Pharmacy Analytics Consultant I/II

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.

Essential Accountabilities

• 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.
• Develop and deliver actionable insights to key enterprise stakeholders.
• 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.
• 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.
• Compile complex data sets tailored to customers' needs and provide actionable insights.
• Consult with other specialized analytic units to develop automated production reports, dashboards, and cubes for efficiency when appropriate.
• Engage with external partners and customers 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.
• 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.
• Build collaborative relationships across functional teams and other analytic teams across the organization.
• Demonstrate high standards of integrity by supporting the Lifetime Healthcare Companies’ mission and values.
• Maintain high regard for member privacy in accordance with corporate privacy policies and procedures.
• Perform other functions as assigned by management.

Minimum 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.
• 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 through visual interpretation.
• Willingness to develop relationships with partners within the health plan.
• Demonstrates intermediate understanding of healthcare products and operational business knowledge.
• Demonstrated analytic abilities combined with capabilities for completing projects with minimum supervision.
• Knowledge of the health care system and experience working with physician or hospital claims/group data preferred.
• Excellent oral and written communication skills.
• High degree of initiative, proactive attitude, and commitment to teamwork.
• Demonstrated ability to effectively 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.

Compensation Range(s)

• E1, Level I Min: $62,400 - $84,000
• E3, Level II Min: $62,400 - $106,929
• E5, Level III Min: $71,880 - $129,384
• E6, Level IV Min: $79,068 - $142,322

Physical Requirements

• Ability to work prolonged periods sitting at a workstation and working on a computer.
• Ability to work while sitting and/or standing 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.