Senior Health Care Analyst - Pharmacy

Introduction At Emergent Holdings, we’re creating an innovative environment where our employees belong authentically, contribute meaningfully, and thrive intentionally — both personally and professionally. Overview The Senior Health Care Analyst is responsible for planning, organizing, directing, implementing, and leading department assignments. This position operates within broad objectives to ensure optimum utilization of manpower and budget. This role researches, compiles, and analyzes appropriate and relevant data and makes recommendations for operational improvements.

Departmental

Summary:

This position supports Medicare Part D pharmacy quality and medication adherence initiatives through data analysis, reporting, dashboard development, and operational support. Responsibilities include analyzing healthcare data, monitoring quality measures, providing actionable insights to business and clinical partners, and supporting initiatives that improve CMS Star Ratings.

• Support PBM transition tasks and participate in workstream meetings
• Supports PBM audit and analytics to support Medicare pharmacy services business team.
• Builds and supports business reports to be included in executive dashboard.
• Leads in the research, analysis, identification, and evaluation of data from assigned problems to evaluate existing and potential trends and issues.
• Possesses and maintains an extensive comprehensive knowledge of BCBSM business, products, programs (including provider data, networks, etc.), corporate organizational structure (including functional responsibilities), and basic research principles and methodologies.
• Manages and monitors multiple projects simultaneously by establishing project plans and objectives to ensure goal attainment within defined parameters.
• Develops lines of communication to discuss and review results of analysis to management via reports and presentations and assists management in implementing programs that provide solutions.
• Investigates, reviews, recommends, communicates, and implements solutions which identify problems/root cause of issues.
• Identifies and resolves challenges in order to fulfill key corporate objectives and responds to the demands of change management and initiates actions needed to plan, organize, and control team activities.
• Independently develops and plans reports, papers, and/or other materials in a clear and concise manner.
• Provides expertise and guidance to unit and corporate staff as required.
• Acts as a liaison between corporate business areas and participates in group or committee discussions.
• Interacts with pharmacy functional business owners to define measurable metrics and assists them to use the dashboard on a daily basis.
• Supports ongoing maintenance of executive dashboard and related products, applications, and platforms.
• Works with analytics business analysts/developers and operations personnel to automate dashboard functions.

EDUCATION:

Bachelor’s degree in Business Administration, Economics, Health Care, Information Systems, Statistics, or a related field. Master’s degree in a related field is preferred. Relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the Company’s learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.

EXPERIENCE:

Seven years experience in a related field, typically in two subject areas (e.g. financial analysis, planning, health care economics, health care policy, statistical modeling, business decisions, analysis, or business management).

SKILLS/KNOWLEDGE/ABILITIES (SKA)

REQUIRED:

• Strong experience in implementing new PBM and transitioning the plan business functions from current PBM…