Lead Pharmacy Analyst

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

In this position, the Pharmacy Analytics Analyst will evaluate and assess pharmacy data to identify trends and opportunities. This specialized pharmacy healthcare analyst role will possess an understanding of pharmacy and medical claims, pharmacy drug pricing, pharma rebates, drug life-cycle, drug pipeline, and PBM contracting elements. The Pharmacy analyst will determine requirements, create standards and/or define metrics to ensure complete and accurate pharmacy reporting.

The analyst will provide Insight and recommendations using quantitative analysis and/or statistical analysis coupled with explanatory and predictive modeling to drive focused decision making. The ideal candidate will possess strong analytical skills, and an understanding of the healthcare and PBM landscape.

• Data Mining and Report Development
  • Leverage analytical tools in the collection, analysis and reporting of pharmacy data, pharmacy trends, and key performance metrics
• Data Analysis and Report Development
  • Utilize statistical methods and data analysis tools to identify trends in pharmacy claims and other pharmacy data and key performance indicators
  • Demonstrate knowledge of components of trend for pharmacy and medical reporting and turn into actionable insights
  • Create and present comprehensive reports that summarize findings, highlight trends and provide actionable insights to stakeholders
• Documentation
  • Document report development and data processes into formal process and procedure artifacts
• Continuous Improvement & Training and Development
  • Stay informed about industry trends, emerging technologies, and best practices in pharmacy healthcare to drive continuous improvement within the pharmacy trend management processes
  • Provide training and support to team members on data analysis tools and methodologies, fostering a culture of learning and professional development
• Cross Department Collaboration
  • Facilitate collaboration with various stakeholders including, clinical, financial, actuary, provider, network, and operations

• Technical
  
  Skills:
  
  Proficiency in data analysis tools and software (e.g. Microsoft Excel, Tableau, SQL, SAS or similar).
• Strong analytical skills with the ability to interpret complex data sets and generate actionable insights.
• Proficient in report development and automation tools. Demonstrated ability to created comprehensive, visually engaging reports that effectively communicate data insights.

• Bachelor's Degree in Healthcare Administration, Public Health, Data Science, Statistics, Business Administration, Healthcare Econ or related field preferred, or equivalent work experience in related field
• A minimum of 5 years of experience in pharmacy healthcare analytics, with a focus on data analysis or trend management

• Technical
  
  Skills:
  
  Proficiency in data analysis tools and software (e.g. Microsoft Excel, Tableau, SQL, SAS or similar).
• Strong analytical skills with the ability to interpret complex data sets and generate actionable insights.
• Proficient in report development and automation tools. Demonstrated ability to created comprehensive, visually engaging reports that effectively communicate data insights.

This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations:
Minnetonka, MN, Madison, WI, or St. Louis, MO.

The full salary grade for this position is $102,100 - $175,100. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $102,100 - $138,605. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience,…