Letter Upload all materials into the resume submission field. You can submit multiple documents into this one field or combine them into one PDF.   Applications without all required documents will not receive full consideration. Internal applicants: Apply through your Workday profile by searching “Find Jobs.” Reference checks will be completed by UVA’s third-party partner, SkillSurvey, during the final phase of the interview. Five references will be requested, with at least three responses required.  For questions about the application process, please contact Ashley Cochran, View email address on click.appcast.io.  The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment.Job SummaryJob number: R0084004Profession: Finance, Business & Human Resources