Senior Director, Transformation Data Analytics

The Senior Director, Transformation Data Analytics Modernization will be accountable for designing and executing the two-year transition of 1,000+ customers to the new operating model as well as finding value within the existing pricing framework. This role combines strategic leadership with hands-on execution across pricing architecture, network strategy, contracting, and operational delivery. Responsible for driving cross-functional alignment, managing change at scale, and ensuring a disciplined, governed transition.
Role and Responsibilities
1. Enterprise Pricing & Model Governance
* Build out the design, refinement, and governance of the multi‐category FMV pricing model.
* Ensure all pricing aligns with SB‐41, H.R. 7148, FTC/Cigna requirements, internal FMV standards, and all developing requirements.
* Analyze the integration of Care Guides into the pricing architecture, including standalone and bundled pricing logic.
* Drive pricing analytics, modeling, and financial impact forecasting of this project/migration.
2. Customer Migration & Contract Rationalization
* Support the two‐year migration of 1,000+ customers to the new pricing model, supporting AM and Sales Functions.
* Analyze details of contract redesign, negotiation strategy, and execution.
* Partner with Sales, Account Management, and Legal to ensure seamless customer transitions.
3. Network, Retail, And Specialty Strategy Alignment
* Monitor network reimbursement, U&C methodologies, and specialty channel strategies to ensure alignment with the new model and maximize opportunity.
* Collaborate with network leadership to maintain competitiveness and margin integrity.
* Support pharmacy contracting modernization and compliance.
4. Operational Readiness & Reporting Infrastructure
* Assist in cross‐functional readiness across billing, claims, reporting, analytics, and compliance.
* Ensure data integrity, auditability, and system alignment with the new pricing model.
5. Care Guides Integration & Service Model Transformation
* Define how Care Guides consolidates and delivers highlighted key service categories.
* Build operational workflows and performance metrics for Care Guides.
* Ensure seamless customer and member experience during and after migration.
6. Executive Leadership & Change Management
* Serve as a sponsor for the transformation program.
* Assist internal education, training, and communication across Lucy Rx.
* Develop reporting to track progress, risks, and financial impacts to be presented to the CFO, CEO, and Board.

** Qualifications and Education Requirements
** Required* 9+ years of PBM, health plan, or healthcare strategy leadership.
* Deep expertise in
** network management, pricing, contracting, and reimbursement strategy**.
* Proven ability to implement large‐scale transformation and efficiency programs.
* Strong understanding of
** MAC management, U&C methodologies, retail contracting, and specialty strategy**.
* Demonstrated success in
** margin optimization, financial modeling, and guarantee oversight**.
** Preferences
* ** Experience leading pricing modernization or FMV‐based pricing transitions.
* Background in PBM retail network strategy across major chains.
* Familiarity with URAC accreditation, compliance frameworks, and regulatory reporting.
* Bachelor’s or equivalent degree.
** Leadership Attributes
** Lucy Rx is seeking a leader who is:
* ** Strategic and operational** — able to design the model and execute it.
* ** Analytically rigorous** — comfortable with pricing, modeling, and financial forecasting.
* ** Relationship****‐
**** driven** — able to integrate quickly into the Lucy Rx culture and leverage internal and external relationships to negotiate with pharmacies, customers, and internal teams.
* ** Change****‐
**** oriented** —…