Director, Network Informatics & Analytics

Role Description

Do you have strong experience in data modeling and analytics at a PBM or healthcare company? Due to continued growth, we are expanding our team to include a Director, Network Informatics & Analytics. Please note, this is not an IT Network position.

The Director, Network Informatics & Analytics is a strategic leadership role responsible for the data, informatics, analytics, and quality governance that support pharmacy network contracting across Chain, Specialty, and Independent/Affiliated networks. This role serves as the centralized owner of network and contract data integrity, analytics, reporting, and analytical validation of outcomes.

• Ensure contract terms negotiated by Network Contracting are accurately represented in data.
• Continuously assess through analytics to provide insight into claims outcomes and network performance.
• Drive the development of advanced network models and analytical frameworks.
• Evaluate reimbursement strategies, provider performance, and overall network cost effectiveness.
• Provide actionable insights, predictive analytics, and proactive identification of risks and opportunities.

Qualifications

• Bachelor’s degree in Business, Finance, Analytics, Information Systems, Healthcare Administration, or related field, or equivalent work experience, required.
• 7+ years of progressive experience in PBM, healthcare analytics, PBM network operations (not IT networks), pharmacy informatics or equivalent experience required.
• 3+ years of leadership experience with a proven ability to develop high-performing teams and deliver tangible results in a professional services environment required.
• Demonstrated experience with claims data, network configuration, reimbursement models, and complex data environments required.
• Proven ability to lead analytics, reporting, or informatics functions in a regulated healthcare setting required.
• Experience supporting contracting, pricing, or network management functions strongly preferred.
• Participate in, adhere to, and support compliance program objectives.
• The ability to consistently interact cooperatively and respectfully with other employees.

Requirements

• Own and evolve the informatics framework supporting pharmacy network contracting.
• Establish and maintain data standards, definitions, and governance controls.
• Design and develop network models to evaluate reimbursement structures.
• Lead development and maintenance of standardized reporting and dashboards.
• Establish and oversee analytical quality control frameworks.
• Provide analytical insight into the performance of new network builds.
• Serve as a key analytics and informatics partner to Network Contracting leadership.
• Collaborate with Analytics, Finance, IT, Compliance, Legal, and Operations.
• Additional duties as assigned.

Benefits

• Top of the industry benefits for Health, Dental, and Vision insurance.
• 20 days paid time off.
• 4 weeks paid parental leave.
• 9 paid holidays.
• 401K company match of up to 5% - No vesting requirement.
• Adoption Assistance Program.
• Flexible Spending Account.
• Educational Assistance Plan and Professional Membership assistance.
• Referral Bonus Program – up to $750!